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Eastern Equine Encephalitis
Triples In 2 Weeks
From Patricia Doyle, PhD
dr_p_doyle@hotmail.com
7-17-3


A ProMED-mail post
 
Savannah Morning News
 
The number of horses infected with eastern equine encephalitis (EEE) has tripled in the last 2 weeks in Georgia, North Carolina, and South Carolina, health officials said on Tuesday. "We usually don't see this level of activity until late in the summer, so we're concerned," said Debbie Crane of North Carolina's health department.
 
South Carolina has 45 horse cases of the disease, which is almost always fatal to unvaccinated horses. Georgia has reported 32 horse cases and 10 infected birds. North Carolina has reported 13 horse cases. Although it rarely affects people -- there have only been about 150 confirmed cases of the disease in the last 40 years -- it can be more deadly than another mosquitoborne disease, West Nile virus (WNV).
 
EEE kills about 50 per cent of people who catch it, compared with only 15 per cent for WNV. A Georgia man died from EEE in June 2003 in the nation's first human case this year. Some owners have vaccinated their horses only against WNV, Dr Venaye Reece of Clemson University said. Health officials are urging people to be vigilant about both diseases.
 
http://www.savannahnow.com/stories/071603/LOCEncephalitis.shtml>
 
 
New Bern Sun Journal
 
Cases of eastern equine encephalitis are showing up in chickens earlier than normal this year, prompting state and local environmental health officials to urge people to take precautions. "People really need to take care not to get bitten by mosquitoes," said Nolan Newton, chief of the Public Health and Pest Management Section of the North Carolina Division of Environmental Health. This is especially true along the coast, as EEE has already been found in test flocks of chickens, Newton said. So far, 2 chickens in Bladen County, 2 in Currituck County, 1 in Pamlico, 1 in Jones and 1 in Pender have tested positive for EEE.
 
"It's very unusual for us to see this kind of activity this early in the year," Newton said. He said it is normally late August before the state starts seeing this many cases. He attributed this year's early cases to the above normal amounts of rainfall that help mosquitoes breed.
 
There have been no reported cases of EEE in humans in North Carolina yet this year. There were 2 in 2002, Newton said. One of those was in Pamlico County. EEE is a viral illness that can occur in humans, horses, and birds. It is transmitted by some species of mosquitoes and attacks the central nervous system, causing inflammation of the brain. "It's a very rare disease, but it is a very serious disease," Newton said. 50 to 70 per cent of those who contract EEE die, and those who survive usually suffer long term neurological disorders such as paralysis, he said.
 
Following confirmation that a chicken in the Maysville area tested positive for EEE, the Jones County Health Department sent out a notice Tuesday for residents to take precautions. "We want them to be aware, but not alarmed," said Jones County health director Ruth Little.
 
http://www.newbernsunjournal.com/Details.cfm?StoryID=9997
 
Fayetteville Online
 
Eastern equine encephalitis (EEE) has been confirmed in a horse in Columbus County, and a child is being tested for the mosquitoborne disease, health officials said on Tuesday. The child, who is from the Tabor City area, was admitted to UNC Hospitals in Chapel Hill last week, said Marian Duncan, the Columbus County health director. Results of the tests should be available this week, she said.
 
The horse was kept on Arthur Collier Road north of Evergreen. Duncan is asking residents to protect themselves against mosquitoes, which transmit the disease.
 
"Eastern equine encephalitis is a rare disease in humans, but it can be serious and even fatal," Duncan said. "The presence of the virus in animals tells us that it is in the area, and that means taking more precautions against mosquito bites." Wild birds serve as reservoirs for the virus. Mosquitoes bite the birds and can then transmit the virus to humans and animals. "People should use mosquito repellent with DEET and follow the instructions on the label, she said. Wear long pants and long-sleeved garments when outside," Duncan said, "and avoid going out at dusk and dawn, when mosquitoes are most active."
 
People should also: -Remove containers that can hold water, even a small amount -Keep gutters clean and in good repair -Repair leaky outdoor faucets and change the water in birdbaths and pet bowls at least twice a week -Use screened windows and doors and make sure screens fit tightly and are not torn.
 
The viral illness attacks the central nervous system, and about half of the people infected with the disease die. Young children and the elderly are most at risk. North Carolina averages about one case in humans each year. Symptoms in people, which resemble those of the flu, include fever and headache. A vaccine for horses is available, but a human vaccine does not exist.
 
http://www.fayettevillenc.com/story.php?Template=region&Story=5764863
 
----- ProMED-mail <promed@promedmail.org>
 
[A release from the North Carolina Health Department may have included some of these same precautions about clothing and eliminating places for mosquitoes to breed. However, the release also contained the statement: "A health department release advises residents to use mosquito repellant or wear long sleeves and long pants when outside." Mosquito repellants should not be used on children younger than 6 months, the release states. Products made for children, with no more than 10 per cent DEET, may be used once daily on those 6 months to 2 years. Children from 3 years to 12 years can use a children's strength product up to 3 times a day and those 13 and older can use products containing up to 30 per cent DEET, the release states.
 
EEE is endemic in the southern and eastern regions of the United States. Southern portions of Louisiana and Texas have been experiencing early outbreaks of EEE for several years. Horse owners are encouraged to vaccinate. Initially, 2 vaccinations about 3 weeks apart are recommended followed by yearly boosters thereafter, but immunity to EEE is short. In areas where the mosquito season is very long, horse owners may want to consider vaccinating twice during the year. It is best to check with a veterinarian in your area.
 
Though chickens and other birds are good sentinels, emus seem especially sensitive to EEE. This was important to the emu breeder when that market was high; however, owners of those birds still need to be aware the birds are susceptible to the virus. - Mod.TG] ...................tg/pg/sh
 
 
Patricia A. Doyle, PhD Please visit my "Emerging Diseases" message board at: http://www.clickitnews.com/ubbthreads/postlist.php?Cat=&Board=emergingdiseases Zhan le Devlesa tai sastimasa Go with God and in Good Health

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