{"id":641,"date":"2002-09-27T22:00:00","date_gmt":"2002-09-27T22:00:00","guid":{"rendered":"http:\/\/globetrotters.co.uk\/newsletter\/2002\/09\/27\/a-pharmacist-writesinsect-bites-by-jason-gibbs-pharmacist-at-nomad-medical-centres\/"},"modified":"2023-12-10T11:34:32","modified_gmt":"2023-12-10T11:34:32","slug":"a-pharmacist-writesinsect-bites-by-jason-gibbs-pharmacist-at-nomad-medical-centres","status":"publish","type":"post","link":"https:\/\/globetrotters.co.uk\/newsletter\/a-pharmacist-writesinsect-bites-by-jason-gibbs-pharmacist-at-nomad-medical-centres.html","title":{"rendered":"A\n Pharmacist Writes&#8230;..Insect Bites by Jason Gibbs, Pharmacist at\n Nomad Medical Centres"},"content":{"rendered":"<p> There are many diseases spread by the bite of infected insects. This<br \/>\n article focuses on methods of bite avoidance and therefore ways to reduce<br \/>\n not only the inconvenience of insect bites but also ways to reduce the<br \/>\n chances of contracting any one of the potentially life threatening diseases<br \/>\n including malaria that can be contracted this way <\/p>\n<p> Different types of mosquito will bite at different times, for example<br \/>\n the mosquito that carries malaria predominantly bites between dusk and<br \/>\n dawn whereas the one that carries dengue fever (predominantly present<br \/>\n in Asia but also in the Americas an Africa) will bite during the day,<br \/>\n so good bite avoidance techniques should be employed whenever biting insects<br \/>\n are present. <\/p>\n<p> There are several basic ways to reduce insect bites and these will be<br \/>\n considered in turn. They are to: <\/p>\n<p> &Oslash; Reduce general exposure to insects <\/p>\n<p> &Oslash; Apply repellent to the skin <\/p>\n<p> &Oslash; Use insecticides which are impregnated into materials such<br \/>\n as clothing or mosquito nets <\/p>\n<p> &Oslash; Remove insects from the environment using contact insecticides,<br \/>\n e.g., knock-down sprays or burners\/mats <\/p>\n<h5> Reducing Exposure <\/h5>\n<p> This means reducing the amount of exposed skin that is available for<br \/>\n the mosquito to bite, therefore long sleeved shirts, trousers and socks<br \/>\n should all be worn. It&rsquo;s also been found that the mosquitoes find<br \/>\n it more difficult to bite through loose as opposed to tight clothing.\n <\/p>\n<p> Another way to prevent mosquitoes getting to your skin is to ensure<br \/>\n that you always sleep in a mosquito net, these should either have a very<br \/>\n fine weave to prevent any insect getting through no matter how small it<br \/>\n is, or a larger weave that allows air to circulate better but these should<br \/>\n be impregnated with an insecticide (see later) <\/p>\n<h5> Application of Repellents <\/h5>\n<p> There are many different types of repellent on the market but one of<br \/>\n the best is still DEET, when applied in concentrations of at least 20%<br \/>\n (many contain 40-50%) it is both long lasting and effective. It is safe<br \/>\n when applied to the skin but can damage plastics so its always advisable<br \/>\n to wipe your hands after application or you may find that when you go<br \/>\n to put your sunglasses back on you leave fingerprints on the lenses. It<br \/>\n will also sting the eyes and lips and therefore should never be sprayed<br \/>\n directly on the face but can be applied lightly using the hands. Citronella<br \/>\n oil and especially its derivatives are also very effective but citronella<br \/>\n oil on its own doesn&rsquo;t last very long at all and would need to be<br \/>\n reapplied every hour or so. <\/p>\n<p> Whichever repellent you use it is important to reapply regularly, its<br \/>\n difficult to say exactly how often but no repellent will last more than<br \/>\n about 4 hours or so (unless it is specially formulated into a slow-release<br \/>\n application) and factors such as humidity, wind and the amount you sweat<br \/>\n will all reduce effective duration but every couple of hours should suffice.<br \/>\n Its also important to cover all exposed skin, not forgetting the ears<br \/>\n or the back of the neck since mossies will always manage to find that<br \/>\n one little patch of forgotten skin and have a feast! <\/p>\n<p> High strength DEET can also be applied to wrist and ankle bands to be<br \/>\n worn at high risk times and if these are stored in a little airtight bag<br \/>\n they will remain active for days before another application is required.