Poverty results in tremendous numbers of avoidable cases of death or many life years under reduced health conditions, respectively, because people often do not have access to basic needs such as clean drinking water or health care. Disability-adjusted-life-year (DALY) is a value where life lost due to premature mortality as well as years under conditions of not ideal health (YLD: years lived with disability) are taken into account (Vos et al., 2012). A Global Burden Disease Study where 235 causes of death in different age groups were investigated clearly demonstrated that above all children in developing countries die from avoidable diseases and infections such as diarrhoeal diseases, measles or malaria (Lozano et al., 2012). Tropical diseases contribute to low economic development of poor countries (RBM, 2007). Many severe parasitic diseases, bacteria and viruses are transmitted by dipters. Malaria is the tropical disease responsible for the highest number of casualties. Malaria is a disease caused by a protozoan (genus Plasmodium) transmitted by mosquitoes. The most important and deadly Plasmodium is P. falciparum, which is responsible for 80% of infections and about 90% of deaths. Due to enormous global achievements in order to combat malaria e.g., by the Bill and Melinda Gates Foundation, the number of new infection is decreasing but is still on an unacceptably high level. In the course of a systematic analysis of malaria mortality between 1980 and 2010, Murray et al. (2012) estimated about 1,133,000 (848,000–1,591,000) deaths caused by malaria in 2010 (Lozano et al., 2012; Murray et al., 2012). According to the World Malaria report the number of estimated deaths in 2012 was about 627,000 (437,000–789,000) (WHO, 2013). In addition a variety of so called “neglected tropical diseases” are responsible for a multiplicity of infections and deaths especially in developing countries (Hotez et al., 2008). Important “neglected tropical diseases” are among others schistosomiasis (caused by helminthes of the genus Schistosoma), onchocerciasis (a helminth infection by Onchocerca volvulus) or lymphiatic filiariasis (caused by helminthes such as Wucheria bancrofti). Infectious stages of Schistosoma, the cercaria, are produced by infected waters snails of the genus Biomphalaria or Bulinus and released into the water. The larva penetrate through the skin into the human body (Engels et al., 2002). Onchocerca volvulus and Wucheria bancrofti are transmitted by dipters. An overview about these diseases is given by Feasey et al. (2010). Hotez et al. (2007) estimate that life-years lost due to premature death or disability (Disability-adjusted-life-year) caused by 13 neglected tropical diseases is about 56.6 million years - more than in malaria where the number of Disability-adjusted-life-years was estimated to be about 46.5 million years (Hotez et al., 2007). Dengue fever is caused by a virus transmitted by the mosquito Aedes aegyptii. Worldwide about 390 million people are infected every year, about 20,000 die. About 50% of the world population lives in areas with risk of infection (Bhatt et al., 2013).

The most promising method to control diseases transmitted by animal vectors (e.g., flies or molluscs) is the control of these vectors. Application of pesticides, wetland draining, spraying of oil on water surfaces in order to kill mosquito larvae in combination with mosquito nets, medicine and support of natural predators are methods to defeat these diseases (Killeen et al., 2002). Photosensitizers were also successfully tested against mosquito larvae or as general pesticides (reviewed by Amor and Jori, 2000). Dondji et al. (2005) determined the effect of different photosensitizers on Aedes and Culex larvae. A concentration of 0.4 mg/L Rose Bengal was found to kill effectively 100% of Culex quinquefasciatus larvae. Hematoporphyrin was less effective against C. quinquefasciatus (necessary concentration for LD₁₀₀ 8 mg/L). Both substances were shown to kill Aedes aegypti, where Rose Bengal was again more effective. Awad et al. (2008) tested the efficiency of certain hematoporphyrins (hematoporphyrin IX and hermatoporphyrin formula (HPF) from a commercial source) against Culex pipiens. It was found that both chemicals induced high mortality in the insect larvae at low concentrations (1 μM). In a recent study El-Tayeb et al. (2013) determined uptake kinetics and efficiency of HPF against Aedes caspicus larvae. By means of confocal microscopy it was found that after 12 h of incubation of larvae in HPF-containing water the body concentration of HPF reached a maximum. Erzinger et al. (2011) found that about 3 h of chlorophyllin incubation in Chaoborus crystallinus are necessary in order to achieve an optimal accumulation of the photosensitizer in the intestine of the larvae. Lucatoni et al. (2011) intensively characterized another porphyrin (C 14 porphyrin, meso-tri(N-methylpyridyl),meso-mono(N-tetradecylpyridyl)porphyrine) and tested the effect against Aedes aegypti. It was found that after incubation in “C 14 porphyrin” (5 μM) and subsequent light treatment larvae were effectively killed. Some studies demonstrate that porphyrins are also applicable as insecticides against land living insects (Amor et al., 2000, 2008; Wu et al., 2007). Photodynamic properties of chlorophyllin in dipter larvae was intensively investigated (Wohllebe et al., 2009). After accumulation of chlorophyllin in the intestine light treatment resulted in high mortality. Untreated larvae were almost not affected. The LD₅₀ dose of externally applied chlorophyllin (addition to the water body) was about 6.88 mg/l in Culex larvae and about 24 mg/l in Chaoborus larvae (Wohllebe et al., 2009). Uptake of about 8 ng of chlorophyllin was found to induce photodynamic damage in one larva (Wohllebe et al., 2011). Experiments with Chaoborus cristallinus indicate that chlorophyllin and light induce necrosis and apoptosis in the intestines of the insect larvae (Wohllebe et al., 2011). The gut of irradiated larvae showed many apoptotic or necrotic cells as detected with fluorescence microscopy after staining with suitable dyes (acridine orange for detection of necrosis, Hoechst 33342 for detection of necrosis and propidium iodide-detection of apoptosis). FACS analysis of cells from irradiated and not-irradiated cells clearly showed an increase of apoptotic and necrotic cells in irradiated larvae.

