| 11. | After biting an infected person, the sand flies spread the disease each time they bite.
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| 12. | It's transmitted by the bites of tiny sand flies.
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| 13. | It is transmitted by sand flies and is difficult to treat if not caught early.
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| 14. | The Panamanian species of sand fly, " Culicoides carpenteri"
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| 15. | It is recommended to bring bug spray in summer months as sand flies are abundant.
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| 16. | Mosquitos and sand flies buzzed around his feet.
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| 17. | There are more beetles and sand flies and mosquitoes are staying longer in the summer months.
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| 18. | Mating only occurs in the sand fly vector.
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| 19. | It is carried by parasites in sand flies.
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| 20. | Mosquitoes and sand flies are an annoyance on the islands; pack a strong repellant with DEET.
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