Health | The mosquito-borne “Triple E” virus continues to spread, worrying state health officials

Mosquito-borne diseases are a growing problem in northeastern states. Health officials are monitoring cases and advising residents to avoid outdoor activities near standing water and other environments where mosquitoes can spread.

Of particular concern is eastern equine encephalitis, a rare disease that may cause serious and fatal illness and is brought on by mosquitoes that transmit the virus.

The virus, often called EEE or “Triple E,” may cause illness in people and animals comparable to horses and birds. Transmission doesn’t occur from individual to individual, but through the bite of an infected mosquito.

While most individuals don’t develop symptoms or severe illness, based on federal data, one in three individuals who develop into seriously sick with the virus will die, and about half of those that get better from severe cases will still experience long-term physical and cognitive effects Centers for Disease Control and Prevention. Symptoms may include fever, headache, vomiting and drowsiness. Encephalitis is a rare and serious complication by which the infection causes inflammation within the brain.

Eight states — Massachusetts, New Hampshire, New Jersey, New York, North Carolina, Rhode Island, Vermont and Wisconsin — have reported human cases of the virus this yr, for a complete of 16 cases, based on the newest CDC Data. In other states there have been only cases in animals. In Maine this yr, Triple E was present in two emus and a wild bird.

In August, Massachusetts officials said they might begin doing so Spray for mosquitoes in two counties after a person in his 80s became infected with the virus, 4 years after the last outbreak within the state that resulted in 17 confirmed cases and 7 deaths.

Even in August, New Hampshire confirmed his first EEE death this yr; It was the primary infection the state had seen in a decade, based on state health officials. So far this yr, the state has confirmed a complete of 5 human cases, and the disease has been detected in a single horse and 7 mosquito groups. The last time there have been infections within the state was in 2014, when three people were infected and two of them died.

Preventive measures

In recent weeks, New York confirmed its first case and death since 2015. The death in Ulster County, about 100 miles north of New York City, prompted Democratic Gov. Kathy Hochul to issue a notice Explanation discover the upcoming threat to public health and supply government resources to local health authorities to take preventive measures, including mosquito sprays.

The state also provides insect repellent at state parks and campgrounds; Posting signs to boost awareness about electrical and electronic equipment; Consult with local health officials about limiting park hours and campsite availability during dawn and dusk, the hours of peak mosquito activity; and using social media to teach New Yorkers on the right way to avoid mosquito bites.

State officials said the one that died in Ulster County was an older adult but wouldn’t release details as they investigate the circumstances of the case.

Bryon Backenson, an epidemiologist and director of the New York State Department of Health's Bureau of Communicable Disease Control, said a couple of dozen counties across the state take part in mosquito surveillance, but rural Ulster County will not be amongst them.

Although the virus will not be transmitted from horses to humans, researchers track EEE cases in horses to find out how common the virus is in a given area.

This yr, 20 cases of EEE in horses have been reported in a couple of dozen New York counties. The state has never had so many cases nor in so many counties in a single yr, Backenson said.

“Horses can act as guardians for us in many ways,” Backenson said. “We can often use horses as an indication that Triple E is in a certain area at a certain time. If a horse tests positive, we know there are mammal-biting mosquitoes that are active out there.”

Although there was a horse case in Ulster County that preceded the human case, that horse was not in close proximity to the person's home, Backenson noted.

Philip Armstrong, senior scientist on the Center for Vector Biology & Zoonotic Diseases on the Connecticut Agricultural Experiment Station, said that while there have been no cases in his state, the regional clusters provide cause for vigilance.

“This is definitely one of the more active years,” he said. “I would say regional outbreaks like this happen about every four to five years.”

Armstrong said his team continues to be collecting and testing mosquitoes.

“So far in Connecticut we are fortunate that we have not had a human case,” he said. “But sometimes problems come later in the season – you just don’t know. I’m not ready to declare victory yet.”

Effects of climate change

There isn’t any human vaccine or drug for Triple E. Experts say residents can protect themselves by utilizing insect repellent and wearing long sleeves and pants after they go outside; Avoid going outdoors at dusk and dawn when mosquitoes are most energetic, or take extra precautions outdoors at these times. and draining stagnant water sources comparable to birdbaths and wheelbarrows, a great environment for mosquitoes to put eggs.

Climate change can increase the danger vector-borne diseasesalso by mosquitoes, as increased rainfall and warmer temperatures create favorable conditions that may boost their populations.

While it will not be unusual for sporadic infections with Triple E or West Nile virus to occur from yr to yr, changes in bird and mosquito populations in addition to weather conditions could affect the variety of cases, he said Staples.

“Climate is one of many factors that can impact vector-borne diseases. “Climate changes are driving changes in the environment that can alter where and how often vector-borne diseases such as EEE and West Nile occur,” Staples wrote in an email, noting that flooding also can change the frequency of cases .

Sen Pei, an assistant professor of environmental health sciences at Columbia University's Mailman School of Public Health, said that along with rising temperatures that may result in an expansion of mosquito habitats, climate change-related disasters comparable to hurricanes are also affecting how and where people live , can change. Officials should concentrate to vector-borne diseases after disasters.

“It is a systematic impact. Vector-borne diseases are such a complicated ecosystem,” he said.

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