Diseases Caused by Pest-borne Pathogens


Diseases Caused by Pest-borne Pathogens

Introduction

A number of arthropods and vertebrates have a magnified reputation and status as pests due to their involuntary participation in the spread of disease-causing organisms (pathogens and parasites) among humans and domesticated animals. Therefore, pest management professionals play an important role in preserving public health through their efforts in reducing or eliminating pest populations in both urban and rural settings. The importance of pest management in public health is often difficult to quantify due to:

1) the effectiveness of pest management efforts in this country,

2) the limited likelihood of sufficient exposure by a susceptible host to an infected or contaminated pest,

3) variability in the fraction of pest populations which actually carry pathogens,

4) the high percentage of pest-borne and pest-vectored cases which go unreported or are misdiagnosed, and

5) the potential for introduction of new pathogens from abroad and the occasional resurfacing and spread of existing (endemic) pathogens in select parts of the country.

Pest management professionals may never know how often their IPM efforts have averted a public health disaster. However, for the sake of addressing the questions and concerns of an inquiring public and defending the reputation of a noble profession, they should be aware of the health conditions, causal pathogens and known carriers which pose a threat to the public well-being.

Carrier or Vector?

Carriers are organisms (like cockroaches and house flies) that pick up pathogens (like Salmonella bacteria) on their tarsi and mouthparts and, during the course of contacting food and other items handled by humans, spread those pathogens by contamination. Vectors are organisms (such as anopheline mosquitoes) which play an important role in the life cycle of certain pathogens (such as malaria-causing sporozoans, Plasmodium species). Vectors serve to transfer infective stages of a pathogen from one host to another or from an intermediate (reservoir) host to a definitive host, while providing acceptable conditions for their further development.

Pest management professionals, by the very nature of their work, may place themselves at considerable risk while performing inspections and implementing control measures for pests that are known carriers or vectors of pathogens. The information provided here should serve as a reminder to inspectors and technicians to exercise caution by wearing appropriate clothing and using the recommended personal protective equipment (PPE) while in close proximity to these organisms, their harborages and nesting sites. The following PPE and products are strongly recommended if working in potentially hazardous areas:

  • Full-face or half-mask respirator fitted with a HEPA (="P-100") filter
  • Disposable latex or vinyl gloves
  • Clean, long-sleeve coveralls
  • Disinfectant (sprayable liquid)
  • Pest vacuum cleaner fitted with a HEPA filter
  • Plastic trash bags and ties
  • Soap, clean water and paper towels
  • A proven insect repellent product

References

  1. Acha, P.N., and B. Szyfres. 2nd ed. Zoonoses and Communicable Diseases Common to Man and Animals. Scientific Publication No. 503, Pan American Health Organization, Washington, DC.
  2. Chin, J. (ed.). 2000. 17th ed. Control of Communicable Diseases Manual. Amer. Publ. Health Assn., Washington, DC.
  3. McClelland, G.A.H. 1987. 11th ed. Medical Entomology; An Ecological Perspective. Univ. of Calif., Davis, CA.
  4. James, M.T., and R.W. Harwood. 1969. 6th ed., Herms' Medical Entomology, Macmillan Publ. Co., New York, NY.

