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The Schmidt sting pain index is a
pain scale A pain scale measures a patient's pain intensity or other features. Pain scales are a common communication tool in medical contexts, and are used in a variety of medical settings. Pain scales are a necessity to assist with better assessment of pa ...
rating the relative
pain Pain is a distressing feeling often caused by intense or damaging stimuli. The International Association for the Study of Pain defines pain as "an unpleasant sensory and emotional experience associated with, or resembling that associated with, ...
caused by different
hymenoptera Hymenoptera is a large order of insects, comprising the sawflies, wasps, bees, and ants. Over 150,000 living species of Hymenoptera have been described, in addition to over 2,000 extinct ones. Many of the species are parasitic. Females typic ...
n stings. It is mainly the work of
Justin O. Schmidt Justin Orvel Schmidt (born March 23, 1947) is an American entomologist, co-author of ''Insect Defenses: Adaptive Mechanisms and Strategies of Prey and Predators'', author of ''The Sting of the Wild'', and creator of the Schmidt sting pain index ...
(born 1947), an
entomologist Entomology () is the scientific study of insects, a branch of zoology. In the past the term "insect" was less specific, and historically the definition of entomology would also include the study of animals in other arthropod groups, such as arach ...
at the
Carl Hayden Carl Trumbull Hayden (October 2, 1877 – January 25, 1972) was an American politician. Representing Arizona in the United States Senate from 1927 to 1969, he was the first U.S. Senator to serve seven terms. Serving as the state's first Representa ...
Bee Research Center in Arizona, United States. Schmidt has published a number of papers on the subject, and claims to have been stung by the majority of stinging
Hymenoptera Hymenoptera is a large order of insects, comprising the sawflies, wasps, bees, and ants. Over 150,000 living species of Hymenoptera have been described, in addition to over 2,000 extinct ones. Many of the species are parasitic. Females typic ...
. His original paper in 1983 was a way to systematize and compare the
hemolytic Hemolysis or haemolysis (), also known by several other names, is the rupturing (lysis) of red blood cells (erythrocytes) and the release of their contents (cytoplasm) into surrounding fluid (e.g. blood plasma). Hemolysis may occur in vivo o ...
properties of insect venoms. A table contained in the paper included a column that rated sting pain, starting from 0 for stings that are completely ineffective against humans, progressing through 2, a familiar pain such as that caused by a common bee or
wasp A wasp is any insect of the narrow-waisted suborder Apocrita of the order Hymenoptera which is neither a bee nor an ant; this excludes the broad-waisted sawflies (Symphyta), which look somewhat like wasps, but are in a separate suborder. Th ...
sting, and finishing at 4 for the most painful stings; in the original paper, only the bullet ant, ''
Paraponera clavata ''Paraponera clavata'' is a species of ant, commonly known as the bullet ant, named for its extremely painful sting. It inhabits humid lowland rainforests in Central and South America. Etymology The specific epithet of the ant, ', means "club ...
'', was given a rating of 4. Later revised versions of the index added '' Synoeca septentrionalis'', along with
tarantula hawk A tarantula hawk is a spider wasp (Pompilidae) that preys on tarantulas. Tarantula hawks belong to any of the many species in the genera '' Pepsis'' and '' Hemipepsis.'' They are one of the largest parasitoid wasps, using their sting to paralyze ...
s as the only species to share this ranking. Descriptions of the most painful examples were given, e.g.: "''Paraponera clavata'' stings induced immediate, excruciating pain and numbness to pencil-point pressure, as well as trembling in the form of a totally uncontrollable urge to shake the affected part." Schmidt has repeatedly refined his scale, including a paper published in 1990, which classifies the stings of 78 species and 41 genera of Hymenoptera, and culminating in a book published in 2016. An entry in ''
The Straight Dope "The Straight Dope" was a question-and-answer newspaper column written under the pseudonym Cecil Adams. Contributions were made by multiple authors, and it was illustrated (also pseudonymously) by Slug Signorino. It was first published in 1973 i ...
'' reported that "implausibly exact numbers" which do not appear in any of Schmidt’s published scientific papers were "wheedled out of him" by ''Outside'' magazine for an article it published in 1996.Cecil Adams (May 11, 2012
“Did the creator of the Schmidt Sting Pain Index volunteer to get stung by everything on earth?”
''The Straight Dope''
In September 2015, Schmidt was co-awarded the
Ig Nobel The Ig Nobel Prize ( ) is a satiric prize awarded annually since 1991 to celebrate ten unusual or trivial achievements in scientific research. Its aim is to "honor achievements that first make people laugh, and then make them think." The name o ...
Physiology and Entomology prize with Michael Smith for their Hymenoptera research.


