Adult H. anatolicum anatolicum prefer to feed on camels, cattle, sheep, goats, dogs, andoccasionally humans. Adults of H. anatolicum excavatum feed in about equalproportions on cattle and camels, and occasionally humans. Adults of H. dromedarii feedon camels, cattle, goats and dogs. Adults of H. impeltatum feed on camels, cattle, sheepand dogs. Adults of H. rufipes feed on camels, cattle, dogs and, occasionally, humans.Hyalomma marginatum turanicum prefers to feed on cattle, camels and sheep. In mostof the above species, larval and nymphal stages feed on smaller animals, includingrodents, hares, birds and, for some species, lizards. Boophilus annulatus is primarily acattle feeder but also feeds on other ungulates and, less frequently, man. Rhipicephalussanguineus feeds primarily on dogs but also feeds on camels, gerbils and, occasionally,man. Amblyomma variegatum, an introduced species in Yemen, feeds on sheep andcattle. Ixodes ricinus feeds on a wide variety of hosts from birds and rodents to cattle,wild herbivores, and humans. Dermacentor marginatus also has a wide host range,including rodents, hares, wild and domestic herbivores and, occasionally, man.Rhipicephalus bursa primarily attacks swine, camels, and cattle.Female ticks oviposit after leaving the host. The number of eggs laid is variable but runsto thousands in many ixodids. Females die after oviposition. Adult Hyalomma wait inrodent burrows or on plants and quickly move toward hosts as they appear. Adultfemales may remain on the host for 6 to 12 days. Immature ticks generally climbvegetation or other objects in order to quest for hosts. Nymphs remain on the host for 5to 8 days. Members of the genus Hyalomma are among the world’s hardiest ticks andcan easily survive extremes of heat, cold, and aridity for a year or more. However, underideal conditions, the life cycle can be completed in a year. Over the centuries,hyalommines have dispersed along routes of trading caravans and cattle drives. The lifehistories of Hyalomma ticks are often complex, ranging from one-host to three-host,sometimes even within a single species. Birds also appear to have had a role indistributing hyalommines. Hyalomma rufipes is considered to be very important inhuman outbreaks of CCHF because of its distribution, wide range of hosts, andaggressive host-seeking behavior.Hyalomma anatolicum anatolicum is one of the most widely distributed tick species inthe world. It inhabits steppe, semi-desert, and savanna biotopes. It has dispersed fromsteppes and semi-deserts east of the Caspian Sea, along camel and cattle caravan routes.This species is unusual in that all stages may infest a single animal. Cracks in stone orclay walls of stables, courtyards, and feedlots often harbor these ticks. Nymphs tend tofeed on the ears of their hosts. The life cycle in hot areas may continue throughout theyear. Hyalomma anatolicum excavatum larvae and nymphs nearly always parasitizesmall mammals. This species tends to remain active even during winter months.Hyalomma dromedarii may be either a two- or three-host tick, with immature stagesfeeding on a wide variety of small mammals, and even lizards. Hyalomma impeltatum isusually a two-host tick that lives in scattered foci of semi-desert, savanna, and steppebiotopes. Hyalomma truncatum is usually a two-host tick whose immature stages tend toparasitize ground-feeding birds. Floodplains in semi-deserts and steppes, or vegetatedhillsides and mountainsides are preferred habitats. Boophilus annulatus is a one-host tick87
that usually is associated with cattle, sheep, or other herded ungulates. Rhipicephalussanguineus is a three-host tick that is prevalent in urban areas because of its closeassociation with dogs.Vector Surveillance and Suppression. Military personnel should conscientiously usepersonal protective measures to prevent tick bites. Frequent self-examination andremoval of ticks is important. Ticks should be handled as little as possible and notcrushed. Troops should not sleep, rest or work near rodent burrows, huts, abandonedrural homes, livestock or livestock enclosures. Close contact with livestock should beavoided. Although there were no cases of CCHF in US military personnel during thePersian Gulf War, troops had frequent exposure to goats, cattle, camels and otherdomestic animals.An inactivated mouse-brain vaccine against CCHF has been used in eastern Europe andthe former Soviet Union. The FDA has not approved a vaccine for human use. Apurified modern vaccine will probably not be developed in view of the limited potentialdemand.H. Boutonneuse Fever. (Mediterranean tick fever, Mediterranean spotted fever,Marseilles fever, African tick typhus, Kenya tick typhus, India tick typhus)This tick-borne typhus is a mild to severe illness lasting a few days to 2 weeks andcaused by Rickettsia conorii and closely related organisms. Different strains of R.conorii have been isolated from ticks and humans. The common name of this diseasecomes from the button-like lesions, 2 to 5 mm in diameter, that develop at tickattachment sites. The disease caused by strains of R. conorii in Israel lacks thischaracteristic skin lesion and is more severe than disease caused by other strains. Withantibiotic treatment, fever lasts no more than 2 days. The case fatality rate is very low,even without treatment.Military Impact and Historical Perspective. Boutonneuse fever has not significantlyinterfered with military operations in the past. Sporadic cases among combat troops canbe expected in limited geographic areas. The severity of illness depends on the strain ofR. conorii contracted. Because the spotted fevers are regional diseases, military medicalpersonnel newly assigned to an area may be unfamiliar with them and diagnosis may bedelayed.Disease Distribution. Boutonneuse fever is widespread in countries bordering theMediterranean, and most countries of Africa. Expansion of the European endemic zoneto the north is occurring because North European tourists vacation along theMediterranean with their dogs, which acquire infected ticks and are then brought home.The disease is widely distributed in the <strong>Middle</strong> <strong>East</strong>, especially near the Mediterranean,Black and Caspian Seas. The disease has been extensively studied in Israel, where thereare several hyperendemic areas, including the western coast, and the southern Negevdesert. Outbreaks have occurred in Ze'elim, a small settlement in southern Israel.Annual incidence of boutonneuse fever in Israel is estimated to be 6.2 cases per 100,000people. From 1972 to 1985, 20 to 400 cases were reported to the Ministry of Health. In88
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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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Eastern countries, including Cyprus
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also become attached to the cocoon
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sites of attack, and a favorite sit
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In the Middle East, the family Elap
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Table 2a. continuedBahrain Cyprus I
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Table 3. Plants That Cause Contact
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IX. Selected References.A. Military
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Bruce-Chwatt, L. J. 1985. In Essent
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Jacobson, R.L., Y. Schlein and E.R.
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Oldfield, E.C. III, M.R. Wallace, K
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Appendix A. Arthropod Species and t
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A.1. Mosquitoes continuedBahrain Cy
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A.2. Reported Distribution of Sand
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A.2. Sand flies continuedBahrain Cy
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A.3. Ticks continuedIXODIDAEBahrain
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A.3. Ticks continuedBahrain Cyprus
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A.4. Fleas continuedBahrain Cyprus
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A.4. Fleas continuedHYSTRICHOPSYLLI
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A.4. Fleas continuedBahrain Cyprus
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A.4. Fleas continuedBahrain Cyprus
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A.5. Reported Distribution of Scorp
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A.5. Scorpions continuedBahrain Cyp
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Appendix B. Vector Ecology Profiles
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Appendix B.2. Vector Ecology Profil
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B.2. Ticks continuedSpecies Geograp
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In recent years, synthetic pyrethro
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Published Reports of Insecticide Re
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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