Why has mosquito-borne disease hit Tasmania?

Are there even mosquitoes in Tasmania?

You could be forgiven thinking that Australia’s southern most state, Tasmania, is probably free of mosquitoes and certainly the chances of an outbreak of mosquito-borne disease would be rare. Is it even possible?

Health authorities in Tasmania have recently warned residents and visitors to avoid mosquito bites following reports of locally acquired infections of Barmah Forest virus.

Ross River virus may be the best known of Australia’s local mosquito-borne pathogens but Barmah Forest isn’t far behind. Infection can cause an illness similar to Ross River virus disease, its typically marked by joint pain and inflammation, fatigue, rash, headaches, muscle pain, fever and chills.

Fortunately the disease is not fatal.

There have been outbreaks of Barmah Forest virus in many parts of Australia, not just in the tropical north. Significant outbreaks have occurred in NSW and southern Western Australia.

While Tasmania may be cold, that doesn’t mean there aren’t mosquito problems. There is a range of mosquitoes found in Tasmania, including Aedes camptorhynchus, a key species of pest and public health concern. This mosquito is closely associated with coastal estuarine wetlands, especially saltmarsh environments.

Tasmania has also had outbreaks of mosquito-borne disease. More than 100 people were infected with Ross River virus in the coastal region just to the east of Hobart in 2002. Specimens of Aedes camptorhynchus collected in the region tested positive to the virus making transmission risk most likely influenced by an abundance of this mosquito.

Like Ross River virus, Barmah Forest virus is spread by mosquitoes to people from local wildlife. It is likely that the virus quietly circulates between native animals, such as birds and mammals, but when favorable conditions for mosquitoes occur and populations increase, the risks of transmission to people increase.

While there is only a hand full of cases confirmed to date, a total of five with an additional two to be confirmed, it may not seem significant. However, it is a reminder that wherever mosquitoes, wetlands, and wildlife occur, there can also be a risk of mosquito-borne disease transmission.

With a warmer Tasmania possibly resulting from climate change and a concomitant extension of the “mosquito season” in coming years, perhaps the public health risks associated with mosquitoes will be something for health authorities to keep a closer eye on in the future. Importantly, is it time for local authorities to proactively monitor mosquitoes and the activity of mosquito-borne pathogens?

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The image used at the top of this post comes from John Tann via Flickr; a mosquito (possibly Aedes alboannulatus) from Strahan, Tasmania.

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Find out more about the amazing mosquitoes of Australia by picking up a copy of the award winning “A Guide to Mosquitoes of Australia” from CSIRO Publishing.

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Wetlands, climate change, and managing mosquitoes

I’ve spent over twenty years sloshing about in wetlands around Sydney and surrounds. They’re changing. They’re changing due to shifts in climate, sea level rise, and urbanisation. The 2019 World Wetlands Day is a time to stop and reflect on the state of wetlands around the world and how we can keep them health under the threat of climate change.

World Wetlands Day is held every year on 2 February,  this day marking the adoption of the Convention on Wetlands on 2 February 1971 in Ramsar, Iran. The theme of the 2019 World Wetlands Day is “Wetlands and Climate Change” and we shouldn’t just think about the impact of climate change on wetlands but also how wetlands can help us as we face the challenges of a changing climate.

Coastal wetlands around Sydney are impacted in many ways. Mangrove forests and saltmarshes are degraded through direct and indirect human activity. There is recent research indicating that sea level rise is impacting mangroves along the Parramatta River in Sydney. This requires active management to ensure substantial degradation and die back occurs, as has been seen elsewhere in Australia.

Some of our research even suggests that degraded mangroves are more productive when it comes to mosquitoes. Effective rehabilitation of these habitats may actually reduce the mosquitoes flying out of these environments and impacting the community nearby. Similarly, urban planning should consider the risk posed by mosquitoes in wetlands adjacent to new and expanding residential developments. This includes major wetland rehabilitation projects.

The challenges facing wetlands isn’t unique to Australia. Released in conjunction with World Wetlands Day preparations was The Global Wetland Outlook. A document that provides “a current overview of global wetlands: their extent, trends, drivers of change and the responses needed to reverse the historical decline in wetland area and quality”.

While we think of rainforests and coral reefs under greatest threat, it is a sobering thought to think that up to 87% of the global wetland resource has been lost since 1700. These are environments that were, until relatively recently, considered wastelands. With this lack of perceived value came greater susceptibility to abuse and degradation.

