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The Health bulletin [serial] - University of North Carolina at Chapel Hill

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30 <strong>The</strong> <strong>Health</strong> Bulletin August, 191.<br />

r<br />

MALARIA<br />

By C. C. BASS, M.D.<br />

Malaria is carried by mosquitoes.<br />

Almost everybody now knows th<strong>at</strong>,<br />

but there are certain facts connected<br />

with the habits <strong>of</strong> these insects and<br />

their bearing on the transmission <strong>of</strong><br />

malaria th<strong>at</strong> ought to be much better<br />

known. If they were, persons who<br />

have malaria would be more interested<br />

in getting rid <strong>of</strong> it.<br />

<strong>The</strong>re are almost a hundred different<br />

kinds <strong>of</strong> mosquitoes in this<br />

country. Of these only about four<br />

and practically only two (Anopheles)<br />

carry malaria. <strong>The</strong> others are harmless<br />

as far as transmission <strong>of</strong> malaria<br />

is concerned, but <strong>of</strong> course, not in<br />

other particulars.<br />

Different kinds <strong>of</strong> mosquitoes have<br />

different n<strong>at</strong>ural habits as to flight,<br />

feeding and breeding. Some habits<br />

<strong>of</strong> the mosquitoes th<strong>at</strong> carry malaria<br />

are important in this connection and<br />

determine their efficiency as malaria<br />

carriers.<br />

Mosquito Must Have Blood Meal<br />

While certain species <strong>of</strong> mosquitoes<br />

are thoroughly domestic<strong>at</strong>ed and<br />

breed and live near by or in residences,<br />

those th<strong>at</strong> carry malaria are<br />

more wild and spend most <strong>of</strong> their<br />

time under cover <strong>of</strong> dense veget<strong>at</strong>ion<br />

such as swamps, rank growth <strong>of</strong><br />

grass, weeds and vines. <strong>The</strong> larval<br />

stage—the "wiggle tail" stage—is<br />

passed in suitable pools or collections<br />

<strong>of</strong> w<strong>at</strong>er. <strong>The</strong>se, the female mosquito<br />

selects by n<strong>at</strong>ural instinct to deposit<br />

her eggs in. <strong>The</strong>y are generallypretty<br />

well surrounded and covered<br />

by veget<strong>at</strong>ion, usually swampy<br />

growth.<br />

After the insect develops wings and<br />

is able to fly, the females soon reach<br />

the stage <strong>at</strong> which they produce eggs<br />

and in this way reproduce and perpetu<strong>at</strong>e<br />

the species. But it is necessarv<br />

for them to obtain a blood meal<br />

before they will develop eggs. If we<br />

rear mosquitoes in captivity and keep<br />

them in cages, not allowing them to<br />

get blood, they never produce eggs.<br />

But let one <strong>of</strong> them get one blood<br />

meal and she develops and lays eggs<br />

within a few days. <strong>The</strong> blood meal<br />

th<strong>at</strong> provides the necessary animal<br />

protein is essential, therefore, for reproduction<br />

and perpetu<strong>at</strong>ion <strong>of</strong> the<br />

species—a function which n<strong>at</strong>ure always<br />

provides for, in all living things.<br />

It is interesting in this connection<br />

to note th<strong>at</strong> only female mosquitoes<br />

bite. Males have not the necessary<br />

"bill" with which to puncture the<br />

skin and draw blood. Persons are<br />

apt to think th<strong>at</strong>, if this is so, all<br />

the mosquitoes around them must be<br />

females.<br />

Perhaps the female mosquito spends<br />

a day or two near the place in which<br />

she was reared, but when she reaches<br />

the stage <strong>at</strong> which she needs a blood<br />

meal she flies in one direction or another<br />

in search <strong>of</strong> some animal or a<br />

man from which she can obtain it.<br />

Some <strong>of</strong> them seem to prefer animals,<br />

but others accept or even select man<br />

by preference.<br />

<strong>The</strong> kind <strong>of</strong> mosquitoes th<strong>at</strong> carry<br />

malaria do most <strong>of</strong> their feeding after<br />

sundown. In fact, they bite mostly in<br />

the dark in or around the house and<br />

do not venture into a well-lighted<br />

room. Much <strong>of</strong> the malaria transmission,<br />

therefore, takes place while<br />

the victim is in bed and asleep. After<br />

feeding, the mosquito may remain<br />

around the house for two or three<br />

days or longer, hiding in some dark<br />

place during the daytime and perhaps<br />

coming out and taking another meal<br />

<strong>at</strong> night.<br />

After a few days she has developed<br />

her eggs and the time has arrived<br />

to lay them. N<strong>at</strong>ural instinct not<br />

only leads her to deposit them on

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