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West Nile Virus. Timeline. 1937 First Case reported 1950 Virus studied in Egypt 1957 Outbreak in Israel 1960 Equine cases 1999 Appeared in US. World Wide. Africa West Asia Eastern Europe Middle East United States. New York. 1999 62 Human cases 7 deaths 2000 21 Human cases
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Timeline • 1937 • First Case reported • 1950 • Virus studied in Egypt • 1957 • Outbreak in Israel • 1960 • Equine cases • 1999 • Appeared in US
World Wide • Africa • West Asia • Eastern Europe • Middle East • United States
New York • 1999 • 62 Human cases • 7 deaths • 2000 • 21 Human cases • 2 deaths • Numerous bird (crow) causes
Connecticut Indiana Ohio Maryland Pennsylvania Florida Virginia Massachusetts New Hampshire New Jersey New York Rhode Island Georgia Positive States
Transmission of WNV • Birds are reservoirs • Mosquitoes are Vectors • Humans and horses are incidental hosts • No horizontal spread of WNV from humans to horses
Bird Mosquito HorsesHumans
Mild Infection Symptoms • Symptoms occur abut 5-15 days after mosquito bites • Mild fever • Headache • Body aches • Rash • Swollen lymph nodes
Seen mostly in elderly Less than 1% of infected develop into severe illness Causes encephalitis (inflammation of the brain) Rapid onset of severe headache High fever Stiff neck Confusion Coma Muscle weakness Serious Infection Symptoms
Diagnosis • Testing • Done if person develops symptoms • Medical history first assessed • People who live in or have traveled to areas where WNV has been identified are at high risk • People over 50 are at high risk
Diagnosis • Blood Sample • Drawn and taken to commercial or public health laboratory for conformation • IgM antibodies tested in serum or cerebral spinal fluid • ELISA test • Used to incubate goat IgM and human serum and test it with WNV antigen from vero cells infected from gulls mice and goats
Treatment • No treatment • Can treat secondary symptoms with fluids • Need to seek medical attention immediately • Doctor • Veterinarian
Prevention • Eliminate outdoor activities between dusk and dawn • Wear protective clothing • Use mosquito repellant • Keep pools treated • Empty and clean birdbaths, plant trays once a week
Prevention • Replace outdoor lights with yellow lights • Report dead birds to proper authority • Vaccinate horses against WNV • Make sure screens are bug tight