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Background: Dengue fever (DF) is increasingly recognized as one of the world's major mosquito-borne diseases and causes significant morbidity and mortality in tropical and subtropical countries. Appropriate and timely diagnosis and risk stratification for severe disease are crucial in the appropriate management of this illness. Healthcare providers (HCPs) play a key role in dengue fever diagnosis, management and prevention. The present study was conducted to determine the knowledge, attitudes and practices (KAP) among HCPs in East Azerbaijan Province, Iran., Methods: A cross-sectional survey among 948 HCPs, using a structured questionnaire, was conducted in East Azerbaijan Province from May to July 2022. Data analysis was undertaken using descriptive methods, the Chi-square test or Fisher's exact test, and logistic regression. A P-value <0.05 was considered for statistical significance., Results: Out of the 948 (68.5% female) respondents, 227 were physicians and 721 were health professionals. The knowledge level of DF was found to be largely inadequate in the present study population (80.4%). The physician vs. health professional were a significant factor in differentiating attitude scores. The mean practice score regarding DF prevention and control measures among respondents was 8.40±1.97., Conclusion: The findings call for urgent continuous education and training courses to increase KAP levels and increased capacity and capability for DF prevention and control. This is of outmost importance for the first point of care of DF patients., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Abbasi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

Background: Aedes aegypti is the main vector of arboviral diseases worldwide. The species invaded and became established in southern Iran in 2020. Insecticide-based interventions are primarily used for its control. With insecticide resistance widespread, knowledge of resistance mechanisms is vital for informed deployment of insecticidal interventions, but information from Iranian Ae. aegypti is lacking., Methods: Fifty-six Ae. aegypti specimens were collected from the port city of Bandar Lengeh in Hormozgan Province in the South of Iran in 2020 and screened for kdr mutations. The most common kdr mutations in Latin America and Asia (V410L, S989P, V1016G/I and F1534C), especially when present in combinations, are highly predictive of DDT and pyrethroid resistance were detected. Phylogenetic analyses based on the diversity of S989P and V1016G/I mutations were undertaken to assess the phylogeography of these kdr mutations., Results: Genotyping all four kdr positions of V410L, S989P, V1016G/I and F1534C revealed that only 16 out of the 56 (28.57%) specimens were homozygous wild type for all kdr mutation sites. Six haplotypes including VSVF (0.537), VSVC (0.107), LSVF (0.016), LSIF (0.071), VPGC (0.257) and LPGC (0.011) were detected in this study. For the first time, 11 specimens harbouring the V410L mutation, and 8 samples with V1016I mutation were found. V410L and V1016I were coincided in 8 specimens. Also, six specimens contained 1016G/I double mutation which was not reported before., Conclusions: The relatively high frequency of these kdr mutations in Iranian Ae. aegypti indicates a population exhibiting substantial resistance to pyrethroid insecticides, which are used widely in control operations and household formulations. The detection of the 410L/1016I kdr mutant haplotype in Iranian Ae. aegypti suggests possible convergence of invasive populations from West Africa or Latin America. However, as Iran has very limited maritime/air connections with those African countries, a Latin American origin for the invasive Ae. aegypti in Iran is more plausible., (© 2024. The Author(s).)

Background: Anopheles stephensi is the main vector of malaria in Iran. This study aimed to determine the susceptibility of An. stephensi from the south of Iran to bendiocarb and to investigate biochemical and molecular resistance mechanisms in this species., Methods: Wild An. stephensi were collected from Hormozgan Province and reared to the adult stage. The susceptibility test was conducted according to the WHO protocols using bendiocarb impregnated papers supplied by WHO. Also, field An. Stephensi specimens were collected from south of Kerman and Sistan and Baluchistan Provinces. To determine the G119S mutation in the acetylcholinesterase (Ace1) gene, PCR-RFLP using AluI restriction enzyme and PCR direct-sequencing were performed for the three field populations and compared with the available GenBank data. Also, biochemical assays were performed to measure alpha and beta esterases, insensitive acetylcholinesterase, and oxidases in the strains., Results: The bioassay tests showed that the An. stephensi field strain was resistant to bendiocarb (mortality rate 89%). Ace1 gene analysis revealed no G119S in the three field populations. Blast search of sequences revealed 98-99% identity with the Ace1 gene from Pakistan and India respectively. Also, the results of biochemical tests revealed the high activity of non-sensitive acetylcholinesterase, alpha and beta-esterase in the resistant strain compared to the susceptible strain. No G119S was detected in this study additionally the enhanced enzyme activity of esterases and acetylcholinesterase suggesting that resistance was metabolic., Conclusion: The use of alternative malaria control methods and the implementation of resistance management strategies are suggested in the study area., (Copyright © 2023 The Authors. Published by Tehran University of Medical Sciences.)

Background: Dengue fever is a rapidly emerging infection worldwide with a high public health burden. Adequate training of healthcare workers is essential to warrant the timely provision of health services to improve the outcome of dengue management., Methods: This is an analytical cross-sectional study, conducted to assess the knowledge, attitudes and practice (KAP) of healthcare workers regarding dengue from April 2021 to March 2022 in Mazandaran Province, northern Iran. Data was collected using a researcher-made structured questionnaire, prepared as Google Forms, and sent to target groups through social media and email. Data analysis was performed by SPSS 22 software using descriptive and inferential statistics (Chi-square) at a significant level of 5%., Results: Most of the respondents had heard about dengue (83.8%); media (32.7%) and academic education (25%) were the main sources of information. Respondents had less knowledge associated with dengue symptoms (52%) than prevention and control (69%), transmission (72.2%) and clinical management (81%). Based on the 70% cut-off point, the majority of the participants had a good attitude (81%) and practice (73%). However, only 49.6% of the respondents showed good practice regarding dengue local transmission. A significant difference was observed between participants knowledge on clinical management with occupation; attitude with gender and occupation; and practice with gender ( p  < 0.05)., Conclusion: The results of this study revealed gaps in some dimensions of KAP in healthcare workers, therefore, a greater focus should be placed on future training programs to raise knowledge and attitude leading to sound practice and behavior for adequate management of dengue., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2023 Nikookar, Moosazadeh, Fazeli-Dinan, Zaim, Sedaghat and Enayati.)