Overview

Schmidt's pain scale of
Hymenoptera Hymenoptera is a large order of insects, comprising the sawflies, wasps, bees, and ants. Over 150,000 living species of Hymenoptera have been described, in addition to over 2,000 extinct ones. Many of the species are parasitic. Females typic ...
n stings is organized into levels, ranging between 1 and 4, with 4 being the most painful. However, insect stings that feel very different can be put into the same level. Thus, later versions of the scale always include a brief description of his experience being stung by each type of insect.


Pain Level 1

Some of the insect stings Schmidt considers to be at a pain level of 1 include the Southern fire ant, the graceful twig ant, the Western paper wasp, the urban digger bee, and most small bees. The duration of the pain of insect stings categorized into Pain Level 1 generally is five minutes or less. Since many small bees are categorized into a pain level of 1, most toxic
polypeptides Peptides (, ) are short chains of amino acids linked by peptide bonds. Long chains of amino acids are called proteins. Chains of fewer than twenty amino acids are called oligopeptides, and include dipeptides, tripeptides, and tetrapeptides. ...
in bee
venom Venom or zootoxin is a type of toxin produced by an animal that is actively delivered through a wound by means of a bite, sting, or similar action. The toxin is delivered through a specially evolved ''venom apparatus'', such as fangs or a sti ...
are
melittin Melittin is the main component (40–60% of the dry weight) and the major pain producing substance of honeybee ('' Apis mellifera'') venom. Melittin is a basic peptide consisting of 26 amino acids. Function The principal function of melittin ...
,
apamin Apamin is an 18 amino acid globular peptide neurotoxin found in apitoxin (bee venom). Dry bee venom consists of 2–3% of apamin. Apamin selectively blocks SK channels, a type of Ca2+-activated K+ channel expressed in the central nervous system ...
, and
MCD peptide Mast cell degranulating (MCD) peptide is a cationic 22-amino acid residue peptide, which is a component of the venom of the bumblebee (''Megabombus pennsylvanicus''). At low concentrations, MCD peptide can stimulate mast cell degranulation. At hig ...
. Melittin is the main toxin of bee venom, and it damages
red blood cell Red blood cells (RBCs), also referred to as red cells, red blood corpuscles (in humans or other animals not having nucleus in red blood cells), haematids, erythroid cells or erythrocytes (from Greek ''erythros'' for "red" and ''kytos'' for "holl ...
s and
white blood cell White blood cells, also called leukocytes or leucocytes, are the cells of the immune system that are involved in protecting the body against both infectious disease and foreign invaders. All white blood cells are produced and derived from mult ...
s. Apamin is a
neurotoxin Neurotoxins are toxins that are destructive to nervous tissue, nerve tissue (causing neurotoxicity). Neurotoxins are an extensive class of exogenous chemical neurological insult (medical), insultsSpencer 2000 that can adversely affect function ...
that augments polysynaptic reflexes. MCD peptide destroys
mast cell A mast cell (also known as a mastocyte or a labrocyte) is a resident cell of connective tissue that contains many granules rich in histamine and heparin. Specifically, it is a type of granulocyte derived from the myeloid stem cell that is a pa ...
s. Feeling only slight pain, Schmidt has described the sting of an urban digger bee, categorized into Pain Level 1, as "almost pleasant, a lover just bit your earlobe a little too hard." Also rated into Pain Level 1, Schmidt has described the sting of a sweat bee as "light, ephemeral, almost fruity. A tiny spark has singed a single hair on your arm."