DISEASES TRANSMITTED BY PEST ORGANISMS IN NORTH AMERICA

Disease & Effects*
Pathogen or Parasite
Carriers (C) / Vectors (V)
How
Transmitted
U.S.
Locality
Alveolar hydatid disease
large cysts in organs, F (seldom)
cestode:
Echinococcus
multilocularis
voles (C)
foxes, coyote (C)
dog, cat (C)
feces
Alaska
Amoebic dysentery
g.i. pain, bloody diarrhea
protozoan:
Entameoba histolytica
house fly (V)
blow flies (V)
flesh flies (V)
fly saliva,
tarsi
All
Anthrax
lesions on skin, in lungs, F (5-20%)
bacterium: Bacillus anthracis
horse flies (V)
fly saliva
All
Aspergillosis
lung blockage, abscesses, F (seldom)
fungus: Aspergillus spp.
pigeon (C)
feces
All
Bacillary dysentery
bloody diarrhea, g.i. pain
bacteria: Shigella spp.
house fly (V)
blow flies (V)
fly saliva,
tarsi
All
Raccoon roundworm
skin rash, organ impairment ,F (seldom)
roundworm
Baylisascaris procyonis
raccoon (C)
feces
All
Bubonic plague (Black death)
fever, chills, lymphnods swelling & pain, pneumonia, F (50-60%)
bacterium: Yersinia pestis
oriental and northern rat fleas, cat flea, dog flea, human flea (V) (reservoir hosts (C): ground squirrels, chipmunks)
flea saliva
Southwest
Cholera
painless watery stools, organ nausea, vomiting, dehydration, F (50%)
protozoan: Vibrio cholerae
house fly (V)
blow flies (V)
fly saliva,
tarsi
Gulf Coast
Colorado tick fever (CTF)
fever, rash, encephalitis, F (rarely)
virus: arbovirus: reovirus
Rocky Mountain wood tick (V) (Dermacentor andersoni)
tick saliva
Northwest
West
Cryptococcosis
Mild meningitis, lung lesions, F
fungus: Cryptococcus neoformans
pigeon (C)
feces
All
Dengue fever, DHF
fever, joint pain, rapid weak pulse, bleeding, F (40%)
virus: arbovirus: flavivirus
yellow fever mosquito (Aedes aegypti) (V)
mosquito saliva
Gulf Coast, Southeast
Encephalitis – Eastern equine (EEE)
headache, high fever, meningitis, F (<< />60%)
virus: arbovirus: togavirus
mosquitoes (V)
Coquillettidia mosquitoes (V)
primary hosts: birds (C)
mosquito saliva
East, Southeast
Encephalitis – LaCrosse (LAC) (CA group) headache, fever, meningitis, F (seldom)
virus: arbovirus: bunyavirus
Aedes mosquitoes (V)
mosquito saliva
West
Midwest
Encephalitis - St. Louis (SLE) headache, fever, meningitis, F (seldom)
virus: arbovirus: flavivirus
Culex primary hosts: birds (C)
mosquito saliva
East, South, Midwest
Encephalitis - Western equine (WEE) headache, fever, meningitis, F (rare)
virus: arbovirus: togavirus
< mosquitoes (V)
Coquillettidia< mosquitoes (V)
primary hosts: birds (C)
mosquito saliva
West, Southwest
Encephalitis- Venezualan equine (VEE)
s evere headache, chills, fever, myalgia, F
virus: arbovirus: togavirus
Aedes mosquitoes (V)
Coquillettidia mosquitoes (V)
primary hosts: birds (C)
mosquito saliva
West, South (sporadic)
Encephalitis –
West Nile (WNV) headache, fever, meningitis, F (rare)
virus: arbovirus: flavivirus
Culex (culicine) mosquitoes (V)
Aedes mosquitoes (V)
Anopheles mosquitoes (V)
primary host: birds (C)
mosquito saliva
East, Midwest
Haemolytic uremic syndrome (HUS) diarrhea, bloody stools, kidney failure, F (20%)
bacteria: Escherichia coli
strain O157:H7
house fly (V)
blow flies (V)
vinegar flies (V)
fly saliva, tarsi
All
Hantavirus pulmonary syndrome (HPS) fever, myalgia, lungs fill w/fluid, F (43%)
RNA virus:
Hantavirus sin nombre
deer mouse (C)
cotton rat (C) wood rat (C)
air-borne virus
from feces, urine, and saliva
East, S.E., Northwest
Histoplasmosis
malaise, fever, headache
lung impairment, F (sometimes)
fungus:
Histoplasma capsulatum
birds (C)
bats (C)
feces
All
Human babesiosis
fever, chills, muscle aches,
fatique, anemia, F (rarely)
protozoan: Babesia microti
blacklegged tick rodents (C)(Ixodes spp.) (V)
tick saliva
Northeast,
West Coast
Human granulocytic
ehrlichiosis (HGE)
fever, chills, headache,
muscle pain, F (sometimes)
bacterium: Ehrlichia sp.
blacklegged tick (V)
(Ixodes scapularis)
tick saliva
Northeast
N. Central
Human monocytic
ehrlichiosis (HME)
fever, chills, headache,
muscle aches
bacterium:
Ehrlichia chaffeensis
lone star tick (V)
(Amblyomma americanum)
reservoir hosts (C): white-tailed deer
tick saliva
Southeast
S. Central
Leprosy
very slow disfiguring injury
to skin, nerves, or lungs,
F (very rare)
bacterium:
Mycobacterium leprae
humans (C)
armadillo (C)
general contact
South
Southwest
Leptospirosis
(Weil's disease)
sudden onset, fever,
headache, leg muscle pain, F (<20%)
spirochete bacterium:
L. interrogans
domestic & wild animals (C),
especially rodents
urine, especially by
contamination of standing water
All
Lyme disease
spreading bulls-eye rash,
flu-like, arthritis, nerve,
or heart damage
spirochete bacterium:
Borrelia burgdorferi
blacklegged tick (V)
(reservoir hosts (C): white-footed mouse
white-tailed deer)
tick saliva
Northeast
Midwest
West
Lymphocytic
choriomeningitis
flu-like, headache, pain around eyes, F (rarely)
virus
arenavirus
house mouse (C)
urine, feces, nasal secretions saliva
All
Malaria
cyclic chills & fever headache, F (10-40%)
protozoan:
Plasmodium vivax
P. malariae, P. falciparum
anopheline mosquitoes
(Anopheles spp.) (V)
mosquito saliva
Not in U.S. Often introduced
near airports.
Newcastle's disease
flu-like, lungs, g.i.
virus: Paramyxovirus
birds (C)
general contact
feces, eggs
Not in U.S.
(rarely introduced)
Q (Query) fever
sudden onset, headache, pain
around eyes, weakness, F (1-2%)
bacterium: rickettsia
Coxiella burnetii
hard ticks (V)
wild mammals (C)
white-tailed deer (C)
sheep, goats (C)
airborne from
contaminated animals, saliva, urine, direct contact
All (uncommon
but focal)
Rabies
apprehension, headache, fever, spasm of swallowing muscles, delirium, F (100%)
virus:
rhabdovirus:
Lyssavirus sp.
wild and domestic mammals, especially cats, dogs & bats
saliva, contamination
of open wound, eyes or inhaled (rarely)
All
Rat-bite fever
(Haverhill fever)
sudden onset, chills, fever, headache, muscle pain, F (7-10%)
bacterium:
Streptobacillus moniliformis
Norway rats (C)
roof rats (C)
urine or saliva contamination
of open wound
All
Relapsing fever
periodic fever cycles, with no symptoms between
bacteria:
Borrelia recurrentis
relapsing fever ticks
(V) (Ornithodoros spp.) body louse
(V) (Pediculus humanus )
tick saliva