Background: Bed bugs ( Cimex lectularius ) are blood-sucking insects that bite humans usually at night and cause nuisance, psychological and social problems. These insects are considered a health hazard in densely populated places such as prisons. The aim of this study was to evaluate the knowledge, attitude and practice of inmates, soldiers, and prison staff regarding bed bugs in Mazandaran prisons., Methods: This is a descriptive-analytical study in which 450 inmates and 210 staff (105 personnel and 105 soldiers) from prisons of Mazandaran Province were included in the study. Data on knowledge, attitude, and practice of the participants regarding bed bugs were collected using a structured questionnaire. To determine the relative content validity coefficient, the questionnaire was assessed by 10 specialists in terms of difficulty, inappropriateness, and ambiguity of the phrases. The reliability of the questionnaire was measured using Cronbach's Alpha and then the data were analyzed using SPSS software version 20., Results: The maximum mean scores of knowledges, attitude, and practice between the three target groups were 16.42%, 44.07% and 71.21% respectively. Prison staff had the highest knowledge and practice, and inmates showed the highest attitude regarding bed bugs. There was no significant difference between the knowledge and attitude of inmates, prison staff and soldiers (P> 0.05) but there was a significant difference in their practice (P< 0.05)., Conclusion: Results of this study confirmed that all three groups of people in the prisons need appropriate education regarding all aspects of bed bug including its control., Competing Interests: Conflict of interest statement The authors declare there is no conflict of interests., (Copyright © 2023 The Authors. Published by Tehran University of Medical Sciences.)

Mosquitoes are the most important vectors of serious infectious diseases in the world. Dengue, Zika, chikungunya and yellow fever are emerging and re-emerging infectious diseases, associated with the distribution of two key vectors i.e. Aedes aegypti and Aedes albopictus throughout the world including countries neighbouring Iran. Entomological surveillance was planned and performed monthly from May to December during 2014-2020 in selected counties of Mazandaran Province, North of Iran, by ovitrap, larval collection, hand catch and human baited trap. Overall, 4410 Aedes specimens including 2376 larvae (53.9%) and 2034 (46.1%) adults belonging to six species, namely Aedes vexans, Aedes geniculatus, Aedes caspius, Aedes echinus, Aedes pulcritarsis and Aedes flavescence were collected and morphologically identified. Over the seven years of surveillance, Ae. aegypti and Ae. albopictus were not found by any sampling method. Aedes vexans and Ae. geniculatus were the most abundant species, their populations peaked in October and November and was positively correlated with precipitation and relative humidity. Aedes flavescence was a new species record for the province. A flowchart for planning and implementation of invasive mosquito surveillance for provincial health authorities in the country is proposed. These surveillance efforts provide basic and timely information for the health system to act promptly on integrated and intensified surveillance and control programs should Ae. aegypti and Ae. albopictus detected in the province., (© 2023. The Author(s).)

Background: Arboviral diseases such as dengue, Zika, and chikungunya are transmitted by Aedes aegypti and Ae albopictus and are emerging global public health concerns., Objective: This study aimed to provide up-to-date data on the occurrence of the invasive Aedes species in a given area as this is essential for planning and implementing timely control strategies., Methods: Entomological surveillance was planned and carried out monthly from May 2018 to December 2019 at higher-priority entry points in Guilan Province, Northern Iran, using ovitraps, larval collection, and human-baited traps. Species richness (R), Simpson (D), evenness (E), and Shannon-Wiener indexes (H̕) were measured to better understand the diversity of the Aedes species. The Spearman correlation coefficient and regression models were used for data analysis., Results: We collected a total of 3964 mosquito samples including 17.20% (682/3964) belonging to the Aedes species, from 3 genera and 13 species, and morphologically identified them from May 2018 to December 2019. Ae vexans and Ae geniculatus, which showed a peak in activity levels and population in October (226/564, 40.07% and 26/103, 25.2%), were the eudominant species (D=75.7%; D=21.2%) with constant (C=100) and frequent (C=66.7%) distributions, respectively. The population of Ae vexans had a significant positive correlation with precipitation (r=0.521; P=.009) and relative humidity (r=0.510; P=.01), whereas it was inversely associated with temperature (r=-0.432; P=.04). The Shannon-Wiener Index was up to 0.84 and 1.04 in the city of Rasht and in July, respectively. The rarefaction curve showed sufficiency in sampling efforts by reaching the asymptotic line at all spatial and temporal scales, except in Rasht and in October., Conclusions: Although no specimens of the Ae aegypti and Ae albopictus species were collected, this surveillance provides a better understanding of the native Aedes species in the northern regions of Iran. These data will assist the health system in future arbovirus research, and in the implementation of effective vector control and prevention strategies, should Ae aegypti and Ae albopictus be found in the province., (©Seyed Hassan Nikookar, Alireza Maleki, Mahmoud Fazeli-Dinan, Razieh Shabani Kordshouli, Ahmadali Enayati. Originally published in JMIR Public Health and Surveillance (https://publichealth.jmir.org), 31.10.2022.)

