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{{Short description|Disgust response that guides human behavior}}
= Pathogen Avoidance =
'''Pathogen avoidance''', (also referred to as, '''parasite avoidance''', or '''pathogen [[disgust]]''',) refers to the theory that the [[disgust]] response, in humans, is an adaptive system that guides behavior to avoid infection caused by parasites such as [[Virus|virusesvirus]]es, [[bacteria]], [[Fungus|fungi]], [[protozoa]], [[Helminth|helminth worms]], [[Arthropod|arthropodsarthropod]]s and [[Social parasitism (biology)|social parasites]] .<ref name = "Sarabian_2018">{{Citecite journal |last vauthors = Sarabian|first=Cecile|last2= C, Curtis|first2=Val|last3= V, McMullan R |first3=Rachel|date=2018-07-19| title = Evolution of pathogen and parasite avoidance behaviours |url=https://royalsocietypublishing.org/doi/10.1098/rstb.2017.0256| journal = Philosophical Transactions of the Royal Society of London. Series B:, Biological Sciences |language=en| volume = 373 | issue = 1751 | pages = 20170256 | date = July 2018 | pmid = 29866923 | pmc = 6000144 | doi = 10.1098/rstb.2017.0256|issn=0962-8436|pmc=PMC6000144|pmid=29866923 }}</ref><ref name = "Curtis_2018">{{Citecite journal |last vauthors = Curtis|first=Val|last2= V, de Barra M |first2=Mícheál|date=2018-07-19| title = The structure and function of pathogen disgust |url=https://royalsocietypublishing.org/doi/10.1098/rstb.2017.0208| journal = Philosophical Transactions of the Royal Society of London. Series B:, Biological Sciences |language=en| volume = 373 | issue = 1751 | pages = 20170208 | date = July 2018 | pmid = 29866921 | pmc = 6000136 | doi = 10.1098/rstb.2017.0208|issn=0962-8436|pmc=PMC6000136|pmid=29866921 }}</ref><ref>{{Citecite book|last=author.|first vauthors = Curtis, ValerieV 1958-|url=http://worldcat.org/oclc/935021890|title=Don't look, don't touch, don't eat the science behind revulsion|date=7 October 2013 |publisher=University of Chicago Press |isbn=978-0-226-13133-7|oclc=935021890}}</ref>. Pathogen avoidance is a psychological mechanism associated with the [[behavioral immune system]]. MorePathogen specifically,avoidance Joshuahas M.been Tybur outlines pathogen avoidancediscussed as one of the three domains of disgust which also include sexual disgust and moral disgust.<ref name=":0">{{Citecite journal |last vauthors = Tybur|first=Joshua M.|last2=JM, Lieberman|first2=Debra|last3= D, Kurzban|first3=Robert|last4= R, DeScioli P |first4=Peter|date=2013-01-XX| title = Disgust: Evolvedevolved function and structure.|url=http://doi.apa.org/getdoi.cfm?doi=10.1037/a0030778 | journal = Psychological Review |language=en| volume = 120 | issue = 1 | pages = 65–84 | date = January 2013 | pmid = 23205888 | doi = 10.1037/a0030778|issn=1939-1471 }}</ref>
 
== Evolutionary significance ==
In nature, controlling or the avoidance of pathogens is an essential fitness strategy because disease-causing agents are ever-present .<ref name = "Hart_2011">{{Citecite journal |last vauthors = Hart BL |first=Benjamin L.|date=2011-12-12|title = Behavioural defences in animals against pathogens and parasites: parallels with the pillars of medicine in humans |url=https://royalsocietypublishing.org/doi/10.1098/rstb.2011.0092| journal = Philosophical Transactions of the Royal Society of London. Series B:, Biological Sciences |language=en| volume = 366 | issue = 1583 | pages =3406–3417 3406–17 | date = December 2011 | pmid = 22042917 | pmc = 3189355 | doi = 10.1098/rstb.2011.0092|issn=0962-8436|pmc=PMC3189355|pmid=22042917 }}</ref>. Pathogens reproduce rapidly at the expense of their hosts' fitness, this creates a [[coevolutionary arms race]] between pathogen transmission and host avoidance. <ref>{{Citecite book |last=W.|first vauthors = Ewald, PaulPW |url=http://worldcat.org/oclc/45093039|title=Evolution of infectious disease|date=1996|publisher=Oxford University Press|isbn=0-19-511139-7|oclc=45093039}}</ref><ref>{{Citecite book|last=C.|first vauthors = Nesse RM, RandolphWilliams M.; Williams,GC George|url=http://worldcat.org/oclc/1090912898|title=Why We Get Sick : the New Science of Darwinian Medicine|date=2012|publisher=Knopf Doubleday Publishing Group|isbn=978-0-307-81600-9|oclc=1090912898}}</ref> For a pathogen to move to a new host, it must exploit regions of the body that serve as points of contact between current and future hosts such as the mouth, the skin, the anus and the genitals.<ref>{{Cite journal|lastname=Tybur|first=Joshua M.|last2=Lieberman|first2=Debra|last3=Kurzban|first3=Robert|last4=DeScioli|first4=Peter|date=2013-01-XX|title=Disgust":0" Evolved function and structure.|url=http://doi.apa.org/getdoi.cfm?doi=10.1037/a0030778|journal=Psychological Review|language=en|volume=120|issue=1|pages=65–84|doi=10.1037/a0030778|issn=1939-1471}}</ref> To avoid the cost of infection, organisms require counteradaptations to prevent pathogen transmission, by defending entry points such as the mouth and skin and avoiding other individual's exit points and the substances exiting these points such as feces and sneeze droplets.<ref>{{Cite journal|lastname=Tybur|first=Joshua M.|last2=Lieberman|first2=Debra|last3=Kurzban|first3=Robert|last4=DeScioli|first4=Peter|date=2013-01-XX|title=Disgust":0" Evolved function and structure.|url=http://doi.apa.org/getdoi.cfm?doi=10.1037/a0030778|journal=Psychological Review|language=en|volume=120|issue=1|pages=65–84|doi=10.1037/a0030778|issn=1939-1471}}</ref>. Pathogen avoidance provides the first line of defense by physically avoiding [[conspecifics]], other species, objects or locations that could increase vulnerability to pathogens. <ref>{{Cite journal|lastname=Tybur|first=Joshua M.|last2=Lieberman|first2=Debra|last3=Kurzban|first3=Robert|last4=DeScioli|first4=Peter|date=2013-01-XX|title=Disgust":0" Evolved function and structure.|url=http://doi.apa.org/getdoi.cfm?doi=10.1037/a0030778|journal=Psychological Review|language=en|volume=120|issue=1|pages=65–84|doi=10.1037/a0030778|issn=1939-1471}}</ref>
 
The pathogen avoidance theory of disgust predicts that behavior that reduces contact with pathogens, will have been under strong selection throughout the evolution of free-living organisms and should be prevalent throughout the ''[[Animal|Animalia]]'' kingdom .<ref>{{Citecite book|last vauthors = Claude.|first=Combes, C |url=http://worldcat.org/oclc/59478910|title=Parasitism : the ecology and evolution of intimate interactions|date=2001|publisher=University of Chicago Press|isbn=0-226-11446-5|oclc=59478910}}</ref>. Compared to the alternative, facing the infectious threat, avoidance likely provides a reduction in exposure to pathogens and in energetic costs associated with activation of the physiological [[immune response]].<ref>{{Citecite journal |last vauthors = Schulenburg|first=Hinrich|last2= H, Ewbank JJ |first2=Jonathan J.|date=2007|title = The genetics of pathogen avoidance in Caenorhabditis elegans |url=https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2958.2007.05946.x| journal = Molecular Microbiology |language=en| volume = 66 | issue = 3 | pages =563–570 563–70 | date = November 2007 | pmid = 17877707 | doi = 10.1111/j.1365-2958.2007.05946.x |issn s2cid =1365 20783253 | doi-2958access = free }}</ref>. These behaviors are found throughout the animal literature, particularly amongst social animals.<ref>{{Cite journal|last=Curtis|first=Val|last2=dename Barra|first2=Mícheál|date=2018-07-19|title=The structure"Curtis_2018" and function of pathogen disgust|url=https://royalsocietypublishing.org/doi/10.1098/rstb.2017.0208|journal=Philosophical Transactions of the Royal Society B: Biological Sciences|language=en|volume=373|issue=1751|pages=20170208|doi=10.1098/rstb.2017.0208|issn=0962-8436|pmc=PMC6000136|pmid=29866921}}</ref>.
 
