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Mosquito Repellents: Which one is best?







        by Patrick Linn, MS, MSHAPI
        Executive Director,
        Collier Mosquito Control District

                                  ne of the most common questions     Conversely, during a relatively small time frame from 2004 -
                                  we hear from our public at the   2016, there were nearly 650,000 cases of vector-borne disease in
                          OCollier Mosquito Control District is  the United States (CDC 2018); and there are over 700,000 deaths
                          about mosquito repellents: Which one is best?   each year globally attributed to vector-borne diseases.
                             It’s an easy one for us to answer: both   In the 1980s, Bayer developed a novel synthetic piperidine
                          the EPA and the CDC put the ingredient   called picaridin. It elicits practically no dermal or eye irritation.
                          DEET at the top of the list when it comes   The repellent efficacy in some instances is as good as DEET, and it
                          to effectiveness. Read on for some excellent   offers protection time equivalent to DEET (Van Roey et al. 2014).
                          information provided by the American        There are certainly other repellents on the market, oil of lemon
        Mosquito Control Association’s Technical Advisor Daniel    and eucalyptus most notably. But each new product has its own
        Markowski about this proven repellent:                     concerns, typically an inferior protection time, while attempting to
           “In 1957, DEET was registered by the EPA for general use   overtake DEET as the repellent of choice.”
        without restriction on the amount or frequency of application. Its   The public – especially parents – need to be educated about
        only registered use since that time has been as an insect repellent.   the advantages and disadvantages of all available repellent
           To date, the Agency has not identified any risks or concern   products and, as always, mindful to use them according to the
        to human health, non-target species, or the environment (US   manufacturer’s label.
        EPA 2014). This decision is based, in part, because since its initial   Typically, the District offers public tours of our facilities to
        registration in the 1950s, there have been only 46 case reports   share more about our operations, but Hurricane Ian delivered
        on DEET toxicity. Included are at least 25 cases with central   nearly three feet of storm surge through our campus. All buildings
        nervous system symptoms, one with cardiovascular involvement,   are in a state of restoration and are not habitable, which is the
        and 17 with cutaneous/allergic reactions. Reported central nervous   primary reason the District is building a hangar at the Immokalee
        system symptoms include lethargy, confusion, acute manic   airport – to serve as a safe haven during storms to ensure
        psychosis, headaches, ataxia, disorientation, acute encephalopathy,   uninterrupted service to our community. However, our Outreach
        convulsions, tremors, and seizures (Katz et al. 2008).     team conducts presentations at group meetings. Please call our
           It is important to note that most reported adverse incidents   office at (239) 436-1000 to request a presentation or if we can
        related to DEET use involve overuse or incorrect use of the   provide more information.
        product. That’s why it’s always important to read and follow usage   NOTE: Excerpt reprinted with permission:
        guidelines. With proper application, the use of DEET remains   From where I roam: DEET remains the gold standard for
        the most effective and an extremely safe repellent for preventing   repelling medically important arthropods, Wing Beats magazine,
        mosquito and other arthropod bites.                        Vol 33, No 4.

                            Want to know more about the science behind mosquito control?  Looking for someone to speak to your group’s next meeting?
                                                                           Visit the District’s website at cmcd.org or call 239.436.1000.


     34                                                                                                      Life in Naples | January 2023
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