Objective: German cockroach is highly adapted to different environments like hospitals. This pest is an important carrier of pathogenic agents and allergic compounds. Hence, it is important to German cockroaches always be monitored and controlled. This study investigated the toxicity and resistance levels of technical-grade of cypermethrin, propoxur, and fenitrothion against adult males of four strains of the German cockroach., Methods: Four German cockroaches' strains including laboratory-reared susceptible strain (S) and three hospital-collected strains (B, F, and Z) were tested in this study. Adult male cockroaches were treated topically with three technical grade insecticides on the first abdominal segment of the insects using a hand micro-applicator., Results: Using topical application methods, fenitrothion showed the most toxicity to all four strains. The LD 50 values of fenitrothion in the susceptible strain (S) and the hospital-collected strains B, F, and Z were 1.89, 21.48, 25.73, and 31.55 μg/grBW, respectively. All hospital-collected strains showed different resistant levels to all insecticides. The field-collected Z strain was the most resistant strain to cypermethrin, propoxur, and fenitrothion. The resistance ratios of strain Z to cypermethrin, propoxur, and fenitrothion were 10.9, 10.47 and 16.67, respectively., Conclusion: Based on the susceptibility and resistance ratios for each insecticide, we conclude that there are high rates of insecticide resistance in Blattella germanica from different hospitals of Sari County which can be caused by different insecticides treatment histories., (Copyright: © International Journal of Health Sciences.)

Background: Phlebotomine sand flies are vectors of Leishmania species, the causative agents of leishmaniasis in the world. Present study aimed to evaluate the bioecological aspects of sand flies in different ecotopes in Sari County, north of Iran., Methods: Sand flies were collected from four villages in mountainous, forest, plain and peri-urban areas monthly using sticky traps in May-October 2016. Mounted specimens were identified using valid identification keys under optical microscope. The Arc GIS 10.5 software was applied for showing the distribution of sand flies. Shannon-Weiner, Simpson and Evenness species diversity indices were calculated., Results: Generally, 334 specimens were captured and identified, namelly Phlebotomus kandelakii , Ph. papatasi , Ph. major , Ph. sergenti , Ph. longiductus , Ph. halepensis , Ph. tobbi , Sergentomyia dentata , Se. theodori , Se. sintoni , Se. antennata and Se. sumbarica . The most common species was Ph. kandelakii (n= 128, 38.32 %). The highest Simpson index (0.81) and abundance (N= 141) were recorded in the mountaineous area. Shannon diversity index was higher in the forest (H'= 1.53) and the highest evenness index was in the plain area (J'= 0.93). The highest richness (S= 9) and Shannon indices (H'= 1.57) were observed in June., Conclusions: Phlebotomus kandelakii , Ph. sergenti , Ph. tobbi , Ph. longiductus , Se. theodori , Se. antennata and Se. sumbarica were recorded for the first time in the study area. Since some species are incriminated for leishmaniasis transmission, further studies are required in the northern regions of Iran to timely control measures planning., Competing Interests: Conflicts of Interest Authors declare that there is no conflict of interest., (Copyright © 2022 The Authors. Published by Tehran University of Medical Sciences.)

Background: Water pollution due to uncontrolled release of chemical pollutants is an important global problem. Its effect on medically important insects, especially mosquitoes, is a critical issue in the epidemiology of mosquito-borne diseases., Methods: In order to understand the effect of water pollutants on the demography of Anopheles stephensi, colonies were reared in clean, moderately and highly polluted water for three consecutive generations at 27 °C, 75% RH, and a photoperiod of 12:12 h (L:D). The demographic data of the 4th generation of An. stephensi were collected and analysed using the age-stage, two-sex life table., Results: The intrinsic rate of increase (r), finite rate of increase (λ), mean fecundity (F) and net reproductive rate (R 0 ) of An. stephensi in clean water were 0.2568 d -1 , 1.2927 d -1 , 251.72 eggs, and 109.08 offspring, respectively. These values were significantly higher than those obtained in moderately polluted water (r = 0.2302 d -1 , λ = 1.2589 d -1 , 196.04 eggs, and R 0  = 65.35 offspring) and highly polluted water (r = 0.2282 d -1 , λ = 1.2564 d -1 , 182.45 eggs, and R 0  = 62.03 offspring). Female adult longevity in moderately polluted (9.38 days) and highly polluted water (9.88 days) were significantly shorter than those reared in clean water (12.43 days), while no significant difference in the male adult longevity was observed among treatments., Conclusions: The results of this study showed that An. stephensi can partially adapt to water pollution and this may be sufficient to extend the range of mosquito-borne diseases., (© 2022. The Author(s).)