== Mechanism ==
In humans, the disgust responses are the primary mechanism for avoiding infection through behavior triggered by sensory cues.<ref name = "Schulenburg_2009">{{Citecite journal |last vauthors = Schulenburg|first=Hinrich|last2= H, Kurtz|first2=Joachim|last3= J, Moret|first3=Yannick|last4= Y, Siva-Jothy MT |first4=Michael T|date=2009-01-12|title = Introduction. Ecological immunology |url=https://royalsocietypublishing.org/doi/10.1098/rstb.2008.0249| journal = Philosophical Transactions of the Royal Society of London. Series B:, Biological Sciences |language=en| volume = 364 | issue = 1513 | pages = 3–14 |doi=10.1098/rstb.2008.0249|issn=0962-8436|pmc=PMC2666701|pmid=18926970}}</ref><ref>{{Cite journal|last=Sarabian|first=Cecile|last2=Curtis|first2=Val|last3=McMullan|first3=Rachel|date =2018-07-19|title=Evolution ofJanuary pathogen2009 and| parasitepmid avoidance behaviours|url=https://royalsocietypublishing.org/doi/10.1098/rstb.2017.0256|journal=Philosophical Transactions18926970 of| thepmc Royal= Society2666701 B:| Biologicaldoi Sciences|language=en|volume=373|issue=1751|pages=20170256|doi= 10.1098/rstb.20172008.0256|issn=0962-8436|pmc=PMC6000144|pmid=298669230249 }}</ref>.<ref name = "Sarabian_2018" /> Tybur argues that pathogen disgust requires two psychological mechanisms: detection systems that recognize input cues associated with the presence of pathogens and integration systems that weigh cue-based pathogen threats with other fitness relevant factors and generate withdrawal or avoidance behaviors appropriately.<ref>{{Cite journal|lastname=Tybur|first=Joshua M.|last2=Lieberman|first2=Debra|last3=Kurzban|first3=Robert|last4=DeScioli|first4=Peter|date=2013-01|title=Disgust":0" Evolved function and structure.|url=http://dx.doi.org/10.1037/a0030778|journal=Psychological Review|volume=120|issue=1|pages=65–84|doi=10.1037/a0030778|issn=1939-1471}}</ref>
 
The genetic underpinnings of these neural mechanisms are to date, not well understood.<ref>{{Cite journal|last=Schulenburg|first=Hinrich|last2=Kurtz|first2=Joachim|last3=Moret|first3=Yannick|last4=Siva-Jothy|first4=Michaelname T|date=2009-01-12|title=Introduction. Ecological"Schulenburg_2009" immunology|url=https://royalsocietypublishing.org/doi/10.1098/rstb.2008.0249|journal=Philosophical Transactions of the Royal Society B: Biological Sciences|language=en|volume=364|issue=1513|pages=3–14|doi=10.1098/rstb.2008.0249|issn=0962-8436|pmc=PMC2666701|pmid=18926970}}</ref>. There is some evidence to suggest that humans are capable of detecting visual and olfactory sickness cues before overt cues for the disgust response are produced.<ref>{{Citecite journal |last vauthors = Regenbogen|first=Christina|last2= C, Axelsson|first2=John|last3= J, Lasselin|first3=Julie|last4= J, Porada|first4=Danja K.|last5=DK, Sundelin|first5=Tina|last6= T, Peter|first6=Moa G.|last7=MG, Lekander|first7=Mats|last8= M, Lundström|first8=Johan N.|last9=JN, Olsson MJ |first9 display-authors =Mats J.|date=2017-06-136 | title = Behavioral and neural correlates to multisensory detection of sick humans |url=http://www.pnas.org/lookup/doi/10.1073/pnas.1617357114| journal = Proceedings of the National Academy of Sciences of the United States of America |language=en| volume = 114 | issue = 24 | pages = 6400–6405 | date = June 2017 | pmid = 28533402 | pmc = 5474783 | doi = 10.1073/pnas.1617357114 |issn bibcode =0027-8424 2017PNAS..114.6400R |pmc doi-access =PMC5474783|pmid=28533402 free }}</ref>.
 
=== Cues ===
Pathogens are typically too small to be directly observed and so require the presence of observable cues that tend to co-occur with them.<ref>{{Cite journal|last=Curtis|first=Val|last2=dename Barra|first2=Mícheál|date=2018-07-19|title=The structure"Curtis_2018" and function of pathogen disgust|url=https://royalsocietypublishing.org/doi/10.1098/rstb.2017.0208|journal=Philosophical Transactions of the Royal Society B: Biological Sciences|language=en|volume=373|issue=1751|pages=20170208|doi=10.1098/rstb.2017.0208|issn=0962-8436|pmc=PMC6000136|pmid=29866921}}</ref>. These inputs take the form of recognizable cues.
 
* Hygiene: The detection of displays of or physical evidence of unhygienic behavior.
* Animals or Insect: Typically, animal or insect disease vectors such as [[Mouse|mice]] or [[Mosquito|mosquitoes are recognized as cues]].
* Sex: Behavior related to promiscuity of sexual activities
* Atypical appearance: Infection cues in other individuals such as abnormal body shape, deformity, auditory cues such as coughing and contextual cues related to circumstances of increased risk of infection such as homelessness.
* Lesions: Stimuli related to signs of infection on the surface of the body such as blisters, boils or pus.
* Food: Food items with visible or olfactory signs of spoilage.
 
=== Computational structure model ===
Tybur proposed a model of how an information processing system might be structured. In this model, perceptual systems (vision, olfaction, etc.) monitor the environment for cues to pathogens.<ref name=":0" /> Then, a mechanism integrates cues from the different perceptual systems and estimates a pathogen index, an internal estimation of the probability that pathogens are present based on reliability and detection of cues. Finally context-dependent avoidance can only occur if additional information is taken as input- if other mechanisms exist that function to trade off pathogen presence against other fitness-impacting dimensions across various contexts.<ref name = "Tybur_2016">{{cite journal|date=2016-02-01|title=Human pathogen avoidance adaptations |journal=Current Opinion in Psychology|language=en|volume=7|pages=6–11|doi=10.1016/j.copsyc.2015.06.005|issn=2352-250X| vauthors = Tybur JM, Lieberman D }}</ref> The expected value of contact is a downstream index that integrates other indices relevant to the costs and benefits of contact which then regulates the approach versus avoidance in an adaptive manner. This model is consistent with several empirical findings of how additional variables such as sexual value, nutrient status, [[kinship]] status, hormonal status and immune function also influence responses to pathogen cues.<ref name = "Borg_2012">{{cite journal | vauthors = Borg C, de Jong PJ | title = Feelings of disgust and disgust-induced avoidance weaken following induced sexual arousal in women | journal = PLOS ONE | volume = 7 | issue = 9 | pages = e44111 | date = 2012-09-12 | pmid = 22984465 | doi = 10.1371/journal.pone.0044111 | pmc = 3440388 | bibcode = 2012PLoSO...744111B | veditors = Mazza M | doi-access = free }}</ref><ref>{{cite journal | vauthors = Hoefling A, Likowski KU, Deutsch R, Häfner M, Seibt B, Mühlberger A, Weyers P, Strack F | display-authors = 6 | title = When hunger finds no fault with moldy corn: food deprivation reduces food-related disgust | journal = Emotion | volume = 9 | issue = 1 | pages = 50–8 | date = February 2009 | pmid = 19186916 | doi = 10.1037/a0014449 }}</ref><ref>{{cite journal| vauthors = Case TI, Repacholi BM, Stevenson RJ |date=September 2006|title=My baby doesn't smell as bad as yours |journal=Evolution and Human Behavior|volume=27|issue=5|pages=357–365|doi=10.1016/j.evolhumbehav.2006.03.003|issn=1090-5138}}</ref><ref>{{cite journal | vauthors = Tybur JM, Jones BC, DeBruine LM, Ackerman JM, Fasolt V | title = Preregistered Direct Replication of "Sick Body, Vigilant Mind: The Biological Immune System Activates the Behavioral Immune System" | journal = Psychological Science | volume = 31 | issue = 11 | pages = 1461–1469 | date = November 2020 | pmid = 33079639 | doi = 10.31234/osf.io/m6ghr | pmc = 7675771 }}</ref><ref>{{cite journal | vauthors = Fleischman DS, Fessler DM | title = Progesterone's effects on the psychology of disease avoidance: support for the compensatory behavioral prophylaxis hypothesis | journal = Hormones and Behavior | volume = 59 | issue = 2 | pages = 271–5 | date = February 2011 | pmid = 21134378 | doi = 10.1016/j.yhbeh.2010.11.014 | s2cid = 27607102 }}</ref>
 
