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EEE, West Nile Found
In New Hampshire

BFrom Dr. Patricia Doyle, PhD
From ProMED-mail
9-26-5
 
Bird Tests Positive In First EEE Case
 
By Adam Leech
Rockingham News
New Hampshire
9-26-5
 
A dead bird found off Sunden Parkway tested positive for eastern equine encephalitis (EEE), marking the 1st documented case of the potentially deadly disease in town.
 
The town sent 3 birds to the state laboratory in Concord last week [3rd week September 2005], according to Officer Tona McCarthy. One wren came back positive for EEE, and 2 blue jays tested positive for the West Nile virus.
 
The positive tests come in the wake of the death of a 20 year old from Newton, who contracted EEE and subsequently died from the virus on 9 Sep 2005. Health officer Richard Mailhot said the positive test for EEE was the 1st in Raymond. There are a substantial amount of wetlands and mosquito activity in town, he said, but the spread of the virus depends highly on the migratory patterns of birds.
 
Raymond does not spray for mosquitoes. Towns that have had dead birds with EEE and West Nile in recent years, such as Newton and Kingston, hire companies in the spring to kill the mosquito larvae in mosquito habitats. Both towns are scheduled to disperse an aerosol spray that kills adult mosquitoes.
 
While spraying does diminish the number of mosquitoes, there is no way to get rid of all of them, which is why state officials have asked residents to take proper precautions to avoid being bitten. Mailhot said he is recommending residents limit early-morning and late-evening outdoor activities, use insect repellent that contains DEET, and wear long sleeves and pants when possible.
 
"In general, mosquito bites are something to be avoided whenever possible," said Mailhot. "We just need to be more vigilant in how we protect ourselves." McCarthy said he's seen an influx of calls to pick up dead birds since the woman's death, which he said made the community more aware of the risk in contracting EEE.
 
"Since the incident with my fellow officer, I think people are being more cautious," said McCarthy, adding that no more birds will be accepted, because both viruses are confirmed. "Now that Raymond tested positive, it's here."
 
There are 5 confirmed human cases of EEE in the state this year [2005]. One has resulted in a death, but state officials said there is a 35 percent chance of death once the virus is contracted. The death of the woman was the 1st in the state in 25 years.
 
EEE is spread to humans by the bite of an infected mosquito. When a mosquito bites an infected bird, it becomes infected. The infected mosquito could then bite a human and transmit the infection.
 
Though horses are most susceptible to contracting the virus, neither horses nor humans can transmit the virus to mosquitoes or other animals. EEE is mainly transmitted between birds and certain types of mosquitoes.
 
Symptoms range from mild flu-like illness to inflammation of the brain, coma or death, according to the Centers for Disease Control and Prevention (CDC). State officials said mosquito activity will decrease as the weather gets cooler and should be negligible once the 1st frost comes, likely sometime in October.
 
"Fall is approaching soon, but this is no time to drop our guard," said John Stephen, commissioner of the state Department of Health and Human Services (DHHS). "We continue to see substantial evidence that both EEE and West Nile virus are actively present in New Hampshire. I hope everyone continues to take preventive measures to protect themselves from these diseases."
 
DHHS has set up a toll-free hotline for EEE/West Nile virus at (866) 273-6453. Anyone with questions can call from 8 a.m. to 4:30 p.m. for information about these viruses. For information go to the CDC website http://www.cdc.gov, or the DHHS website http://www.dhhs.nh.gov.
 
http://www.seacoastonline.com/news/rock/09232005/news/64554.htm
 
 
EEE Found In Pennsylvania
 
9-16-5
 
HARRISBURG -- The Pennsylvania departments of Agriculture, Health and Environmental Protection today reported the first positive mosquito sample for Eastern Equine Encephalitis (EEE). The mosquito pool was found in Tobyhanna Township, Monroe County.
 
EEE is a rare but serious disease that causes an inflammation of the brain tissue. In most cases, infections with EEE do not cause any symptoms. When symptoms do occur in humans, they generally appear 5 to 15 days after being bitten by an infected mosquito. Symptoms include high fever, fatigue, muscle ache, stiff necks and tremors or confusion. In severe cases, inflammation of the brain (encephalitis) occurs, which may lead to convulsions, coma and death.
 
"Historically, this disease has not had a significant human presence in Pennsylvania, and the chances of anyone contracting it remain very low, said state Health Arbovirus Coordinator Marjorie Ebenezer, MD, MPH. "By taking the prudent precautions of wearing insect repellant; proper clothing - long sleeves and pants when possible; avoiding wetland and marsh areas - especially at dawn and dusk; and removing standing water on your property where mosquitoes can breed, you can further reduce your chances of contracting this, or other, mosquito borne diseases."
 
While not prevalent in Pennsylvania, EEE has been identified in neighboring states and fatalities have occurred this year in horses and humans in other states.
 
In the last 30 years there have been two reported human cases of EEE in Pennsylvania.
 
Because it is mosquito-borne disease, the highest risk of infection to humans is during the mid-summer to early fall, and often near swampy or wetland areas. The virus that causes EEE is spread only by the bite of a mosquito. People and horses with EEE do not spread the disease.
 
Monroe County Vector Control, DEP's Northeast Region and Central Office staff have increased the surveillance activity in the area of the positive EEE collection. If the increased surveillance identifies sufficient adult mosquito species capable of transmitting the disease to people, county and DEP personnel are prepared to conduct adult mosquito control in those areas where human populations are at risk for EEE transmission. Larval control of all mosquito production sites continuously occurs in the county.
 
The same precautions used for West Nile virus should be used for EEE. Use effective repellants on your clothing and on exposed skin, wear long sleeves and long pants, and be sure you have window screens that keep insects out. Avoid providing a breeding ground for mosquitoes"remove containers, old tires, birdbaths, any objects from your property where water can collect and mosquitoes can lay eggs. For standing water that can't be eliminated, homeowners can buy Bti products at lawn and garden, outdoor supply, home improvement and other stores. This naturally occurring bacteria kills mosquito larvae, but is safe for people, pets, aquatic life and plants.
 
EEE can also cause illness and death in horses. Symptoms in horses include appetite loss, drooping eyelids and lower lip, aimless wandering and circling, blindness, and inability to stand. The infection in horses is fatal in more than 90 percent of the cases, and death usually occurs in two to three days.
 
The state agriculture department recommends that horse owners consult their veterinarians about vaccinating their animals.
 
EEE can also affect ratites (ostriches, rheas and emus). For more information on prevention options for ratite owners, contact your veterinarian.
 
For more information about Eastern Equine Encephalitis (EEE) virus go to www.westnile.state.pa.us.
 
http://www.agriculture.state.pa.us/agriculture/cwp/view.asp?A=390&Q=136104
 
 
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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