Along with the unsurprising loss of wetland area and decline in biodiversity associated with these environments come some interesting findings. The most interesting from a mosquito management point of view is that artificial wetlands are actually increasing in some areas. Notwithstanding an assessment of the ecosystem services they provide, they’re more likely to be closer to human habitation, so any mosquitoes associated with them may have relatively greater impact.

In recent years, the value of wetlands has increased. There is an understanding now that these environments provide critical ecosystem services. There is also a growing understanding of the wetland’s roles in mitigating the impacts of climate change. Coastal wetlands in particularly provide protection from increasingly severe storm events and trap valuable carbon stores that assist in mitigating the impacts of climate change.

This then raises the issues of mosquitoes. Mosquitoes are a natural part of wetland ecosystems. While often their pest impacts may indicate the poor health of the wetlands, at other time, abundant mosquito populations are a natural occurrence that fluctuate in their intensity from year to year. How do best manage mosquitoes associated with these wetlands?

I’ve written about how I think mosquito control should actually be considered an important component of coastal wetland rehabilitation. How climate change may be impacting mosquito threats and that even hot and dry summers under the influence of El Nino may not necessarily mean that mosquitoes are less problematic.

Based on the experience during the 2018-2019 summer, mosquitoes seem to persist in plague proportions despite the extreme temperatures being experienced in NSW.

It is important to remember that there are many mosquito species associated with wetlands, especially freshwater habitats, that pose no substantial threat to humans. There are hundreds of mosquitoes in Australia, less than a dozen really pose a substantial pest or public health threat. Many mosquitoes may play an important ecological role in wetland ecosystems. This may include representing a locally important food source for insectivorous wildlife or possibly pollinating plants.

A balance is required. If we’re going to continue squeezing an increasing human population into a narrow stretch of land up against the coast, there are many issues to consider here and they’re not just about how human activity is impacting those coastal wetlands. Pollution is a problem, our physical damage is another. Worst still, we’re taking away the opportunity of these normally resilient habitats to adapt to a rising sea levels and increasingly frequent storm events. Our cities and their infrastructure provide a hard and unforgiving edge against the wetlands.

Our wetlands even battle against themselves sometime. The threat of mangrove incursion into saltmarsh habitats is of increasing concern. Its counter-intuitive but perhaps we need to be pulling out mangroves to save some coastal wetlands.

Expanding, modifying, and creating new coastal wetlands will require local authorities to turn their mind to the issue of mosquitoes. Firstly, consideration needs to be given to what may constitute a tolerable level of mosquito exposure. How many mosquito bites are too many? How many cases of mosquito-borne disease are considered “normal” each year. Once these thresholds are drawn and exceeded, who is responsible for the decisions on active mosquito control? Who pays?

Another ecosystem disservice to consider is how the nuisance-biting of mosquitoes may discourage engagement with local wetlands. less engagement may mean less support for conservation and rehabilitation efforts. Less community interest, support, and activism may then result is less political drive to protect local wetlands by local authorities.

Importantly, decisions regarding the management of coastal wetlands, as well as those peppered throughout the city, need to be made with some consideration of mosquitoes and their potential impact. How do you convince the local community about the overall benefits of carbon sequestration, wildlife conservation, and protection of infrastructure is worthwhile if their quality of life is degraded through summer swarms and nuisance-biting mosquitoes?

More details on managing the risks associated with estuarine mosquitoes is provided in this book chapter included in the free Sydney Olympic Park Authority’s guide to managing urban wetlands.

For more about World Wetlands Day activities in Australia see here.

To stay up to date with my adventures in local wetlands, you can follow me on Instagram here.

 

 

 

Ross River virus in Melbourne, how did that happen?

Health authorities in Victoria have been warning of mosquito-borne Ross River virus for much of the summer. The state is experiencing one of its worst outbreaks of the disease but cases have mostly been across inland regions. Now it’s hit Melbourne. How has this happened?

Ross River virus is the most commonly reported mosquito-borne disease in Australia. There are usually about 5,000 cases across Australia. However, in 2015 there was a major spike in activity with around 9,000 cases reported. It is a common misconception that the disease is only found in northern regions of Australia. I’m often told “I heard the disease is moving south from QLD?” That’s not the case.

The virus is just as much a natural part of the Australian environment as the mosquitoes and the wildlife that maintain transmission cycles.

While there are generally more cases in northern Australia, nowhere is safe. Some of the largest outbreaks have occurred in southern regions of Western Australia, South Australia, Victoria and even Tasmania.