louse body fluids scratched into wound
Northwest
West
All (but very rare)
Rickettsialpox
single skin lesion, fever, rash (not on palms or soles), F (rare)
rickettsia:
Rickettsia akari
house mouse mite (V)
(Liponyssoides sanguineus)
house mouse (C)
mite saliva
East
Rocky Mountain
spotted fever (RMSF)
sudden onset, fever, muscle pain rash, F (13-25%)
rickettsia:
Rickettsia ricketsii
American dog tick (V)
Rocky Mountain wood tick (V)
wild mammals,
especially rodents (C)
tick saliva
East, North Central, Southwest
Salmonellosis
g.i. pain, headache, diarrhea, nausea, F (rare)
bacteria:
Salmonella enterica
esp. serovars Typhi, or Typhimurium
house fly, blow fly (V)
German cockroach (V)
domestic rodents (C)
humans (C),

turtles (C)
saliva, feces, tarsi

saliva, feces, tarsi

saliva, feces, tarsi

saliva, feces, tarsi

feces
All
Tapeworm (Dwarf)
g.i. pain (w/o diarrhea), paleness,
weight loss, weakness
cestodes:
Hymenolepis nana
humans (C):
feces contaminating
food or water
All
Tapeworm (rat or dog)
Symptoms very rare (g.i. distress)
cestodes:
Hymenolepis diminuta (rat)
Dipylidium caninum (dog)
fleas (C)
grain beetles (C)
cockroaches (C)
infected insects are eaten by humans
All
Tetanus (Lock-jaw)
painless muscle contraction of jaws, abdomen, F (10-90%)
bacterium:
Clostridium tetani (toxin produced anaerobically)
house mouse (C)
Norway rat (C)
roof rat; other rodents (C)
contamination
of wound with bacteria from soil, saliva, etc.
All
Toxoplasmosis
fetal deformities, (F, often) fever, lymph node pain
protozoan:
Toxoplasma gondii
mammals (C)
birds (C)
feces, transplacental
in humans
All
Trichinosis
(Roundworm)
sudden muscle soreness, pain, redness of upper eye lids, fever
nematode:
Trichinella spiralis
house mice (C)
Norway rat (C)
roof rat (C)
undercooked meat especially pork or bear
All
Trypanosomiasis - (African Sleeping sickness)
a painful sore, nodule, fever, headache, coma, F (100%)
protozoan:
Trypanosoma gambiense T. rhodesiense
tsetse flies (V)
(Glossina spp.)
antelopes (C)
fly saliva
----
(Listed for
comparison to next entry)
Trypanosomiasis - American (Chagas' disease)
fever, lymph node pain, liver injury, heart damage, F (often)
protozoan:
Schizotrypanum cruzi
kissing bugs (V)
(Triatoma spp. )
wild mammals (C)
vector feces, (scratched into bite wound)
Southwest
& Central America
Tularemia
local ulcer at bite, lymph node swelling, g.i. pain, diarrhea, vomiting, F (30-60%)
bacterium:
Francisella tularensis
hard ticks (V)
deer flies (V)
(reservoir hosts (C): rabbits, rodents)
vector saliva
All
Typhoid fever
fever, bad headache, malaise, swollen spleen, rash, F (10-20%)
protozoan:
Eberthella typhosa
Salmonella enterica
house fly (V)
blow flies (V)
flesh flies (V)
feces-contaminate
water/food, fly saliva, feces
All
Typhus - (Epidemic)
headache, chills, prostration, fever, general pain, rash on palms & soles, F (10-40%)
bacterium:
Rickettsia prowazekii
body louse (V)
(Pedicuus humanus)
reservoir hosts (C): Norway rat
vector body fluids scratched into wounds
All
Typhus - (Murine)
headache, chills, fever, general pain, F (<1%)
bacteria:
Rickettsia typhi
oriental rat flea (V)
cat flea (V)
rodents (C)
flea feces scratched into an open wound
All
Yellow fever
sudden onset, fever, chills, headache, backache, F (5-40%)
virus:
arbovirus: flavivirus
yellow fever mosquito
Aedes aegypti (V)
Haemagogus spp. (V)
Sabethes spp. (V)
mosquito saliva
Not in U.S. but vectors are plentiful in
East, Southeast, & West

*Effects are listed in decreasing order of occurrence, g.i.=gastro-intestinal, F=fatal (%; untreated)