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DOD Highlights Efforts Against Bug-Borne Diseases

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Mosquitoes aren't just an annoyance at summer barbecues. In many parts of the world, they carry pathogens, including West Nile virus, chikungunya, Japanese encephalitis Zika, dengue, yellow fever and malaria.

Until the 1950s, there were outbreaks of malaria in the United States, said Navy Lt. Cmdr. James C. Dunford. Improved sanitation and mosquito monitoring and control are why it's rare today, he said.

Mosquito sucks blood from a person’s finger
Transgenic Mosquitoes
While chemical mosquito population control measures have been used with some degree of success, they are toxic to other insect populations and to the health of humans. A different angle of defense has emerged: genetic modification of the mosquito itself, making it transgenic. Transgenic mosquitoes are unable to transmit a pathogen, such as malaria, due to their altered genetic makeup.
Photo By: Centers for Disease Control and Prevention
VIRIN: 190606-O-ZZ999-001D

Lyme disease is more of a problem here, he said, noting that it's the No. 1 vector-born disease. Ticks, which transmit the disease, should be pulled off the skin, he said, and the sooner the better.

Dunford and James J. English, both entomologists and assistant professors in the Uniformed Services University’s Department of Preventive Medicine and Biostatistics, spoke at a Military Health System Bug Week media roundtable in Falls Church, Virginia, yesterday to highlight the Defense Department's efforts to combat the effects of bug-borne illnesses around the world. 

Man peers through microscope.
Vaccine Trials
Researchers at the Walter Reed Army Institute of Research are developing a Zika vaccine that has induced a strong immune response in early trials.
Photo By: Jonathan Thompson, Army
VIRIN: 171208-O-ZZ999-001C

The entomologists explained some of the preventive measures the military is employing to protect its forces here and abroad, noting that these measures are effective against both ticks and mosquitos.

For troops traveling overseas to areas where mosquito diseases are prevalent, chemoprophylaxis is prescribed, Dunford said.

English said troops' uniforms are among the first line of defense. They are instructed to wear long sleeves and to use boot bands so insects can't get inside their trousers.

Additionally, English said, their uniforms are impregnated with Permethrin, which repels insects. It lasts a long time, even with repeated washings, but the Defense Department is working on a new class of chemicals that will last even longer on uniforms.

Soldiers wearing gas masks transport litter.
Bug Resistance
Soldiers train at Fort McCoy, Wis., wearing uniforms that are impregnated with bug-resistant Permethrin.
Photo By: Army Sgt. Juan F. Jimenez
VIRIN: 190726-A-PX354-002C

Besides Permethrin, troops are instructed to use DEET on their skin. English noted that DOD developed DEET decades ago. The problem with DEET, he said, is that it is destructive to plastics, and when it's mixed with sweat, it burns the eyes. As a result, DOD approved the use of Picaridin, which is just as effective as DEET. Recently, DOD also approved IR3535 as a DEET substitute.

Another effective strategy, Dunford said, is to remove standing water. Mosquitoes usually don't travel further than a few hundred yards, he said, so that’s an effective way to stop them from breeding locally. They can breed in as little water as found in a bottle cap.

MHS Bug Week concludes tomorrow. It is designed to educate people about the role of bugs in their health and safety, including prevention of bug-borne illnesses and treatment options, officials said.

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