=== Imperfections in pathogen detection ===
Signaling detection errors are prevalent in the pathogen avoidance system; there are two types of errors: a false alarm, where a pathogen avoidance response is deployed needlessly or a miss, where a pathogen avoidance was not deployed in the presence of infection risk, they depend on whether pathogens are present or not. <ref>{{Cite journal|date=2016-02-01|title=Humanname pathogen avoidance adaptations|url=https://www.sciencedirect.com/science/article/pii/S2352250X15001670|journal=Current Opinion"Tybur_2016" in Psychology|language=en|volume=7|pages=6–11|doi=10.1016/j.copsyc.2015.06.005|issn=2352-250X}}</ref> The costs for not mounting an avoidance response in the presence of infection risk is assumed to be greater, suggesting that selection may be favoring a greater sensitivity to cue pathogens at the expense of specificity. <ref>{{Cite journal|date=2016-02-01|title=Humanname pathogen avoidance adaptations|url=https://www.sciencedirect.com/science/article/pii/S2352250X15001670|journal=Current Opinion"Tybur_2016" in Psychology|language=en|volume=7|pages=6–11|doi=10.1016/j.copsyc.2015.06.005|issn=2352-250X}}</ref> This is thought to explain the [[law of contagion]] wherein, objects in contact with an infectious cue are themselves treated as infectious.<ref>{{Citecite journal|last vauthors = Rozin|first=Paul|last2= P, Millman|first2=Linda|last3= L, Nemeroff|first3=Carol C |date=1986|title=Operation of the laws of sympathetic magic in disgust and other domains.|url=http://dx.doi.org/10.1037/0022-3514.50.4.703 |journal=Journal of Personality and Social Psychology|volume=50|issue=4|pages=703–712|doi=10.1037/0022-3514.50.4.703|issn=1939-1315}}</ref><ref>{{cite book | vauthors = Rozin, P., Haidt, J., & McCauley, C.CR R.| date = (2008). ''| chapter = Disgust.'' In| M.veditors = Lewis, J. M., Haviland-Jones JM, &Barrett L.LF F.| Barretttitle (Eds.),= ''Handbook of emotions'' (p.| pages = 757–776). | publisher = The Guilford Press. }}</ref>
 
== Pathogen counter-adaptations ==
Hosts and parasites are under reciprocal evolutionary selection for hosts to acquire adaptations to prevent pathogen transmission and pathogens to acquire traits to evade host defense, this is known as [[Host–parasite coevolution|host-parasite coevolution]].<ref>{{cite journal| vauthors = Heil M |date=2016|title=Host Manipulation by Parasites: Cases, Patterns, and Remaining Doubts |journal=Frontiers in Ecology and Evolution|language=English|volume=4|doi=10.3389/fevo.2016.00080|s2cid=11424501|issn=2296-701X|doi-access=free}}</ref>
 
=== Parasite manipulation of host behavior ===
Many parasitic species manipulate the behavior if their hosts in order to increase the probability of transmission and completion of a parasite's lifecycle, these are sometimes referred to as [[behavior-altering parasite]]s. This is a widespread adaptive strategy that increases fitness benefits for the parasite.<ref>{{cite journal | vauthors = Poulin R |date=2010-01-01|title=Parasite Manipulation of Host Behavior: An Update and Frequently Asked Questions |journal=Advances in the Study of Behavior|language=en|volume=41|pages=151–186|doi=10.1016/S0065-3454(10)41005-0|issn=0065-3454}}</ref> Parasites can affect host behavior in multiple ways by altering host activity, the host's microenvironment or both.<ref name=":1">{{cite journal | vauthors = Lafferty KD, Shaw JC | title = Comparing mechanisms of host manipulation across host and parasite taxa | journal = The Journal of Experimental Biology | volume = 216 | issue = Pt 1 | pages = 56–66 | date = January 2013 | pmid = 23225868 | doi = 10.1242/jeb.073668 | s2cid = 7104834 | doi-access = free }}</ref> A comparison across host and parasite taxa revealed that [[Vertebrate|vertebrates]] that were infected were more likely to have impaired reaction to predators as a result of manipulation while infection in invertebrates lead to increase in the host coming in contact with predators.<ref name=":1" />
 
== Known factors of influence ==
 
=== Sex ===
FemalesWomen consistently demonstrate higher disgust sensitivity than men .<ref name = "Curtis_2004">{{Citecite journal |last vauthors = Curtis|first=Val|last2= V, Aunger|first2=Robert|last3= R, Rabie T |first3=Tamer|date=2004-05-07| title = Evidence that disgust evolved to protect from risk of disease |url journal =https://royalsocietypublishing Proceedings.org/doi/10.1098/rsbl.2003.0144 Biological Sciences |journal volume =Proceedings of271 the| Royalissue Society= ofsuppl_4 London.| Seriespages B:= BiologicalS131-3 Sciences|language date =en May 2004 |volume pmid =271 15252963 |issue pmc =suppl_4 1810028 | doi = 10.1098/rsbl.2003.0144|issn=0962-8452|pmc=PMC1810028|pmid=15252963 }}</ref>. Evidence suggests that femaleswomen respond more sensitively to specifically disease threatthreats than men.<ref>{{Cite journal|last=Curtis|first=Val|last2=Aunger|first2=Robert|last3=Rabie|first3=Tamer|date=2004-05-07|title=Evidencename that disgust evolved to protect from risk of disease|url=https://royalsocietypublishing.org/doi/10.1098/rsbl.2003.0144|journal=Proceedings of"Curtis_2004" the Royal Society of London. Series B: Biological Sciences|language=en|volume=271|issue=suppl_4|doi=10.1098/rsbl.2003.0144|issn=0962-8452|pmc=PMC1810028|pmid=15252963}}</ref><ref>{{Citecite journal|last vauthors = Quigley|first=John F.|last2=JF, Sherman|first2=Martin F.|last3=MF, Sherman|first3=Nancy C.NC |date=May 1997-05-XX|title=Personality disorder symptoms, gender, and age as predictors of adolescent disgust sensitivity|url=http://dx.doi.org/10.1016/s0191-8869(96)00255-3 |journal=Personality and Individual Differences|volume=22|issue=5|pages=661–667|doi=10.1016/s0191-8869(96)00255-3|issn=0191-8869}}</ref><ref>{{Citecite journal|last vauthors = Fessler|first=Daniel M.T.|last2=DM, Navarrete|first2=C.David CD |date=November 2003-11|title=Domain-specific variation in disgust sensitivity across the menstrual cycle|url=http://dx.doi.org/10.1016/s1090-5138(03)00054-0 |journal=Evolution and Human Behavior|volume=24|issue=6|pages=406–417|doi=10.1016/s1090-5138(03)00054-0|issn=1090-5138}}</ref>. This is hypothesized to be consistent with the enhanced evolutionary role in women for protecting their offspring.<ref>{{Cite journal|last=Curtis|first=Val|last2=Aunger|first2=Robert|last3=Rabie|first3=Tamer|date=2004-05-07|title=Evidencename that disgust evolved to protect from risk of disease|url=https://royalsocietypublishing.org/doi/10.1098/rsbl.2003.0144|journal=Proceedings of"Curtis_2004" the Royal Society of London. Series B: Biological Sciences|language=en|volume=271|issue=suppl_4|doi=10.1098/rsbl.2003.0144|issn=0962-8452|pmc=PMC1810028|pmid=15252963}}</ref>
 