The virus is widespread but is generally associated with rural regions. A driving factor in determining the activity of Ross River virus is that more than just mosquitoes are involved in outbreaks. The virus is maintained in the environment in native wildlife, especially kangaroos and wallabies. Even when and where there are high numbers of mosquitoes, without wildlife, outbreak risk is low. This is the reason why any clusters of locally infected cases in metropolitan regions are typical in areas where there are wetlands, wildlife and mosquitoes occurring together. We’ve seen this on the urban fringe of Sydney and Perth in recent years.

The announcement of locally acquired cases in the suburbs of Frankston and Casey, in Melbourne’s south-east, has taken many by surprise. Should it have?

Victoria is no stranger to mosquitoes and outbreaks of mosquito-borne disease. There are mosquito surveillance and mosquito control programs in place in many regions and historically there have been major outbreaks of mosquito-borne disease. From freshwater flood plains of the inland to the tidally flooded estuarine wetlands of the coast, Victoria has diverse and often abundant mosquitoes. But cases in the metropolitan region are rare.

Victorian mosquitoes are not all bad but over a dozen different mosquito species can spread Ross River virus.

The region where these cases have been identified are in proximity to bushland and wetland areas. There is no doubt plenty of mosquitoes and suitable wildlife too. While this is the first time local transmission has been documented, that doesn’t mean the virus hasn’t circulated in the past, or even that cases may have occurred.

For individuals infected but only suffering mild symptoms, the illness can be easily discounted as nothing more than a mild case of the flu. Without appropriate blood tests, these cases never appear in official statistics. For this reason, many mosquito researchers believe that the number of notified cases across the country is just the tip of the iceberg with many milder infections going diagnosed.

But why in Melbourne now?

It is difficult to know for sure. The two most likely explanations are that either environmental conditions were ideal for mosquitoes and suitable populations of wildlife were present so that the virus was much more active in the local environment than previously. The second explanation is that the virus may have been introduced to the region by a traveller or movement of wildlife. In much the same way Zika virus made its way from SE Asia to South America in the last few years, mosquito-borne viruses move about in people and animals, much less so than mosquitoes themselves (but that isn’t impossible either).

Victoria (as well as inland NSW) is experiencing one of its largest outbreaks of Ross River virus on record following significant flooding of inland regions. With so much activity of the virus in the region, perhaps an infected bird or person travelling to the metropolitan region brought the virus with them. When bitten by local mosquitoes, the virus started circulated among local mosquitoes and wildlife.

Most people infected by Ross River virus are bitten by a mosquito that has previously fed on a kangaroo or wallaby.

Once it’s made its way to metropolitan regions, the virus can be spread from person to person by mosquitoes. Common backyard mosquitoes, especially Aedes notoscriptus, can transmit the virus but as these mosquitoes are not particularly abundant, don’t fly vary far and will just as likely bite animals as humans, they’re unlikely to drive major urban outbreaks of the disease. This mosquito doesn’t pack the same virus-spreading-punch as mosquitoes such as Aedes aegypti that spreads dengue, chikungunya and Zika viruses. Aedes aegypti isn’t in Victoria.

We’re unlikely to see significant spread of Ross River virus across Melbourne but that doesn’t mean Victorians should be complacent. As there is no cure for Ross River virus disease, the best approach is to avoid being infected in the first place. Preventing mosquito bites is the best approach. For my tips and tricks on avoiding mosquito bites see this recent paper in Public Health Research and Practice as well as my article for The Conversation.

Keep an eye on the website of Victoria Health for more information.

 

 

 

 

 

West Aussies versus the local mozzies

This is a special guest post from Dr Abbey Potter, Senior Scientific Officer, Environmental Health Hazards, WA Health. I’m currently mentoring Abbey as part of The Public Health Advocacy Institute of WA (PHAIWA) Mentoring Program. Its been a great experience as we navigate through some of the strategies to raise awareness of mosquito-borne disease and advocate for better approaches to addressing the public health risks associated with mosquitoes.

Living in WA, we’re all too familiar with the pesky mosquito. We know they bite but what we often don’t consider is that they can transmit serious and sometimes deadly diseases. In fact, a recent survey of locals indicated that knowledge of mosquito-borne disease is pretty limited, particularly among younger adults aged 18-34 years and those living in the Perth Metro. It’s pretty important we’re aware of the risks posed by these pint-sized blood suckers and how you can avoid them… and here’s why!

The Facts

On average, more than 1,000 people will be infected with a mosquito-borne disease in WA every year. Our mossies can transmit Ross River virus, Barmah Forest virus, West Nile virus (Kunjin substrain) and Murray Valley encephalitis virus. All four cause diseases that are debilitating at best, causing weeks to months of symptoms. Murray Valley encephalitis is limited to the north of the State but is so serious it can result in seizures, coma, brain damage and even death.

