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16 In Lousiana Have Now Been
Infected With West Nile
By Mike Dunne
mdunne@theadvocate.com
Advocate staff writer
7-26-2



Five more people have been infected with West Nile encephalitis, state health officials said Wednesday.
 
Meanwhile, the head of the state agriculture department said 63 horses also have contracted the West Nile virus.
 
Last year, which marked the first time the virus showed up in Louisiana, only one person -- a man from Kenner -- was confirmed to have contracted West Nile.
 
So far this year, 16 people have been diagnosed with the disease.
 
"It is not over -- it is going to get much worse," State Epidemiologist Dr. Raoult Ratard said Wednesday. "It is in full swing, and there is no sign it is letting up."
 
He said the state is now seeing about five new human cases per week.
 
The mosquito-borne virus causes encephalitis, or swelling of the brain, in horses and humans. In humans, severe cases can cause paralysis, and extreme cases can kill.
 
The Louisiana Department of Health and Hospitals confirmed one of the new cases is a 16-year-old Denham Springs boy who is hospitalized. It is the second West Nile case found in Denham Springs.
 
The other four new cases are all women.
 
Two, ages 29 and 37, are from Slidell, and have been discharged from the hospital. The others are a 55-year-old from Albany who is still hospitalized and a 56-year-old from Ponchatoula who has been discharged.
 
Four cases have already been confirmed in East Baton Rouge Parish.
 
Ratard said the large number of horse cases concerns him because human infections could expand just as rapidly.
 
West Nile is running rampant in birds, Ratard said.
 
Mosquitoes, though short-lived, infect birds, which then often play host to the virus from season to season.
 
Other mosquitoes bite infected birds, becoming carriers themselves.
 
Those mosquitoes spread the disease to other animals and people. Some species, such as blue jays and crows, die from the virus.
 
Ratard said once five to 10 birds in a parish are confirmed to have died from West Nile virus, the state quits spending the $50 the test costs per bird.
 
"You know West Nile is there," he said.
 
But testing will resume during the next few weeks in some of those locations to check on the level of infection in birds, Ratard said.
 
Health officials still want people to report dead birds to help identify the possible range of the virus.
 
State Commissioner of Agriculture and Forestry Bob Odom said the virus has developed rapidly in the horse population, especially in the Florida Parishes.
 
"We're seeing very high numbers in Tangipahoa and St. Tammany, and some in Washington as well," Odom said.
 
Other outbreaks of the virus are in Cameron and Calcasieu parishes in the southwest, and in Ascension Parish in the southeast.
 
Animal health officials also are reporting isolated horse cases in East Feliciana, Iberia, Point Coupee, St. Bernard and Vermilion parishes.
 
"So far we have no confirmed cases in north Louisiana," Odom said.
 
But he cautioned horse owners in that part of the state to vaccinate their animals. A West Nile vaccination is available for horses through veterinarians, Odom said.
 
West Nile virus was first diagnosed in Louisiana horses last year, when nine such cases were confirmed.
 
"There were probably more cases out there last year, and I would suspect there are more this year, but sometimes the disease goes undetected by horse owners and the animal eventually gets well," Odom said.
 
Symptoms of West Nile virus in horses are similar to those of Eastern Equine encephalitis.
 
The symptoms includelethargy, increase in temperature and, eventually, the inability to stand or walk.
 
West Nile virus is fatal in about 30 percent of the horses that contract it. Eastern Equine encephalitis has a mortality rate of 90 percent in horses.
 
http://www.theadvocate.com/stories/072502/new_wnile001.shtml





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