=== Sexual behavior ===
=== Terrestrial versus Aquatic Environments ===
Sexual behavior with another individual, such as intercourse is a major source of pathogenic risk particularly for bacterial or viral infection.<ref>{{cite book | vauthors = Eng TR, Butler WT | collaboration = Institute of Medicine (US) Committee on Prevention and Control of Sexually Transmitted Diseases |url=https://www.ncbi.nlm.nih.gov/books/NBK232944/|title=Sexually Transmitted Pathogens and Associated Diseases, Syndromes, and Complications|date=1997|publisher=National Academies Press (US)|language=en}}</ref> Research has found a negative relationship between sexual arousal and disgust, indicating that when sexual arousal increases disgust responses decrease.<ref name = "Borg_2012" /> Additional evidence points to variation in pathogen avoidance traits and their relationship with sexual behavior. Individuals with high trait-level pathogen avoidance are less motivated to have sex with multiple partners.<ref>{{cite journal | vauthors = Joffe GP, Foxman B, Schmidt AJ, Farris KB, Carter RJ, Neumann S, Tolo KA, Walters AM | display-authors = 6 | title = Multiple partners and partner choice as risk factors for sexually transmitted disease among female college students | journal = Sexually Transmitted Diseases | volume = 19 | issue = 5 | pages = 272–8 | date = September 1992 | pmid = 1411843 | doi = 10.1097/00007435-199209000-00006 | s2cid = 27925654 | doi-access = free }}</ref><ref>{{cite journal| vauthors = Duncan LA, Schaller M, Park JH |date=October 2009|title=Perceived vulnerability to disease: Development and validation of a 15-item self-report instrument |journal=Personality and Individual Differences|language=en|volume=47|issue=6|pages=541–546|doi=10.1016/j.paid.2009.05.001}}</ref><ref>{{cite journal| vauthors = Murray DR, Jones DN, Schaller M |date=January 2013|title=Perceived threat of infectious disease and its implications for sexual attitudes |journal=Personality and Individual Differences|language=en|volume=54|issue=1|pages=103–108|doi=10.1016/j.paid.2012.08.021}}</ref><ref name = "Tybur_2015">{{cite journal | vauthors = Tybur JM, Inbar Y, Güler E, Molho C |date=2015-11-01|title=Is the relationship between pathogen avoidance and ideological conservatism explained by sexual strategies? |journal=Evolution and Human Behavior|language=en|volume=36|issue=6|pages=489–497|doi=10.1016/j.evolhumbehav.2015.01.006|issn=1090-5138 |url=https://research.vu.nl/en/publications/dc4aba8c-70ce-4409-a244-8470ba63b305 }}</ref> This suggests that individuals with a more active behavioral immune system might perceive the costs of sexual activity with multiple partners as higher than those with a less active behavioral immune system.<ref>{{cite journal | vauthors = Gruijters SL, Tybur JM, Ruiter RA, Massar K | title = Sex, germs, and health: pathogen-avoidance motives and health-protective behaviour | journal = Psychology & Health | volume = 31 | issue = 8 | pages = 959–75 | date = August 2016 | pmid = 26953783 | doi = 10.1080/08870446.2016.1161194 | s2cid = 4967981 | doi-access = free | url = https://cris.maastrichtuniversity.nl/files/8184340/2942042.pdf }}</ref>
Distinct properties of parasite transmission of aquatic and terrestrial ecosystems lead to differences in the avoidance behaviors in these environments, however, the mechanisms are quite similar.<ref>{{Cite journal|last=Behringer|first=Donald C.|last2=Karvonen|first2=Anssi|last3=Bojko|first3=Jamie|date=2018-07-19|title=Parasite avoidance behaviours in aquatic environments|url=https://royalsocietypublishing.org/doi/10.1098/rstb.2017.0202|journal=Philosophical Transactions of the Royal Society B: Biological Sciences|language=en|volume=373|issue=1751|pages=20170202|doi=10.1098/rstb.2017.0202|issn=0962-8436|pmc=PMC6000143|pmid=29866915}}</ref> For example, marine parasites are estimated to spread at a rate two times faster than terrestrial counterparts due to a combination of the increased viscosity and density of seawater and the movement of water through tides and currents. <ref>{{Cite journal|last=McCallum|first=Hamish|last2=Harvell|first2=Drew|last3=Dobson|first3=Andy|date=2003|title=Rates of spread of marine pathogens|url=https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1461-0248.2003.00545.x|journal=Ecology Letters|language=en|volume=6|issue=12|pages=1062–1067|doi=10.1046/j.1461-0248.2003.00545.x|issn=1461-0248}}</ref>
 