The present study was conducted to investigate the ecological aspects of sand flies in southwestern North Khorasan, in which cutaneous leishmaniasis caused by Leishmania major has been reported with the highest annual incidence in Iran. Sampling was carried out in four localities including: Khorasha (natural), Ghamiteh (natural), Jorbat (semi urban) and Brick kilns (urban), twice a month using 105 sticky paper traps from indoors and outdoors dwellings during May-December 2017. Specimens were removed from sticky papers, washed in acetone, preserved in 80% ethanol, mounted on microscopic slides by Puri's medium, and identified using valid morphological keys. Simpson (D), richness (S), Menhinick (D Mg ), Margalef (D Mn ), Shannon-Weiner (H'), evenness (J') were calculated for species diversity. The synanthropic index was determined for the first time in the area. Totally 517 specimens were collected, 47% in outdoors and 30.4% in human indoor dwellings and 22.6% in animal. Eight species of sand flies including 5 species of the genus Phlebotomus and 3 species of the genus Sergentomyia were identified. Phlebotomus papatasi and Sergentomyia sintoni were the most common and Eudominant species, active in all months, collected in the maximum number and percentage in September and August, respectively, and showed the highest abundance in outdoors. The synanthropic index ranged from 6.25 to 38.9 in the study area. The Shannon-Wiener index was estimated to be up to 1.4 and 1.37 in Khorasha and November, respectively, which showed the highest diversity due to maximal richness and evenness compared to other areas. High abundance of Ph. papatasi, as the main vector of cutaneous leishmaniasis, can enhance the potential risk of emerging CL in new areas, the data can be equally important when vector control measures are considered., (© 2022. The Author(s).)

Cockroaches are considered to be important reservoirs for protozoan and helminth parasites,particularly an emerging Lophomonas spp., protozoan parasite. German cockroaches, Blattella germanica ( B. germanica) , are domestic pest distributed worldwide. However, little information is available regarding the burden of Lophomonas spp. infestation among domestic cockroach population worldwide. The present study investigated parasitic agents, emphasizing Lophomonas spp. infestation among B. germanica in northern Iran. During spring and summer 2018, a total of 496 adults B. germanica (265 males and 231 females) were trapped by hand and glass traps from the teaching hospitals in Mazandaran, Sari, northern Iran. All cockroaches were identified using taxonomic keys. Each cockroaches was anesthetized with chloroform and the alimentary tract removed. Each section was smeared onto a glass slide. All the smears were examined under light microscopy to determine the presence of the parasites. Ten genera of parasites were identified from the trapped B. germanica ; overall, 233 (47%) were found to be positive for helminths (n = 135) and protozoa (n = 98). The helminths included Aspiculuris tetraptera egg (67/233, 28.7%), Oxiuros sp. (39/233; 16.7%), Dentostomella translucida (17/233; 7.3%), and nematodes Ova (12/233; 5.2%). The protozoan parasites identified Gregarina sp. (61/233; 26.2%), Entamoeba sp . (19/233; 8.2%), Blastocystis sp. (5/233; 2.1%), Lophomonas (4/233; 1.7%), Nyctotherus sp. (4/233; 1.7%) , unclassified flagella (5/233; 2.1%). Lophomonas spp. was detected within the gut of B. germanica , for the first time, in Iran. It has previously been identified in the gut of cockroaches a long time ago, however, this is the first attempt to detect Lophomonas in cockroaches housing in hospitals. Thereby, it possibly presenting pose a serious respiratory infection risk for patients and health care personnel., Competing Interests: Conflict of interestThe authors declare that they have no conflict of interest., (© Indian Society for Parasitology 2021.)

Objectives: To assess the effectiveness of nanopermethrin as a potential new formulation for pest and vector control., Methods: Permethrin nanoparticles were prepared by the ionic gelation method and its structure and the formulations were designed using Box-Behnken statistical technique. The effect of independent variables (Chitosan/Permethrin ratio, tripolyphosphate quantity, sonication time) on the properties of nanoparticles was investigated to determine the optimal formulation., Results: The size of the nanoparticles ranged from 135.27 ± 5.88 to 539.5 ± 24.01 nm and the insecticide entrapment efficiency per cent (EE%) ranged from 7.72 ± 1.36 to 63.59 ± 3.17%. Anopheles stephensi larvae were then bioassayed with the nanopermethrin and compared with the results of the bioassay with the mother molecule of permethrin using a standard WHO-recommended mosquito larval bioassay kit. LC 50 with permethrin and nanopermethrin on larvae of An. stephensi were 0.125 and 0.026 ppm showing a 4.8 times difference. The LC 50 for permethrin and nanopermethrin on Culex pipiens were 0.003 and 0.00032 ppm, respectively, showing a 9.4-fold difference., Conclusion: Nanopermethrin is much more potent than its mother molecule against larvae of An. stephensi and Cx. pipiens., (© 2021 John Wiley & Sons Ltd.)

Background: Seasonal activity patterns of mosquitoes are essential as baseline knowledge to understand the transmission dynamics of vector-borne diseases. This study was conducted to evaluate the monthly dynamics of the mosquito populations and their relation to meteorological factors in Mazandaran Province, north of Iran., Methods: Mosquito adults and larvae were collected from 16 counties of Mazandaran Province using different sampling techniques, once a month from May to December 2014. "Index of Species Abundance" (ISA) along with "Standardized ISA" (SISA) was used for assessing the most abundant species of mosquitoes based on the explanations of Robert and Hsi. Pearson's correlation coefficient (R) was used to assess the relationships between the monthly population fluctuations and meteorological variables., Results: Overall, 23750 mosquitoes belonging to four genera and nineteen species were collected and identified. The highest population density of mosquitoes was in July and the lowest in May. The ISA/SISA indices for Culex pipiens were both 1 for larvae and 1.25/0.973 for adults in total catch performed in human dwellings. For Cx . tritaeniorhynchus , the ISA/SISA were 1.68/0.938 in pit shelter method. A significant positive correlation was observed between population fluctuations of Cx . tritaeniorhynchus and mean temperature (R: 0.766, P< 0.027)., Conclusion: The results indicated that the mosquitoes are more active in July, and Cx . pipiens and Cx . tritaeniorhynchus were the most abundant species. Considering the potential of these species as vectors of numerous pathogens, control programs can be planed based on their monthly activity pattern in the area., (Copyright © 2021 The Authors. Published by Tehran University of Medical Sciences.)

