Laboratory evaluation of repellency of traditional Czech homemade repellents against Aedes aegypti.

OBJECTIVES: In the Czech Republic, autochtonous transmission of mosquito borne diseases is not common; however, the need for personal protection should not be underestimated. Many people still rely on homemade repellents utilizing recipes based on local folk wisdom that are published annually in local Czech media. Despite minimal disease risk, nuisance biting and potential allergic responses make it essential to evaluate the chemical composition, effect, and duration of four homemade repellents often used and determine the necessity for public health education on application and use of alternative repellent products. METHODS: A review of local web-based media was conducted to identify the most commonly advertised homemade repellent products. The top four products were rosemary (Rosmarinus officinalis), sagebrush (Artemisia absinthium), walnut-tree (Juglans regia) leaves and clove (Syzygium aromaticum). These repellents were then prepared following the published recipes to evaluate their repellency effects, and reveal potential allergen presence. A bioassay against Aedes aegypti was conducted on ten volunteers for each repellent and the chemical composition was detected using gas chromatography. RESULTS: Significant initial repellency effect was found in mixtures of the clove (73.1%) and walnut leaves (49.0%) with ALPATM herbal embrocation after 10 minutes. The efficacy decreased to 46.5% and 34.3 % after 30 minutes, respectively; and, 30.3 and 18.2%, 60 minutes after the application. The remaining two samples, Rosmarinus officinalis and Artemisia absinthium solutions, exhibited no significant effects against Ae. aegypti. The evidence of allergens including cinnamic aldehyde, eugenol and coumarin were detected indicating potential concerns for product safety. CONCLUSION: The homemade repellents reviewed were either ineffective or had unstable repellency effect within one hour. The low efficacy of these products may be appropriate to decrease nuisance biting, but should not be considered for primary prevention against mosquito borne diseases in areas with active disease transmission. Additionally, more research is needed to assess rates of allergic responses to homemade repellent products.

The role of cow's milk protein intolerance in steroid-resistant nephrotic syndrome.

The role of cow's milk protein intolerance in steroid-resistant nephrotic syndrome was evaluated in 17 children. Cow's milk was excluded from the diet for at least 14 days without changing previously ineffective prednisone dosage. Six patients with minimal change or mesangial proliferation went into remission 3 to 8 days after elimination of cow's milk. After a period of 2-3 weeks of remission, cow's milk challenge was positive in three patients. After one year on a cow's milk-free diet, two of six patients became milk tolerant and are in remission of NS, one of six became steroid-dependent, two of six are still unable to tolerate cow's milk and are in remission on a cow's milk-free diet and one of six children was lost from observation. The role of cellular mechanisms in steroid-resistant nephrotic syndrome is suggested.