Forget the bush, most people bitten in their own backyard. West Aussies are all very prone to getting eaten alive while socialising outdoors but if you’re up in the north of the State, you’ve also got a much higher likelihood of being bitten while boating, camping or fishing or working outside, compared to the rest of the state.

And don’t think you’re off the hook when you head off on holidays. A further 500 WA residents return from overseas travel with an exotic mosquito-borne disease every year. Heading to Bali? Beware of dengue, especially young adult males who return home with the illness more than others. There is limited mosquito management in many overseas countries where disease-transmitting mozzies can bite aggressively both indoors and throughout the day. This catches West Aussies off guard, as we are accustomed to mozzies biting outdoors, around dusk and dawn. When you’re in holiday mode it’s likely that you’ll be relaxing, having a couple of drinks and not thinking about applying repellent. Oddly enough, mosquitoes may actually be more attracted to people whose body temperature is higher. This happens naturally when you consume alcohol, so best pull out the repellent before you crack your first beer.

Despite our attractiveness to mosquitoes, we aren’t really aware of the most effective ways to avoid bites or how we can do our bit to reduce breeding in our own backyards. If you live by the mantra Cover Up. Repel. Clean Up you’ll have no problems!

Western Australia has some amazingly beautiful wetlands but these saltmarshes around Mandurah can produce large populations of nuisance-biting mosquitoes!

Cover Up

If you know you are going to be outdoors when mosquitoes are active, wear loose, long-fitting clothing that is light in colour. Believe it or not, mosquitoes can bite through tight pants as tough as jeans – I’ve witnessed it!

If you’re staying in accommodation that isn’t mosquito-proof, consider bed netting.

Try to keep children indoors when mosquitoes are most active. If exposure can’t be avoided, dress them appropriately and cover their feet with socks and shoes. Pram netting can also be really useful.

Admittedly, it’s not always practical to wear long sleeves during our warm summer nights, so there are going to be times when you need to use repellent. Choose a product that actually works and apply it appropriately so it does the job. Despite our best intentions, this is where we often go wrong. There are a few basic things to cover here, so stick with it!

Ingredient: Science tells us that the best active ingredient for repelling mosquitoes is diethyltoluamide (DEET for short) or picaridin. You need to look for either one of these names on the repellent label under the ‘active constituents’ section.

Unfortunately, natural repellents and anything wearable (e.g. bands, bracelets or patches) have very limited efficacy. Experts don’t recommend you use them and I consider this very wise advice. It only takes a single mosquito bite to become infected and chances are you will receive at least one if you rely solely on a product of this nature. It just isn’t worth the risk.

Percentage: The next thing to consider is the percentage of the active ingredient. This can range anywhere from 7% to 80% which can make choosing a repellent confusing. Just remember, the higher the percentage, the LONGER the product will remain active for. It doesn’t mean it will repel mosquitoes better.

A repellent containing 16-20% DEET will provide around 4-6 hours of protection, and is a good place to start. Repellents labelled ‘tropical strength’ usually contain greater than 20% DEET – they are useful when you spend longer periods exposed to mosquitoes or if you are heading to a region where dengue, malaria or Zika is problematic. Kids repellents usually contain picaridin or <10% DEET.

Sometimes it can be tricky to work out the percentage of the active ingredient. You can see the Bushmans example below states this clearly, but the other bottles list the ingredient in grams per litre (g/L). No need for complex maths – just divide by 10 and you have the magic number! For example, the RID label below reports the product contains 160g/L of DEET. This would convert to 16% DEET – easy!

You can see a few examples here of effective repellents:

How to Apply: No doubt we would all prefer if repellents didn’t feel quite so gross on our skin or didn’t smell so bad. Even I have to admit that before I moved into this field, I was guilty of putting just a dab here and a dab there. Unfortunately, this is flawed logic that will only result in you being bitten!

Repellents must be applied correctly to be effective. That means reading the label and applying it evenly to all areas of exposed skin. Remember to reapply the product if you are exposed to mosquitoes for longer than the repellent protects you for. You’ll also have to reapply the repellent after sweaty activity or swimming.

For more information on repellent use in adults and children, click here.

Clean Up

Mosquitoes need water to breed, but only a very small amount. Water commonly collects in a range of things you may find in your backyard including pot plant drip trays, toys, old tyres, trailers and clogged up gutters. Mosquitoes also love breeding in pet water bowls, bird baths and pools if the water is not changed weekly or they are not well maintained. Rain water tanks can also be problematic so place some insect proof meshing over any outlets. When you’re holidaying, cover up or remove anything that may collect water.

