Nosema Control Products

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Nosema disease control products are products used, or sold for use, against the spores of Nosema apis and Nosema ceranae (now called Vairimorpha), which settle in the gut of adult bees. The medicine used in the past (fumagillin) is no longer authorised in many countries today, and evidence for the effectiveness of herbal and probiotic products sold as "nosema support" is limited. The real tools of Nosema control are diagnosis with a microscope, comb renewal, comb disinfection, good nutrition and clean water.

Diagnosis first: Nosema cannot be recognised by eye

Nosema symptoms are not specific. N. apis mostly shows itself in late winter and spring with dysentery streaks; N. ceranae, however, can be present all year and often weakens the colony silently without causing streaks. Seeing faecal streaks in front of the hive does not prove Nosema, and not seeing them does not rule it out. That is why diagnosis with a microscope is essential before using any product.

Dark brown dysentery streaks on the top bars of frames
Dysentery streaks associated with N. apis infection: top bars and frames soiled with dark brown faeces. These streaks can also have other causes; the microscope makes the diagnosis. Photo: APHA (National Bee Unit), Crown Copyright · Open Government Licence v3.0 (Crown Copyright)
Faecal streaks at the hive entrance
Faecal streaks at the entrance of a hive with laboratory-confirmed N. ceranae. With N. ceranae there are often no streaks; their absence does not rule out the disease. Photo: APHA (National Bee Unit), Crown Copyright · Open Government Licence v3.0 (Crown Copyright)

Counting spores with a microscope

  1. Take a sample of about 30 bees from old foragers returning to the entrance; young house bees can make the result look better than it is.
  2. Crush the bees' abdomens with a little water and put a drop on a slide.
  3. At 400× magnification look for bright-edged, oval spores resembling grains of rice; measure their density with a counting chamber.
  4. A molecular test (PCR) in the laboratory is needed to reliably tell N. apis from N. ceranae.
Oval Nosema spores under the microscope at 400× magnification
Nosema apis spores at 400× magnification: small, bright-edged ovals resembling grains of rice. Photo: APHA (National Bee Unit), Crown Copyright · Open Government Licence v3.0 (Crown Copyright)
Two Nosema ceranae spores at 1000× magnification
N. ceranae spores at 1000× magnification. Because the two species look very alike, they are identified with a molecular test. Photo: APHA (National Bee Unit), Crown Copyright · Open Government Licence v3.0 (Crown Copyright)

Taking samples at least twice a year, at the start of spring and in autumn, lets you see the trend. If you have no microscope, preserve the bee sample in alcohol or by freezing and send it to a laboratory; ask in advance which bees to send, how many and how.

Is there a Nosema treatment? Product groups and the state of the evidence

Product groupClaimState of the evidence
Fumagillin (antibiotic derivative)Suppressing spore multiplicationNot authorised in many countries, including the EU; effectiveness against N. ceranae disputed; residue problems
Plant extracts, essential oils (thyme, garlic, etc.)Reducing spores, supporting the gutMixed results in laboratory and small field studies; limited evidence
Probiotic and prebiotic productsBalancing the gut floraSome preliminary findings; no consistent effect shown in the field
Vitamins and "immune booster" additivesGeneral increase in resistanceLimited evidence; no substitute for good nutrition
Acetic acid (comb disinfection)Reducing spores on stored empty combAn established method for cleaning comb; not used in a hive with bees

In short, for Nosema there is no widely authorised product that is given to the bees in the hive and reliably cures the disease. Ask your veterinarian whether there is an authorised option in your country and about restrictions relating to the honey harvest. Do not use antibiotics or mixtures recommended on the internet on your own; they leave residues in honey and do not solve the problem.

Do not put random medicines, vinegar, essential oils or other additives into syrup. Additives of uncertain dose can harm the bees, pass into the honey, and have not been shown to solve Nosema.

Comb disinfection: acetic acid and comb renewal

Nosema spores accumulate on comb with faeces and become a source of reinfection the following season. That is why the most effective "control product" is in fact clean comb.

  • Comb renewal: Every year remove some of the old, darkened combs and give foundation. Take faeces-soiled combs out of circulation gradually.
  • Acetic acid fumes: Empty, honey-free combs left from diseased or dead colonies can be disinfected with acetic acid fumes in a closed stack of boxes. The acid is corrosive; use gloves, goggles and a mask, work in the open air away from bees, and protect metal parts. Air the combs thoroughly before putting them back in a hive.
  • Hive body and floor: Clean them by scraping; wooden surfaces can be scorched with a flame.
  • Comb exchange: Do not give frames from a diseased colony to healthy colonies.
Many dead bees accumulated on the hive floor
Dead bees accumulated on the floor in a colony with a Nosema infection. The floor and combs from such a hive should not be used on another hive without being cleaned. Photo: APHA (National Bee Unit), Crown Copyright · Open Government Licence v3.0 (Crown Copyright)

Support against Nosema: nutrition and water

The damage Nosema does to a colony increases markedly when combined with varroa, viruses, poor nutrition and pesticide exposure. So fix the basic conditions before reaching for support products:

  1. Nutrition: Give syrup in good time during a nectar dearth, and pollen or pollen substitute in spring if pollen is short. Make sure the winter stores are not dominated by hard-to-digest honeydew honeys.
  2. Clean water: Set up a clean, frequently refreshed water source near the apiary; stagnant, dirty shared water sources can spread spores.
  3. Keep varroa under control: This is the most important step in reducing the overall pressure.
  4. Damp and ventilation: Keep the hive tilted slightly forward and off the ground; a damp hive makes the N. apis problem worse.
  5. Young queen and strong colony: Requeen colonies with persistent recurrence, and unite weak colonies once the diagnosis is clear.
Sugar fondant with pollen placed on the crown board where the bees can reach it
Sugar fondant with added pollen placed over the hole in the crown board in spring. Adequate nutrition is more reliable support against Nosema than medicine. Photo: APHA (National Bee Unit), Crown Copyright · Open Government Licence v3.0 (Crown Copyright)
Honey bee drinking water from wet ground
A clean water source: if bees cannot find a frequently refreshed water point near the hive, they turn to stagnant, dirty water. Photo: Bartosz Kosiorek Gang65 / Wikimedia Commons · CC BY-SA 3.0

What should you look for when buying a support product?

  • Authorisation or registration: Does the product have a veterinary product authorisation, or is it only a feed additive? Do not trust a product that claims to "cure" but has no authorisation.
  • Ingredients: The active ingredients and their amounts should be clearly stated; a "secret formula" claim is a warning sign.
  • Honey harvest warning: Can it be used while supers are on, and is there a withdrawal period?
  • Independent trials: Is there an independent field study apart from the manufacturer's brochure?
  • Your own measurement: If you use it, have spore counts done before and after to see whether it works.

Frequently asked questions

What is the most effective treatment for Nosema?

There is no widely authorised medicine with a proven reliable effect against N. ceranae. Comb renewal, good nutrition, clean water and varroa control are the most effective measures.

Does adding vinegar or thyme oil to syrup prevent Nosema?

This has not been reliably shown to prevent Nosema. Additives of uncertain dose can harm the bees and pass into the honey.

There are dysentery streaks on the front of the hive — is it Nosema?

It may be, but long winter confinement, unsuitable winter feed or other diseases also cause streaks. For a definitive diagnosis, have a bee sample examined under a microscope.

Can I use the combs from a hive with Nosema?

Melting down faeces-soiled combs is safest. Empty combs that look clean can be used after being disinfected with acetic acid fumes and thoroughly aired.

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