Working with round numbers, a gram of antimatter has $10^{14}$ joules of energy. Each insect has $10^{-3}$ grams of antimatter. $10^{9}$ joules of energy is equivalent to one ton of TNT. Adding exponents, each insect has an energy equivalent of $10^2=100$ tons of TNT.
And worse yet, you have $10^{12}$ bugs. Adding exponents, the swarm has on the order of $10^{23}$ joules of energy, or the equivalent of $10^{14}$ tons of TNT. That approximately matches the energy of the Chicxulub impactor that killed off the dinosaurs.
This much energy must not be allowed to be released, or everyone dies.
It's quite possible that the Elves have done something idiotic and have released an uncontrollable death sentence on the planet. Consider the following bad days:
- Elven creator of insects feels an annoying itch on the back of his neck. Scratches the itch, kills an insect. Resulting detonation initiates a chain reaction, and the whole swarm goes up in plasma.
- The insects find they can get lysine from soybeans and begin to reproduce. Being able to sterilize an area with gamma rays, they outcompete native ants. Now there are $10^3$ Chicxulub impactors.
- There's a stalemate until early one September morning. The Elven king wakes up and shivers, worrying about the impact of the frost on his rose plants. Before the roses wilt, though, a few insects succumb to the frost. The Elven king no longer has to worry about the cold.
These scenarios lead me to believe a critical thing about these insects: they don't retrieve antimatter unless caused to do so by an Elf. If they did it at will, or near death, the elves could not control the risk behind their borders, and the world would end. This gives the menace some tactical value, otherwise the bugs are just a danger rather than a weapon for the Elves.
However, the bugs are insects, not tacticians. They won't take complex instructions, like flight paths, hunting in cooperation with other insects, or targets to kill. Perhaps they can be aggressive towards humans, but that's pushing it. What would happen?
At first, the human armies would be rocked by unknown bombs near their cities. Surveillance cameras wouldn't see anything. They'd upgrade their cameras, and install NVRs in subterranean safes to capture footage from aboveground, watching for elven missiles, human traitors, bomb trucks, anything that could cause that kind of carnage. Eventually, they'd get lucky with a camera that coincided exactly with the calculated epicenter of the bomb, and notice a private waving his hands around swatting at a bug (probably not visible on the camera). He'd smile when it landed, and at the precise moment when his palm came down to swat it, the feed cuts. It's too precise to be a coincidence.
Higher-resolution cameras being watching for insects. Eventually, they figure out the species, and capture some before they're loaded by the Elves. They deploy laser insect turrets, with some success, killing off insects near hardened military targets, until one blasts an antimatter bug and the installation is destroyed. Fortunately, they have sensors on the laser turret, which note the radiation and EM fields coming from the insect. On further investigation, they find the specialized antimatter containment organs.
At this point, they have a couple options:
- Develop bug life support drone ships. Perhaps the bugs can't consciously release the antimatter, and only have energy for a few minutes' flight away from the sender. If a quadcopter can snatch the bug and give it a cardiopulmonary bypass, feeding tube, and eventually extract the bug to a lab where they can artificially power the antimatter containment or fire it into space, they could survive a little while, until the cost of all that containment and all those drones bankrupted them.
- Develop biological warfare to target the bugs. A virus or pesticide to kill off the population before they could be sent to pick up the antimatter, destroying their habitat or mating grounds, or otherwise destroying the species could rapidly reduce the $10^{12}$ number to something manageable, if not 0.
- Figure out the wormhole mechanism used by the bugs, and flee the planet. Alternate universes exist and are reachable by wormhole! 1 in 2 is probably not antimatter. Size limits are one thing, but biology is stupid. If a bug can transit the wormhole with its own energy, a nuclear power plant should be able to send a small spaceship through.