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West Virginia Arbovirus Surveillance 2003. The Year in Review. 2003 WV Summary. WNV 2 Human Cases 1 Encephalitis Berkeley Co 1 Fever Lewis Co 45 WNV positive birds (Out of 700 tested) 10 WNV positive horses. High percent positive Crow -13/23 = 57% Hawk-5/12 = 41% Blue Jay-7/47= 15%.
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West Virginia Arbovirus Surveillance 2003 The Year in Review
2003 WV Summary • WNV • 2 Human Cases • 1 Encephalitis Berkeley Co • 1 Fever Lewis Co • 45 WNV positive birds (Out of 700 tested) • 10 WNV positive horses
High percent positive Crow -13/23 = 57% Hawk-5/12 = 41% Blue Jay-7/47= 15% Low percent positive Robin-2/99 = 2% Dove-2/68 = 3% Sparrow-3/52 = 6% Birds-Percent PositiveOverall - 45/700 = 6.4%
WNV Awards (you may not want) • 2002 first positive WNV - Jackson (7/12/02) • 2003 first positive WNV- Greenbrier (6/11/03) • 2003 “Hole-in-one” - Greenbrier • 2003 “All Heart” - Upshur (34 negatives) - Mercer (26 negatives) - Hancock (20 negatives) • 2003 “Last but not least” – Braxton (10/23/03)
2003 LaCrosse Encephalitis • 23 Human Cases • Age Range 4-48 • 2 were >25yrs old • 21 were <15 yrs old • 11 Female/12 Male • 0 Had no risk factors • 7 had living among hardwoods as their only risk factor
La Crosse in West Virginia HANCOCK January 2003 - December 2003 (23 Total Cases) BROOKE OHIO MARSHALL MORGAN BERKELEY MONONGALIA WETZEL 1 MARION MINERAL PRESTON TYLER PLEASANTS 1 HAMPSHIRE TAYLOR 2 DODD- HARRISON WOOD RIDGE RITCHIE BARBOUR TUCKER GRANT JEFFERSON HARDY WIRT LEWIS UP- GILMER CAL- SHUR JACK- RANDOLPH HOUN SON MASON ROANE PENDLETON BRAXTON WEBSTER PUTNAM 1 CLAY CABELL KANAWHA POCAHONTAS NICHOLAS 3 3 LINCOLN WAYNE BOONE FAYETTE 2 GREENBRIER # = Number of LaCrosse cases 5 LOGAN Counties with at least one case MINGO RALEIGH SUM- 4 WYOMING MERS MONROE 1 MERCER McDOWELL 2 WVDHHR/BPH/OEHP/Division of Surveillance and Disease Control/Infectious Disease Epidemiology Program 3/13/2002
La Crosse in West Virginia HANCOCK January 1999 - December 2003 (163 Total Cases) BROOKE OHIO MARSHALL MORGAN BERKELEY MONONGALIA WETZEL 3 MARION MINERAL PRESTON TYLER PLEASANTS 3 HAMPSHIRE TAYLOR 2 DODD- HARRISON WOOD RIDGE RITCHIE BARBOUR TUCKER 1 GRANT JEFFERSON HARDY WIRT LEWIS UP- GILMER CAL- SHUR JACK- RANDOLPH HOUN SON 1 MASON ROANE PENDLETON BRAXTON WEBSTER PUTNAM 5 CLAY CABELL 1 KANAWHA POCAHONTAS NICHOLAS 12 11 LINCOLN # = Number of La Crosse cases WAYNE BOONE FAYETTE 9 GREENBRIER 31 13 LOGAN 1-3 Cases MINGO RALEIGH 5 SUM- WYOMING 37 4-10 Cases MERS MONROE 4 1 11-20 Cases MERCER McDOWELL 21 >20 Cases 5 WVDHHR/BPH/OEHP/Division of Surveillance and Disease Control/Infectious Disease Epidemiology Program 3/13/2002
Human Arbovirus testing • Testing of all meningitis and encephalitis cases occurring between May 1- Nov. 30 • Free testing at OLS with the complete panel (WNV, EEE, LAC, SLE) • Submit yellow cards, necessary lab results, and the arbovirus investigation forms on all probable and confirmed cases
Human testing (Blood or CSF) OLS Arbovirus Website: http://www.wvdhhr.org/labservices/labs/virology/arbovirus.cfm
Dead Bird Reporting • Dead bird reporting will continue throughout the active surveillance period (May 1-Nov 30). • Use the dead bird log to keep track of all dead birds reported in the county. • At the end of each week (Friday) compile the dead bird reports and fax (304-558-6335) or email (westnile@wvdhhr.org) the dead reporting form to IDEP. • Report dead birds by the categories “Corvid (Blue Jay, Crow or Raven)” and “other”. • Report dead birds found by zip code region • If you receive notification of a cluster of dead birds, please report it to your local Department of Natural Resources.
Dead Bird Testing • Dead bird testing will be done at the WV Office of Laboratory Services for the first time this year. • OLS will only be accepting oral swab specimens from dead birds collected in the field. • We recommend that counties only send in specimens from dead crows, ravens, blue jays and birds of prey (owls, hawks, eagles, etc.). However, OLS will accept specimens from all speciesof dead birds with no obvious signs of trauma (unless funding becomes a limiting factor). • Oral swabs from fresh specimens, less than 24 hours old, without signs of decay should be submitted according to the protocol.
Dead Bird testing Cont…. • Obtain latitude and longitude information on each bird submitted. • After dead bird testing is up and running at OLS, it will continue (even after one positive is found in a county, the county should continue to submit specimens) throughout the state through November 30th and possibly year round if there is need. • Through continued testing, counties can track clusters or hot spots of West Nile activity and can monitor activity peaks and troughs at various times throughout the season.
Equine testing • Serologic testing of symptomatic equines for WNV and EEE will be available at OLS this year • Veterinarians should contact OLS for collection procedures and shipping requirements.
Mosquito Surveillance • Arbovirus testing for adult mosquitoes will be available at OLS this year • Breeding site identification, larval surveillance and breeding site elimination • Begin tracking mosquito complaint calls to help identify problem areas that may be candidates for adult surveillance • Use dead bird reporting and testing results to drive mosquito surveillance and adult collection for testing