OCR error (C:\Conversion\JobRoot\00000CEN\tiff\20013NGT.tif): Unspecified error ------- History The first documented case of West Nile infection in humans occurred in Uganda in 1937. Originally endemic to Africa, western Asia and the Middle East, the virus has since stretched into Australia and parts of Europe. In 1999, West Nile crossed the Atlantic and struck New York City, causing 62 illnesses and 7 deaths. The US strain of West Nile is genetically similar to a variety found in Israel, which suggests that international travel—perhaps stowaway mosquitoes or unaware human carriers—brought the virus to the Western hemisphere. Epidemiology The Centers for Disease Control and Prevention has identified approximately 4,000 human cases in 40 states, with Illinois, Ohio, Michigan and Louisiana posting the greatest numbers. The documented cases do not account for all infections, as 80% of infections pass unnoticed. Less than 1% of infections results in severe neurological illness, such as meningitis and/or encephalitis. In 2002, West Nile caused 284 human deaths in the United States. In the same year, more than 15,000 horses were diagnosed with West Nile virus; 33% died or were euthanized. A vaccine exists for horses and is 94% effective. Medical Facts West Nile virus belongs to the flavivirus genus, which includes yellow fever and St. Louis encephalitis. Following infection, the virus incubates 3-14 days. The vast majority of infected people do not exhibit any symptoms. Protect Your Home Eliminate stagnant water in cans, buckets, tires, pots. Change water frequently in bird baths and water bowls. Remove leaves and other blockages from roof gutters. Install and repair screens on doors and windows. Be wary of electric bug zappers. Biting insects make up less than 1% of insects killed by such devices. Bug zappers also kill beneficial insects, including mosqito predators. Symptoms Those who develop West Nile fever have mild, flu-like symptoms that usuallly subside after 3 to 6 days. The relatively few patients who fall seriously ill may experience severe muscle weakness and develop meningitis and/or encephalitis. These patients tend to experience persistent symptoms for more than a year. The elderly and the immuno-suppressed are at greatest risk of suffering health complications from West Nile virus. I Diagnosis I Generally, diagnostic tests do not search for the virus in the body; • instead, they locate antibodies that fight the virus. Because many ' flaviviruses elicit the production of similar antibodies, West Nile 5 infection is easily confused with other flaviviral infections, such as St. ' Louis encephalitis. People with vaccinations for other flaviviruses (e.g., : yellow fever) may also falsely test positive for West Nile. Treatment ', Because no cure exists for West Nile in humans, treatment is supportive; doctors help the immune system tackle the infection. Antibiotics are ineffective. A vaccine is expected in a few years. Mosquito Vectors Mosquitoes are the primary vectors of West Nile, meaning they carry the virus from host to host. Nectar is their primary food source. Only females take blood in order to develop their eggs; males do not bite. Colder months reduce mosquito activity, but the virus persists in dormant mosquitoes and eggs that survive winter. Cu/ex pip/ens Flight range: '/i mile - 1 mile Feeding times: dusk to dawn Habitat: stagnant pools, artificial containers Seasons: late Spring to Fall Cu/ex salinarius Flight range: up to 5 miles Feeding times: dusk to dawn Habitat: fresh, brackish water near coast Seasons: early spring to November Bothersome for duck hunters in the fall The Centers for Disease Control and Prevention reports that 37 mosquito species in the United States have tested positive for West Nile virus. The most common carriers are the Northern House mosquito (Culex pipiens) and the Southern House mosquito (Culex quinquefasdatus). Because it readily feeds on humans, Culex salinarius is an important vector as well. In western states, Culex tarsalis plays a prominent role in transmission. Cu/ex mosquito Courtesy or CDC ------- ...that healthy wetlands are not unmitigated mosquito factories. Healthy wetlands provide habitat for mosquito-eating fish, amphibians, insects and birds, all of which help limit mosquito populations (and none of which exist in backyard pots or buckets). Bats also help reduce mosquitoes. According to Bats Conservation International (www.batcon.org), a single bat can catch 100 insects per hour. Protecting wetlands is more important than ever, for in addition to their well-known benefits— water purification, wildlife habitat, floodwater retention—healthy wetlands have natural mosquito controls. Are Wetlands a Threat? The principal mosquito carriers of West Nile virus do not prefer most wetlands. Culex pipiens and Culex quinquefasciatus reach greatest numbers in