=== Terrestrial versus Aquaticaquatic Environmentsenvironments ===
=== Political Ideology ===
Distinct properties of parasite transmission of aquatic and terrestrial ecosystems lead to differences in the avoidance behaviors in these environments, however, the mechanisms are quite similar.<ref>{{Citecite journal |last vauthors = Behringer|first=Donald C.|last2=DC, Karvonen|first2=Anssi|last3= A, Bojko J |first3=Jamie|date=2018-07-19| title = Parasite avoidance behaviours in aquatic environments |url=https://royalsocietypublishing.org/doi/10.1098/rstb.2017.0202| journal = Philosophical Transactions of the Royal Society of London. Series B:, Biological Sciences |language=en| volume = 373 | issue = 1751 | pages = 20170202 | date = July 2018 | pmid = 29866915 | pmc = 6000143 | doi = 10.1098/rstb.2017.0202|issn=0962-8436|pmc=PMC6000143|pmid=29866915 }}</ref> For example, marine parasites are estimated to spread at a rate two times faster than terrestrial counterparts due to a combination of the increased viscosity and density of seawater and the movement of water through tides and currents. <ref>{{Citecite journal|last vauthors = McCallum|first=Hamish|last2= H, Harvell|first2=Drew|last3= D, Dobson|first3=Andy A |date=2003|title=Rates of spread of marine pathogens|url=https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1461-0248.2003.00545.x |journal=Ecology Letters|language=en|volume=6|issue=12|pages=1062–1067|doi=10.1046/j.1461-0248.2003.00545.x|bibcode=2003EcolL...6.1062M |issn=1461-0248}}</ref>
Researchers have suggested that elements of a conservative political orientation function to reduce individual exposure to infectious agents. <ref>{{Cite journal|last=Terrizzi|first=John A.|last2=Shook|first2=Natalie J.|last3=McDaniel|first3=Michael A.|date=2013-03-XX|title=The behavioral immune system and social conservatism: a meta-analysis|url=https://linkinghub.elsevier.com/retrieve/pii/S109051381200116X|journal=Evolution and Human Behavior|language=en|volume=34|issue=2|pages=99–108|doi=10.1016/j.evolhumbehav.2012.10.003}}</ref><ref>{{Cite journal|last=Inbar|first=Yoel|last2=Pizarro|first2=David|last3=Iyer|first3=Ravi|last4=Haidt|first4=Jonathan|date=2011-12-06|title=Disgust Sensitivity, Political Conservatism, and Voting|url=https://journals.sagepub.com/doi/10.1177/1948550611429024|journal=Social Psychological and Personality Science|language=en-US|volume=3|issue=5|pages=537–544|doi=10.1177/1948550611429024|issn=1948-5506}}</ref>These studies found that the relationship between pathogen and avoidance was statistically robust.<ref>{{Cite journal|last=Terrizzi|first=John A.|last2=Shook|first2=Natalie J.|last3=McDaniel|first3=Michael A.|date=2013-03-XX|title=The behavioral immune system and social conservatism: a meta-analysis|url=https://linkinghub.elsevier.com/retrieve/pii/S109051381200116X|journal=Evolution and Human Behavior|language=en|volume=34|issue=2|pages=99–108|doi=10.1016/j.evolhumbehav.2012.10.003}}</ref> Multiple mechanisms have been proposed as pathogen-neutralizing aspects of conservatism such as ingroup favoritism <ref>{{Cite journal|last=Terrizzi|first=John A.|last2=Shook|first2=Natalie J.|last3=McDaniel|first3=Michael A.|date=2013-03-XX|title=The behavioral immune system and social conservatism: a meta-analysis|url=https://linkinghub.elsevier.com/retrieve/pii/S109051381200116X|journal=Evolution and Human Behavior|language=en|volume=34|issue=2|pages=99–108|doi=10.1016/j.evolhumbehav.2012.10.003}}</ref>, cultural evolution favoring pathogen-neutralizing traditions and rituals, <ref>{{Cite journal|last=Billing|first=Jennifer|last2=Sherman|first2=Paul W.|date=1998-03-XX|title=Antimicrobial Functions of Spices: Why Some Like it Hot|url=https://www.journals.uchicago.edu/doi/10.1086/420058|journal=The Quarterly Review of Biology|language=en|volume=73|issue=1|pages=3–49|doi=10.1086/420058|issn=0033-5770}}</ref>and advocating for tradition-adherence within a community.<ref>{{Cite journal|last=Murray|first=Damian R.|last2=Trudeau|first2=Russell|last3=Schaller|first3=Mark|date=2011-03-01|title=On the Origins of Cultural Differences in Conformity: Four Tests of the Pathogen Prevalence Hypothesis|url=https://doi.org/10.1177/0146167210394451|journal=Personality and Social Psychology Bulletin|language=en|volume=37|issue=3|pages=318–329|doi=10.1177/0146167210394451|issn=0146-1672}}</ref>
 
=== Political Ideologyideology ===
Researchers have suggested that elements of a conservative political orientation function to reduce individual exposure to infectious agents.<ref name = "Terrizzi_2013">{{cite journal| vauthors = Terrizzi Jr JA, Shook NJ, McDaniel MA |date=March 2013|title=The behavioral immune system and social conservatism: a meta-analysis |journal=Evolution and Human Behavior|language=en|volume=34|issue=2|pages=99–108|doi=10.1016/j.evolhumbehav.2012.10.003|s2cid=11812927 }}</ref><ref>{{cite journal| vauthors = Inbar Y, Pizarro D, Iyer R, Haidt J |date=2011-12-06|title=Disgust Sensitivity, Political Conservatism, and Voting |journal=Social Psychological and Personality Science|language=en-US|volume=3|issue=5|pages=537–544|doi=10.1177/1948550611429024|s2cid=1890061|issn=1948-5506}}</ref> These studies found that the relationship between pathogen avoidance and [[social conservatism]] was statistically robust.<ref name = "Terrizzi_2013" /> Multiple mechanisms have been proposed as pathogen-neutralizing aspects of [[conservatism]] such as [[in-group favoritism]],<ref name = "Terrizzi_2013" /> cultural evolution favoring pathogen-neutralizing traditions and rituals,<ref>{{cite journal | vauthors = Billing J, Sherman PW | title = Antimicrobial functions of spices: why some like it hot | journal = The Quarterly Review of Biology | volume = 73 | issue = 1 | pages = 3–49 | date = March 1998 | pmid = 9586227 | doi = 10.1086/420058 | s2cid = 22420170 }}</ref> and advocating for tradition-adherence within a community.<ref>{{cite journal | vauthors = Murray DR, Trudeau R, Schaller M | title = On the origins of cultural differences in conformity: four tests of the pathogen prevalence hypothesis | journal = Personality & Social Psychology Bulletin | volume = 37 | issue = 3 | pages = 318–29 | date = March 2011 | pmid = 21307175 | doi = 10.1177/0146167210394451 | s2cid = 17747103 }}</ref> There is criticism of this association. Tybur argues that the relationship between social conservatism and pathogen avoidance is explained by sexual strategies associated with [[conservatism]], such as orientation towards monogamous sexual strategies.<ref name = "Tybur_2015" /> Another study, suggests that a generalized response to social resources is a more plausible mechanism underlying in-group favoritism than adaptations to pathogen stress.<ref>{{cite journal | vauthors = Hruschka DJ, Henrich J | title = Institutions, parasites and the persistence of in-group preferences | journal = PLOS ONE | volume = 8 | issue = 5 | pages = e63642 | date = 2013-05-21 | pmid = 23704926 | pmc = 3660589 | doi = 10.1371/journal.pone.0063642 | bibcode = 2013PLoSO...863642H | doi-access = free }}</ref>
 
== Non-human animal behaviors ==
As parasite avoidance is a selective pressure imposed on all living animals, there are commonalities in strategies, mechanisms and consequences of pathogen avoidance behavior across species.<ref>{{Cite journal|last=Sarabian|first=Cecile|last2=Curtis|first2=Val|last3=McMullan|first3=Rachel|date=2018-07-19|title=Evolutionname of pathogen and parasite avoidance behaviours†|url=https://royalsocietypublishing.org/doi/10.1098/rstb.2017.0256|journal=Philosophical Transactions"Sarabian_2018" of the Royal Society B: Biological Sciences|volume=373|issue=1751|pages=20170256|doi=10.1098/rstb.2017.0256|pmc=PMC6000144|pmid=29866923}}</ref>
 
=== Vertebrates ===
 
==== Mammals ====
[[Asian elephant|Asian elephants]]s (''Elephas maximus'') use branches to deter biting flies from areas of the body with thinner skin or that cannot be easily reached .<ref name = "Hart_2018">{{Citecite journal |last vauthors = Hart|first=Benjamin L.|last2=BL, Hart|first2=Lynette A.|date=2018-07-19LA | title = How mammals stay healthy in nature: the evolution of behaviours to avoid parasites and pathogens |url=https://royalsocietypublishing.org/doi/10.1098/rstb.2017.0205| journal = Philosophical Transactions of the Royal Society of London. Series B:, Biological Sciences |language=en| volume = 373 | issue = 1751 | pages = 20170205 | date = July 2018 | pmid = 29866918 | pmc = 6000140 | doi = 10.1098/rstb.2017.0205|issn=0962-8436|pmc=PMC6000140|pmid=29866918 }}</ref><ref>{{Citecite journal|date=1994-07-01|title=Fly switching by Asian elephants: tool use to control parasites|url=https://www.sciencedirect.com/science/article/abs/pii/S0003347284712097 |journal=Animal Behaviour|language=en|volume=48|issue=1|pages=35–45|doi=10.1006/anbe.1994.1209|issn=0003-3472| vauthors = Hart BL, Hart LA |s2cid=53160050}}</ref>.
 
