Parasitol Res (2003) 90: 476–478DOI 10.1007/s00436-003-0881-y
Susceptibility of head lice (Pediculus humanus capitis)to pediculicides in Australia
Received: 15 January 2003 / Accepted: 12 March 2003 / Published online: 26 June 2003Ó Springer-Verlag 2003
Abstract Infestation with head lice, Pediculus humanus
pediculicides in head lice is increasing in Australia and
capitis, is a worldwide problem, especially among pri-
elsewhere, there have been only a handful of papers with
mary (elementary) school children. Although studies in
empirical data on the susceptibility of head lice, and
many different countries indicate lower levels of sus-
none from Australia. Doubtless, this is due to the diffi-
ceptibility to certain insecticides than expected (‘‘resis-
culty of working with live head lice. Head lice are diffi-
tance’’), there is no empirical data from Australia. Data
cult to maintain in culture and have short lives when
on the susceptibility of head lice to malathion, pyreth-
removed from the host. We report the first empirical
rums and permethrin were collected from four schools in
data on the susceptibility of head lice to pediculicides in
Brisbane and one school in northern Queensland. Since
no completely susceptible strain of head lice was avail-able and head lice are difficult to keep in culture, acompletely susceptible strain of body lice, Pediculus
humanus humanus, was used for reference. All fivegroups of head lice were less susceptible to malathion,
We used the World Health Organisation (WHO)-style filter-paper
pyrethrums and permethrin than were lice from the
kill-assay to measure the susceptibility of head lice to malathion
reference strain. Moreover, the degree of susceptibility
(organophosphate), pyrethrums (natural pyrethroids) and per-
to these insecticides varied substantially among schools.
methrin (synthetic pyrethroid). Since no insecticide-susceptible
Thus, a pediculicide that controlled lice at one school in
strain of head lice is available, a colony of body lice, Pediculushumanus humanus, which is completely susceptible to insecticides,
Brisbane would not necessarily control head lice at an-
was used for reference. This colony was founded from the colony of
other school in the same city. These preliminary data
Culpepper (1948), and was kindly supplied to us by Dr. K.
indicate that detailed information on the susceptibility
Mumcuoglu (Department of Parasitology, Hebrew University,
of the different populations of head lice in Queensland to
Hadassah Medical School, Jerusalem, Israel). Body lice were
the different insecticides available is needed to maximize
maintained in the laboratory by feeding daily on rabbits (Mum-cuoglu et al. 1995). In between feeds, the lice were kept at 30–32°C
the chance of effective control of these increasingly
and 70–80% relative humidity. Head lice were collected by dry-
combing from the hair of one to ten children from four primary(elementary) schools in Brisbane, Queensland, and a primaryschool in northern Queensland (Townsville State School). Sinceonly small numbers of lice were collected, these were pooled for the
Technical grade malathion, pyrethrums (50% concentration)
Goldsmid (1990) reported the first evidence of the failure
and permethrin was kindly donated by Biotech Industries, Bris-
of pediculicides to control head lice (Pediculus humanus
bane, Australia. The WHO-style filter-paper kill-assay was used to
capitis) in Australia. This evidence was from Tasmania
in southern Australia. While anecdotal reports suggestthat certain pediculicides fail to control certain popula-
Fig. 1 Percent cumulative mortality of the reference strain
tions of head lice and that the prevalence of resistance to
(laboratory colony of completely insecticide-susceptible body lice)and head lice from five schools in Queensland, Australia. Malathion is represented by a diamond, permethrin by a squareand pyrethrums by a triangle. At Kenmore State School there was
J. A. Hunter Æ S. C. Barker (&)
zero mortality for all three insecticides 240 min after first exposure.
Department of Microbiology and Parasitology,
For Murrarrie State School the mortality at 180 min was 13% for
both malathion and pyrethrums and 0% for permethrin; at
University of Queensland, 4072 Brisbane, Australia
240 min, all pediculicides had caused a cumulative mortality of
13%. These data are not obvious from the figure
measure the mortality of lice. These insecticides were prepared
papers (no insecticides) were treated with silicone fluid and acetone
as 1% volume/volume solutions in silicone fluid (a solvent for
crystalline insecticides like permethrin and pyrethrums) (Dow
Adult lice and third-stage nymphs were tested in batches of ten
Corning 556). Each solution was mixed 1:1 with acetone to facili-
or more insects. Mortality was recorded every 15 min for up to
tate impregnation of filter papers (Whatman no. 4). The filter
24 h after first-exposure. Groups of ten lice from the reference
papers were evenly spread with 1 ml of the mixture, and then left to
strain were placed on filter papers treated with silicone fluid and
dry in a fume hood so that the acetone could evaporate. Filter
acetone only. Mortality was defined as the inability of a louse to
papers were then stored in aluminium foil at 4°C until use. Control
right itself when rolled onto its back.
certain pediculicides control lice at one school, but
not at other schools in Brisbane. Detailed informationabout the degree of susceptibility of different popula-
The reference strain of body lice, as expected, was highly
tions of head lice in Queensland to the available insec-
susceptible to permethrin at a concentration of 1% with
ticides is needed to maximize the chances of effective
almost immediate responses, i.e. seizures. In most tests,
100% mortality was recorded at the first reading(15 min). Responses to pyrethrums were slower than to
Acknowledgements We thank Kosta Mumcuoglu for advice and
permethrin and malathion but there was at least 50%
for giving us the body lice from which we founded our laboratory
mortality after 1 h and 100% mortality after 3 h. In
colony. Helen Weld and Cheryl Thomas for hosting our work in
most tests with malathion there was 100% mortality
Yungaburra, and Claire Ellender, Anna Murrell and ConorMcMeniman for help with the figures. Rick Speare provided
after 1 h. No difference in mortality was evident from
helpful advice. Biotech Industries, Brisbane, Australia, gave us the
papers that were fresh and those that were up to
The susceptibility to malathion, pyrethrums and
permethrin of the head lice tested varied substantially
among schools (Fig. 1). For example, the lice fromKenmore State School and Murarrie State School were
Culpepper GH (1948) Rearing and maintaining a laboratory
not susceptible to malathion (0% and 13% mortality
colony of body lice on rabbits. Am J Trop Med 28:499–504
after 240 min), yet 94–100% of lice from the other
Goldsmid JM (1990) Head louse treatment: is there an insecticide
schools were dead after 240 min exposure.
resistance problem? Med J Aust 153:233–234
Mumcuoglu KY, Hemingway J, Miller J, Ioffe-Uspensky I,
These preliminary data indicate that particular
Klaus S, Ben-Ishai F, Galun R (1995) Permethrin resistance in
insecticides are likely to be more effective in some school
the head louse Pediculus capitis from Israel. Med Vet Entomol
than others. This is consistent with anecdotes that
ALLERGY AND ANAPHYLAXIS POLICY Channing School takes allergies very seriously and procedures are in place to ensure the safety of all its pupils and staff. Common Allergens Peanuts, tree nuts, egg, milk, kiwi fruit, fish, soya, latex, insect stings and medicines (e.g. Penicillin). Allergic reactions can range from mild symptoms to a life-threatening anaphylaxis. Mild allergic sy
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