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Emerging infectious diseases2001; 7(4); 636-642; doi: 10.3201/eid0704.010406

West Nile virus surveillance in Connecticut in 2000: an intense epizootic without high risk for severe human disease.

Abstract: In 1999, Connecticut was one of three states in which West Nile (WN) virus actively circulated prior to its recognition. In 2000, prospective surveillance was established, including monitoring bird deaths, testing dead crows, trapping and testing mosquitoes, testing horses and hospitalized humans with neurologic illness, and conducting a human seroprevalence survey. WN virus was first detected in a dead crow found on July 5 in Fairfield County. Ultimately, 1,095 dead crows, 14 mosquito pools, 7 horses, and one mildly symptomatic person were documented with WN virus infection. None of 86 hospitalized persons with neurologic illness (meningitis, encephalitis, Guillain-Barré-like syndrome) and no person in the seroprevalence survey were infected. Spraying in response to positive surveillance findings was minimal. An intense epizootic of WN virus can occur without having an outbreak of severe human disease in the absence of emergency adult mosquito management.
Publication Date: 2001-10-05 PubMed ID: 11585525PubMed Central: PMC2631747DOI: 10.3201/eid0704.010406Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • U.S. Gov't
  • P.H.S.

Summary

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The research indicates that during a heightened period of West Nile virus activity in Connecticut in 2000, no severe human illnesses were observed, despite extensive spread among birds, mosquitoes, and horses.

Overview of the Research

In 2000, Connecticut put prospective surveillance measures in place to track the spread and impact of the West Nile (WN) virus. This included:

  • Monitoring bird deaths
  • Testing dead crows
  • Trapping and testing mosquitoes
  • Testing horses and hospitalized humans with neurologic illness
  • Conducting a human seroprevalence survey

The WN virus was first detected in a dead crow found on July 5 in Fairfield County. By the end of the study, it was found that 1,095 dead crows, 14 mosquito pools, 7 horses, and one mildly symptomatic person were infected with the West Nile virus.

Human Impact

Despite the significant prevalence of the virus in the animal population, the human population showed minimal impact.

  • None of the 86 hospitalized individuals with neurologic illnesses, such as meningitis, encephalitis and Guillain-Barré-like syndrome were infected
  • None of the participants in the seroprevalence survey showed signs of infection

Interventions and Findings

Spraying in response to the positive surveillance findings was minimal, suggesting no emergency adult mosquito management was carried out. The main finding from this research is that high levels of WN virus can circulate in several species, in this case, an intense epizootic (an epidemic occurring among animals) can occur, without triggering an outbreak of severe human disease. This suggests that humans might not always be severely affected when there is a high level of West Nile virus in their local environment.

Cite This Article

APA
Hadler J, Nelson R, McCarthy T, Andreadis T, Lis MJ, French R, Beckwith W, Mayo D, Archambault G, Cartter M. (2001). West Nile virus surveillance in Connecticut in 2000: an intense epizootic without high risk for severe human disease. Emerg Infect Dis, 7(4), 636-642. https://doi.org/10.3201/eid0704.010406

Publication

ISSN: 1080-6040
NlmUniqueID: 9508155
Country: United States
Language: English
Volume: 7
Issue: 4
Pages: 636-642

Researcher Affiliations

Hadler, J
  • Infectious Diseases Division, Connecticut Department of Public Health, 410 Capitol Avenue, Hartford, CT 06134, USA. james.hadler@po.state.ct.us
Nelson, R
    McCarthy, T
      Andreadis, T
        Lis, M J
          French, R
            Beckwith, W
              Mayo, D
                Archambault, G
                  Cartter, M

                    MeSH Terms

                    • Animals
                    • Bird Diseases / epidemiology
                    • Bird Diseases / mortality
                    • Bird Diseases / virology
                    • Birds / virology
                    • Connecticut / epidemiology
                    • Culex / virology
                    • Culicidae / virology
                    • Disease Reservoirs / veterinary
                    • Horse Diseases / epidemiology
                    • Horse Diseases / mortality
                    • Horse Diseases / virology
                    • Horses / virology
                    • Humans
                    • Insect Vectors / virology
                    • Population Surveillance / methods
                    • Prospective Studies
                    • Risk Factors
                    • Sentinel Surveillance / veterinary
                    • Seroepidemiologic Studies
                    • Songbirds
                    • West Nile Fever / epidemiology
                    • West Nile Fever / mortality
                    • West Nile Fever / veterinary
                    • West Nile Fever / virology
                    • West Nile virus / isolation & purification

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