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If you need more official info from WA Health about mosquito-borne disease or simple ways to prevent being bitten click here. And if you want to read more about how much West Aussies know (or don’t know) about mossies, check out Abbey’s excellent paper here! Joint the conversation too on Twitter by following Abbey and Cameron.

Does wetland rehabilitation need mosquito control?

Mosquitoes can be more than a nuisance. They pose health risks but could also erode the good will of the community for wetland rehabilitation projects. Wetland rehabilitation needs mosquito control.

It’s a warm February evening. A small and anxious group of residents have gathered in a local community hall to discuss the implications of a local wetland rehabilitation project. Some are angry. One of the first questions comes from an elderly gentleman. Close to tears, he explains how his grandchildren no longer visit due to the plagues of mosquitoes that engulf his property day and night. “What are you guys going to do about it?” he pleads.

I learnt a valuable lesson that night. Trying to explain the best mosquito repellent to use doesn’t go down too well when an audience is facing some significant nuisance-biting impacts around their homes. It doesn’t matter how much DEET is in the repellent, it may well work but is it something you need to wear all day just to get the day to day jobs done around the house? Something more substantial is required and, with hindsight, should have been in place before the first waves of mosquitoes left the local wetlands.

Coastal wetlands are under threat

Sea level rise and climate change  is putting pressure on saltmarshes and urbanisation is eating away land that would otherwise accommodate a landward shift in estuarine habitats. There is nowhere for saltmarshes to spread to so they’re destined to be swallowed up by mangroves. While the mangroves are valuable themselves, they don’t provide the same critical habitats required by many of the internationally protected migratory shorebirds that rely on saltmarshes. Saltmarsh habitats could well disappear from much of the east coast in coming decades if sea levels rise as expected and mangroves continue their march landward.

Estuarine wetlands and mosquitoes

Saltmarshes are home to one of our most important pest and vector mosquito species. While it is important to remember that Aedes vigilax is an Australian native animal and just as much a part of our wetland ecosystems as fish and birds, there is little doubt that it can have substantial impacts with regard to nuisance-biting and the transmission of Ross River virus.

Historically, many of the saltmarshes along the east coast were drained or filled to enable increased cattle grazing (although much of it was under the guise of protection from flooding). Tidal flows were cut off with the construction of levee banks and installation of flood gates. Notwithstanding the impacts of grazing, without tidal exchange, the habitats became brackish water to freshwater dominated systems with a dramatic change in vegetation. Saltmarsh and sedgeland vegetation was steadily replaced by reeds and rushes. Invasive plants such as Phragmites quickly took over many of these wetlands.

Bringing back the tides

To combat the degradation of wetlands and impending loss due to climate change, there has been some ambitious wetland rehabilitation projects planned. One of the largest in the southern hemisphere is the Hexham Swamp Rehabilitation Project. Much can be learned from the experience in this wetland just west of Newcastle, NSW, and applied to rehabilitation projects, not only in Australia but overseas as well.

Rehabilitation of Hexham Swamp involved the staged opening of existing floodgates to reinstall tidal flows to an otherwise freshwater system. Many aspects of this project were considered and it is unsurprising that one major issue was the possible impact of mosquitoes. Mosquito populations were something of legend in this area, enough so that there is a “big mosquito” outside the local bowling club affectionately known as “Ossie the Mossie” (coincidently, “Ossie” celebrated her 20^th birthday in March 2014).

One of the important considerations when assessing mosquito risk was that there had been a dramatic transformation of the areas surrounding the wetlands in the last 20 years. What was once agricultural land was now residential. This is the same situation right along the east coast of Australia, the rapid urbanisation and swelling residential populations along the coast have put people in the firing line of Aedes vigilax.

The prospect of mosquito control was raised in the early stages of the rehabilitation planning but there was great reluctance from the local authorities to head down that path. The problem is that broad scale mosquito control and ecological rehabilitation are often seen at opposite ends of the wetland management spectrum. I’ve experienced this many times first hand, from scepticism regarding the non-target impacts of biological larvicides to “Apocalypse Now” jokes as helicopters go about routine spraying of local wetlands.

Is there such a thing as “environmentally friendly” mosquito control?

The hangover from the actual and perceived impacts of pesticide use more than 50 years ago is still present in the minds of many responsible for managing local wetlands. I say perceived as the development of environmentally sustainable mosquito control programs over the past two decades may not be appreciated amongst those charged with managing wetlands and wildlife.