large urban centers, breeding easily in artificial containers—birdbaths, discarded tires, buckets—and in human-created environments, such as clogged gutters, animal waste lagoons and sewage effluent. Adapted to polluted habitats, these Culex species generally avoid swamps and salt marshes altogether. Culex salinarius prefers fresh or brackish water near coasts and is particularly fond of salt marshes that have been converted into freshwater impoundments. Contaminated water and degraded wetlands provide ideal habitat for mosquitoes that carry West Nile virus. High nutrient loads spur microbial growth and cause harmful algal blooms, which are sources of food for mosquito larvae. Filling or draining wetlands may increase mosquito outbreaks, as puddles that lack mosquito predators may form after rains or floods. Therefore, communities can help control mosquito populations by protecting wetlands and other shallow waters from pollution and degradation. Wetland Restoration and Mosquito Reduction in New Hampshire Prior to its restoration in 1999, the two-acre Edmond Avenue wetland was in critical condition. Residential development near Portsmouth, New Hampshire, had partially filled the wetland, and urban and stormwater runoff had contaminated the water. Increased sedimentation had reduced the extent of open water, and invasive plants choked native species. By 1996, the continued degradation of the Edmond Avenue wetland transformed the ecosystem into a major breeding site for mosquitoes, including the Culex species primarily responsible for West Nile transmission. From 1996-1999, the application, of mosquito larvicides and sprays jumped to 4- 5 times per year, a four-fold increase from the previous 15 years. Since its restoration in 1999, the Edmond Avenue wetland no longer requires mosquito control measures. The restored wetland lacks stagnant depressions and is deep enough in some areas to support fish that eat mosquitoes. Wave action also disrupts mosquito breeding. Results have been astonishing—a near 100% reduction in mosquito habitat and the virtual elimination of Culex species, not to mention improved water quality and bird habitat. Broadleaf arrowhead ------- References for American At'occi Bernard, K. July-August 2001. West Nile virus infection in birds and mosquitoes, New York State, 2000. Emerging Infectious Diseases 7(4). Crans, Wayne J. Products and Promotions That Have Limited Value for Mosquito Control. Rutgers, the State University of New Jersey. Eidson M., Komar N., Sorhage F., Nelson R., Talbot T., Mostashari F., et al. 2001. Crow deaths as a sentinel surveillance system for West Nile virus in the northeastern United States, 1999. Emerging Infectious Diseases 7. Fauci, A., Director of National Institute of Allergy and Infectious Diseases. September 24, 2002. Congressional testimony before Senate subcommittee on Oversight of Government Management. Giladi M., et. al. 2001. West Nile encephalitis in Israel, 1999: the New York connection. Emerging Infectious Diseases 7. Goddard L.B., et al. December 2002. Vector competence of California mosquitoes for West Nile virus. Emerging Infectious Diseases 8. Mostashari E, et. al. 2001. Epidemic West Nile encephalitis, New York, 1999: results of a household-based seroepidemiological survey. Lancet 358:261-4. Petersen L., Marfin A. 2002. West Nile virus: a primer for the clinician. Annals of Internal Medicine 137:173-179. Smithburn K., Hughes T., Burke A., Paul J. 1940. A neurotropic virus isolated from the blood of a native of Uganda. American Journal of Tropical Medicine and Hygiene. 20:471-92. Protect Your Community Report unusual bird deaths to officials at appropriate focal, county or state agencies. Protect wetlands from pollution, including runoff from f«i*r*s, lawns and roads, since contaminated water attracts mosq«|toes that carry West Nile. ," Remember that stocking wetlands and ponds with fitft that eat mosquitoes may fcave unintended ecological consequences. Design stormwater catchments and constructed welifhds so that mosquito breeding l^rniriirnized. Try larvicfdes befori gA^Mddes, if possible "and-'nes^&|fiy|r since larvicides more .<$fci$$ijij$f, control mosquitoes. Ctfff'ferity'•'. follow instructions on U.L on the Internet Centers for Disease Control and Prevention, West Nile Virus http://www.cdc.gov/ncidod/dvbid/westnile Maps of West Nile Distribution in the United States http://cindi.usgs.gov/hazard/event/west_nile/west_nile.html State and Regional Information http://westnilevirus.nbii.gov/states/index.html Cornell University, Center for the Environment http://www.cfe.cornell.edu/erap/WNV/ Health information, fact sheets, latest case counts Locations of infections in humans, birds and other animals State by state information on infections, surveillance and control Updates on West Nile, sources and links for public and professionals ------- |