\n <\/p>\n<h5> Use of Insecticides <\/h5>\n<p> The type of insecticide now most commonly used is called permethrin,<br \/>\n It&rsquo;s available for application directly to clothing or in a much<br \/>\n stronger solution that can be used to soak mosquito nets and give protection<br \/>\n for up to 3-6 months. All nets should be treated where possible because<br \/>\n if even a single mosquito gets into your net with you it is trapped for<br \/>\n the night, with only you to feed on. It can land on a non treated net<br \/>\n for a rest and then return to you for a further meal. When sprayed onto<br \/>\n clothing it will effectively kill any insect that lands on the treated<br \/>\n clothing and thus prevent the mosquito from biting you for up to two weeks.<br \/>\n This method of bite avoidance is advisable for those individuals who find<br \/>\n themselves particularly susceptible to insect bites or are in areas of<br \/>\n particularly high risk of disease transmission. When using these products<br \/>\n it is advisable to avoid contact with the skin whilst still wet, but once<br \/>\n dry it is totally safe for humans and it is impossible to tell whether<br \/>\n clothing has been treated or not. It doesn&rsquo;t even smell unlike DEET<br \/>\n that used to be used to treat clothing and nets <\/p>\n<p> <b>Removal of Insects from the Environment<\/b> <\/p>\n<p> These are generally ways to kill insects present in rooms etc. Knockdown<br \/>\n sprays are very effective and readily available and the best way to use<br \/>\n them is often to spray the room before you go out in the evening and let<br \/>\n the insecticide do its work whilst you are enjoying yourself. Alternatively<br \/>\n if you have an uninterrupted electricity supply, plug in products that<br \/>\n release permethrin-type insecticide into the room throughout the night<br \/>\n are very effective. They rely on a small heating element that will either<br \/>\n vaporise fluid or heat little mats that in turn release the active ingredient<br \/>\n into the room, again harmless to humans and virtually odourless. You can<br \/>\n also purchase coils that burn releasing the insecticide, these can produce<br \/>\n small amounts of smoke and fumes and should therefore not really be used<br \/>\n in enclosed environments, they are however very useful when eating outside.<br \/>\n A small piece of a coil (one coil lasts about 10 hours) burnt under the<br \/>\n table will keep the mossies away from your ankles &ndash; one of the most<br \/>\n popular areas for biting insects. Air conditioning will also reduce the<br \/>\n number of bites you get during the night if you have none of the other<br \/>\n options since lower temperatures do not encourage the mosquitoes to feed<br \/>\n and the constant flow of air makes it more difficult for them to find<br \/>\n you. <\/p>\n<p> Formore information, visit the Nomad Travel website:<a href=\"https:\/\/www.nomadtravel.co.uk\/\">Nomad Travel<\/a> or call the Travel Health<br \/>\n Line: 0906 8633414 (calls cost 60p per min) to discuss your travel health<br \/>\n queries with a medical. <\/p>\n<hr \/>\n","protected":false},"excerpt":{"rendered":"<p>There are many diseases spread by the bite of infected insects. This article focuses on methods of bite avoidance and therefore ways to reduce not only the inconvenience of insect&#8230;<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","css_class_manager_body_classes":"","css_class_manager_use_in_post_loop":false},"categories":[2,3],"tags":[68],"class_list":["post-641","post","type-post","status-publish","format-standard","hentry","category-archive","category-main-article","tag-september-2002"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>A Pharmacist Writes&#8230;..Insect Bites by Jason Gibbs, Pharmacist at Nomad Medical Centres - eNewsletter<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/globetrotters.co.uk\/newsletter\/a-pharmacist-writesinsect-bites-by-jason-gibbs-pharmacist-at-nomad-medical-centres.html\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A Pharmacist Writes&#8230;..Insect Bites by Jason Gibbs, Pharmacist at Nomad Medical Centres - eNewsletter\" \/>\n<meta property=\"og:description\" content=\"There are many diseases spread by the bite of infected insects. 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