I feel we need to continue building the case for the range of mosquito control strategies available for our coastal wetlands. Not only do we need to convince local authorities that mosquito populations can be minimised without adversely impacting the local environment but that mosquito control should be a critical consideration in wetland rehabilitation projects. It also has the potential to reduce mosquito-borne disease.

We know that the direct non-target impacts of Bacillus thuringiensis israelensis and s-methoprene are minimal and there is growing evidence that the indirect impacts on local wildlife due to reduced mosquito populations isn’t a major concern. Well-designed projects can also minimise the frequency of treatments while reducing peaks in mosquito activity.

It seems our coastal bats populations are mostly eating moths, not mosquitoes so there is unlikely to be any significant impact on these bats resulting from reduced food. There is no reason why the judicious use of larvicides can’t knock the top off abundant mosquito populations, reduce the pest impacts on local community and not pose a risk to local wildlife. Perhaps it should be considered a critical component of wetland rehabilitation?

Mosquito control and wetland rehabilitation

In speaking with wetland managers, I try to instil with them the importance of mosquito control. There is a risk that swarms of nuisance biting mosquitoes may erode the good will in the community for wetland rehabilitation. These systems, particularly in the early phases of rehabilitation don’t represent pristine environments and while there may not be a desire to establish ongoing mosquito control programs, some control may prove useful while the wetland comes back into balance with the changed environmental conditions.

Rehabilitation takes time and while there is substantial breakdown of freshwater vegetation it is not going to be ideal for fish and other mosquito predators. It is likely to provide ideal conditions for mosquitoes. Over time, however, fish are likely to increase in both their abundance and penetration into the wetlands and greater tidal flushing will make many of the wetland habitats generally unsuitable for mosquitoes.

Perhaps there is benefit in undertaking control as a show of good will to the local community? After all, engagement with the local community will be critical in the success of wetland rehabilitation projects.

The restoration of tidal flows to Hexham Swamp resulted in an initial increase in the abundance of Aedes vigilax. These increases resulted in substantial nuisance-biting impacts. However, in subsequent seasons, the populations of Aedes vigilax levelled out to comparable levels to those of the surrounding estuarine wetlands. The net result has generally been that the long-term moderate increases in Aedes vigilax populations have been balanced by reductions in Culex annulirostris and Coquilettidia linealis populations as the wetlands shifted from freshwater to saline. The health of the wetlands, as well as the local estuary, is improving.

Mosquito control is only a short-term fix and if the rehabilitation of estuarine wetlands is not carefully planned, there may well be ongoing mosquito impacts. However, reducing any initial impacts will go a long way to ensuring continued engagement of the community with the local wetlands. Cost and the operational considerations may be a barrier for organisations unfamiliar with broadscale mosquito control but these issues can be overcome with the expertise that exists in many parts of the country.

In summary, it is important that mosquito management be considered in the planning process of major wetland rehabilitation projects. There is little doubt that such projects will be required into the future as saltmarsh habitats and other estuarine wetlands are threatened but protection wetlands shouldn’t mean increasing mosquito populations. A balance is required between conservation of environmental health and protection of human health.

A longer version of this article originally appeared in “Mosquito Bites” (the Bulletin of the Mosquito Control Association of Australia).

Managing ‘Mozziegeddon’, Media and Public Health Messages

Beer, high tides, public holidays and blood thirsty mozzies. The perfect mix to set the media into a spin. How can you get the best public health messages out about mosquito bite protection?

It was almost as tricky managing the media this summer as it was the mozzies. Since late October, I’ve been interviewed on almost 50 occasions. A mix of pre-dawn calls from radio stations to live crossed to nationally broadcast breakfast televsion to taking talkback and dealing with mobile phone dropouts. It was a sweaty and stressful couple of months….and ‘mozzie season’ still isn’t over just yet.

The last few years have followed a pretty similar pattern. I get my first few calls around August/September. This is usually when we get our first blast of unseasonal heat and there are typically a few stories about people noticing bugs about their home and are worried about an early start to the mozzie season.

Mozzie season kicked off early

This year we genuinely did have an early start to the mozzie season. The warmest spring on record kicked off the mozzie season early and one of the first big stories I did for Channel 9 News was almost derailed by swarms of mozzies! A few of the crew needed to retreat to the safety of their car. You can listen to me speaking with ABC New Radio here.

Following plenty of rain in early December, mosquito populations starting jumping up along the coast. Just in time for the Christmas holidays. During this period it is pretty common to respond to requests from media to talk about mozzies, particularly if there have been some public health alters from local health authorities.

Getting ready for a live cross to Weekend Today (Channel 9) but what you cannot see in this shot is the hundreds of mosquitoes that were swarming around me, standing in the middle of the mangroves for 20min getting ready for the segment attracted plenty of mozzie attention!

