Head lice as vectors of pathogenic microorganisms

Abstract Body lice and head lice are the most common ectoparasites of humans. Head lice (Pediculus humanus capitis) occur worldwide in children and their caretakers, irrespective of their social status. In contrast, body lice (Pediculus humanus corporis) are confined to marginalized population group...

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Main Author: Hermann Feldmeier
Format: Article
Language:English
Published: BMC 2023-09-01
Series:Tropical Medicine and Health
Subjects:
Online Access:https://doi.org/10.1186/s41182-023-00545-5
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author Hermann Feldmeier
author_facet Hermann Feldmeier
author_sort Hermann Feldmeier
collection DOAJ
description Abstract Body lice and head lice are the most common ectoparasites of humans. Head lice (Pediculus humanus capitis) occur worldwide in children and their caretakers, irrespective of their social status. In contrast, body lice (Pediculus humanus corporis) are confined to marginalized population groups in countries of the Global South, homeless people, and refugees. Body lice are known to transmit an array of bacterial pathogens, such as R. prowazekii, R. rickettsii, C. burneti, B. quintana, B. recurrentis, and Y. pestis. The vector capacity of head lice is still a matter of debate. The objective of the review was to scrutinize the existing evidence on the vector capacity of head lice for the transmission of bacterial pathogens. The PUBMED database was searched using a combination of the terms “pediculus humanus” OR “body lice” OR “head lice” AND “pathogen” OR “Rickettsia prowazekii” OR “Bartonella quintana” OR “Borrelia recurrentis” OR “Coxiella burneti” without a time limit. Data from epidemiological studies as well as historical observations demonstrate that body lice and head lice can carry the same array of pathogens. Since the presence of a bacterial pathogen in an arthropod is not sufficient to state that it can be transmitted to humans, and since experimental models are lacking, as yet one cannot conclude with certainty that head lice serve as vectors, although this review presents circumstantial evidence that they do. Adequately designed experimental and epidemiological studies are needed to ascertain the exact transmission potential of head lice.
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spelling doaj.art-0933f4732b3c49b095a3bbfdccaf5fbd2023-11-20T10:58:14ZengBMCTropical Medicine and Health1349-41472023-09-0151111110.1186/s41182-023-00545-5Head lice as vectors of pathogenic microorganismsHermann Feldmeier0Institute of Microbiology, Infectious Diseases and Immunology, Charité-Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of HealthAbstract Body lice and head lice are the most common ectoparasites of humans. Head lice (Pediculus humanus capitis) occur worldwide in children and their caretakers, irrespective of their social status. In contrast, body lice (Pediculus humanus corporis) are confined to marginalized population groups in countries of the Global South, homeless people, and refugees. Body lice are known to transmit an array of bacterial pathogens, such as R. prowazekii, R. rickettsii, C. burneti, B. quintana, B. recurrentis, and Y. pestis. The vector capacity of head lice is still a matter of debate. The objective of the review was to scrutinize the existing evidence on the vector capacity of head lice for the transmission of bacterial pathogens. The PUBMED database was searched using a combination of the terms “pediculus humanus” OR “body lice” OR “head lice” AND “pathogen” OR “Rickettsia prowazekii” OR “Bartonella quintana” OR “Borrelia recurrentis” OR “Coxiella burneti” without a time limit. Data from epidemiological studies as well as historical observations demonstrate that body lice and head lice can carry the same array of pathogens. Since the presence of a bacterial pathogen in an arthropod is not sufficient to state that it can be transmitted to humans, and since experimental models are lacking, as yet one cannot conclude with certainty that head lice serve as vectors, although this review presents circumstantial evidence that they do. Adequately designed experimental and epidemiological studies are needed to ascertain the exact transmission potential of head lice.https://doi.org/10.1186/s41182-023-00545-5Pediculus humanusHead liceBody liceBacterial pathogen
spellingShingle Hermann Feldmeier
Head lice as vectors of pathogenic microorganisms
Tropical Medicine and Health
Pediculus humanus
Head lice
Body lice
Bacterial pathogen
title Head lice as vectors of pathogenic microorganisms
title_full Head lice as vectors of pathogenic microorganisms
title_fullStr Head lice as vectors of pathogenic microorganisms
title_full_unstemmed Head lice as vectors of pathogenic microorganisms
title_short Head lice as vectors of pathogenic microorganisms
title_sort head lice as vectors of pathogenic microorganisms
topic Pediculus humanus
Head lice
Body lice
Bacterial pathogen
url https://doi.org/10.1186/s41182-023-00545-5
work_keys_str_mv AT hermannfeldmeier headliceasvectorsofpathogenicmicroorganisms