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The Schmidt sting pain index is a pain scale rating the relative
pain Pain is a distressing feeling often caused by intense or damaging Stimulus (physiology), stimuli. The International Association for the Study of Pain defines pain as "an unpleasant sense, sensory and emotional experience associated with, or res ...
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 typi ...
n stings. It is mainly the work of Justin O. Schmidt, who was an
entomologist Entomology (from Ancient Greek ἔντομον (''éntomon''), meaning "insect", and -logy from λόγος (''lógos''), meaning "study") is the branch of zoology that focuses on insects. Those who study entomology are known as entomologists. In ...
at the Carl Hayden Bee Research Center in
Arizona Arizona is a U.S. state, state in the Southwestern United States, Southwestern region of the United States, sharing the Four Corners region of the western United States with Colorado, New Mexico, and Utah. It also borders Nevada to the nort ...
. Schmidt's original 1983 paper was a way to systematize and compare the hemolytic properties of insect venoms. A table in the paper included a column that rated sting pain, starting from 0 for stings that are completely ineffective against humans, progressing through 2 for familiar pains such as those caused by 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 ...
stings, and finishing at 4 for the most painful stings. Only the bullet ant, ''
Paraponera clavata ''Paraponera clavata'', commonly known as the bullet ant, is a species of ant known for its extremely painful Insect bites and stings, sting. It inhabits humid lowland rainforests in Central America, Central and South America. Etymology The Spe ...
'', was given a rating of 4, although later versions of the index added two more species. Schmidt 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.


Motivation

The Schmidt sting pain index arose from the pursuit of a larger
hypothesis A hypothesis (: hypotheses) is a proposed explanation for a phenomenon. A scientific hypothesis must be based on observations and make a testable and reproducible prediction about reality, in a process beginning with an educated guess o ...
: that 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 ...
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 typi ...
was dependent on the evolution of venom that was both painful and toxic. Pain is a signal of damage in the body, but molecules that produce pain are not the same as toxic molecules, which actually cause damage. Although the painful signal acts as a deterrent, intelligent predators learn the dishonesty of this signal with repeated exposure. For the early Hymenoptera that were primarily solitary, the pain alone would allow them the chance to escape. Moreover, solitary insects do not provide a high energy reward for predators, and therefore predators do not expend significant effort to hunt them. However, colonies of Hymenoptera are a nutritionally rich target. If there were no defenses, predators would devour the defenseless society, leaving few surviving individuals. Therefore it was theorized that the development of toxicity in Hymenoptera facilitated the development of sociality, which brings various benefits, including the shared raising of youth, individual task specialization, inter-colony communication, and food storage. Assays for toxicity were already well characterized, so the evolutionary connection between toxicity and sociality could be studied. Schmidt developed his pain index to relate the amount of sociality to the level of pain.


Scale

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 typi ...
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.


Level 1

Some of the insect stings Schmidt considered 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. Many small bees are categorized into a pain level of 1, with their
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 ...
containing
polypeptides Peptides are short chains of amino acids linked by peptide bonds. A polypeptide is a longer, continuous, unbranched peptide chain. Polypeptides that have a molecular mass of 10,000 Da or more are called proteins. Chains of fewer than twenty ami ...
such as
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 a ...
, apamin, and MCD peptide. Melittin is the main toxin of bee venom, and it damages
red blood cell Red blood cells (RBCs), referred to as erythrocytes (, with -''cyte'' translated as 'cell' in modern usage) in academia and medical publishing, also known as red cells, erythroid cells, and rarely haematids, are the most common type of blood cel ...
s and
white blood cell White blood cells (scientific name leukocytes), also called immune cells or immunocytes, are cells of the immune system that are involved in protecting the body against both infectious disease and foreign entities. White blood cells are genera ...
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 p ...
s. Feeling only slight pain, Schmidt 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."


Level 2

Schmidt set 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 ...
s, bees, and
ant Ants are Eusociality, eusocial insects of the Family (biology), family Formicidae and, along with the related wasps and bees, belong to the Taxonomy (biology), order Hymenoptera. Ants evolved from Vespoidea, vespoid wasp ancestors in the Cre ...
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 typi ...
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." He also described the sting of the honeybee as a similar feeling to “The oven mitt had a hole in it when you pulled the cookies out of the oven.”


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 peptides, 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 ...
. 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) (from 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 hyperpo ...
. 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."


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 ''
Paraponera clavata ''Paraponera clavata'', commonly known as the bullet ant, is a species of ant known for its extremely painful Insect bites and stings, sting. It inhabits humid lowland rainforests in Central America, Central and South America. Etymology The Spe ...
'', as a 4. He wrote, "''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." In a later work, he 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, 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. A polypeptide is a longer, continuous, unbranched peptide chain. Polypeptides that have a molecular mass of 10,000 Da or more are called proteins. Chains of fewer than twenty am ...
. 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 later rated the sting of '' Synoeca septentrionalis'' 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.


Legacy

While Schmidt's published scientific papers use a 1 through 4 number scale, 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 197 ...
'' reported that "implausibly exact numbers" such as "bullhorn acacia ant at 1.8" were "wheedled out of him" by ''Outside'' magazine for an article it published in 1996. In September 2015, Schmidt and Michael L. Smith were co-awarded the Ig Nobel Physiology and Entomology prize for their Hymenoptera research. The
Starr sting pain scale The Starr sting pain scale was created by the entomology, entomologist Christopher Starr as a scale to compare the overall pain and nociception, pain of hymenopteran stings on a four-point scale, an expansion of the Schmidt sting pain index, "pain ...
is based on the Schmidt index.


See also

* Dol scale to measure pain * '' Kings of Pain'', a TV series with another pain index


Notes


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