A few things helped keep mozzies in the news. There were health warnings from local authorities after the detection of Ross River virus in southern Sydney. There were warnings about a new outbreak of dengue in Far North QLD. Flooding in central Australia also prompted warnings of outbreaks of mosquito-borne disease.

Then there was this piece I wrote on why mosquitoes bite some people more than others that attracted plenty of attention too….over 1.2 million readers in fact (thanks to republication by IFLS, SBS and Mamamia)!

Moztralia Day Mozziegeddon

As we headed towards our national holiday weekend and Australia Day celebrations, there were warnings that a big boost in mosquito populations were on their way. Yes, “mozziegeddon” was coming and the pesky little biters were set to turn our long weekend into a “moztralia day bloodbath“. Worse still, those taking part in the traditional Australia Day past time of beer drinking were being scared off the booze by fears of becoming “mozzie magnets“.

“Mozzigeddon” turns Australia Day into Mozztralia Day! Great cartoon by Paul Zanetti accompanying a story at News.com

There is little surprise that stories about beer drinking and mozzies attract plenty of attention. It does almost every year. However, this year was a little different because health authorities were concerned about potential increases in mosquito populations and given recent detections of mosquito-borne pathogens such as Ross River virus, there was concern about public health risks. Those risks range from both the north coast of NSW to north-west of WA!

There was plenty of mosquito media coverage from SE QLD too. Local authorities were battling big mosquito populations and trying to control “3000 known mosquito breeding sites” the next generation of mosquitoes hatching following heavy rain and tidal flooding of local wetlands.

Local insect repellent manufacturers were also taking advantage of the boost in mosquito numbers. I’ve noticed an increase in tv and radio ads spruiking mosquito repellents and Aerogard also sent out “swat” teams to local parklands around Sydney on Australia Day promoting their “Mozzie Index“* website!

Aerogard “Bite Busters” hit the prime picnic spots around Sydney on Australia Day

How could this media interest help spread the word on effectively stopping mosquito bites?

In the lead up to the long weekend I spoke with the breakfast show on 2UE (you can listen to the interview via link), Angela Catterns on 2UE, Chris Smith on 2GB as well as Robbie Buck and Linda Mottram on 702 Sydney. I provided a couple of brief grabs for news bulletins and even did my first live cross for the Sunrise breakfast program on Channel 7. You can also listen to interviews with 2SER, ABC Perth and ABC South East SA. [update 26 February 2015. There were a few more interviews, one fun one was with Richard Stubbs for 774 ABC Melbourne and you can listen in below, another was with Dom Knight on 702 ABC Sydney and you can read about that here. and I also chatted with Patricia Karvelas on Radio National Drive and you can listen here.]

It can be tricky getting good public health messages out during these very brief interviews, particularly for television. Radio can be pretty good as there is often plenty of time to get the message out (sometimes even time for talk back callers and questions) but for some of the commercial stations, time can be brief. Television is particularly challenging, I usually spend more time in the make up chair than being interviewed!

This summer I’ve been determined to ensure some key messages get out, particularly about choosing and using insect repellents most effectively. This is an issue I feel strongly about and I have an article coming out shortly in the Medical Journal of Australia on how local health authorities can do this a little better.

The two key messages were “if you’re using botanical based topical repellents, they need to be reapplied more frequently than the recommended DEET and picaridin based repellents” and “when using repellents, they must be applied as a thin coat over all exposed skin to get the best protection, not a dab here and there”.

Overall, I think I managed to get these two points into most radio and television interviews and I was happy to see that the general message got through in a lot of the print/online media too.

Below are some of my tips on getting a specific message out while dealing with the media.

1. Prepare. You would practice giving a conference presentation ahead of time so why not prepare for media? Think about the messages and how you can deliver them. What questions might you get asked? What will be the style of the presenter? Are there any questions you may be asked that you may want to avoid answering (e.g. questions of a political nature or something that could embarrass your employer)? How can you do that?

2. Learn from the professionals. If know you’re going to do some media in the coming weeks or months. Spend some time listening to talk back radio and reading newspapers. Take note of the number and length of quotes journalists use in articles. Make their job a little easier by providing concise quotes where possible. How do radio broadcasters conduct interviews? Listen to politicians and journalists being interviewed. How do they get their message across (or don’t in some circumstances). What makes you “switch off” from an interview – is it the topic or interviewee?

