The long hot summer of mosquito and media wrangling

“Webb’s a mosquito researcher with NSW Health Pathology, and while it may sound like potentially the worst job in the world to the rest of us, it’s important work.” – Ten Daily, 14 Jan 2019.

Every summer I’m required to juggle those pesky mosquitoes and help out with requests from media. Over the past 6 months or so I’ve responded to about 70 media requests and here is a round up of some fun highlights and other bits and pieces.

There was a wide range of media requests this summer, from morning TV through to talkback radio, podcasts and live interviews via Skype. There was once a time when the only acceptable way to do a radio interview was via landline connected phone. This summer I did interviews via mobile, Skype, and various  smartphone apps! Times are a changing.

A fun segment on Channel 7’s ‘Sunrise’ breakfast show on why mosquitoes bite some people more than others; always a challenge taking in a cage a live mosquitoes to the studio, especially travelling in via public transport!

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A hot and dry summer must mean less mosquitoes, right?

The outlook for the 2018-2019 “mosquito season” was for it to be fairly routine. The Bureau of Meteorology was predicting a hot and dry summer under the influence of El Nino. At the time I wrote a piece for The Conversation highlighting that just because it was dry, that didn’t mean we wouldn’t see plenty of mosquitoes.

In coastal regions of Australia, tidal flooding of local wetlands often offsets any impact due to lack of rainfall. Mosquitoes such as Aedes vigilax certainly respond well and there were some very high mosquito numbers recorded in early spring. Usually, the media interest in mosquitoes starts increasing once the politicians break for the summer, this year there was plenty of interest early on!

NSW Health also issued a media release to get the community thinking about the potential mosquito impacts ahead of the summer holiday period and asked me to be the spokesperson. These warnings often prompt a different range of media interest, usually news bulletins for radio. Unlike the traditional radio interviews in which you’re responding to the host’s questions, only “grabs” (short statements regarding the topic) are required. I’ve learned there is a fine art to being concise in these statements and it pays to give some thought to what you’ll say ahead of calling up the news desk!

Some of the media coverage in early summer was less about bites and more about why mosquitoes disturb your sleep! I spoke with Channel Ten about how you can beat these bedroom buzzers! Here are some tips on beating the buzz of mosquitoes in the bedroom.

These concerns about mosquitoes in the bedroom prompted questions about the suitability of mosquito coils as a person protection measures. I’d written about this issue before but there was also some media coverage at the Daily Telegraph and Sydney Morning Herald.

There was also a funny segment on The Project:

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Warm weather, warm blood, and hungry mosquitoes

As summer kicked in, I did a bunch of “pre-season” interviews about the outlook for the mosquito activity ahead. One of them was with the Sydney Morning Herald. There was also a piece in Illawarra Murcury on the mosquitoes around Newcastle. I even chatted with ABC Illawarra about the mosquitoes bringing in the new year along the NSW coast. I also chatted with the team at the Daily Mail. Also the Daily Telegraph.

Once summer really hit (and the mosquitoes really started biting following heavy rains), everyone’s mind turned to one of the most commonly asked questions….why do mosquitoes bite me more than my friends? You can check out my contribution to a story by ABC Science below:

The usual coverage of mosquito impacts during the Australia Day holiday also popped up. Will my diet influence the likelihood of being bitten? I spoke with Channel Ten. The University of Sydney media team also put out a piece on why what you eat or drink makes not difference when it comes to stopping mosquito bites. A story picked up and republished by ABC News.

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Combining fieldwork and media requests

“Ballina council is calling in an expert to hunt for some ladies – Medical Entomologist Dr Cameron Webb will visit the area next week in search of blood sucking girls.” – EchoNet Daily, Ballina

While undertaking some work for Ballina Shire Council on the NSW far north coast, I helped out managing a few media requests associated with local mosquito problems and the work of council. It was fun squeezing in some print, TV, radio, and social media activities between the work in the wetlands.

I also participated in a “Q and A” on the Ballina Shire Council Facebook page where residents could ask questions about how best to protect themselves from mosquitoes. See here.

Mosquito-borne disease in the city

The detection of Ross River virus in mosquitoes around Sydney sparked some additional interest from media (and anxiety from local community). Coverage in Sydney Morning Herald here.  It prompted me to write an article about what the actual health implications were of finding the pathogen in a heavily urbanised areas such as the Parramatta River compared to the more bushland dominated Georges River.

The issue of wildlife and their role in urban transmission cycles of Ross River virus is always a tricky one. How do you balance wildlife conservation and mitigation of health risks? Together will colleagues I wrote about this at The Conversation.

The media coverage of the Ross River virus detection provided an opportunity for NSW Health Pathology to share some insights into how we research local mosquitoes and the pathogens they’re carrying. See below for a short video from the mangroves along the Parramatta River.

