[Management of a scabies epidemic in the Strasbourg teaching hospital, France]. / Gestion d'une épidémie de gale aux Hôpitaux universitaires de Strasbourg.

CONTEXT: An outbreak of scabies occurred in the geriatric department of the Strasbourg University Hospital in September 2005. The index case presented with hyperkeratosic scabies, an extremely contagious form. The epidemic spread to several wards and pavilions and also contaminated healthcare staff and patient's families. OBJECTIVE: Our objective was to describe the outbreak, its progression, and the measures taken to eradicate it. METHODOLOGY: All healthcare workers, patients, and families affected in the outbreak were retrospectively studied, using medical prescriptions recorded by the hospital pharmacy, listings established by the occupational health department, and patient files. RESULTS: Two epidemic waves were recorded, between August 31 and December 16, 2005, affecting 51 patients and staff members in the geriatric department, with a total of 58 episodes of scabies, seven of which were recurrences. Three main measures were taken to eradicate the epidemic: setting up of "contact" isolation precautions, information for the affected individuals, and treatment of the infected patients associated to mass treatment of contact cases. The mass treatment was widely applied, involving 490 patients and 592 caregivers. All of these measures successfully curtailed the outbreak in 3 months. CONCLUSION: Rapid and radical action is essential to prevent extension of scabies within a community.

Detectors for polarized skylight in insects: a survey of ommatidial specializations in the dorsal rim area of the compound eye.

Apart from the sun, the polarization pattern of the sky offers insects a reference for visual compass orientation. Using behavioral experiments, it has been shown in a few insect species (field crickets, honey bees, desert ants, and house flies) that the detection of the oscillation plane of polarized skylight is mediated exclusively by a group of specialized ommatidia situated at the dorsal rim of the compound eye (dorsal rim area). The dorsal rim ommatidia of these species share a number physiological properties that make them especially suitable for polarization vision: each ommatidium contains two sets of homochromatic, strongly polarization-sensitive photoreceptors with orthogonally-arranged analyzer orientations. The physiological specialization of the dorsal rim area goes along with characteristic changes in ommatidial structure, providing actual anatomical hallmarks of polarized skylight detection, that are readily detectable in histological sections of compound eyes. The presence of anatomically specialized dorsal rim ommatidia in many other insect species belonging to a wide range of different orders indicates that polarized skylight detection is a common visual function in insects. However, fine-structural disparities in the design of dorsal rim ommatidia of different insect groups indicate that polarization vision arose polyphyletically in the insects.

Microvillar orientation in the photoreceptors of the ant Cataglyphis bicolor.

Polarization sensitivity in arthropod photoreceptors is crucially dependent on the arrangement of the microvilli within the rhabdom. Here, we present an electron-microscopical study in which the degree of microvillar alignment and changes in the cross-sectional areas of the rhabdoms along their length were studied in the compound eye of the desert ant, Cataglyphis bicolor. Serial cross-sections through the retina were taken and the orientation of the microvilli was determined in the photoreceptors of individually identified ommatidia. The reconstructions of microvillar alignment were made in the three anatomically and functionally distinct regions of the Cataglyphis compound eye: the dorsal rim area (DRA), the dorsal area (DA), and the ventral area (VA). The following morphological findings are consistent with polarization sensitivities measured previously by intracellular recordings. (1) The microvilli of the DRA photoreceptors are aligned in parallel along the entire length of the cell from the distal tip of the rhabdom down to its proximal end, near the basement membrane. The microvilli of the retinular cells R1 and R5 are always parallel to each other and perfectly perpendicular, with only minor deviation, to the microvillar orientation of the remaining receptor cells. (2) In the DA and VA regions of the eye, the microvillar tufts of the small receptors R1, R3, R5, R7, and R9 change their direction repetitively every 1-4 micrometer for up to 90 degrees. In contrast, the large receptor cells R2, R4, R6, and R8 maintain their microvillar orientation rigidly. (3) In the DRA ommatidia, the cross-sectional areas of the rhabdomeres do not change along the length of the rhabdom, but substantial changes occur in the DA and VA ommatidia.

Histamine-like immunoreactivity in the visual system and brain of an orthopteran and a hymenopteran insect.

