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What's The Scariest Halloween Costume Of Them All?

A mosquito lurks, eager to score some Halloween candy.
Ben de la Cruz
A mosquito lurks, eager to score some Halloween candy.

Who's the scariest animal of them all?

That's a good question to ponder as Halloween looms. Because everybody loves a good scary animal costume.

Lions and tigers and bears. Oh, my, they're scary. Every year, lions kill 200 people; tigers kill 15, and bears fatally maul 10 people.

Sharks get a lot of press, although they are overrated as killers: The annual death toll from shark attacks is about 25. Snakes, on the other hand, take a devastating toll: 50,000 people die annually from snakebites.

We would be remiss if we did not note that the total number of people killed by witches, werewolves, goblins, ghosts, vampires and the Abominable Snowman equals ... zero. Still, they're pretty scary anyway, as every trick-or-treater knows.

The most frightening creature on Earth is barely visible. It's the lowly, annoying mosquito. It is one of eight vectors — tiny, blood-sucking critters that transmit disease from human to human or from animal to human — listed by the World Health Organization as the most dangerous to people. Together, these eight bloodsuckers are responsible annually for one million deaths and 17 percent of infectious diseases in humans.

Mosquitoes are the worst. There are more than 3,000 species of mosquito, but three varieties are the culprits in most death and disease: Aedes, Culex and Anopheles. The first two cause such ailments as Dengue fever, Rift Valley fever, yellow fever, Japanese encephalitis and West Nile fever. They prefer stale, stagnant, standing water to pristine forest lakes. "They like water sitting in drain pans for potted plants, old boats in yards, tires, tire swings, abandoned swimming pools," says Dr. Grayson Brown, director of the Public Health Entomology Laboratory at the University of Kentucky. "If you go out into the woods, you won't find those mosquitoes."

Mosquitoes feed on an infected person or animal and ingest the virus, which passes through the bug's blood and eventually gets into its salivary glands. Then the bug bites, releasing its infectious spit.

Spraying efforts can be effective in eliminating these mosquitoes because they cluster in areas where people live. Unfortunately, spraying doesn't make a dent when it comes to the worst of the worst mosquito species: Anopheles. This skeeter is responsible for 600,000 malaria deaths, making it by far the most dangerous animal on the planet.

"They're all over the place, and that makes it difficult to control them," says Brown. "You can't just spray a city. You'd have to spray the woods and everywhere, and that would have serious ecological impact." Unlike other species of mosquito that buzz around during the day, Anopheles come out at night, feeding on sleeping humans. In middle-income and wealthy countries, people can keep them out of the house with tight-fitting screen doors and windows and by using air conditioning. In the developing world, bed nets are the most affordable defense, Brown says.

Sand flies cause a particularly ugly disease, leishmaniasis, that infects 1.3 million people a year and kills 30,000. It's found in parts of the Americas, Southeast Asia, West Asia, East Africa and parts of the Mediterranean region. One form of the disease, prevalent in Bolivia, Peru and Brazil, can lead to partial or total destruction of the nose, mouth and throat.

Ticks are a growing problem, causing a variety of serious fever diseases, including Lyme disease, which in the U.S. started in the northeast and has moved into other pockets of the country. Lyme disease now affects 7.9 people per 100,000 in the U.S. and has also spread to parts of Asia and Europe. It can be successfully treated if diagnosed early. Untreated, the infection can spread to joints, the heart and the central nervous system. Ticks also cause another disease, Crimean-Congo hemorrhagic fever, which kills 30 percent of people infected, most of them in Africa, the Balkans and Asia.

One particularly gross bug has a romantic nickname: the kissing bug. Its proper name is the triatomine bug. "They're the nightmare insect," says Brown. "They crawl across ceilings at night, drop onto a person, follow the CO2 [carbon dioxide] trail to the mouth and feed on the mouth," says Brown. If it's not bad enough to have a one-inch bloodsucking parasite on your mouth, the kissing bug adds insult to injury. "It turns around and poops on the feeding site." The person wakes up, scratches the bite and gets infected from the bug's excrement. The bugs, which pick up infections from animals, are a particular problem in poor, rural areas, mostly in Latin America, where people might keep animals in their houses. In most people, symptoms are mild, including headache, muscle pain and fever. But up to 30 percent of patients suffer cardiac problems which, years after infection, can lead to sudden death from the destruction of the heart muscle.

A male and female pair of <em>Schistosoma</em> parasites.
Eye of Science / Science Source
Science Source
A male and female pair of Schistosoma parasites.

Tsetse flies infect humans and cattle, carry sleeping sickness and shuttle the disease back and forth between the species, particularly in rural areas in sub-Saharan Africa. Not only do they cause human disease, but the economic impact from disease in cattle can be devastating, Brown says.

Fleas ride on the backs of rats, prairie dogs and other rodents that carry plague and transfer the disease when they suck the blood of humans. In addition to threatening poor populations living in close proximity to rats, they're a problem for Siberian rabbit hunters, says Brown.

Black flies carry river blindness, a disease that causes itching, rashes and eye disease that can lead to permanent blindness. According to WHO, some 40 million people, mostly in sub-Saharan Africa, have been treated for the infection. The Carter Center, founded by former President Jimmy Carter and Rosalynn Carter, is working with governments in a number of African and Latin American countries to eliminate the disease. The center and other international groups are supporting efforts to spray the black flies and provide anti-parasitic treatment to infected people.

Not all of the top eight vectors are bugs. Some aquatic freshwater snails carry parasitic worms that can spread a disease called schistosomiasis. Approximately 200 million people a year contract the illness through exposure to freshwater contaminated by the worms. If the victim is not treated, the infection can lead to anemia in children and, over time, can damage the liver, intestine, lungs and bladder.

To put all this in perspective, just one species of mosquito, Anopheles, is responsible for infecting or killing more people each year than the entire population of the United States.

And mosquitoes as a group are really, really scary. "Mosquitoes are responsible for killing 2,000 people a day," says Brown. "More people die in an hour than all the shark attacks in a whole year. What other animal inflicts that kind of damage?"

Copyright 2021 NPR. To see more, visit https://www.npr.org.

Susan Brink

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