3. Create bridges between questions and your message. This is the thing I’ve found quick tricky but once you’ve got the hang of it, you can more effectively get the message out. There may not be a question asked that specifically relates to the message you need to get out. Learn how to transition from a brief response to the question asked onto the key messages you want to get out there. Don’t just launch off into your spiel at first chance, it is important to engage with presenter too, its a subtle art but like all things, it is only hard before it becomes easy.

4. Post-interview review. I’ll often take notes after an interview that help prepare for the next one. Things like the type of questions asked or how I answered questions, particularly if I feel my responses were clunky or I rambled a little! I’ve always found it interesting that slight differences in the way that questions are asked can often throw you off balance in an interview. If there are talkback callers, what questions were asked, especially if there was something out of left field! Making a note of these can help when preparing for the next batch of media.

5. Keep track of media activity. You never know when it may come in handy when applying for a promotion, grant or new job. I try to keep track of all media activities by recording the date, journalist, media outlet and brief description of topic. You can also speak to your local media and communications unit to see if they gather statistics on these things too. The team at the University of Sydney are great and it is fascinating to compare the analysis of different media activities, their reach and estimated value.

Perhaps the trickiest thing in all this is assessing whether this media activity actually helped the community prevent mosquito bites. It will be almost impossible to tell from human notification data on mosquito-borne disease given the numbers jump around so much from year to year anyway. What really need is some more attitudinal studies to see how people seek out and follow advice provided by local health authorities on mosquito-bone disease prevention strategies. Another thing for the “to do” list

[update 21 March 2015] Following the detection of Ross River virus amongst mosquitoes collected in NSW combined with a dramatic increase in human notifications of Ross River virus disease, there was another wave of interest by local media. You read a piece at the Sydney Morning Herald and watch a segment with me from Nine News.

Why not join the conversation on Twitter?

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*A disclaimer: I provided some assistance to a local PR company back in 2012 that developed the “Mozzie Index” for Aerogard, particularly some info on the associations between mosquitoes and local environmental conditions.

A manual for managing urban wetlands

The protection and rehabilitation of urban wetlands is critical. They are under threat from urbanisation and a changing climate climate but perhaps the greatest risk is disengagement from the community with many not really know the true value of our wetlands.

I have had a long and productive working relationship with the Sydney Olympic Park Authority (SOPA). One of the most enjoyable activities has been serving as a member of the Wetlands Education and Training (WET) Program Advisory Panel. A small group of wetland scientists assist SOPA develop and coordinate workshops for scientists, managers, policy makers and teachers. The program has been in place since 2002 and over 30 workshops have been held since then. There have two very successful “managing mosquitoes” workshops in recent years with the next scheduled for 2015 (keep your eyes out for that one)

After ten years of working with a diverse range of professionals, it was decided that the collected wisdom of those groups and individuals should be brought together in the form of a resource for those managing urban wetlands. In particular, it would draw on many of the experiences within the wetland of Sydney Olympic Park.

The “WET eBook: Workbook for Managing Urban Wetlands in Australia” was launched on Thursday 28 November 2013 in conjunction with a two-day workshop on constructed wetlands management. The eBook was officially launched by Michael Knight, Chair of the Sydney Olympic Park Authority. Michael is well connected to the Sydney Olympics, serving as Minister for the Olympics between 1995 and 2001 in NSW, and it could be argued that, without the hosting of the 200 Olympics, many of the current wetlands around the area may not exist today.

I’ve contributed three chapters to the eBook. They can be downloaded individually but don’t just stick to the mozzies, there is lots more valuable information contained within the 400 or so pages. A wide range of topics, across broad topic areas of estuarine wetlands, freshwater wetlands, monitoring, developing a plan of management, are covered and a concluding section brings everything together. In fact, I was given the opportunity to be lead author on the final chapter, identifying and bringing together many of the challenges faced by urban wetlands and mapping out a way forward for wetland conservation.

My chapters and direct links to the individual PDFs are below.

Webb C.E. (2013) Managing mosquitoes in constructed freshwater wetlands. ‘Workbook for managing urban wetlands in Australia’ (Ed. S. Paul) 1st edn. (Sydney Olympic Park Authority) ISBN 978-0-9874020-0-4

Webb C.E. (2013) Managing mosquitoes in coastal wetlands. ‘Workbook for managing urban wetlands in Australia’ (Ed. S. Paul) 1st edn. (Sydney Olympic Park Authority) ISBN 978-0-9874020-0-4

Webb C.E. et al. (2013) Facing the challenges of managing urban wetlands in Australia: the way forward. ‘Workbook for managing urban wetlands in Australia’ (Ed. S. Paul) 1st edn. (Sydney Olympic Park Authority) ISBN 978-0-9874020-0-4