|
September
11, 2003
Little
Rock -- The
Arkansas Department of Health (ADH) is reporting a human
case of West Nile virus in Columbia County. To date, 12
human cases have been reported statewide (seven in
Jefferson County and one each in Cleburne, Columbia,
Miller, Pulaski and Sevier Counties).
Department officials are
also reporting an equine case of West Nile virus in
Bradley County, and a change in previously released
lists of counties in the state that have horses testing
positive for West Nile Virus. In all, 14 horses have
tested positive for WNV by the Arkansas Livestock and
Poultry Commission in Bradley, Cleburne, Conway, Drew,
Franklin, Greene, Jefferson, Logan, Sebastian and Van
Buren Counties.
According to the Arkansas
Livestock and Poultry Commission, a list of horses
classified as testing positive for Eastern Equine
Encephalitis (EEE) was inadvertently included in the
list of horses testing positive for West Nile Virus.
Eastern Equine
Encephalitis is a mosquito-borne viral disease, similar
to West Nile Virus, transmitted by mosquitoes. As the
name suggests, EEE usually occurs in the eastern half of
the US. According to Dr. Sharon Williams, State Public
Health Veterinarian, there have been no human cases of
EEE in Arkansas in many years.
According to the Centers
for Disease Control in Atlanta, human cases occur
relatively infrequently, largely because the primary
transmission cycle takes place in swamp areas where
populations tend to be limited. The main EEE
transmission cycle is between birds and mosquitoes.
People who are
considered at risk of infection are residents of and
visitors to endemic areas (areas with an established
presence of the virus), people who engage in outdoor
work and recreational activities. Persons over age 50
and younger than age 15 seem to be at greatest risk for
developing severe disease.
Dr. William Mason,
Medical Leader, Office of Public Health Preparedness,
said, “We urge the community to be aware that while
the risk of either EEE or West Nile Virus for healthy
people is minimal, we are never out of the woods with
regard to this disease. We advise precautionary
measures, particularly among the most susceptible —
the elderly population, the very young and those with
underlying health problems. Everyone should continue to
enjoy physical activity out-of-doors, while practicing
the three D’s: use insect repellent with DEET; take
protective action (repellent and protective clothing)
especially if you have to go outside at dusk and dawn
when mosquitoes feed; drain standing water around your
house and in your yard.”
To date this season, the
Department has reported birds testing positive for the
West Nile virus in Arkansas, Ashley, Benton, Chicot,
Clark, Cleburne, Craighead, Crawford, Conway, Dallas,
Drew, Faulkner, Franklin, Greene, Hempstead, Hot Spring,
Jefferson, Lafayette, Little River, Lonoke, Miller,
Mississippi, Phillips, Poinsett, Pulaski, Saline,
Sebastian, Scott, Stone, Union, Washington, and Woodruff
counties. A positive mosquito pool has been reported in
Greene County. Horses have tested positive in The ADH
will no longer be accepting birds for testing in any
county where a bird has tested positive this year.
Mosquitoes can breed in
any body of water, from small containers such as tires
and tin cans, to large bodies of water like lakes or
marshes. To help stop mosquitoes from breeding,
Arkansans should:
- Dispose of tin cans,
plastic containers, ceramic pots or similar
water-holding containers.
- Remove all discarded
tires from your property.
- Drill holes in the
bottoms of recycling containers that are kept
outdoors.
- Make sure roof gutters
drain properly and clean clogged gutters in the
spring and fall.
- Turn over plastic
wading pools and wheelbarrows when not in use.
- Change the water in
birdbaths.
- Clean vegetation and
debris from the edges of ponds.
- Clean and chlorinate
swimming pools, outdoor saunas and hot tubs.
- Drain water from pool
covers.
- Use landscaping to
eliminate stagnant water that collects on your
property.
The following protective
measures are recommended:
Make sure all windows and doors have screens in good
repair. Stay indoors when mosquitoes are more active,
usually from dusk to dawn. 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.
- Do not apply
repellents to clothing or to skin that is covered by
clothing.
- Do not apply
repellents in enclosed areas.
- Do not apply directly
to your face.
- Wash all treated skin
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.
West Nile virus is
transmitted by infected mosquitoes to humans, horses and
other animals after feeding on diseased birds, which are
the host animals. 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
which may indicate encephalitis (inflammation of the
brain). There is no specific treatment for West Nile
virus infection; avoiding mosquitoes is the best
prevention.
“Very few people bitten
by West Nile virus-infected mosquitoes experience
anything beyond a day or two of feeling mild flu-like
symptoms,” Dr. Mason said. “Those at greatest risk
are the very old and those with underlying health
problems. The surest way to stop the spread of these
mosquito-borne diseases is prevention, and every
household can take action.” Last year, 43 West Nile
infections were reported in Arkansas residents. Five of
these cases resulted in death.
For more
information call the ADH Health Information Line at
1.877.296.9555 or Local 296.9555 or the CDC West Nile
virus hotline at 1.888.246-2675; 1.888.246-2857
(Spanish). For more information, visit the ADH website
at www.healthyarkansas.com/services/westnilevirus_main.htm.
### |