Personal protection against biting insects and ticks.

Fabrice Legros (1) , Thierry Ancelle (1) , Eric Caumes (2) , Marie-Laure Dardé (3) , Jean Delmont (4) , Robert Descloitres (1) , Patrick Imbert (5) , Ludovic de Gentile (1) , R. Migliani (6) , Patrick Ouvrard (1) , Vincent Robert (7) , Gérard Duvallet (8) , Nathalie Boulanger (9) , Fabrice Chandre (10) , Nathalie Colin de Verdiere (11) , Paul-Henri Consigny (12) , Pascal Delaunay (13) , Jérôme Depaquit (1) , Barbara Doudier (1) , Michel Franc (1) , Florence Moulin (1) , Frédéric Pagès (14) , Aurélie Prange (1) , Isabelle Quatresous (1) , Philippe Saviuc (1) , Stéphane Auvin (15) , Francis Carsuzza (1) , Amandine Cochet (1) , Frédéric Darriet (10) , Anne Demantke (1) , Elisabeth Elefant (16) , Anna-Bella Failloux (17) , Christophe Lagneau (1) , Catherine C. Pecquet , Guy La Ruche (1) , Frédéric Sorge (1) , Arnaud Tarantola (1) , Catherine Vauzelle (1) , Faiza Ajana (1) , Alexis Armengaud (1) , Jean Paul Boutin (1) , Sandrine Chevallier (1) , Suzanne Gagnon , Sabine Genty , Romain Girod (18) , Nadine Godineau (19) , Claude Guigen (1) , Yves Hatchuel (1) , Claude Hengy (1) , Arezki Izri (1) , Dominique Jean (1) , Frédéric Jourdain (1) , Isabelle Lamaury (20) , Bruno Marchou (21) , Valérie Masson (1) , Philippe Minodier (1) , Alice Pérignon (1) , Sylvie Piccoli (1) , Béatrice Quinet (1) , André Yebakima (22) , Julien Santi-Rocca (1) , Sherri Smith (1)

1 PPAV - "Personal Protection Against Vectors" working group
2 Epidémiologie, stratégies thérapeutiques et virologie cliniques dans l'infection à VIH
3 NETEC - Neuroépidémiologie Tropicale et Comparée
4 AMU MED - Aix-Marseille Université - Faculté de médecine
5 HIA Begin - Hôpital d'Instruction des Armées Begin [Saint-Mandé, France]
6 Département d'Épidémiologie et de Santé Publique Nord
7 MIVEGEC-DEEVA - Diversity, ecology, evolution & Adaptation of arthropod vectors
8 CEFE - Centre d’Ecologie Fonctionnelle et Evolutive
9 PMT - Physiopathologie et Médecine Translationnelle
10 MIVEGEC-VCG - Vector Control Group
11 Service des Maladies Infectieuses et Tropicales
12 CMIP - Centre Médical de l'Institut Pasteur
13 Laboratoire de Parasitologie-Mycologie
14 URMITE - Unité de Recherche sur les Maladies Infectieuses et Tropicales Emergentes
15 Service de neuropédiatrie [Debré]
16 CHU Trousseau [APHP]
17 Génétique Moléculaire des Bunyavirus
18 Unité d'entomologie médicale
19 Service de parasitologie
20 Service des maladies infectieuses
21 Service Maladies infectieuses et tropicales [CHU Toulouse]
22 Centre de la Démoustication

Recent events with the first cases of local transmission of chikungunya and dengue fever virus in southern France by Aedes albopictus, adding to the nuisance and potential vectors that can be encountered when traveling in tropical or sub-tropical countries, has shown the value of a reflection on the Personal protection against vectors (PPAV). It is seen during an outbreak of vector-borne disease, or simply because of nuisance arthropods, that our fellow citizens try to protect themselves individually by using an arsenal of resources available on the market. Yet most of these means have been neither checked for effectiveness or safety tests, however, essential. Travellers, staff on mission or assignment, are looking for specific information on how to protect themselves or their families. Health workers had at their disposal so far indications that vary widely from one source to another. Therefore it seemed important to the Society of Travel Medicine (SMV) and the French Society of Parasitology (SFP) to initiate a reflection on this theme. This reflection took the form of recommendations for good practice, following the outline established by the French High Health Authority (HAS). The aim was to gather all relevant information, verified and validated and the format to be used not only by health personnel (doctors, pharmacists, nurses), but also by travel agents and individuals. This document highlights the need to take into account the risk of vector-borne diseases, some deadly, and the benefit of various methods of personal protection. The choice of methods is clearly oriented towards those whose effectiveness has been proven and potential risks assessed. The paper finally proposes two decision trees based on the transmission type (day or night) and kind of stay (short or roaming, long and steady). It concerns travellers, but also expatriates, residents and nomads.

Domaines: Santé publique et épidémiologie

Fabrice Legros, Thierry Ancelle, Eric Caumes, Marie-Laure Dardé, Jean Delmont, et al.. Personal protection against biting insects and ticks.. Parasite, 2011, 18 (1), pp.93-111. ⟨10.1051/parasite/2011181093⟩. ⟨hal-00927009⟩