August 19, 2004
· The first human case of West Nile virus infection this year has been identified in Manitoba. The individual, a Winnipeg resident in his sixties, is currently in hospital. The individual has been reported to Health Canada as a probable case of West Nile neurological syndrome.
· Although a resident of Winnipeg, the individual is known to also have spent time in the area of the Rural Municipality of St. Clements during the period of probable exposure.
· Usually, people infected by West Nile virus have no symptoms and do not become ill. Of those who do become ill, most will develop West Nile fever, an illness with symptoms such as fever, headache, fatigue and body aches. Less frequently, the virus can cause more serious illness (West Nile neurological syndrome) including encephalitis, an inflammation of the brain.
· Encephalitis can have serious complications. These complications may include weakness, paralysis, confusion, coma and death and are more likely to occur among older adults and people with chronic diseases and weakened immune systems.
· There is no vaccine or specific treatment for West Nile virus. Milder symptoms of West Nile fever usually improve without medical care. Anyone experiencing severe symptoms (such as persistent high fever, muscle weakness, headache) should seek medical attention promptly for diagnosis and care.
· Mosquito surveillance in southern Manitoba indicates that the activity of Culex tarsalis, the mosquito that carries West Nile virus, decreased in all regional health authorities during the week of Aug. 8 to 14.
· The average trap counts for Culex tarsalis in regional health authorities gathered during the week of Aug. 8 to 14 are: Assiniboine, 17; Brandon, four; Central, two; Interlake, one; North Eastman, one; Parkland, eight; South Eastman, two; and Winnipeg, 32.
·
Infected mosquitoes have been found in the
following communities: Winnipeg,
Brandon, Souris, Deloraine, Killarney, Winkler, West St. Paul and East St.
Paul. The infection rate of trapped
mosquitoes remains low, usually less than one per 1,000 mosquitoes.
·
The
risk of exposure to WNV in Manitoba increases as the number and activity of
infected Culex tarsalis mosquitoes
increase. The activity of Culex tarsalis as indicated by trap
counts is affected by many factors including the number of mosquitoes in the
area, temperature, humidity and wind speed.
In 2003, the majority
of the human cases were exposed during the first two weeks of August.
·
At
this time, it is still considered important to consider taking personal
protective precautions against mosquitoes and to reduce standing water around
your home.
·
To
reduce the risk of West Nile virus infection, Manitobans can protect themselves
against mosquito bites by:
-
wearing
light-coloured, loose-fitting clothing with long sleeves and long pants;
-
using
mosquito repellent containing DEET;
-
reducing
the amount of time spent outdoors during peak mosquito hours between dusk and dawn; and
-
keeping
mosquitoes out of indoor spaces by checking door and window screens to make
sure they fit tightly and are free of holes.
·
Manitobans
can reduce the number of mosquitoes by emptying standing water that may collect
in backyards, old tires, children’s toys, pet bowls, wading pools or stagnant
ponds, eaves troughs, under flowerpots, etc.
·
Larviciding
continues in several communities in southern Manitoba through the province’s
cost-sharing program.
· Birds from the NOR-MAN Regional Health Authority, the Burntwood Regional Health Authority and the Churchill Regional Health Authority will continue to be considered for WNV testing to establish the presence of WNV in those areas. No further birds are required for testing from southern Manitoba.
·
Public
information about West Nile virus is available by calling Health Links-Info
Santé at 788-8200 in Winnipeg or toll-free at 1-888-315-9257. Additional information is available on the
Manitoba Health website at http://www.gov.mb.ca/health/wnv,
which is updated with surveillance data weekly.
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