[Is there the possibility of transmission of AIDS by blood-sucking insects?].

The question whether the possibility exists of transmission of HIV by hematophagous insects from infected to uninfected persons is a point of very intensive discussion. The solution of this problem could help to explain the spreading of the disease in human populations and could contribute to an understanding of the evolution of AIDS and the possible transfer from wild primates into human populations. The classical routes of pathogen transmission by blood-sucking arthropods are either "mechanical" or "biological". Both ways are rejected, the latter since no replication of the retro-virus in the vector exists and its survival in the arthropod is very limited. Based on long experimental experience with biting flies as well as with plant-sucking insects a third hitherto neglected way of transmission by regurgitation of gut content can be introduced. Since regurgitation is neither "mechanical" nor "biological", "regurgitative transmission" must be introduced as an additional term.