Zika virus is transmitted by Aedes mosquitoes, especially, Ae. aegypti and Ae. albopictus. About 80% of the cases do not manifest any symptoms, and it is a self-limiting, mild viral infection. In 20% of the cases and only in fraction of those who do show the symptoms, important complications including Guillaine Barre'syndrome and microcephaly may occur. The emergence of Zika in 2016 in Brazil spreading to about 70 other countries prompted the WHO officials to declare the disease a Public Health Emergency with International Concern (PHEIC). This has led to increased concerns in health authorities of almost all countries making them embark on the strengthened human and vector surveillance, vector control and clinical management of the disease. Although the main vectors of the disease have not yet been able to establish in Iran, because of their occurrence in neighboring countries as well as increased global travel and trade, the country established a national advisory committee for capacity building, vector and human surveillance and case management of Aedes-borne diseases. This study aims at performing a literature review about global situation of Zika and Aedes mosquitoes, their distribution, biology and ecology from the past to present and the threat posed to Iran. Aedes aegypti was historically present in the checklist of Iranian mosquitoes and Ae. albopictus has recently been collected from Southern Iran, however, the species has apparently failed to establish in the country as comprehensive follow up entomological surveillance could not reproduce the findings. Although Zika was not detected in Iran, considering the expansion in tourism, travel and trade to and from Zika infected and Aedes infested countries, suitable climate and favorable prediction for establishment of Aedes vectors, Iran may well be at risk of invasion of Aedes vector species and the diseases they carry. Therefore, this review is of value particularly to health authorities in Iran and other WHO Eastern Mediterranean countries for sustained vigilance and preparedness for early detection and response, including vector control., (Copyright © 2020 Elsevier Inc. All rights reserved.)

Background: Culex pipiens play an important role in transmission of infectious diseases. Vector control by chemical pesticides, leads inevitably to resistance development. Understanding the underlying resistance mechanisms can help improve the control programmes and insecticide resistance management., Methods: The total contents of cytochrome p450s and the activities of glutathione S-transferases, alpha- and beta-esterases and inhibition rates of acetylcholine esterase (by propoxur) were measured in the field population of Cx. pipiens collected from Sari County, North of Iran, in 2016 and the results were compared with those of the laboratory susceptible strain according to the biochemical assay methods of WHO for adult mosquitoes. Independent sample t -test was used to compare the mean values of enzyme activities/contents between filed and laboratory susceptible populations., Results: The enzyme ratio of cytochrome p450s, alpha- and beta-esterases in the field population was 2.07, 3.72 and 1.36 respectively when compared with the results of the laboratory population. Although not statistically significant, the mean GSTs activities in the field population was marginally less than the laboratory population (ER=0.92). Acetylcholinesterase was insensitive to propoxur in 62.82% of the individuals of the tested field population. There was a significant difference (P< 0.05) between all values of the activities/contents of the enzyme in the field population except for GSTs compared with the laboratory susceptible strain. The highest enzyme activity was related to alpha esterase., Conclusion: The present study showed a range of metabolic mechanisms, comprising p450s and esterases combined with target site insensitivity of AChE, contributing to organophosphate, carbamate and pyrethroid resistance in the field population of Cx. pipiens ., (Copyright© Iranian Society of Medical Entomology & Tehran University of Medical Sciences.)

The aim of the present study was to compare the biodiversity patterns of tick species in the Northern Iran between June 2007 and June 2008. 41 villages within three locations, viz. highland, woodland and plain, were selected using cluster randomized sampling method. A total of 504 sheep and 162 cattle visited monthly for a period of 12 months for the presence of ticks. Estimated richness was calculated using rarefaction curves and richness estimators. Defining the contribution of biodiversity components was adjusted using SHE analysis. A total of 1,231 hard ticks (consisting of 6 genera and 6 species) were collected. Rhipicephalus bursa (in highland and plain) and Boophilus annulatus (in woodland) were identified as eudominant species with the most abundance. Seasonal activity of the ticks varied among species. Rarefaction curves showed that summer and spring had the highest species diversity and richness in different locations. SHE analysis revealed that evenness had the greatest effect on the changes of species diversity and also showed that all regions are mainly occupied by common species. The study demonstrated that the seasonal fluctuations of R. bursa have a significant impact on the changes of species diversity.

Mosquitoes are important vectors of human and animal diseases. This study updates current knowledge on fauna, dominance, and distribution of mosquitoes in Mazandaran Province, Northern Iran, to inform disease control effort. Larval collections, using standard dippers or droppers, and adult collections, using total catches, shelter pits, CDC light traps, and human landing catches, were performed monthly in 30 villages across 16 counties, from May to December 2014. Ovitraps, baited with hay infusion as oviposition attractants or stimulants for Aedes (Stegomyia) mosquitoes, were installed in each village and inspected weekly for eggs. Lactophenol and Berlese media were used for preserving and mounting specimens. Overall, 36,024 mosquito specimens (19,840 larvae and 16,184 adults) belonging to 4 genera and 20 species were morphologically identified. The dominance and distribution indices showed that Culex pipiens s.s. was the eudominant species with a constant distribution of larvae (D = 69.07%, C = 100%) and adults (D = 31.86%, C = 100%), followed by Cx tritaeniorhynchus (D = 38.14%, C = 100%) and Anopheles maculipennis s.l. (D = 11.05%, C = 100%) as adults. Aedes vexans was the dominant (7.85%) species, but it had a sporadic (20%) distribution. Culex torrentium and Culiseta morsitans were added as the new species to the checklist of mosquitoes in Mazandaran Province. Due to the potential role, Cx. pipiens s.s. as a vector of various pathogens, further ecological studies are recommended.