Pain Level 2

Schmidt sets the sting of the
Western honey bee The western honey bee or European honey bee (''Apis mellifera'') is the most common of the 7–12 species of honey bees worldwide. The genus name ''Apis'' is Latin for "bee", and ''mellifera'' is the Latin for "honey-bearing" or "honey carrying" ...
at a pain level of 2 to be the anchoring value, basing his categorization of all other stings on it. He has categorized a variety of
wasp A wasp is any insect of the narrow-waisted suborder Apocrita of the order Hymenoptera which is neither a bee nor an ant; this excludes the broad-waisted sawflies (Symphyta), which look somewhat like wasps, but are in a separate suborder. Th ...
s, bees, and
ant Ants are eusocial insects of the family Formicidae and, along with the related wasps and bees, belong to the order Hymenoptera. Ants evolved from vespoid wasp ancestors in the Cretaceous period. More than 13,800 of an estimated total of 22,0 ...
s into Pain Level 2, including
yellowjacket Yellowjacket or yellowjacket is the common name in North America for predatory social wasps of the genus, genera ''Vespula'' and ''Dolichovespula''. Members of these genera are known simply as "wasps" in other English-speaking countries. Most of ...
s, the Asiatic honey bee, the trap-jaw ant, and the bald-faced hornet. The duration of the pain of the stings in this level is generally between five and ten minutes long. Schmidt categorized the majority of
Hymenoptera Hymenoptera is a large order of insects, comprising the sawflies, wasps, bees, and ants. Over 150,000 living species of Hymenoptera have been described, in addition to over 2,000 extinct ones. Many of the species are parasitic. Females typic ...
n stings as having a pain level of 2. The sting of a termite-raiding ant, categorized as a pain level of 2, has a similar feeling as "the debilitating pain of a migraine contained in the tip of your finger," according to Schmidt. On the contrary, a
yellowjacket Yellowjacket or yellowjacket is the common name in North America for predatory social wasps of the genus, genera ''Vespula'' and ''Dolichovespula''. Members of these genera are known simply as "wasps" in other English-speaking countries. Most of ...
's sting was described as being "hot and smoky, almost irreverent. Imagine W. C. Fields extinguishing a cigar on your tongue."


Pain Level 3

Most insects that are characterized as having a pain level of 3 are wasps, including the neotropical red paper wasp, the red-headed paper wasp, and Klug's velvet ant (a wingless wasp and not a true ant). The duration of the sting pain can range anywhere from one minute (such as the sting of the red paper wasp) to half an hour (such as the sting of the velvet ant). Wasp
venom Venom or zootoxin is a type of toxin produced by an animal that is actively delivered through a wound by means of a bite, sting, or similar action. The toxin is delivered through a specially evolved ''venom apparatus'', such as fangs or a sti ...
uniquely contains
kinin A kinin is any of various structurally related polypeptides, such as bradykinin and kallidin. They are members of the autacoid family. Kinins are peptides that are cleaved from kininogens by the process of kallikreins. Kallikreins activate kinins w ...
. One of the kinins found in wasp venom, "polistes kinin 3", is found to lead to similar effects on smooth musculature and circulation as
bradykinin Bradykinin (BK) (Greek brady-, slow; -kinin, kīn(eîn) to move) is a peptide that promotes inflammation. It causes arterioles to dilate (enlarge) via the release of prostacyclin, nitric oxide, and endothelium-derived hyperpolarizing factor and m ...
. Some ants are also rated at a Pain Level 3, including the giant bull ant and the Maricopa harvester ant. Schmidt considered the sting of the Maricopa harvester ant as having a pain level of 3, describing it as such: "After eight unrelenting hours of drilling into that ingrown toenail, you find the drill wedged into the toe."