[[Rat|Rats]]s use their saliva which possesses bactericidal properties,<ref>{{Citecite journal |last vauthors = Hart|first=Benjamin L.|last2=BL, Korinek|first2=Elizabeth|last3= E, Brennan P |first3=Patricia|date=1987-01-XX| title = Postcopulatory genital grooming in male rats: Preventionprevention of sexually transmitted infections |url=https://linkinghub.elsevier.com/retrieve/pii/0031938487903957| journal = Physiology & Behavior |language=en| volume = 41 | issue = 4 | pages =321–325 321–5 | date = January 1987 | pmid = 3432385 | doi = 10.1016/0031-9384(87)90395-7 | s2cid = 33280014 }}</ref>, to protect themselves and potential mating partners from genital pathogens by licking their genitalia after copulation.<ref>{{Cite journal|last=Hart|first=Benjaminname L.|last2=Hart|first2=Lynette A.|date=2018-07-19|title=How"Hart_2018" mammals stay healthy in nature: the evolution of behaviours to avoid parasites and pathogens|url=https://royalsocietypublishing.org/doi/10.1098/rstb.2017.0205|journal=Philosophical Transactions of the Royal Society B: Biological Sciences|language=en|volume=373|issue=1751|pages=20170205|doi=10.1098/rstb.2017.0205|issn=0962-8436|pmc=PMC6000140|pmid=29866918}}</ref><ref>{{Citecite journal|date=1976-01-01|title=Functional Analysis of Masculine Copulatory Behavior in the Rat|url=https://www.sciencedirect.com/science/article/pii/S0065345408601667 |journal=Advances in the Study of Behavior|language=en|volume=7|pages=91–154|doi=10.1016/S0065-3454(08)60166-7|issn=0065-3454| vauthors = Sachs BD, Barfield RJ |isbn=9780120045075}}</ref>. [[Wood rat|Wood rats]]s (''[[Neotoma fuscipes]])'' exhibit a unique behavior of placing [[Bay leaf|bay leaves]] (''[[Umbellularia californica]]'') in or near their nest to prevent flea infestations.<ref>{{Cite journal|last=Hart|first=Benjaminname L.|date=2011-12-12|title=Behavioural defences"Hart_2011" in animals against pathogens and parasites: parallels with the pillars of medicine in humans|url=https://royalsocietypublishing.org/doi/10.1098/rstb.2011.0092|journal=Philosophical Transactions of the Royal Society B: Biological Sciences|language=en|volume=366|issue=1583|pages=3406–3417|doi=10.1098/rstb.2011.0092|issn=0962-8436|pmc=PMC3189355|pmid=22042917}}</ref><ref>{{Citecite journal|last vauthors = Hemmes|first=R. B.RB |date=2002-05-01|title=Use of California bay foliage by wood rats for possible fumigation of nest-borne ectoparasites|url=https://doi.org/10.1093/beheco/13.3.381 |journal=Behavioral Ecology|volume=13|issue=3|pages=381–385|doi=10.1093/beheco/13.3.381|issn=1465-7279|doi-access=free}}</ref>. [[Canidae|Canids]] will defecate and urinate away from the proximity of their dens to protect against oro-faecally transmitted parasites<ref>{{Cite journal|last=Hart|first=Benjaminname L.|last2=Hart|first2=Lynette A.|date=2018-07-19|title=How"Hart_2018" mammals stay healthy in nature: the evolution of behaviours to avoid parasites and pathogens|url=https://royalsocietypublishing.org/doi/10.1098/rstb.2017.0205|journal=Philosophical Transactions of the Royal Society B: Biological Sciences|language=en|volume=373|issue=1751|pages=20170205|doi=10.1098/rstb.2017.0205|issn=0962-8436|pmc=PMC6000140|pmid=29866918}}</ref>. Newborns who cannot exit the den, will have fresh excreta consumed by their mothers, as parasitic ova take several days to hatch thus preventing infection.<ref>{{Cite journal|last=Hart|first=Benjaminname L.|last2=Hart|first2=Lynette A.|date=2018-07-19|title=How"Hart_2018" mammals stay healthy in nature: the evolution of behaviours to avoid parasites and pathogens|url=https://royalsocietypublishing.org/doi/10.1098/rstb.2017.0205|journal=Philosophical Transactions of the Royal Society B: Biological Sciences|language=en|volume=373|issue=1751|pages=20170205|doi=10.1098/rstb.2017.0205|issn=0962-8436|pmc=PMC6000140|pmid=29866918}}</ref>
 
[[Mice]] avoid sick conspecifics. The detection of cues associated with disease is mediated by an olfactory subsystem - the vomeronasal organ. <ref>{{Cite journal | author = Boillat M, Challet L, Rossier D, Kan C, Carleton A, Rodriguez I | title = The Vomeronasal System Mediates Sick Conspecific Avoidance | journal = Current Biology | date = 2015 | volume = 25 | issue = 2 | pages = 251–255 | doi = 10.1016/j.cub.2014.11.061 | issn = 0960-9822}}</ref>
 
==== Primates ====
[[Bonobo|Bonobos]]s rely on visual, tactile and olfactory cues to determine contamination risk when presented with contaminated food items versus the uncontaminated control group.<ref>{{Citecite journal |last vauthors = Sarabian|first=Cecile|last2= C, Belais|first2=Raphael|last3= R, MacIntosh|first3=Andrew J.AJ J.|date=2018-06-04| title = Feeding decisions under contamination risk in bonobos |url=http://dx.doi.org/10.1098/rstb.2017.0195| journal = Philosophical Transactions of the Royal Society of London. Series B:, Biological Sciences | volume = 373 | issue = 1751 | pages = 20170195 | date = July 2018 | pmid = 29866924 | doi = 10.1098/rstb.2017.0195 |issn pmc =0962-8436 6000142 }}</ref> [[Mandrill|Mandrills]] engage in allo-grooming practices in which they avoid members of the same species with parasitic infection and rely on the smell of feces of conspecifics infected with parasites to discriminate those individuals.<ref>{{Citecite journal |last vauthors = Poirotte|first=Clémence|last2= C, Massol|first2=François|last3= F, Herbert|first3=Anaïs|last4= A, Willaume|first4=Eric|last5= E, Bomo|first5=Pacelle M.|last6=PM, Kappeler|first6=Peter M.|last7=PM, Charpentier|first7=Marie J.MJ E.|date=2017-04-XX| title = Mandrills use olfaction to socially avoid parasitized conspecifics |url=https://advances.sciencemag.org/lookup/doi/10.1126/sciadv.1601721| journal = Science Advances |language=en| volume = 3 | issue = 4 | pages = e1601721 | date = April 2017 | pmid = 28435875 | pmc = 5384805 | doi = 10.1126/sciadv.1601721 |issn bibcode =2375-2548|pmc=PMC5384805|pmid=28435875 2017SciA....3E1721P }}</ref> Evidence has shown that both chimpanzees[[chimpanzee]]s and [[Japanese macaque|Japanese macaques]]s (''[[Macaca fuscata]])'' engage in food washing to remove food soiled with bodily fluids and dirt as a contaminant avoidance behavior strategy.<ref>{{Citecite journal|date=1986-01-01|title=Social rejection, exclusion, and shunning among the Gombe chimpanzees|url=https://www.sciencedirect.com/science/article/abs/pii/0162309586900506 |journal=Ethology and Sociobiology |language=en |volume=7 |issue=3-43–4 |pages=227–236|doi=10.1016/0162-3095(86)90050-6|issn=0162-3095| vauthors = Goodall J }}</ref><ref>{{Citecite journal |last=O’Hara|first=Sean J.|last2vauthors = O'Hara SJ, Lee|first2=Phyllis C.|date=2006PC | title = High Frequencyfrequency of Postcoitalpostcoital Penispenis Cleaningcleaning in Budongo Chimpanzeeschimpanzees |url language =https://www.karger.com/Article/FullText/93700 english | journal = Folia Primatologica; International Journal of Primatology |language=english| volume = 77 | issue = 5 | pages =353–358 353–8 | date = 2006 | pmid = 16912503 | doi = 10.1159/000093700 |issn s2cid =0015-5713|pmid=16912503 19377756 }}</ref><ref>{{Citecite journal|last vauthors = Kawai|first=Masao M |date=August 1965-08-XX|title=Newly-acquired pre-cultural behavior of the natural troop of Japanese monkeys on Koshima islet|url=http://link.springer.com/10.1007/BF01794457 |journal=Primates|language=en|volume=6|issue=1|pages=1–30|doi=10.1007/BF01794457|s2cid=12524391|issn=0032-8332}}</ref><ref>{{Citecite journal |last vauthors = Nakamichi M,|first=Masayuki|last2= Kato E,|first2=Eiko|last3= Kojima Y,|first3=Yasuo|last4= Itoigawa N |first4=Naosuke|date=1998| title = Carrying and Washingwashing of Grassgrass Rootsroots by Freefree-Rangingranging Japanese Macaquesmacaques at Katsuyama |url=https://www.karger.com/Article/FullText/21561| journal = Folia Primatologica; International Journal of Primatology |language=en| volume = 69 | issue = 1 | pages = 35–40 | date = 1998 | pmid = 9429314 | doi = 10.1159/000021561 |issn s2cid =0015-5713 46847729 }}</ref>
[[File:Preening bird (Unsplash).jpg|thumb|Bird preening its feathers.]]
 