Mosquitoes transmit a variety of diseases to humans. Their abundance and distribution are related to the characteristics of larval habitats. Mosquito larvae were collected from 120 natural and artificial habitats in 30 villages of 16 counties using standard 350 ml dippers and pipette, on a monthly basis from May-December 2014 in Mazandaran Province, northern Iran. Larval habitat characteristics were recorded separately, based on the conditions of the habitats (permanent or temporary, stagnant or running), type of habitats (natural or artificial), vegetation, exposure to sun, type of bed, water condition (clear or turbid), expanse (m), depth (cm, m) and temperature (°C) of habitats. The relationship between larval density and environmental variables was assessed by Chi-square tests. Totally, 19,840 larvae from three genera and 16 species were collected and identified. Anopheles maculipennis s.l. and Culex pipiens were the dominant species and collected with the highest density in plain areas. The highest number of larvae were collected from natural habitats (60.34%), including; river edge, marsh, pit and wetlands; with temporary and stagnant water, expanse of 0-5 m, depth of 1-25 cm, without plant, shadow-sun, muddy floor, turbid water, temperature 20-25°C and in sunny conditions. River edge and rice fields for An. maculipennis s.l and, wetlands and discarded tires for Cx. pipiens were the main larval habitats in the province. Statistical analysis revealed significant relation between occurrence of An. maculipennis s.l., Cx. pipiens, Culex torrentium, Culex mimeticus and Cs. annulata with each of the environmental variables (P < 0.001). These findings are essential in expanding our knowledge of the vectors ecology specially the type of habitat preference and will be beneficial in larval control programs.

Characteristics of mosquito larval habitats are important in determining whether they can survive and successfully complete their developmental stages. Therefore, data on the ecological factors affecting mosquito density and abundance especially the physicochemical properties of water of their breeding sites, can possibly be helpful in implementing larval management programs. Mosquito larvae were collected using a standard 350 ml dipper from fixed habitats including: artificial pool, river edge, creek and etc, in 30 villages of 16 counties from May-December 2014. Water samples were collected during larval collection and temperature (°C), acidity (pH), turbidity (NTU), electrical conductivity (μS/cm), alkalinity (mg/l CaCO3), total hardness (mg/l), nitrate (mg/l), chloride (mg/l), phosphate (mg/l) and sulphate (mg/l) were measured using standard methods. Spearman correlation coefficient, Kruskal-Wallis test of nonparametric analysis, Chi-square (χ2) analysis, regression analysis and C8 interspecific correlation coefficient were used for data analysis. A total of 7,566 mosquito larvae belonging to 15 species representing three genera were collected from fixed larval breeding places. Culex pipiens was the dominant species except in four villages where An. maculipennis s.l. and Cx. torrentium were predominant. There was a significant positive correlation between the density of Cx. pipiens and electrical conductivity, alkalinity, total hardness and chloride, whereas no significant negative correlation was observed between physicochemical factors and larval density. The highest interspecific association of up to 0.596 was observed between An. maculipennis s.l/An. pseudopictus followed by up to 0.435 between An. maculipennis s.l/An. hyrcanus and An. hyrcanus/An. pseudopictus. The correlations observed between physicochemical factors and larval density, can possibly confirm the effect of these parameters on the breeding activities of mosquitoes, and may be indicative of the presence of certain mosquito fauna in a given region.

Background: Malaria is endemic in most parts of Afghanistan and insecticide-based vector control measures are central in controlling the disease. Insecticide resistance in the main malaria vector Anopheles stephensi from Afghanistan is increasing and attempts should be made to determine the underlying resistance mechanisms for its adequate management., Methods: The contents of cytochrome P450s, esterases, glutathione S-transferases (GSTs) and acetylcholine esterase (AChE) activities were measured in the Kunar and Nangarhar populations of An. stephensi from Afghanistan and the results were compared with those of the susceptible Beech strain using the World Health Organization approved biochemical assay methods for adult mosquitoes., Results: The cytochrome P450s enzyme ratios were 2.23- and 2.54-fold in the Kunar and Nangarhar populations compared with the susceptible Beech strain. The enzyme ratios for esterases with alpha-naphthyl acetate were 1.45 and 2.11 and with beta-naphthyl acetate were 1.62 and 1.85 in the Kunar and Nangarhar populations respectively compared with the susceptible Beech strain. Esterase ratios with para-nitrophenyl acetate (pNPA) were 1.61 and 1.75 in the Kunar and Nangarhar populations compared with the susceptible Beech strain. The GSTs enzyme ratios were 1.33 and 1.8 in the Kunar and Nangarhar populations compared with the susceptible Beech strain. The inhibition of AChE was 70.9 in the susceptible Beech strain, and 56.7 and 51.5 in the Kunar and Nangarhar populations. The differences between all values of the enzymes activities/contents and AChE inhibition rates in the Kunar and Nangarhar populations were statistically significant when compared with those of the susceptible Beech strain., Conclusions: Based on the results, the reported resistance to pyrethroid and organophosphate insecticides, and tolerance to bendiocarb in the Kunar and Nangarhar populations of An. stephensi from Afghanistan are likely to be caused by a range of metabolic mechanisms, including esterases, P450s and GSTs combined with target site insensitivity in AChE.

