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Archive Number 20090701.2378
Published Date 01-JUL-2009
Subject PRO/AH> Eastern equine encephalitis, equine - USA (03): (FL)

EASTERN EQUINE ENCEPHALITIS, EQUINE- USA (03): (FLORIDA)
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[1] Leon County
[2] Clay County

******
[1] Leon County
Date: Mon 22 Jun 2009
Source: Tallahasse.com, Tallahassee Democrat report [edited]
<http://www.tallahassee.com/article/20090622/BREAKINGNEWS/90622007/Two+horses+in+eastern+Leon+County+euthanized+after+testing+positive++for+encephalitis+>


Two horses in eastern Leon County euthanized after testing positive for 
encephalitis
-------------------------------------------------------------------
The Leon County Health Department has issued an advisory [notice] for an 
increase in risk from mosquitoborne diseases. The department has confirmed 
cases of eastern equine encephalitis [EEE] in 2 horses. The horses were 
kept at locations in eastern Leon County, one off of Tung Grove Road and 
the 2nd off of Louvenia Drive. Their infections were confirmed by the 
Florida Department of Agriculture & Consumer Services 19 Jun 2009 and they 
were euthanized.

So far, there have been no reports of humans being confirmed statewide or 
locally with the disease, health department officials say. "Anytime you 
have activity like this, it's an indicator that you have to take 
precautions," said Alex Mahon, environmental manager for Leon County 
Department of Health. "Putting out information that advises folks about how 
to avoid being bitten and reduce mosquito breeding will help."

Mahon said the threat of infection in humans right now is low. The Health 
Department recommends people remove objects containing sitting water where 
mosquitoes are likely to lay eggs. Other steps include avoid outdoor 
activity when mosquitoes are most active and wearing clothing that covers 
the skin.

Dr Mike Short, Equine Program's manager for the Department of Agriculture's 
Division of Animal Industry, said that June through August is the time when 
encephalitis infections among horses is greatest. "We get about 75 
confirmed cases of infections in the state of Florida each year," Short 
said. "We don't get all of the submitted cases."

Short said there have been 23 confirmed cases of eastern equine 
encephalitis virus in Florida this year [2009] among horses. Mosquitoborne 
illness advisories have also been issued in Volusia and Columbia counties.

There have been no confirmed cases of any child or adult in Leon County 
being infected, said representatives of Capital Regional Medical Center and 
Tallahassee Memorial Hospital.

Mahon said that eastern equine encephalitis virus typically occurs in 
horses but can infect humans as well. The virus is usually asymptomatic, 
meaning most people who are infected do not know they have it until 
symptoms manifest. Mahon said in severe cases, the onset of high fever, 
muscle pains, increased headaches, vomiting, and seizures can occur. 
Children and the elderly are most susceptible to the disease.

"Encephalitis is dangerous because the symptomatology can be tricky to 
figure out," said Alyssa Pickles, registered nurse and director of 
Infection Control for Tallahassee Memorial Hospital. "This is a rare 
disease in humans (but) people would need to report to the emergency room 
or their primary doctor if they showed symptoms."

Eliminating mosquito breeding sites is one of the keys to prevention. 
Follow these tips to discourage mosquito breeding near your home:
- clean out eaves, troughs and gutters;
- remove old tires or drill holes in those used in playgrounds to drain;
- turn over or remove empty plastic pots;
- pick up all beverage containers and cups;
- check tarps on boats or other equipment that may collect water;
- pump out bilges on boats;
- replace water in birdbaths and pet or other animal feeding dishes at 
least once a week;
- change water in plant trays, including hanging plants, at least once a week;
- remove vegetation or obstructions in drainage ditches that prevent the 
flow of water.

Previous report
---------------
There has been increased mosquitoborne disease activity in Leon County. Two 
horses in Leon County have tested positive for eastern equine encephalitis 
virus within 2 weeks, meeting the criteria for issuing a mosquitoborne 
illness advisory. The risk of transmission to humans has been increased.

