sites of attack, and a favorite site is the nape of the neck. Black fly bites may be itchy andslow to heal. Systemic reactions, characterized by wheezing, fever or widespreadurticaria, are rare but require medical evaluation and treatment. Since black fly larvaerequire clean, flowing water, their distribution in the <strong>Middle</strong> <strong>East</strong> is limited.12. Siphonaptera (fleas). Flea bites can be an immense source of discomfort. Thetypical flea bite consists of a central spot surrounded by an erythematous ring. There isusually little swelling, but the center may be elevated into a papule. Papular urticaria isseen in persons with chronic exposure to flea bites. In sensitized individuals, a delayedpapular reaction with intense itching may require medical treatment.Fleas are extremely mobile, jumping as high as 30 cm. Biting often occurs around theankles when troops walk through flea-infested habitat. Blousing trousers inside boots isessential to provide a barrier, since fleas will crawl under blousing garters. Fleas may beencountered in large numbers shortly after entering an abandoned dwelling. When adwelling is abandoned, flea pupae will remain in a quiescent state for long periods of time.The activity of anyone entering such premises will stimulate a mass emergence of hungryfleas. The most common pest species of fleas encountered in the <strong>Middle</strong> <strong>East</strong> are thecosmopolitan cat and dog fleas, Ctenocephalides felis and C. canis, the Oriental rat flea,Xenopsylla cheopis, and the human flea, Pulex irritans. A list of species reported fromthis region appears in Appendix A.4.13. Solpugida (sun spiders, wind scorpions). These arthropods are common in aridenvironments of the <strong>Middle</strong> <strong>East</strong>. Their hairy spider-like appearance and ability to runrapidly across the ground give rise to their common names. They range from 20 to 35 mmin body length and are usually pale colored. They have very large, powerful chelicerae,giving them a ferocious appearance. They can inflict a painful bite but do not have venomglands. Sun spiders are largely nocturnal, hiding during the day under objects or inburrows. They are predaceous on other arthropods and may even capture small lizards.14. Tabanidae (horse flies and deer flies). Tabanids are large, stout-bodied flies withwell-developed eyes that are often brilliantly colored. More than 4,000 species have beendescribed worldwide. The larvae develop in moist or semiaquatic sites, such as themargins of ponds, salt marshes or damp earth. The immature stages are unknown for mostspecies. Mature larvae migrate from their muddy habitats to drier areas of soil to pupate.In temperate regions the entire life cycle can take two years or more to complete. Thelarvae of horse flies are carnivorous and cannibalistic, whereas deer fly larvae feed onplant material. Consequently, deer fly populations can reach considerably higher numbersin the same area. Deer flies, about 8 to 15 mm long, are about half the size of horse flies,which range from 20 to 25 mm long. The most common tabanid genera containing manbitingspecies are Chrysops (deer flies), Tabanus (horse flies) and Haematopota (horseflies).Only female tabanids bite and take a blood meal, and nearly all species feed on mammals.Males feed on flower and plant juices. Tabanids are diurnal and most active on warm,sunny days with low wind speeds, especially during the early morning and late afternoon.Adults are powerful flyers with a range of several km. They are very persistent biters, andtheir painful bites are extremely annoying. Tabanids lacerate the skin with scissor-like141
mouthparts and ingest the blood that flows into the wound. Some species can consume asmuch as 200 mg of blood. The puncture in the skin continues to ooze blood after the flyhas fed. Tabanid bites often become secondarily infected, and systemic reactions mayoccur in hypersensitive individuals. The mouthparts and feeding behavior of tabanids arewell suited to the mechanical transmission of blood-borne pathogens. Because their bitesare painful, they are frequently disturbed while feeding and move readily from host tohost. In the <strong>Middle</strong> <strong>East</strong>, tabanids are not vectors of human disease but are serious pestsof livestock and transmit several diseases of veterinary importance.Tabanids are difficult to control. Larval control is impractical, and ULV aerosols aregenerally ineffective. Effective localized control can be achieved around militaryencampments using a variety of simple traps. The skin repellent DEET is only moderatelyeffective against these flies.B. Venomous Snakes of the <strong>Middle</strong> <strong>East</strong>.With one exception, all the families of venomous snakes are represented in the <strong>Middle</strong><strong>East</strong>; these are the Atractaspididae, Viperidae, Crotalidae, Colubridae, Elapidae, andHydrophiidae.Members of the Atractaspididae are burrowing vipers, also known as mole vipers oradders. Two species occur in the <strong>Middle</strong> <strong>East</strong>. These thin, plain-looking snakes have littleor no body