Poor vector competence of the human flea, Pulex irritans, to transmit Yersinia pestis

Adélaïde Miarinjara1, David M Bland1, James R Belthoff2

  • 1Laboratory of Bacteriology, Rocky Mountain Laboratories, National Institute of Allergy and Infectious Diseases, NIH, Hamilton, MT, USA.

Parasites & Vectors
|June 11, 2021
PubMed
Abstract

Insights

The human flea, Pulex irritans, is a poor vector for plague transmission. Studies show it transmits Yersinia pestis infrequently, especially when feeding on human blood.

Area of Science:

  • Vector-borne disease research
  • Epidemiology
  • Medical entomology

Background:

  • The human flea, Pulex irritans, is globally distributed and historically associated with humans.
  • Its role as a plague vector is debated, despite its prevalence in endemic areas and presence during outbreaks.
  • Previous studies suggest P. irritans is an inefficient vector, receiving limited public health attention.

Purpose of the Study:

  • To evaluate the vector competence of Pulex irritans for Yersinia pestis.
  • To investigate the influence of host blood source and feeding frequency on transmission efficiency.

Main Methods:

  • Wild-caught P. irritans were infected with Yersinia pestis via artificial feeding systems using human or rat blood.
  • Fleas were monitored for infection rates, bacterial load, mortality, feeding success, and proventricular blockage.
  • Transmission efficiency was assessed after a single infectious blood meal.

Main Results:

  • Over 30% of P. irritans maintained high Yersinia pestis loads for up to 20 days.
  • Transmission was infrequent and inefficient, with low early-phase transmission (3 days post-infection).
  • Proventricular blockage, crucial for transmission, was low with rat blood and absent with human blood; intermittent feeding on rat blood increased blockage and transmission.

Conclusions:

  • Pulex irritans demonstrates feeble vector competence compared to other flea species.
  • Vector competence is influenced by host blood type and feeding patterns.
  • Transmission efficiency is particularly low when infected by feeding on bacteremic human blood.

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