Leon County Health Department reminds residents and visitors to avoid being 
bitten by mosquitoes. Leon County Mosquito Control and Leon County Health 
Department continue surveillance and prevention efforts and encourage 
everyone to take basic precautions to help limit exposure by following the 
Health Department's recommendations.

To protect yourself from mosquitoes, you should remember to practice the "5 
Ds":
- dusk and dawn -- avoid being outdoors when mosquitoes are plentiful;
- dress -- wear clothing that covers most of your skin;
- DEET -- when the potential exists for exposure to mosquitoes, use 
repellents containing up to 30 per cent DEET (N,N-diethyl-meta-toluamide). 
Other effective mosquito repellents include picaridin, oil of lemon 
eucalyptus, and IR3535. Always read label directions carefully for the 
approved usage before you apply a repellent. Some repellents are not 
suitable for children;
- drainage -- check around your home to rid the area of standing water 
where mosquitoes lay eggs.

[byline: Reginald Alceus]

-- 
communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[Leon County can be located on the HealthMap/ProMED-mail interactive map at 
<http://healthmap.org/r/00uW>. - Sr.Tech.Ed.MJ]

******
[2]
Date: Wed 24 Jun 2009
Source: First Coast News [edited]
<http://www.firstcoastnews.com/news/local/news-article.aspx?storyid=140466&catid=3>


Clay County reports EEE in horses
---------------------------------
The Clay County Health Department and Florida Department of Health say 3 
horses in the county have tested positive for eastern equine encephalitis 
(EEE).

EEE is a mosquitoborne viral disease that occurs in the eastern half of the 
United States. The department advises you to try and avoid being bitten by 
mosquitoes. They continue to monitor areas, and are working towards 
prevention activities. The Health Department suggests you take a few basic 
steps to limit exposure to mosquitoes.

For more information on mosquito borne illnesses, visit the Florida 
Department of Health's website at 
<http://www.doh.state.fl.us/Environment/medicine/arboviral/index.html>.

[byline: Taren Reed, Dave Wax ]

-- 
communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[Eastern equine encephalitis (EEE) is a mosquitoborne viral disease. EEE 
virus (EEEV) generally occurs in the eastern half of the United States 
where it causes disease in humans, horses, and some bird species. Because 
of the high mortality rate, EEE is regarded as one of the most serious 
mosquitoborne diseases in the United States.

EEEV is transmitted to humans through the bite of an infected mosquito. It 
generally takes from 3 to 10 days to develop symptoms of EEE after being 
bitten by an infected mosquito. The main EEEV transmission cycle is between 
birds and mosquitoes.

Many species of mosquitoes can become infected with EEEV. The most 
important mosquito species in maintaining the bird-mosquito transmission 
cycle is _Culiseta melanura_, which reproduces in freshwater hardwood 
swamps. _Culiseta melanura_, however, is not considered an important vector 
of EEEV to horses or humans because it feeds almost exclusively on birds. 
Transmission to horses or humans requires mosquito species capable of 
creating a "bridge" between infected birds and uninfected mammals such as 
some _Aedes_, _Coquillettidia_, and _Culex_ species.

Horses are susceptible to EEE and most cases are fatal. EEEV infections in 
horses, however, are not a significant risk factor for human infection 
because horses are considered "dead-end" hosts for the virus (that is, the 
amount of EEEV in their bloodstreams is usually insufficient to infect 
mosquitoes).

Portions of this comment were extracted from 
<http://www.cdc.gov/ncidod/dvbid/Arbor/eeefact.htm> - Mod.TG

Clay County can be located on the HealthMap/ProMED-mail interactive map at 
<http://healthmap.org/r/00uX>. A Florida county map is available at 
<http://www.mapsofworld.com/usa/states/florida/florida-county-map.html>- 
Sr.Tech.Ed.MJ]

[see also:
Eastern equine encephalitis, equine - USA (02): (LA) 20090627.2332
Eastern equine encephalitis, equine - USA: (GA) 20090613.2197]

.................tg/mj/sh


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