Recently the effects of photodynamic substances, in particular chlorophyllin, on fish parasites (above all Ichthiophthirius multifiliis) were investigated. Same as other photoactive compounds (Reddi et al., 2002; Maisch et al., 2005a,b) photodynamic application of chlorophyllin was found to have antimicrobial effects (Kreitner et al., 2001; López-Carballo et al., 2008). Fabris et al. (2012) reported that the “C 14 porphyrin” (see above) is highly efficient against different small crustaceans and ciliated protozoa. Application of chlorophyllin kills effectively free living stages of Ichthyophthirius multifiliis as well as isolated trophonts at low concentrations (Wohllebe et al., 2012). The LD₅₀ for (isolated) trophonts was determined as 0.67 mg/L. In tomites no threshold was determined, because of the high sensitivity of the tomites against photoactivated chlorophyllin (<<2 mg/L).

Having observed the severe effect of chlorophyllin on different isolated living stages of Ichthyophthirius, Wohllebe (2010) investigated the effect on trophonts located in the skin of carps: I. multifiliis-infested common carps were incubated for 3 h in chlorophyllin solution (2 and 4 mg/L, which corresponds to about 3.35 or 6.7 μM, respectively). Controls were treated in the same way without chlorophyllin. After incubation one set of fishes was irradiated with simulated solar radiation for 3 h, the other incubated fishes were kept under dim light conditions (no irradiation). It was shown that light exposure alone transiently reduced the number of trophonts in infested carps. Without chlorophyllin, irradiation alone reduced the number of trophonts transiently. After 24 h the number of counted parasites was reduced to 80.2% of the initial number but after some time the infection recovered. When the carps were incubated in chlorophyllin (2 or 4 mg, respectively) before irradiation, the infection was strongly reduced (to about 50% of the initial number of trophonts) and the number of trophonts did not increase again. Chlorophyllin without subsequent irradiation did not reduce the number of trophonts. Subsequent mesocosm experiments where 2 year-old carps were treated with 2 mg/L chlorophyllin confirmed these observations. Irradiation without previous chlorophyllin treatment reduced Ichthyophthirius multifiliis trophonts only transiently, while incubation in chlorophyllin before irradiation resulted in a significant and steady decrease of the number of trophonts (about 50% of the initial number). Interestingly chlorophyllin treatment without subsequent irradiation increased the number of trophonts compared to untreated controls.

These experiments revealed that trophonts in the fish skin are sensitive against chlorophyllin. In addition, no reinfection occurred in the course of some days, which indicates that the trophonts and other life stages of I. multifiliis were probably impaired in a way that the remaining parasites lost the capacity of multiplication. Veterinaries state that the observed decrease in infestation very likely enables infected fishes to recover (oral communication). Photodynamic treatment of fish-parasitic protozoans, above all I. multifiliis, is covered by an US patent (US 6,506,791 B2), in which Phloxin B is employed as photodynamic substance (Blair, 2003).

The strong effects of chlorophyllin raise the question whether photodynamic substances also impair treated fishes. Wohllebe (2010) clearly demonstrated that vitality of developed fishes and fish eggs is not impaired by chlorophyllin. But high chlorophyllin concentrations were found to induce mortality in fish breed (about 50% of fish larvae died at chlorophyllin concentrations of 10 mg/l). Histological analysis revealed that the mortality is probably due to slime induction in the gills leading to suffocation of the larvae. After the larval stage no negative effects of chlorophyllin on the fish were detected. Investigated were common carps (Cyprinus carpio), rainbow trouts (Oncorhynchus mykiss), and grayling (Thymallus thymallus). This shows that chlorophyllin can be applied in fish farming when fish have finished the larval stage.

Chlorophyll can be extracted from green plant material with ethanol or methanol (Wohllebe et al., 2009). Heating to about 55°C for 2 h decreases extraction time and addition of small amounts of calcium carbonate prevents phaeophytin formation. Petroleum benzine is added to the filtered chlorophyll extract. Chlorophyll moves into the lipophilic petroleum benzine layer. This layer is removed and treated with small amounts of methanolic NaOH (about 1 N). The ester bonding between the porphyrin ring of the chlorophyll (chlorophyllin) and the lipophilic phytol tail is cleaved and the water-soluble chlorophyllin moves into the methanolic NaOH solution.

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.