Are Insects Ebola's Natural Reservoir? 
  - Evidence Supporting Insects as the Vector
    
    
      - Arthropods were around all of the outbreak sites. 
      
 - A single replication study conducted during the late 1970s suggested 
        that Marburg virus (a relative of Ebola) could replicated in Aedes 
        (Stegomyia) aegypti mosquitoes after intrathoracic inoculation (4). 
      
 - A case of Marburg Hemorrhagic Fever (MHF) in Zimbabwe coincided with 
        a lesion "compatible with a horsefly or spider bite" (5). 
    
 
    
    
    
      
 
    
  Image from Monath (2) 
  
 - Evidence Against Insects as the Vector 
    
    
    
      - Studies of insects found at the outbreak sites have failed to isolate 
        Ebola in an insect (1). However, specimens were not collected at 
        the beginning of the outbreaks, and during the first Ebola Sudan outbreak, 
        DDT was sprayed around the hospital and the surrounding area (2, 3). 
      
 - Recent studies to ascertain whether Ebola repilicates in A. aegypti 
        have failed to reproduce the result of the Kunz study (4, 6). However, 
        the recent study did not use the strains of Ebola, Ebola Cote d'Ivoire, 
        Ebola Sudan and Ebola Zaire, that are the causative agents of the outbreaks. 
    
 
    
   - Unresolved Issues 
    
    
    
      - Only a small fraction of of the specimens collected have actually been 
        tested for Ebola (2). 
      
 - Insects that were present at the beginning of the outbreaks have yet 
        to be collected and analyzed. 
      
 - The reservoir insect could be a seasonal insect and not be present when 
        insect species are collected for analysis 
      
 - A particular type insect could be an intermediate host and not the natural 
        reservoir, or another organism could be the intermediate host obtaining 
        Ebola from a particular insect species. 
    
 
    
    
    
     
    
 
   References: 
  - Breman, Joel, et al. "A Search for Ebola Virus in Animals in the Democratic 
    Republic of the Congo: Ecologic, Virologic, and Serologic Surveys, 1979-1980." 
    Journal of Infectious Diseases. 1999;179(Suppl 1):S139-47. 
  
 - Monath, Thomas. "Ecology of Marburg and Ebola Viruses: Speculations 
    and Directions for Future Research." Journal of Infectious Diseases. 
    1999;179(Suppl 1):S127-38. 
  
 - Lolik, Pacifico. "Containment and Surveillance of the Ebola Virus Epidemic 
    in Southern Sudan." Ebola Virus Haemorrhagic Fever. Berlin: Elsevier/North-Holland 
    Biomedical Press. 1978. 
  
 - Kunz, C. et al. "Die vermehrung des "Marburg-Virus" in Aedes 
    aegypt. Zentralbl Bakteriol I Orig 1968; 208:347-9. 
  
 - Conrad J.L. et al. "Epidemiological investigations of Marburg virus 
    diseases, southern Africa, 1975. American Journal of Tropical Medicine 
    and Hygiene 1978; 27:1210-5.
  
 - Turrell MJ et al. "Lack of virus replication in arthropods after intrathoracic 
    inoculation of Ebola Reston virus. American Journal of Tropical Medicine 
    and Hygiene 1996;55:89-90.
    
    ©1999 Tara Waterman