Resistance to acaricides in ticks is becoming increasingly widespread throughout the world; therefore, tick control requires resistance monitoring for each tick species. The aims of this study were to monitor the susceptibility status of the cattle tick, Rhipicephalus (Boophilus) annulatus (Acari: Ixodidae), against pyrethroid acaricides from Mazandaran Province, northern Iran, and where resistance was evident, and establish the possible underlying mechanisms. Fully engorged adult R. (B.) annulatus females collected on cattle from Mazandaran Province. Twenty-nine tick populations produced 10-18days old larvae and bioassayed with cypermethrin and λ-cyhalothrin by larval packet test and the levels of detoxification enzymes were measured. Population AM-29 had a maximum resistance ratio (RR 99 ) of 20.21 to cypermethrin and 53.57% of the tick populations were resistant at LC 99 level. With λ-cyhalothrin, 17.86% of the tick populations were resistant and AM-29 was the most resistant population with RR 99 =4.54. AM-29 also showed significant elevation of cytochrome P450 monooxygenase (P450) and glutathione S-transferase (GST) (2.76- and 2.39-fold, respectively) (P<0.001). Rhipicephalus (Boophilus) annulatus showed resistance to pyrethroid insecticides with elevated levels of P450, GST and para-nitrophenyl acetate (p-NPA) in resistant populations. Operational failure was noted in controlling R. (B.) annulatus by pyrethroid insecticides, therefore alternative pest management measures should be adopted in Iran. For the first time, a new estimate of insecticide resistance based on effective dose recommended by the pesticide manufacturer termed Operational Dose Ratio (ODR) is defined and discussed., (Crown Copyright © 2016. Published by Elsevier Inc. All rights reserved.)

Mosquitoes are highly important as public health problem due to their blood sucking habits and transmitting malaria, arboviruses and other diseases to humans. The present research was undertaken to determine the fauna, abundance, monthly distribution and activity of Culicidae mosquito larvae and adults in Noor County, northern Iran. This cross-sectional, descriptive study was conducted from August 2012 to November 2013 in the rural and urban outskirts of Noor. In each area, natural larval breeding places such as river beds, shallow wells, pits, sewer, marsh, small holes, tracks of animals as well as man-made breeding places like pools and rice paddy fields have been visited monthly for larval collection. To collect adult mosquitoes, human and animal dwellings including bedrooms, store rooms, toilets, barns, stables and pen were surveyed using WHO standard methods. A total of 844 larvae and 1484 adult mosquitoes were caught. Of the 665 Culicinae larvae, 501 were Cx. pipiens (75.3%), 108 Cx. mimeticus (16.2%) and 56 Cx. theileri (8.4%). Of the 179 Anophelinae larvae, 96 were An. hyrcanus (53.6%) and 83 An. maculipennis s.l. (46.4%). Among 889 adult Culicinae, 495 were Cx. pipiens (55.7%), 238 Cx. mimeticus (26.8%), 156 Cx. theileri (17.6%), and from 595 adult Anophelinae 371 were An. hyrcanus (62.4%) and 224 An. maculipennis (37.7%). Anopheles hyrcanus with 96 larvae (53.6%) and 371 adults (62.4%) and Cx. pipiens with 501 larvae (75.3%) and 495 adults (55.7%) showed the highest abundance and distribution in the county calling for more studies on their population, ecology, behavior and probable roles as vectors of various diseases.

Rhipicephalus bursa is a two-host ixodid tick with wide distribution in north of Iran especially in Mazandaran province. Acaricide treatment is the main tick control measure; however, acaricide resistance occurs in hard ticks in many areas of the world including Iran. Comprehensive information on susceptibility status of Rhipicephalus bursa is lacking, therefore, this study is undertaken to determine the susceptibility status of the species to pyrethroid acaricides and probable biochemical underlying mechanisms of resistance. From May 2013 to March 2014, engorged females Rhipicephalus bursa were collected using standard entomological procedures from body surface of sheep, goat and cattle in different areas of Mazandaran province, northern Iran. Eleven and ten pooled tick populations were tested against cypermethrin and lambda-cyhalothrin, respectively using larval packet test. Population SC-16 showed a maximum resistance ratio of 5.79 against cypermethrin in Sari County when compared to the most susceptible population NH-16 and 63.64% of tick populations were resistant at LC 99 level. With lambda-cyhalothrin, 30% of the tick populations were resistant with low level and NK-2 was the most resistant population with resistance ratio of 4.32 in Nowshahr County. The results of biochemical assays demonstrated elevated levels of monooxygenases, glutathione S-transferases and esterases in pyrethroid resistant populations tested.

Although considerable progress has been made in the past years in management of mosquito borne diseases such as malaria, dengue, yellow fever and West Nile fever through research in biology and ecology of the vectors, these diseases are still major threats to human health. Therefore, more research is required for better management of the diseases. This investigation provides information on the composition, co-occurrence, association and affinity indices of mosquito larvae in Mazandaran Province, northern Iran. In a large scale field study, mosquito larvae were collected from 120 sentinel sites in 16 counties in Mazandaran Province, using standard 350 ml dipper. Sampling took place monthly from May to December 2014. Collected larvae were mounted on glass slides using de Faure's medium and were diagnosed using morphological characters. Totally, 19,840 larvae were collected including three genera and 16 species from 120 larval habitats, as follows: Anopheles claviger, Anopheles hyrcanus, Anopheles maculipennis s.l., Anopheles marteri, Anopheles plumbeus, Anopheles pseudopictus, Culex pipiens, Culex tritaeniorhynchus, Culex torrentium, Culex perexiguus, Culex territans, Culex mimeticus, Culex hortensis, Culiseta annulata, Culiseta longiareolata, and Culiseta morsitans. Predominant species were Cx. pipiens and An. maculipennis s.l. which show the highest co-occurrence. The pair of species An. hyrcanus/An. pseudopictus showed significant affinity and association. High co-occurrence of the predominant species Cx. pipiens and An. maculipennis s.l. in the study area is of considerable importance in terms of vector ecology. It was also revealed that An. pseudopictus/An. hyrcanus often occur sympatrically indicating their common habitat requirements. The information may be equally important when vector control measures are considered., (Copyright © 2016 Elsevier B.V. All rights reserved.)

