1. Stephen L. Doggett Senior Hospital Scientist Department of Medical Entomology Institute for Clinical Pathology & Medical Research, Pathology West, Westmead Hospital, Westmead NSW 2145

2. Ticks: overview Ticks: overview Biology: lifecycle & ecology Biology: lifecycle & ecology Tick Management Tick Management Avoidance Avoidance  Repellents  Efficacy  Human safety Overview

3. Worldwide – about 800 sp. Worldwide – about 800 sp.  Australia – 75 (~15 attack humans)  2 groups – Soft & Hard ticks Most important - Ixodes holocyclus Most important - Ixodes holocyclus  Paralysis tick, scrub, bush, shell back  Seed, grass (larval stage) Ticks

6. 1mm LarvaNymph Adult Male Adult Female

7. Tick Life Cycle Paralysis tick, Ixodes holocyclus

13. 3m 0.5m Host Seeking Behaviour

14. Most of the year Most of the year Survival dependant on humidity Survival dependant on humidity Most active: Most active:  Following rain  Periods of high humidity Larvae far more common than other stages Larvae far more common than other stages  High mortality in larval stage to nymph When are ticks active?

15. Animal Hosts Red-necked Wallaby House Mouse Magpie Australian Raven Domestic Fowl Human Dog Cat Pig Eastern Grey Kangaroo Norwegian Rat Bush Rat Grasslands Melomys Water Rat Crimson Rosella Pied Butcherbird Echidna Common Dunnart Feathertail Glider Red-legged Pademelon Northern Brown Bandicoot Southern Brown Bandicoot Long-nosed Bandicoot Mountain Brushtail Possum Common Brushtail Possum Brush-tailed Phascogale Koala Swamp Wallaby Rabbit Black Rat After Roberts (1970)

16. Main Host Bandicoot

18. MAKE SURE YOU REMOVE THE HEAD!!! Tick Removal

23. Cultural Control: Behaviour modification Cultural Control: Behaviour modification Physical Control: Exclusion fencing Physical Control: Exclusion fencing Biological Control Biological Control  Host removal  Habitat modification Chemical Control Chemical Control  Habitat treatment  Personal Protection  Host treatment Tick Management

24. Tick Control Methods

25. Advantages Advantages  Rapid control, 97% within 24 hours  Cost effective  Less environmental damage Disadvantages Disadvantages  Not tick specific  Relatively short term Pyrethroids: Permethrin, Betacyfluthrin, Bifenthrin Pyrethroids: Permethrin, Betacyfluthrin, Bifenthrin Chemical Control

26. Avoid ticky habitat Avoid ticky habitat Avoid good ticky times Avoid good ticky times  After rain, high humidity Wear light coloured clothing Wear light coloured clothing Check oneself regularly during & after Check oneself regularly during & after Tuck pants into socks, shirts into pants Tuck pants into socks, shirts into pants Remove clothing, place into hot dryer Remove clothing, place into hot dryer Use repellents/permethrin on clothing Use repellents/permethrin on clothing Cultural Control

28. Formulations

29. Gimmicks

30. Australian Pesticides & Veterinary Medicines Authority (National Registration Authority: NRA) Australian Pesticides & Veterinary Medicines Authority (National Registration Authority: NRA) For insecticides/repellents, assess: For insecticides/repellents, assess:  Human Toxicity  Product Efficacy  Environmental Impacts APVMA

31. Active Active Approved use Approved use Registered? Registered? Directions Directions

32. DEET (N,N-Diethyl-meta-toluamide) DEET (N,N-Diethyl-meta-toluamide) Picaridin Picaridin Lemon Eucalyptus Oil (PMD) Lemon Eucalyptus Oil (PMD) IR3535 IR3535 Citronella, melaleuca oil Citronella, melaleuca oil Repellent Actives “Natural” “Organic” “Safe” & “Effective” =

33. Active% Protection Time Repellent Efficacy Mosquitoes Mosquitoes  Fradin & Day, NEJM (2002) Active% Protection Time DEET24%302mActive% DEET24%302m DEET20%234mActive% DEET24%302m DEET20%234m DEET6.7%112mActive% DEET24%302m DEET20%234m DEET6.7%112m Citronella10%20mActive% DEET24%302m DEET20%234m DEET6.7%112m Citronella10%20m Citronella5%14mActive% DEET24%302m DEET20%234m DEET6.7%112m Citronella10%20m Citronella5%14m Citronella (WB) 25%0.2m

34. Permethrin = toxicant not a repellent Permethrin = toxicant not a repellent Two forms: Two forms:  DIY, ‘dip’ clothing  Impregnated fabrics (IF) Studies show: Studies show:  IF better protection than DIY  IF more washes than DIY  IF less environmental impacts  Permethin better protection than repellents  Widely used by armies Permethrin Impregnated Clothing

35. Permethrin Impregnated Clothing?

36. Registered Equip Equip The Travel Doctor The Travel Doctor Impregnation packs Impregnation packs 10ml/4L H 2 O, soak 2m 10ml/4L H 2 O, soak 2m Effective 6 months Effective 6 months

37. Human Safety Risk analysis Risk analysis  What is worse: bites or repellents? DEET first registered, 1957 DEET first registered, 1957  Billions of uses  Recommended by WHO & CDC  Only product recommended by CDC  US EPA: adverse reactions 1:100million EPA: “permethrin factory-treated clothing is unlikely to pose any significant acute or chronic hazard to people” EPA: “permethrin factory-treated clothing is unlikely to pose any significant acute or chronic hazard to people” “Naturals” are a greater risk to human health!!! “Naturals” are a greater risk to human health!!! Read & heed the label!

38. WE WANT YOUR TICKS!