Pain Level 4

Pain Level 4 is the highest level in the Schmidt sting pain index. Schmidt's original index rated only one such example, the sting of the
bullet ant A bullet is a kinetic projectile, a component of firearm ammunition that is shot from a gun barrel. Bullets are made of a variety of materials, such as copper, lead, steel, polymer, rubber and even wax. Bullets are made in various shapes and con ...
, as a 4. Schmidt has described the sting as "pure, intense, brilliant pain...like walking over flaming charcoal with a three-inch nail embedded in your heel." The bullet ant's venom primarily contains
poneratoxin Poneratoxin is a paralyzing neurotoxic peptide made by the bullet ant '' Paraponera clavata''. It prevents inactivation of voltage gated sodium channels and therefore blocks the synaptic transmission in the central nervous system. Specifically, p ...
, a paralyzing
neurotoxic Neurotoxicity is a form of toxicity in which a biological, chemical, or physical agent produces an adverse effect on the structure or function of the central and/or peripheral nervous system. It occurs when exposure to a substance – specifical ...
peptide Peptides (, ) are short chains of amino acids linked by peptide bonds. Long chains of amino acids are called proteins. Chains of fewer than twenty amino acids are called oligopeptides, and include dipeptides, tripeptides, and tetrapeptides. A p ...
. Schmidt later gave the sting of a tarantula hawk species, '' Pepsis grossa'', a rating of a 4, which he described as "blinding, fierce ndshockingly electric", though the duration of pain from the sting is short-lived, lasting only approximately five minutes. The composition of tarantula hawk venom is unknown. Schmidt also rates the sting of a species of warrior wasp as a 4, describing it as "Torture. You are chained in the flow of an active volcano. Why did I start this list?", saying the pain lasts up to two hours.


Evolution from painful to toxic stings

The Schmidt sting pain index arose from the pursuit of a larger hypothesis: that the evolution of sociality in
Hymenoptera Hymenoptera is a large order of insects, comprising the sawflies, wasps, bees, and ants. Over 150,000 living species of Hymenoptera have been described, in addition to over 2,000 extinct ones. Many of the species are parasitic. Females typic ...
was dependent on the evolution of venom that was both painful and toxic. Pain is an advertisement of damage in the body, but molecules that produce pain and those that are toxic, and actively cause damage, are not the same. Although the painful signal acts as a deterrent, intelligent predators learn the dishonesty of this signal with repeated exposure – that there is no real damage being done. For the early Hymenoptera that were primarily solitary, the pain alone would allow them the chance to escape. Furthermore, solitary insects do not provide a high energy reward for predators, and therefore predators do not expend significant effort to hunt them. However, with the evolution of
sociality Sociality is the degree to which individuals in an animal population tend to associate in social groups (gregariousness) and form cooperative societies. Sociality is a survival response to evolutionary pressures. For example, when a mother wasp ...
where many Hymenoptera cluster together in colonies, nests become a nutritionally rich and therefore worthwhile target. If there were no defences, predators would devour the defenceless society, leaving few surviving individuals. Sociality would therefore not be beneficial. In order for sociality to evolve, Hymenoptera needed a defence beyond a painful sting to protect their whole colony. Their sting was an advertisement of damage, and toxicity evolved as its truth. With a toxic sting, and thus the ability to protect against predators, Hymenoptera was able to progress towards sociality and its associated evolutionary benefits of the shared raising of youth, individual task specialization, inter-colony communication, and food storage. To approach studying this evolutionary connection between toxicity and sociality, Schmidt recognised there needed to be a quantitative measure with which to score the painfulness of stings. Assays for toxicity are already well characterized and can be quantified, but without the Schmidt sting pain index, there would be no way to relate the amount of sociality to the level of pain, and therefore this hypothesis could not have been studied.


See also

* Dol scale to measure pain * Starr sting pain scale by Christopher Starr, based on the Schmidt index * '' Kings of Pain'', a TV series with another pain index


References

{{reflist, 30em


Further reading

* Berenbaum, May
"A Stinging Commentary"
in '' American Entomologist'', (Summer 2003). * Conniff, Richard. "The King of Sting", in '' Outside,'' v. 21 n. 4 (April 1996), pp. 82–84, 147. * Conniff, Richard.
Stung: How tiny little insects get us to do exactly as they wish
, '' Discover'', June 2003.


External links


The Chemical Compositions of Insect Venoms
- Includes the graphic below
A Partial Schmidt Insect Sting Pain Index
Insect bites and stings Pain scales 1983 introductions