Use of repellents and attractants in filariasis control.

The ways in which repellents and attractants could be used to interrupt the transmission of bancroftian filariasis, especially by Culex pipiens fatigans, are assessed. Dimethyl phthalate (DMP) is an effective repellent against C. p. fatigans. It is also very toxic to all larval stages of Wuchereria bancrofti. The median lethal time to microfilariae of a solution of about 0.2% in normal saline is about 10 minutes. Other stages are similarly sensitive. Contact with DMP in very thin films is almost immediately lethal. It is highly unlikely that infection could take place under ordinary conditions through skin treated with DMP for at least many hours afterwards. This toxicity made it impossible to evaluate repellency in vitro. An in vivo test of the effect of skin applications of DMP on microfilaria counts gave anomalous results. A schedule for filariasis control, involving education, garbage disposal, rodent control, sewage disposal, and mosquito control, is proposed, and the research needed to allow repellents and attractants to play a full role in such a schedule is delineated.