Background: Ecological studies on mosquitoes are very important in vector control programs. There are a few studies about the ecology of mosquitoes in northern Iran. This study was carried out to detect fauna and larval habitat characteristics of mosquitoes., Methods: This study aimed to determine fauna and the ecology of mosquitoes in Neka County, Mazandaran Province, northern Iran from April to December, 2009. The larval collection was conducted using standard dipper, and the characteristics of larval habitat were investigated based on degree of transparency of water, type of water (stagnant or running), plant vegetation, sunny or shady, temperature and altitude of the natural or artificial breeding places., Results: The mosquito larvae were collected from 72 habitats and identified using systematic keys. Nine species of mosquitoes were identified: Anopheles claviger (0.31%), An. maculipennis (0.54%), An. plumbeus (10.28%), An. superpictus (0.01%), Culiseta annulata (1.07%), Cs. longiareolata (8.91%), Culex mimeticus (0.03%), Cx. pipiens (63.99%), and Ochlerotatus geniculatus (14.85%). The range of temperature in the larval habitats was 19.6-22.5 °C. Significant difference was observed in the rate of temperature among the species in the larval habitats (P< 0.05). A checklist of mosquitoes including seven genera and 32 species has been provided for Mazandaran Province., Conclusion: The most dominant species were Cx. pipiens. They were collected from the larval habitats like Border Rivers, ponds, rain water pools, discarded tires and tree holes. Culiseta annulata was included to the checklist of mosquitoes in Mazandaran Province.

Background & Objectives: This paper presents the results of a study on ecological parameters including diversity indices applied on populations of Culicidae mosquitoes (Diptera: Culicidae) from three rural areas (Darvishan, Chalmardi and Khairabad) of Neka township in Mazandaran province, northern Iran., Methods: Adult and larval stages of mosquitoes were systematically sampled to obtain data required for measuring diversity of mosquitoes in these areas. Alfa and beta indices were analyzed to compare mosquito diversity. A total of 5270 specimens belonging to four genera and 14 different species were collected and identified., Results: Evaluation of dominance structure of species showed that culicid mosquitoes of Neka rangelands include one eudominant species, two dominant species, two subdominant species, two rare species and eight subrare species when Heydemann classification was used., Interpretation & Conclusion: Data analysis revealed a higher diversity of mosquitoes in Khairabad with a low degree of interspecific dominance, while Darvishan and Chalmardi recorded the lowest observed diversity and a high degree of interspecific dominance. The cluster analysis based on Jaccard's index indicated the relationship between the categories and indicates that Darvishan and Khairabad are the closest categories in their specific composition.

Dermatitis caused by stimulation of beetle paederus, is a common health problem in Northern and some southern parts of Iran. Since by now, traditional medicine and some corticosteroid agents have been used for treatment of dermatitis caused by beetle paederus. Because, there are few researches about classical treatment of the disease at academic level, this study planned to compare the effectiveness of triamcinolone ointment and atorvastatin tablet with placebo in treatment ofpaederus dermatitis in Northern Iran. A randomized double-blind clinical trial was carried out on 30 patients referred to the hospital and clinics at Sari and Neka countries in Northern Iran during 6 months. Patients were randomly divided into two therapeutic equal groups. The first group was triamcinolone ointment twice a day and a placebo atorvastatin tablet daily. The second group was oral atorvastatin one tablet (20 mg) daily and a placebo triamcinolone ointment twice a day. In Seventh day of visits, therapeutic response of the patients in triamcinolone and atorvastatin group were 93.33 and 80%, respectively. No significant differences were found in therapeutic outcome between the two groups (p > 0.05). The results showed both oftriamcinolone ointment and oral atorvastatin had similar effect on paederus dermatitis. Because the paederus dermatitis is a self-limited disease use of topical therapy for treatment of the disease is recommend.

Background: Regarding to the significant of the possibility of the malaria epidemic and nuisance of mosquitoes during the active season, the fauna and some ecological activities of mosquitoes in related to tree holes were investigated from April to December 2009 in Neka county of Mazandaran Province, northern Iran., Methods: Larval collection was carried out from natural, artificial breeding places, and tree holes inside the forest in Neka County, Mazandaran Province in 2009. In addition, human bait net trap collection was conducted using suction tube several times during this investigation., Results: Four genera and five species were found in tree holes. Anopheles plumbeus, Culiseta annulata, Culex pipiens, and Ochlerotatus geniculatus were collected by larval collection whereas, Ochlerotatus pulcritarsis was found by adult collection. Overall Cx. pipiens 44.6%, Oc. geniculatus 32.6%, An. plumbeus 22.5%, and Cs. annulata 0.3% were collected by larval collection. During the bait net collection five specie were identified including: Oc. geniculatus 55.87%, Oc. echinus 1.33%, Oc. pulcritarsis 8.8%, Cx. pipiens 33.8%, and An. plumbeus 0.2%. Cs. annulata larvae was detected for the first time with a low abundance in tree cavity., Conclusion: Tree holes were found the main habitat for the species of Oc. geniculatus. The species of Cs. annulata was found in tree holes.