Did you know we monitor mosquitoes around the state to provide public health advice to @NSWHealth? Here’s our mozzie guru @Mozziebites (Dr Cameron Webb) explaining how we do this important work! pic.twitter.com/zpCTs7p3DL

— NSW Health Pathology (@NSWHPathology) January 10, 2019

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Declining insects, increasing mosquitoes, and the need to spray our backyards

One of the other stories bubbling along during the last year or so were the reports of declining global insect populations. I first spoke to the media about this issue back in early 2018. I was quoted in a couple of other stories too, clearly there was a lot of interest in this issue. This story gained plenty of attention and I spoke with various radio and print media about this challenge were facing with potential insect declines and how we can measure them. I even wrote an article about whether mosquitoes may be in decline too!

I spoke about this issue, and more generally about mosquitoes on an episode of the Science on Top podcast too.

There has been suggestions that insecticides may be contributing to declining insect populations. Earlier in the year, I was one of the coauthors of a paper that called for the need to better understand integrated pest control in our cities and become less reliant on insecticides. There was also an associated article at The Conversation. This was also republished at Domain.

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Floods in the north, floods in the south

The incredible flooding around Townsville in far north QLD created some major concern. Despite some initial concerns about increased mosquito risk, there weren’t any substantial increases in mosquito-borne disease reported. I spoke to ABC News about the potential risks.

The flooding that did trigger a big boost in mosquito numbers occurred in SE QLD and northern NSW. Local wetlands were inundated by tides and rain, resulting in some phenomenal numbers of mosquitoes in early autumn. I spoke to ABC and Great Lakes Advocate about the climatic factors that triggered this unusual mosquito activity.

Everyone was on weather watch late in the season too. A few extra downpours prompted concerns about more increases in autumn mosquito populations. I spoke with Sydney Morning Herald after a particularly wet weekend in March.

Finally, I helped the Australian Academy of Science make a video exploring why mosquitoes bite and how to stop them!

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Join the conversation on Twitter, did you catch me talking mosquitoes this summer? Did it help you protect your family from mosquito bites?

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Are mosquito coils making us sick?

We burn them to beat the bite of mosquitoes but could they actually be making us sick? Is breathing the smoke from a smouldering mosquito coil really the same as smoking a pack of cigarettes?

In summary, should I use mosquito coils to protect my family from mosquito bites?

• Only use commercial products that have been registered by local authorities
• Products that contain pyrethroids will provide better protection from mosquitoes than those that contain only botanical extracts
• The byproducts of combustion, not insecticides, associated with mosquito coils may pose a health risk in some circumstances
  
• Best to limit use of coils to outdoor or well ventilated indoor areas
• Don’t sleep next to a smouldering mosquito coil
• Consider plug-in “smokeless” mosquito repellent devices
• Sleeping under a mosquito net is the best non-chemical approach to overnight mosquito bite prevention

The Saltmarsh Mosquito (Aedes vigilax) (Photo: Stephen Doggett)

Here is the background…

For centuries we’ve burnt substances, particularly aromatic plants, to keep mosquitoes away. The clouds of smelly smoke can often ward off the swarms of blood sucking mosquitoes.

The use of pyrethrum in incense gained popularity and became common practice in Asia but it wasn’t until the early 1900s that the mosquito coil was born thanks to Japanese entrepreneurs Eiichiro and Yuki Ueyama and their katori senkō (mosquito-killing incense).

Modern mosquito coils, mostly containing the pyrethroid insecticides, are an almost permanent fixture at camp sites and backyard during summer. Millions of families across the tropics use them as their primary source of mosquito-borne disease prevention. They’re cheap and generally effective. We burn them to reduce the risks of mosquito-borne disease but could they actually be making us sick?

Health concerns of mosquito coils

There is growing concern about the adverse health impacts associated with the burning of mosquito coils and sticks indoors. A recently presentation to the 48th National Conference of Indian College of Allergy, Asthma and Applied Immunology has again raised the issue of potential health impacts associated with mosquito coils with media coverage given to Dr Sundeep Salvi in the lead up to the conference. He is quoted as saying “Burning one mosquito coil in a closed room amounts to smoking roughly 100 cigarettes”. The key point in Dr Salvi’s comment is “closed room”.

When assessing the real risks posed by mosquito coils, it is important to consider not just what is released by these smouldering products but actual likelihood it poses a serious health risk. How do you balance these potential health risks of burning coils with those posed by the bite of infected mosquitoes?

Do you really need to weigh up the risks of breathing in smoke from a mosquito coil with the risks of mosquito bites? (Image: Joel Sartore, National Geographic)

Who checks the safety of mosquito coils?

In Australia, all substances that purport to kill or repel mosquitoes must be registered by the Australian Pesticides and Veterinary Medicines Authority (APVMA). Similar regulatory authorities exist in other jurisdictions.

Mosquito repellents, whether they’re topical or spatial or whether they contain “chemical” or “natural” substances will need to be tested for efficacy and safety. Check the packaging for a registration number. There are dozens of different variations on “mosquito coils” including sticks, coils, candles and a variety of “plug in” devices. You’ll find the shelves of the local supermarket, camping and hardware store fully stocked almost all year round!

