Monday, October 29, 2012
West Nile outbreak worst since the virus was first detected in La. in 2002
Although that total is the highest since West Nile record-keeping began in Louisiana, health-department spokesman Ken Pastorick pointed out that the 43 people this year who have been infected but showed no symptoms were in a category that did not exist in 2002. With those people removed from the count, the total falls to 295, 33 below the 2002 mark.
The state health department also reported one virus-related death on Friday, bringing this year’s toll to 13. The highest total – 24 – was recorded in 2002. The Department of Health and Hospitals does not announce the home parishes of people who succumb to West Nile complications.
Although most infected people never know they are carrying the virus because their immune systems repel it, there are two complications: West Nile fever, which produces flu-like symptoms, and neuroinvasive disease, which causes swelling in the brain and spinal cord and can be fatal.
In the latest report, there were five reported cases of neuroinvasive disease, including one in New Orleans and another in Jefferson Parish. The other three were in Bossier, Calcasieu and West Feliciana parishes.
There also were 11 new cases of West Nile fever: four in East Baton Rouge Parish, two in Caddo Parish and one each in Ascension, Beauregard, Calcasieu, DeSoto and Lafourche parishes.
One person in Lafourche Parish had been infected but displayed no symptoms. Such cases are diagnosed when the virus is found in the bloodstream of people whose blood has been drawn for any number of reasons, including a blood donation or an annual physical examination.
Nationally this year, there have been 4,725 infections and 219 deaths, making the outbreak the worst since 2003, according to the federal Centers for Disease Control and Prevention.
Louisiana is one of eight states that account for nearly 70 percent of the cases, CDC data show. The other states are California, Mississippi, Illinois, South Dakota, Michigan, Oklahoma and Texas.
Texas has recorded 1,628 infections, more than one-third of the national total, according to the CDC.
Health officials in Louisiana have suggested that a combination of factors led to this year’s high count: a relatively mild winter, an early spring and a hot summer, all of which are conducive to mosquito breeding.
People most vulnerable to West Nile complications are the very old, the very young and people with immune-system problems.
Because there is no treatment for West Nile infection except supportive care, health officials recommend preventive measures such as staying indoors around dusk and dawn, when mosquitoes are most likely to swarm; wearing long sleeves and trousers when going outside; eliminating standing water; ensuring screens are secure; avoiding perfume that might attract insects; and using insect repellent containing DEET.
Spraying for mosquitoes, on the ground and in the air, has increased.
The state's latest West Nile surveillance report is online.
The rest of the story and why you need west nile virus prevention
Monday, October 22, 2012
One man’s fight against West Nile
Jerry Livermore is back on the job as janitor of Clarkfield Lutheran Church after being knocked off his feet by West Nile for a year
October 20, 2012
"He had a cold for a few days," ValLorice Livermore said, "and one day he said, 'I feel funny, I don't know what's wrong.' By that evening he couldn't really talk, his hands were shaking, and he had a fever of 105."
An ambulance took Jerry Livermore to Avera Marshall Regional Medical Center. From there he was taken to Sioux Falls, S.D., and from there to the Mayo Clinic in Rochester where he spent 43 days in intensive care on a ventilator with a feeding tube.
Article Photos
Jerry Livermore was struck with West Nile more than two years ago. He’s back working as a janitor at Clarkfield Lutheran Church.
"He had a staph infection and pneumonia, but they were on top of it," ValLorice Livermore said. "But it was some scary time before he went back to Sioux Falls."
After four-and-a-half months in the hospital and another five months in rehab at Avera Marshall, Jerry Livermore returned to work at Clarkfield Lutheran last spring. During his absence, his son and son-in-law covered for him at the church.
"I feel excellent," he said. "My main problem is with balance. My biggest fear is falling. I fell in the store once."
Jerry Livermore, who worked as a carpenter up until the day he got sick, operates vacuum cleaners and a floor buffer from his wheelchair. He can use a push broom and duster with a walker and cuts grass in the cemetery strapped into a riding mower.
To help him get around, Clarkfield Lutheran Church and the Clarkfield Lions club had a benefit to buy a handicapped accessible van. About 450 people showed up.
"It only had 3,000 miles on it," ValLorice Livermore said. "That was a big plus because he was going to Marshall five days a week. That was really important because he couldn't move much, but he's doing great now."
Though walking is still an effort, he's making progress standing on his own.
"Now I can stand balancing about 10 minutes," Jerry Livermore said. "A year ago, it was 15 seconds."
Recovery has been slow and painful, but the last scan at Rochester showed no brain damage.
"Doctors in the hospital said he'd never be 100 percent," ValLorice Livermore said, "but he's trying for 90."
Full Story and why you need west nile virus prevention
Thursday, October 18, 2012
No antibodies, no problem: Researchers identify how mosquito immune system attacks specific infections
UCLA. Researchers at the Johns Hopkins Bloomberg School of Public Health have determined a new mechanism by which the mosquitoes' immune system can respond with specificity to infections with various pathogens, including the parasite that causes malaria in humans, using one single gene. Unlike humans and other animals, insects do not make antibodies to target specific infections. According to the Johns Hopkins researchers, mosquitoes use a mechanism known as alternative splicing to arrange different combinations of binding domains, encoded by the same AgDscam gene, into protein repertoires that are specific for different invading pathogens. The researchers' findings were published October 18 in the journal Cell Host & Microbe and could lead to new ways to prevent the spread of a variety of mosquito born illnesses.Read more at: http://phys.org/news/2012-10-antibodies-problem-mosquito-immune-specific.html#jCp
What's Causing the West Nile Virus Outbreak?
This year is one of the worst ever in the US for this mosquito-borne illness. Here are a few possible explanations.