==== Birds ====
[[Bird|Birds]] engage in body maintenance, nest maintenance, avoidance of parasitized prey, migration and toleration as ectoparasite avoidance behavior.<ref>{{Citecite journal |last vauthors = Bush|first=Sarah E.|last2=SE, Clayton DH |first2=Dale H.|date=2018-07-19|title = Anti-parasite behaviour of birds |url=https://royalsocietypublishing.org/doi/10.1098/rstb.2017.0196| journal = Philosophical Transactions of the Royal Society of London. Series B:, Biological Sciences |language=en| volume = 373 | issue = 1751 | pages = 20170196 | date = July 2018 | pmid = 29866911 | pmc = 6000146 | doi = 10.1098/rstb.2017.0196|issn=0962-8436|pmc=PMC6000146|pmid=29866911 }}</ref>. These anti-parasite behaviors are central to bird hygiene. For example, birds preen to straighten and clean feathers but this also is used as a method to remove ectoparasites in their plumage.<ref>{{Citecite journal|last vauthors = Clayton|first=Dale H.|last2=DH, Koop|first2=Jennifer A.H.|last3=JA, Harbison|first3=Christopher W.|last4=CW, Moyer|first4=Brett R.|last5=BR, Bush|first5=Sarah E.SE |date=2010-01-01|title=How Birds Combat Ectoparasites|url=http://dx.doi.org/10.2174/1874453201003010041 |journal=The Open Ornithology Journal|volume=3|issue=1|pages=41–71|doi=10.2174/1874453201003010041|issn=1874-4532|doi-access=free}}</ref>.
 
=== Invertebrates ===
 
==== Crustaceans ====
Social lobsters engage in specialized den selection by preferentially choosing dens with uninfected [[Lobster|lobsters]] over dens with lobsters infected with the PaV1 virus .<ref>{{Citecite journal |last vauthors = Behringer|first=Donald C.|last2=DC, Butler|first2=Mark J.|last3=MJ, Shields JD |first3=Jeffrey D.|date=2006-05-XX|title =Avoidance Ecology: avoidance of disease by social lobsters |url=http://www.nature.com/articles/441421a| journal = Nature |language=en| volume = 441 | issue = 7092 | pages =421–421 421 | date = May 2006 | pmid = 16724051 | doi = 10.1038/441421a |issn bibcode =0028 2006Natur.441..421B | s2cid = 4415580 | doi-0836access = free }}</ref>.
 
==== Insects ====
[[Bee|Bees]]s have several steps to avoid parasitic invasion of a colony; avoidance parasite contact, recognition of parasites and subsequent rejection, and the avoidance of social parasite exploitation.<ref name = "Grüter_2018">{{Citecite journal |last vauthors = Grüter|first=Christoph|last2= C, Jongepier|first2=Evelien|last3= E, Foitzik S |first3=Susanne|date=2018-07-19| title = Insect societies fight back: the evolution of defensive traits against social parasites |url=https://royalsocietypublishing.org/doi/10.1098/rstb.2017.0200| journal = Philosophical Transactions of the Royal Society of London. Series B:, Biological Sciences |language=en| volume = 373 | issue = 1751 | pages = 20170200 | date = July 2018 | pmid = 29866913 | pmc = 6000133 | doi = 10.1098/rstb.2017.0200|issn=0962-8436|pmc=PMC6000133|pmid=29866913 }}</ref>. Within the colony, parasitic avoidance include: having several [[Queen insect|queens]], nest construction that prevents invasion,<ref>{{Citecite journal |last vauthors = Cremer|first=Sylvia|last2= S, Armitage|first2=Sophie A.O.|last3=SA, Schmid-Hempel P |first3=Paul|date=2007-08-XX| title = Social Immunity|url=https://linkinghub.elsevier.com/retrieve/pii/S0960982207015035immunity | journal = Current Biology |language=en| volume = 17 | issue = 16 | pages =R693–R702 R693-702 | date = August 2007 | pmid = 17714663 | doi = 10.1016/j.cub.2007.06.008 | s2cid = 7052797 | doi-access = free | bibcode = 2007CBio...17.R693C }}</ref><ref>{{Citecite journal |last vauthors = Meunier J |first=Joël|date=2015-05-26| title = Social immunity and the evolution of group living in insects |url=https://royalsocietypublishing.org/doi/10.1098/rstb.2014.0102| journal = Philosophical Transactions of the Royal Society of London. Series B:, Biological Sciences |language=en| volume = 370 | issue = 1669 | pages = 20140102 | date = May 2015 | pmid = 25870389 | pmc = 4410369 | doi = 10.1098/rstb.2014.0102|issn=0962-8436|pmc=PMC4410369|pmid=25870389 }}</ref>, chemical cues, coordinated defense.<ref>{{Cite journal|last=Grüter|first=Christoph|last2=Jongepier|first2=Evelien|last3=Foitzik|first3=Susanne|date=2018-07-19|title=Insectname societies fight back: the evolution of defensive traits against social parasites|url=https://royalsocietypublishing.org/doi/10.1098/rstb.2017.0200|journal=Philosophical Transactions"Grüter_2018" of the Royal Society B: Biological Sciences|language=en|volume=373|issue=1751|pages=20170200|doi=10.1098/rstb.2017.0200|issn=0962-8436|pmc=PMC6000133|pmid=29866913}}</ref> In the event of parasitic invasion of a colony, bees resort to hygienic behavior defense as a last resort effort against parasite infection in which infected, dying and already dead bodies are removed from the nest. <ref>{{Citecite journal|date=1964-10-01|title=Behaviour genetics of nest cleaning in honey bees. I. Responses of four inbred lines to disease-killed brood|url=https://www.sciencedirect.com/science/article/abs/pii/000334726490082X |journal=Animal Behaviour|language=en|volume=12|issue=4|pages=578–583|doi=10.1016/0003-3472(64)90082-X|issn=0003-3472| vauthors = Rothenbuhler WC }}</ref><ref>{{Citecite journal |last vauthors = Bigio|first= G.|last2=, Al Toufailia|first2= H., Al|last3=Ratnieks|first3=F. L.FL W.|date=2014| title = Honey bee hygienic behaviour does not incur a cost via removal of healthy brood |url=https://onlinelibrary.wiley.com/doi/abs/10.1111/jeb.12288| journal = Journal of Evolutionary Biology |language=en| volume = 27 | issue = 1 | pages =226–230 226–30 | date = January 2014 | pmid = 24330477 | doi = 10.1111/jeb.12288 |issn s2cid =1420 6206623 | doi-9101access = free }}</ref><ref>{{Citecite journal|last vauthors = Harbo|first=John R.|last2=JR, Harris|first2=Jeffrey W.JW |date=2009-01-01|title=Responses to Varroa by honey bees with different levels of Varroa Sensitive Hygiene|url=https://doi.org/10.3896/IBRA.1.48.3.02 |journal=Journal of Apicultural Research|volume=48|issue=3|pages=156–161|doi=10.3896/IBRA.1.48.3.02|bibcode=2009JApiR..48..156H |s2cid=86659888|issn=0021-8839}}</ref>
 
