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Vector-borne Infectious Diseases in Pakistan

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5<br />

as Culex modestus; also,<br />

the hard tick Hyalomma<br />

marg<strong>in</strong>atum<br />

Reservoirs:<br />

Birds<br />

known to be present s<strong>in</strong>ce<br />

1982; <strong>in</strong> Karachi approx.<br />

50% of patients with<br />

encephalitis were WNV<br />

seropositive; Ch<strong>in</strong>iot<br />

region (1983-85) 32.8%<br />

seropositivity; Changa<br />

Manga National Forest<br />

region 38.5%<br />

seropositivity;<br />

seroprevalence <strong>in</strong><br />

<strong>Pakistan</strong>i soldiers (1996)<br />

33-41%<br />

Bite properties:<br />

Culex mosquitoes bite at<br />

dawn and dusk as well as<br />

<strong>in</strong>doors (endophilic,<br />

endophagic); Cx.<br />

tritaeniorrhynchus is<br />

endo- and exophagic <strong>in</strong><br />

urban areas; <strong>in</strong>fectious<br />

females overw<strong>in</strong>ter <strong>in</strong><br />

build<strong>in</strong>gs, cellars, and<br />

animal stables, sometimes<br />

<strong>in</strong> large numbers<br />

Breed<strong>in</strong>g grounds:<br />

Though there is some<br />

species-specific variation,<br />

the pr<strong>in</strong>cipal vectors<br />

(Culex pipiens,Cx.<br />

modestus) thrive <strong>in</strong> any<br />

available small, stagnant<br />

on w<strong>in</strong>dows<br />

- Outdoors:<br />

Larval mosquito control;<br />

use <strong>in</strong>sect repellent<br />

comb<strong>in</strong>ed with<br />

permethr<strong>in</strong>-treated<br />

uniform; elim<strong>in</strong>ate<br />

potential breed<strong>in</strong>g sites,<br />

such as cans and<br />

conta<strong>in</strong>ers

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