Despite the wide range of products available, the active ingredients (that is the mosquito repelling or killing products) don’t vary too much. There are either synthetic pyrethroids or botanical extracts (e.g. citronella oil, eucalytpus oil). You may be surprised to know that some contain a combination of the two. Just because “citronella” is written in bold on the packaging, it may still contain one of the synthetic pyrethroids. Check the label.

Does burning mosquito coils really make us sick?

A study of mosquito coils sold in the U.S. and found that some mosquito coils contain octachlorodipropyl ether (s-2) that, during the smouldering of the coils, produces an extremely potent lung carcinogen as a byproduct called (bis(chloromethyl)ether (BCME)). Fortunately, s-2 is banned in many countries. It is no longer used commercially in the U.S. and prompted by reports of the risks associated with mosquito coils, Hong Kong authorities released a statement in 2005 regarding the recall of mosquito coils containing s-2.

It is not listed as an active ingredient in mosquito coils registered for use in Australia. Given that in most circumstances, particularly in Australia, mosquito coils don’t contain s-2, it is the particulate matter that is of greatest concern.

An often quoted study published in 2003 titled “Mosquito coil emissions and health implications” analysed the components of commercially available mosquito coils from China and Malaysia and found that burning mosquito coils in an enclosed room may pose “significant acute and chronic health risks” with the fine and ultra fine particulate matter released from a single mosquito coil equaling that of up to 137 cigarettes!

In addition, they found that emission of formaldehyde (a by product of the combustion process) from burning one coil can be as high as that released from burning 51 cigarettes.

Doesn’t sound too good does it? The combustion of the coil itself is the main concern, not the insecticides used.

More recent studies have indicated that changing the base materials used in mosquito coils (i.e. switching to charcoal from other organic material) can reduce the volume of particulate matter substantially. Would these “smokeless” mosquitoes be more “healthy”? Probably.

Does what happens in the lab stays in the lab?

Billions of mosquito coils are sold across Asia every year. Millions of families use them as their primary mosquito bite prevention strategy. Why aren’t we seeing more substantial health impacts in local communities?

It is worth noting that two papers published in 2006 investigated the different methods used to assess the health risks associated with burning mosquito coils. The researchers tested different methods to expose laboratory rats to particulate matter from mosquito coils. They firstly reported that “protocols devised evaluate and assess the acute inhalation toxicity of mosquito coil smoke demonstrating that the nose-only mode of exposure of rats to the smoke of mosquito coils is suitable to assess the toxic potency of different coils.

The nose-only mode has clear advantages over the whole-body exposure mode.” Then, using the “nose-only” exposure method that they proposed, the researchers concluded that “overnight exposure to the smoke from burning mosquito coils (manufactured in Indonesia) is unlikely to be associated with any unreasonable health risk.” This is a noteworthy conclusion given that the level of exposure to those rats (6 h a day, 5 days a week for 13 weeks) was substantial.

What about “smokeless” mosquito coils?

There is a paucity of studies investigating the potential human health impacts of “smokeless” mosquito repellents. The few studies that do exist are inconclusive or use animals to test health impacts under conditions unlikely to occur in most circumstances.

A 2005 review of pyrethroid poisoning reported “Despite their extensive world-wide use, there are relatively few reports of human pyrethroid poisoning. Less than ten deaths have been reported from ingestion or following occupational exposure. Occupationally, the main route of pyrethroid absorption is through the skin. Inhalation is much less important but increases when pyrethroids are used in confined spaces.” Again, this highlights the critical issue here, exposure to insecticides in confined and/or enclosed situations.

It is worth remembering that pyrethroids are over 2000 times more toxic to insects than mammals. That means that the concentrations used to kill insects are unlikely to have adverse health impacts on humans, particularly if commercial formulations are used as recommended. Given the billions of people who use mosquito coils to prevent mosquito bites, perhaps the more important question to ask is, does burning mosquito coils actually prevent mosquito-borne disease? Perhaps that is a discussion for another time….

Perhaps one of the most interesting ideas this year was the “mosquito repellent beer carton”. More marketing than public health initiative but I like the idea. The carton is infused with citronella so that when you’re sitting about the campfire enjoying a few beers, you can toss bits of the carton into the fire and keep mosquitoes away. It is unlikely many mosquitoes will be actively repelled. However, I do like the idea of using the beer carton as an opportunity to raise awareness of mosquito-borne disease.

Perhaps it is this little bit of public health communication that will actually stop a few people becoming infected.

Do you use mosquito coils and sticks to prevent mosquito bites? Join the conversation on Twitter and let me know what you think.

Want to learn more about the amazing world of Australian mosquitoes? Check out “A Field Guide to Mosquitoes of Australia” out now through CSIRO Publishing. Over 200 pages containing a pictorial guide to almost 100 different mosquitoes along with tips on beating their bite and protecting your family from the health risks of mosquitoes. You can order online or through your favourite local bookstore or online retailer.

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Read more at The Conversation: Are mosquito coils good or bad for our health?

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Read more at The Conversation: What can I eat to stop mosquitoes biting me?

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Read more at The Conversation: The best (and worst) ways to beat mosquito bites

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