pattern, short cylindrical heads (no wider than the body), underslung jaws, andextensible fangs. They are nocturnal snakes that are normally not aggressive but are quickto bite if disturbed. Venom from these snakes produces severe hemorrhagic effects andsystemic reactions, but death is rare.Species of Viperidae are commonly known as vipers, adders, or asps. They have heavy,patterned bodies and triangle-shaped heads, sometimes with horns. They possess tworelatively long, hollow fangs at the front of the upper jaw. These fangs are erected duringa bite but are folded against the palate when the mouth is shut. Twenty-two species of thisfamily occur in the <strong>Middle</strong> <strong>East</strong>. The common viper, Cerastes vipera, and the puff adder,Bitis arietans, are probably the best known species of this group. The carpet viper, Echiscarinatus, generally considered the world’s most dangerous snake, is also in this family.Venom usually produces hemorrhagic, hemotoxic, and general systemic effects. Thecarpet viper’s venom is probably the most toxic of this group and is often fatal. Bycontrast, the common viper’s venom is probably the least toxic venom in this group.Although these snakes are largely nocturnal hunters, they are frequently encounteredduring the day. They are generally slow moving but, when disturbed, can strike withalacrity and force. The carpet viper is particularly aggressive and excitable.Only one member of the family Crotalidae, the pit vipers, occurs in the <strong>Middle</strong> <strong>East</strong>. Thisfamily differs from the true vipers in possessing a sensory pit between the eye and thenostril. The fangs are practically identical to those of the vipers. These snakes are alsostout-bodied and have a diamond-shaped head. The body is heavily patterned, similar tothe patterns of the vipers. The snakes live in mountainous areas or rocky bluffs. They arenocturnal feeders and usually non-aggressive. Their venom is primarily hemotoxic andrarely fatal.142
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1. Table of ContentsI. Preface.....
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IX.Selected ReferencesA. Military P
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and spills have polluted sea- and l
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Sand fly fever is the most widespre
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VENOMOUS ANIMALSThere are 31 specie
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Middle East11
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leptospires, various bacteria and i
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Bandar Abbas (elevation 10 m)Mean D
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a wide variety of human pathogens.
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The Jordan Valley area is part of t
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still numerous sites where waste di
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highlands (445 m elevation) are sim
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ocky central plateau, the Nejd, whi
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MONTH J F M A M J J A S O N DMaximu
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known as the Liwa, form an arc alon
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Table 1. Drug-Resistant Falciparum
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Saudi Arabia: Malaria occurs in the
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General Bionomics. Female anophelin
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host with the body nearly perpendic
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crevices, leaf litter, or moist tre
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All dengue serotypes are now endemi
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period immediately following it (19
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Military Impact and Historical Pers
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on camels, pigs, dogs, donkeys, hum
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CCHF virus loses infectivity shortl
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that usually is associated with cat
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Turkey.Calgar, S.S. 1991. An invest
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Appendix ESelected List of Identifi
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MammaliaHarrison, D.L. and P.J.J. B
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Appendix F: Personal Protective Mea
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Appendix GBioscience and State Depa
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8. Kuwait9. Lebanon10. Oman11. Qata
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Appendix H: Glossaryacaricide - a c
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zoonosis - An infectious disease of
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flies.11. Information on ticks and
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APPENDIX J METRIC CONVERSION TABLEM