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Disease vector

Agent that carries and transmits pathogens

  • 22 min read
  • 10 chapters
الأنوفيلة الاصْطِفانِيَّة
Jim Gathany · Public domain

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Through Pathogen, Parasitism and Microorganism

Agents regarded as vectors are mostly blood-sucking (hematophagous) arthropods such as mosquitoes. The first major discovery of a disease vector came from Ronald Ross in 1897, who discovered the malaria pathogen when he dissected the stomach tissue of a mosquito. The process of proving that a vector is responsible for transmitting pathogens is called vector incrimination. Transmission depends on interactions among a host, a pathogen, and a vector species that is capable of carrying the infection. Some pathogens may multiply or undergo part of their life cycle inside of the vector, while others are transferred from one surface to another without developing inside the carrier.

Shifts in climate, expanding cities, and land-use changes are reshaping where vectors can survive. Warmer temperatures and altered rainfall patterns can boost mosquito and tick populations, which can extend their breeding seasons and geographic reach. Urban green spaces and infrastructure may potentially create new breeding grounds for vectors such as mosquitos, thus bringing them closer to dense human populations. Additionally, international trade and human movement can rapidly transport vectors and pathogens across continents, which may introduce them to naive populations. Naive populations refer to a set of participants who have not previously encountered or been exposed to a particular substance, treatment, or condition, and therefore have no built-up immunity or prior experience with it.

Due to these shifting conditions, public health agencies are encouraging broad and coordinated approaches to reducing vector-borne diseases. Strategies implemented include monitoring vector populations, improving environmental management, increasing community participation, and adopting newer tools and technologies where appropriate.

Arthropods

Arthropods, including mosquitoes, ticks, biting midges, blackflies, sandflies, tsetse flies, triatome bugs, lice, fleas, and thrips, form a major group of pathogen vectors, transmitting a huge number of pathogens. Many such vectors are haematophagous, meaning they feed on blood at some or all stages of their lives. When the insects and ticks feed on blood, the pathogen enters the blood stream of the host. These pathogens replicate within the vector and the vector is often a carrier for the rest of its life. The pathogen is spread to new hosts from the vector during subsequent blood meals.

When a mosquito takes a blood meal from a human or animal, a pathogen from that host can pass from the gut of the mosquito into the mosquito's body, if that pathogen is able to grow within a mosquito. There, the pathogen multiplies and eventually moves to the salivary glands of the mosquito. When the mosquito next takes a blood meal from a human or animal, the pathogen is transferred from the mosquito's salivary gland to the new host.

Different mosquito genera act as vectors for different diseases. The Anopheles mosquito transmits malaria, lymphatic filariasis, and O'nyong'nyong virus. Malaria is caused by Plasmodium parasites, and lymphatic filariasis is caused by the filarial nematodes Wuchereria bancrofti, Brugia malayi, and Brugia timori.

The Aedes mosquito transmits chikungunya, dengue, lymphatic filariasis, Rift Valley fever, yellow fever, and Zika. The chikungunya virus is related to the O'nyong'nyong virus that is carried by Anopheles mosquitoes, with both viruses being in the Alphavirus genus. Dengue, Rift Valley fever, yellow fever, and Zika are all caused by viruses.

Although Aedes mosquitoes are able to carry the oropouche virus and play a role in the spread of the virus in wild animals such as three-toed sloths, primates, and birds, the disease is mainly spread between humans in urban environments by biting midges, specifically Culicoides paraensi. These biting midges are much smaller than mosquitoes, but their bites are often more painful. Culex quinquefasciatus may also play a role in spreading Oropouche virus between humans in urban settings, however, biting midges are the main vector.

Culex mosquitoes act as vectors for Japanese encephalitis, lymphatic filariasis, and West Nile fever. Japanese encephalitis and West Nile fever are both caused by viruses.

Ticks are known to carry over one hundred different pathogens, including viruses, bacteria, protozoans, and parasites. These pathogens are found in Europe, Asia, and North America. Ticks act as vectors for diseases such as Lyme disease, tick-borne encephalitis, Crimean-Congo hemorrhagic fever, relapsing fever (also called borreliosis), rickettsial diseases such as spotted fever, and tularemia. Lyme disease, relapsing fever, rickettsial diseases, and tularaemia are caused by bacteria. Lyme disease is caused by the bacteria Borrelia burgdorferi, while relapsing fever is caused by several different species of Borrelia bacteria. Rickettsial diseases come from bacteria within the order Rickettsiales and tularemia is caused by the bacteria Francisella tularensis. Two of the viruses carried by ticks are tick-borne encephalitis virus and Crimean-Congo hemorrhagic fever virus.

Blackflies, also known as Simulium rasyani, are the vector for onchocerciasis (also called river blindness), which is caused by the nematode Onchocerca volvulus. The blackfly carries O. volvulus when it takes a blood meal from an infected human and ingests microfilariae. These microfilariae move to the blackfly's midgut and then thoracic muscles, where they can develop into larvae and, later, infective larvae. These infective larvae then move to the proboscis of the blackfly. From there, the infective larvae are able to spread to a new host the next time the blackfly takes a blood meal.

Sandflies are vectors for leishmaniasis and sandfly fever (also called phlebotomus fever). Leishmaniasis is caused by parasites of the genus Leishmania, while sandfly fever is caused by viruses in the genus Phlebovirus.

Both sleeping sickness (also called African trypanosomiasis) and Chagas disease (also called American trypanosomiasis) are trypanosomatid diseases, caused by the protozoan parasites Trypanosoma brucei and Trypanosoma cruzi, respectively. However, these two diseases are spread through different vectors. Tsetse flies act as the vector for sleeping sickness, while triatome bugs spread Chagas disease. In the case of Chagas disease, triatome bugs defecate during feeding and the excrement contains the parasites, which is accidentally smeared into the open wound, eyes, or mouth by the host.

The body louse Pediculus humanus acts as a vector for the bacteria Rickettsia prowazekii, which causes epidemic typhus, and Rickettsia typhi, which causes murine typhus. The same species of louse also spreads the bacteria Borrelia recurrentis, which is the causative agent of louse-borne relapsing fever.

Plague, caused by the bacteria Yersinia pestis, is spread between humans and small mammals by infected fleas.

There are several species of Thrips that act as vectors for over 20 viruses, especially Tospoviruses, and cause all sorts of plant diseases.

Arthropods have also been implicated in spreading antibiotic-resistant bacterial pathogens around health care environments such as hospitals. Cockroaches, flies, and ants have all been implicated in carrying Klebsiella pneumoniae, Enterobacter cloacae, Staphylococcus aureus, Enterococcus faecalis, Acinetobacter baumannii, and Pseudomonas aeruginosa.

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