The distribution of histamine-like immunoreactivity has been analyzed in the visual system and brain of the cricket Gryllus campestris and of the bee Apis mellifera by using an antiserum against histamine. Specific immunolabeling of the photoreceptors has been found in the compound eyes and ocelli of both examined species. Intense immunostaining can be also detected in the midbrain of these species. The axons of immunoreactive cells innervate almost every area in the protocerebrum. Most of the reactive neurons are typically wide-field neurons with bilateral ramifications that form dense arborizations. Numerous small buttons on the arborizations probably represent pre- and postsynaptic sites. The histamine-like immunoreactive neurons are apparently connected to many postsynaptic neurons. In both bees and crickets, some regions of the nervous system such as the first two optic neuropils and the central body show the same labeling pattern, whereas the mushroom bodies exhibit no immunoreactivity. Nevertheless, several differences in the staining pattern can be seen: the glomeruli of the antennal lobe are invaded by histamine-like immunoreactive fibers in the bee but not in the cricket. Furthermore, an interneuron connects the second and third optic neuropil in the cricket, whereas no histamine-like immunoreactive interneuron is found in the second optic neuropil in the bee. In accord with the work of other authors on the distribution histamine in the insect nervous system, we suggest that histamine is not only a transmitter within the visual system, but also a transmitter or co-transmitter in the insect midbrain.

Specialized ommatidia for polarization vision in the compound eye of cockchafers, Melolontha melolontha (Coleoptera, Scarabaeidae).

The superposition eye of the cockchafer, Melolontha melolontha, exhibits the typical features of many nocturnal and crepuscular scarabaeid beetles: the dioptric apparatus of each ommatidium consists of a thick corneal lens with a strong inner convexity attached to a crystalline cone, that is surrounded by two primary and 9-11 secondary pigment cells. The clear zone contains the unpigmented extensions of the secondary pigment cells, which surround the cell bodies of seven retinula (receptor) cells per ommatidium and a retinular tract formed by them. The seven-lobed fused rhabdoms are composed by the rhabdomeres of the receptor cells 1-7. The rhabdoms are optically separated from each other by a tracheal sheath around the retinulae. The orientation of the microvilli diverges in a fan-like fashion within each rhabdomere. The proximally situated retinula cell 8 does not form a rhabdomere. This standard form of ommatidium stands in contrast to another type of ommatidium found in the dorsal rim area of the eye. The dorsal rim ommatidia are characterized by the following anatomical specializations: (1) The corneal lenses are not clear but contain light-scattering, bubble-like inclusions. (2) The rhabdom length is increased approximately by a factor of two. (3) The rhabdoms have unlobed shapes. (4) Within each rhabdomere the microvilli are parallel to each other. The microvilli of receptor 1 are oriented 90 degrees to those of receptors 2-7. (5) The tracheal sheaths around the retinulae are missing. These findings indicate that the photoreceptors of the dorsal rim area are strongly polarization sensitive and have large visual fields. In the dorsal rim ommatidia of other insects, functionally similar anatomical specializations have been found. In these species, the dorsal rim area of the eye was demonstrated to be the eye region that is responsible for the detection of polarized light. We suggest that the dorsal rim area of the cockchafer eye subserves the same function and that the beetles use the polarization pattern of the sky for orientation during their migrations.

Three-dimensional reconstruction: a tissue embedding method for alignment of serial sections.

Three-dimensional (3D) reconstruction from serial sections that are undistorted and true-to-life is only possible when a reference system exists that allows correct matching of the section drawings. This paper describes a simple method for producing reference lines that ensures proper alignment of the drawings. (1) The specimen is embedded in a rectangular form, (2) the sides of the block are painted, and (3) the embedded specimen is sectioned exactly perpendicular to the painted sides of the block. Thus, in each section the paint appears as dark lines which serve as reference lines for matching the sections.

Insect optic lobe neurons identifiable with monoclonal antibodies to GABA.

Five monoclonal antibodies against GABA were tested on glutaraldehyde fixed sections of optic lobes of three insect species, blowflies, houseflies and worker bees. The specificity of these antibodies was analyzed in several tests and compared with commercially available anti-GABA antiserum. A very large number of GABA-like immunoreactive neurons innervate all the neuropil regions of these optic lobes. Immunoreactive processes are found in different layers of the neuropils. The immunoreactive neurons are amacrines and columnar or noncolumnar neurons connecting the optic lobe neuropils. In addition some large immunoreactive neurons connect the optic lobes with centers of the brain. Some neuron types could be matched with neurons previously identified with other methods. The connections of a few of these neuron types are partly known from electron microscopy or electrophysiology and a possible role of GABA in certain neural circuits can be discussed.

