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CDC Confirms First Human Case of West Nile Virus;
Two Additional Suspect Cases Identified

Contact:

Robert J. Alvey, ADH Office of Communications 
(501) 661-2743 | After hours, call (501) 661-2136

August 28, 2002

Little Rock The Arkansas Department of Health today received from the Centers for Disease Control and Prevention (CDC) early test results indicating a human case of West Nile virus infection. The patient, a resident of Jefferson County, is not hospitalized and is recovering.

Additionally, the Arkansas Department of Health is reporting two more suspect human cases of West Nile virus, one from Jefferson County and one from Pulaski County. Samples will be sent to the CDC for confirmatory testing.

“While some might see this first case as news, it comes as no surprise given our statewide surveillance program and the amount of West Nile virus activity in bordering states,” Dr. Fay Boozman, ADH director, said. “This is our first confirmed case but the reality is that we have most likely had previous cases of humans infected with West Nile who were not sick enough to seek medical attention.

“It is crucial that we maintain surveillance of West Nile virus and recording the first human case just reinforces the need for mosquito prevention and abatement. But I want to remind everyone that 99 percent of those who are bitten by an infected mosquito will never experience symptoms severe enough to seek medical attention.”

To date, 14 suspect cases have/will be (see below) sent to the CDC for confirmatory testing. Following is a breakdown of the suspect cases:

County

Suspect Cases

CDC Results

Arkansas

3

pending

Crittenden

  1*

pending

Jefferson

5

1 positive / 4 pending

Monroe

1

pending

Pulaski

2

pending

Union

2

1 negative / 1 pending

* Results sent to private lab by physician. ADH has requested
samples and will send to CDC if suspected positive.

 

West Nile virus is transmitted by infected mosquitoes biting humans, horses and other animals after feeding on diseased birds, which are the host animals.  Not all mosquitoes have a virus in them, but certainly, the more mosquito bites one gets, the greater the risk of catching a disease.  Most people that get bitten by an infected mosquito do not get sick or only show very mild or no symptoms.  Symptoms of human West Nile virus infections typically begin within 14 days following the insect bite and consist of fever, muscle and joint aches, listlessness, and in most severe cases, headaches leading to encephalitis (inflammation of the brain).

When it is necessary to be outdoors, wear protective clothing and use mosquito repellent containing up to 35 percent DEET (N,N-diethyl-meta-toluamide). 

Use the following precautions when using repellents containing DEET:

  • Store out of the reach of children and read all instructions on the label before applying.
  • Do not allow young children to apply DEET themselves.  
  • Do not apply DEET directly to children.  Apply to your own hands and then put it on the child, avoiding the child’s face and hands.  
  • Avoid prolonged and excessive use of DEET.  
  • Do not apply repellents in enclosed areas.  
  • Do not apply directly to your face.  
  • Wash all treated skin and clothing after returning indoors.

If you believe you or your child is having an adverse reaction to a repellent containing DEET, wash the treated area immediately and call your health care provider.

The health department is continuing to monitor the state for mosquito-borne diseases and has established a West Nile virus hotline to respond to public inquiries.  If you have a question, please call 501.280.4817 from 8:00 a.m. through 4:30 p.m., Monday through Friday.  For after hours and weekends, please call 1.800.554.5738.

The Centers for Disease Control and Prevention West Nile virus hotline is 1.888.246.2675; 1.888.246.2857 (Spanish).

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