Question: An ophthalmologist from Cameroon, Africa describes the microfilaria seen in the eye of patients with Onchocerciasis. He states that he treats only after finding 30+ microfilaria because of the toxicity of Diethyl-Carbamazine that was used for treatment. Now with a less toxic agent, (Ivermectin) a major attempt is being made to eradicate Onchocerca volvulus. Which statement is false regarding Onchocerca volvulus?
A. It is transmitted by the Simulian Black fly that reproduces in rapidly moving water
B. Itching of the skin is a prominent feature of this disease
C. The adults live in a nodule on the skin with the female producing large numbers of microfilaria that migrate under the skin
D. Diagnosis can sometimes be made by finding the microfilaria in a skin snip or skin biopsy
E. The microfilaria mate in the human skin and develop into the adult parasite