Mapping and ultrastructure of serotonin-immunoreactive neurons in the optic lobes of three insect species.

With antibodies to serotonin (5-HT) we have mapped immunoreactive neurons in the optic lobes of three species, the blowfly Calliphora, the desert ant Cataglyphis, and the worker bee Apis. The main emphasis in this investigation is on a system of 5-HT-positive neurons connecting the most peripheral neuropil of the optic lobes, the lamina, to more central neuropil regions. To aid in electron microscopical identification of these neurons we used immunocytochemistry at the EM-level and Golgi-EM for Calliphora and horseradish peroxidase (HRP) labelling for the other two insects. The immunoreactive terminals in Calliphora and the HRP-labelled ones in the other insects contain large (c. 100 nm) granular vesicles and smaller (c.60 nm) clear vesicles. In Cataglyphis and Apis the profiles with granular vesicles are presynaptic to second order neurons of the lamina, whereas in Calliphora no synaptic contacts were found. In this animal the 5-HT-positive terminals are situated distal to the synaptic layer of the lamina, in a region of retinal photoreceptor axons and perikarya of the lamina monopolar neurons. In Catagylphis and Apis the interactions of the 5-HT-neurons with the laminar neurons might occur through chemical synapses, whereas in Calliphora neuroactive substance could be released non-synaptically from varicosities distal to the synaptic layer. The possible involvement of 5-HT in control of neuronal activity in the optic lobes is discussed.

Retrograde labelling of photoreceptors in different regions of the compound eyes of bees and ants.

The geometry of retinal receptor arrays and the projection patterns of photoreceptor axons are unravelled in the compound eyes of bees and ants by backfilling large populations of photoreceptors with horseradish peroxidase or Lucifer yellow. Such retrograde labelling techniques are applied in the insect retina for the first time. They brilliantly label populations of specific receptor types within more than 100 ommatidia. Such preparations are obtained in three distinctly different parts of the eye: (1) the part of the retina that is positioned at the uppermost dorsal margin of the eye and specialized for the detection of polarized skylight; (2) the remainder of the dorsal retina; and (3) the ventral retina. As shown by the large populations of labelled photoreceptors, the retinal receptor arrays differ strikingly between different parts of the eye. Furthermore, there exist similarities as well as marked differences between bees and ants. Former hypotheses concerning the location of photoreceptor terminals in the first and second visual neuropil have all been based on a few individual Golgi-labelled photoreceptors. The results presented in this paper, based on retrograde mass impregnations of selected types of photoreceptors, confirm some of the former hypotheses and reject others. The new findings are important for understanding how insects analyse polarized skylight.

Pore canals in the cornea of a functionally specialized area of the honey bee's compound eye.

The fine structure of the cornea in an anatomically and functionally specialized part of the honey bee's compound eye (dorsal rim area) was examined by light microscopy, transmission electron and scanning electron microscopy. Under incident illumination the cornea appears grey and cloudy, leaving only the centers of the corneal lenses clear. This is due to numerous pore canals that penetrate the cornea from the inside, ending a few micron below the outer surface. They consist of (1) a small cylindrical cellular evagination of a pigment cell (proximal), and (2) a rugged-walled, pinetree-shaped extracellular part (distal). The functional significance of these pore canals is discussed. It is concluded that their light scattering properties cause the wide visual fields of the photoreceptor cells measured electrophysiologically in the dorsal rim area, and that this is related to the way this eye region detects polarization in skylight.

Control of ovine lupinosis: experiments on the use of fungicides.

Experiments were conducted in 4 successive years to assess whether certain fungicides when applied to lupins would control the disease, ovine lupinosis. Results were variable, ranging from failure of fungicidal sprays to prevent the disease in 1969/70 to partial success in 1970/71. Fumigation with methyl bromide was very effective. It is concluded that none of the fungicides tried could be considered as a practical means of controlling the disease.

Zamia palm (Macrozamia reidlei) poisoning of sheep.

Sheep mortalities caused by the ingestion of leaves of the zamia palm (Macrozamia reidlei) were recorded from 6 properties in Western Australia from 1966 to 1971. Deaths occurred in sheep less than 2 years of age and involved from 2 to 9% of the flock. The primary lesion was acute hepatic necrosis, neurological effects were not recorded. The condition was reproduced experimentally when crushed kernel, mascerated leaf or leaf extract was administered by stomach tube.