==== Nematodes ====
The most comprehensive data on avoidance behaviors has been generated for ''[[Caenorhabditis elegans|C. elegans]]''.<ref>{{Cite journal|last=Schulenburg|first=Hinrich|last2=Kurtz|first2=Joachim|last3=Moret|first3=Yannick|last4=Siva-Jothy|first4=Michaelname T|date=2009-01-12|title=Introduction. Ecological"Schulenburg_2009" immunology|url=https://royalsocietypublishing.org/doi/10.1098/rstb.2008.0249|journal=Philosophical Transactions of the Royal Society B: Biological Sciences|language=en|volume=364|issue=1513|pages=3–14|doi=10.1098/rstb.2008.0249|issn=0962-8436|pmc=PMC2666701|pmid=18926970}}</ref>. They protect themselves from unfavorable effects of pathogenic bacteria by avoiding lawns on which ''Microbacterium nematophilum'' is found.<ref>{{Citecite journal |last vauthors = Anderson|first=Alexandra|last2= A, McMullan R |first2=Rachel|date=2018-07-19| title = Neuronal and non-neuronal signals regulate ''Caernorhabditis elegans'' avoidance of contaminated food |url=https://royalsocietypublishing.org/doi/10.1098/rstb.2017.0255| journal = Philosophical Transactions of the Royal Society of London. Series B:, Biological Sciences |language=en| volume = 373 | issue = 1751 | pages = 20170255 | date = July 2018 | pmid = 29866922 | pmc = 6000145 | doi = 10.1098/rstb.2017.0255|issn=0962-8436|pmc=PMC6000145|pmid=29866922 }}</ref>. Evidence suggests that ''C. elegans'' relies on its olfactory system for pathogen avoidance,<ref>{{Citecite journal |last vauthors = Bargmann CI |first=Cornelia|date=2006| title = Chemosensation in C. elegans |url=http://www.wormbook.org/chapters/www_chemosensation/chemosensation.html| journal = WormBook | pages = 1–29 | date = October 2006 | pmid = 18050433 | pmc = 4781564 | doi = 10.1895/wormbook.1.123.1|pmc=PMC4781564|pmid=18050433 }}</ref>, by avoiding odors that mimic those infected by pathogenic bacterium. <ref name = "Zhang_2005">{{Citecite journal |last vauthors = Zhang|first=Yun|last2= Y, Lu|first2=Hang|last3= H, Bargmann|first3=Cornelia I.|date=2005-11-XXCI | title = Pathogenic bacteria induce aversive olfactory learning in Caenorhabditis elegans |url=http://www.nature.com/articles/nature04216| journal = Nature |language=en| volume = 438 | issue = 7065 | pages =179–184 179–84 | date = November 2005 | pmid = 16281027 | doi = 10.1038/nature04216 |issn bibcode =0028-0836 2005Natur.438..179Z | s2cid = 4418821 }}</ref> Genetic analysis has revealed three mechanisms involved in avoidance behavior: learning of pathogen avoidance based on [[G protein|G-protein]] signaling in [[chemosensory]] neurons,<ref>{{Citecite journal |last vauthors = Pradel|first= E.|last2=, Zhang|first2= Y.|last3=, Pujol|first3= N.|last4=, Matsuyama|first4= T.|last5=, Bargmann|first5=C. I.|last6=CI, Ewbank JJ |first6=J. J.|date=2007-01-31|title = Detection and avoidance of a natural product from the pathogenic bacterium Serratia marcescens by Caenorhabditis elegans |url=https://doi.org/10.1073/pnas.0610281104| journal = Proceedings of the National Academy of Sciences of the United States of America | volume = 104 | issue = 7 | pages =2295–2300 2295–300 | date = February 2007 | pmid = 17267603 | pmc = 1892944 | doi = 10.1073/pnas.0610281104 |issn bibcode =0027 2007PNAS..104.2295P | doi-8424|pmcaccess =PMC1892944|pmid=17267603 free }}</ref>, learning of pathogen avoidance behavior through [[serotonin]] signaling pathways,<ref>{{Cite journal|last=Zhang|first=Yun|last2=Lu|first2=Hang|last3=Bargmann|first3=Cornelianame I.|date=2005-11-XX|title=Pathogenic bacteria"Zhang_2005" induce aversive olfactory learning in Caenorhabditis elegans|url=http://www.nature.com/articles/nature04216|journal=Nature|language=en|volume=438|issue=7065|pages=179–184|doi=10.1038/nature04216|issn=0028-0836}}</ref>, physical avoidance and reduced oral uptake of pathogens.<ref>{{Citecite journal |last vauthors = Hasshoff|first=Martin|last2=Höhnisch|first2=Claudia|last3= M, Böhnisch C, Tonn|first3=Daniela|last4= D, Hasert|first4=Barbara|last5= B, Schulenburg H |first5=Hinrich|date=2007| title = The role of Caenorhabditis elegans insulin-like signaling in the behavioral avoidance of pathogenic Bacillus thuringiensis |url=https://faseb.onlinelibrary.wiley.com/doi/abs/10.1096/fj.06-6551com| journal =The FASEB Journal |language=en| volume = 21 | issue = 8 | pages =1801–1812 1801–12 | date = June 2007 | pmid = 17314144 | doi = 10.1096/fj.06-6551com |issn=1530 doi-6860access = free | s2cid = 39806371 }}</ref>.
 
== Medical Implicationsimplications ==
A study has suggested that the four pillars of human medicine: [[quarantine]], [[medication]], [[immunization]] and [[nursing]] or caring are extensions of behavioral defenses against pathogens seen in animals.<ref>{{Cite journal|last=Hart|first=Benjaminname L.|date=2011-12-12|title=Behavioural defences"Hart_2011" in animals against pathogens and parasites: parallels with the pillars of medicine in humans|url=https://royalsocietypublishing.org/doi/10.1098/rstb.2011.0092|journal=Philosophical Transactions of the Royal Society B: Biological Sciences|language=en|volume=366|issue=1583|pages=3406–3417|doi=10.1098/rstb.2011.0092|issn=0962-8436}}</ref>. Hart argues that more complex applications of pathogen avoidance behaviors seen in medicine can be attributed to advanced linguistic and cognitive capabilities and higher rates of sickness in humans compared to animals.<ref>{{Cite journal|last=Hart|first=Benjaminname L.|date=2011-12-12|title=Behavioural defences"Hart_2011" in animals against pathogens and parasites: parallels with the pillars of medicine in humans|url=https://royalsocietypublishing.org/doi/10.1098/rstb.2011.0092|journal=Philosophical Transactions of the Royal Society B: Biological Sciences|language=en|volume=366|issue=1583|pages=3406–3417|doi=10.1098/rstb.2011.0092|issn=0962-8436|pmc=PMC3189355|pmid=22042917}}</ref> <ref>{{Citecite journal |last vauthors = Benton|first=Mary Lauren|last2=ML, Abraham|first2=Abin|last3= A, LaBella|first3=Abigail L.|last4=AL, Abbot|first4=Patrick|last5= P, Rokas|first5=Antonis|last6= A, Capra JA |first6=John A.|date=2021-05|title = The influence of evolutionary history on human health and disease |url=https://www.nature.com/articles/s41576-020-00305-9| journal = Nature Reviews. Genetics |language=en| volume = 22 | issue = 5 | pages = 269–283 | date = May 2021 | pmid = 33408383 | doi = 10.1038/s41576-020-00305-9 |issn pmc =1471-0064 7787134 }}</ref>
 
== References ==
{{Reflist}}
 
[[Category:Immunology]]
[[Category:Behavioral ecology]]