The short answer is that nobody really knows. "We're not quite sure exactly what the perfect combination of environmental and host factors are," says Ingrid Rabe, a medical epidemiologist with the Centers for Disease Control and Prevention (CDC). But experts have a few guesses. It's a complicated disease, so let's start from the beginning.
If a mosquito bites someone who has West Nile virus then bites me, can I get the virus?
No. Mosquitoes don't carry the disease from human to human. Instead, Rabe explained to me, they carry it from birds to humans. That's because birds accumulate much higher concentrations of the virus than humans. Scientific American has a good diagram of the West Nile transmission cycle:
Is West Nile a death sentence?
No. In fact, the majority of cases are very mild: According to a piece published in the New England Journal of Medicine (PDF), only between a fifth and a quarter of West Nile patients experience any symptoms at all. An even smaller portion—less than 1 in 150—develop neurological effects such as meningitis.
Is this the worst year ever for West Nile virus in the United States?
No. From the headlines, you'd think that 2012 had the highest number of West Nile cases since the virus first showed up in the US in 1999. And indeed, it's pretty bad...
http://www.motherjones.com/environment/2012/10/west-nile-virus-maps
Wednesday, October 17, 2012
How Mosquitoes Survive Collisions with Raindrops [Video]
Imagine for a moment that you have wings like an insect. One day, while you’re buzzing through the air you hear the distant crack of a thunderstorm and suddenly you’re assaulted from above. Massive drops of water come crashing down on you, some weighing as much as a school bus. You twist and turn trying to evade the onslaught, but eventually one of these watery orbs hits you smack dab between the wings and you go careening toward the ground.
For mosquitoes, this scenario isn’t uncommon. When a storm rolls in, mosquitos have to battle raindrops that are close to their size but with a mass up to 50 times that of the average mosquito (equivalent to the difference between a human and a school bus). How mosquitoes contend with these drops of doom is the subject of a study in this week’s issue of the Proceeding of the National Academy of Sciences. David Hu, a professor of mechanical engineering and biology at Georgia Institute of Technology, and his team have devised some rather unorthodox methods to determine how mosquitoes survive such watery collisions. Using a high-speed camera, Hu’s team bombarded Anopheles mosquitoes with drops of water and caught the resulting action at 4000 frames per second (a typical film camera only records 24 frames per second.)
They found that mosquitoes are actually quite good at dealing with raindrops, even when receiving a direct hit between the wings. Mosquitoes are very light compared to the mass of the raindrop and this means the drop pushes the mosquito down rather than breaking over it. Because the drop’s speed doesn’t change very much, little force is transferred to the mosquito. Compare that with a drop hitting a larger insect, like a dragonfly; the drop would break on its back, and the resulting force would transfer into the insect’s exoskeleton. What’s more, the mosquito has hydrophobic hairs on its body and sprawling legs that create drag. This lets it slip out from under the raindrop before meeting a wet end.
However, Hu’s team also found that the mosquito isn’t completely safe from forces generated when colliding with a raindrop. As the drop comes in contact with the mosquito it accelerates the mosquito sharply downward to match the drop’s terminal velocity of nine meters per second. This happens over the distance of only about a 10 mm which puts an enormous amount of pressure on the insect’s body, up to 300 gravities worth (2942 m/s²). For comparison, a jet fighter pilot accelerating out of a loop de loop, experiences only about nine gravities (88 m/s²).
This rapid acceleration also produces the greatest risk to mosquitoes: flying close to the ground. When hit by a raindrop, they would accelerate into the ground with great force and without sufficient time to slide out from underneath. And this is where the practical application of Hu’s research comes into play. In recent years, we’ve seen the invention of many exceedingly small military aircraft, known as Micro Air Vehicles, or MAVs. If these vehicles become as small as mosquitoes, they would become subject to the same dangers as flying insects, including rainstorms.
Video courtesy of David Hu
Are You a Mosquito Magnet?
Experts try to crack the code behind why mosquitoes like some people more than others. Plus, tips on keeping mosquitoes at bay and the best mosquito repellents.
The short answer is yes. Mosquitoes do exhibit blood-sucking preferences, say the experts. "One in 10 people are highly attractive to mosquitoes," reports Jerry Butler, PhD, professor emeritus at the University of Florida. But it's not dinner they're sucking out of you. Female mosquitoes -- males do not bite people -- need human blood to develop fertile eggs. And apparently, not just anyone's will do.
Recommended Related to Allergies
Who Mosquitoes Like Best
Although researchers have yet to pinpoint what mosquitoes consider an ideal hunk of human flesh, the hunt is on. "There's a tremendous amount of research being conducted on what compounds and odors people exude that might be attractive to mosquitoes," says Joe Conlon, PhD, technical advisor to the American Mosquito Control Association. With 400 different compounds to examine, it's an extremely laborious process. "Researchers are just beginning to scratch the surface," he says.Scientists do know that genetics account for a whopping 85% of our susceptibility to mosquito bites. They've also identified certain elements of our body chemistry that, when found in excess on the skin's surface, make mosquitoes swarm closer.
"People with high concentrations of steroids or cholesterol on their skin surface attract mosquitoes," Butler tells WebMD. That doesn't necessarily mean that mosquitoes prey on people with higher overall levels of cholesterol, Butler explains. These people simply may be more efficient at processing cholesterol, the byproducts of which remain on the skin's surface.
Mosquitoes also target people who produce excess amounts of certain acids, such as uric acid, explains entomologist John Edman, PhD, spokesman for the Entomological Society of America. These substances can trigger mosquitoes' sense of smell, luring them to land on unsuspecting victims.
But the process of attraction begins long before the landing. Mosquitoes can smell their dinner from an impressive distance of up to 50 meters, explains Edman. This doesn't bode well for people who emit large quantities of carbon dioxide.
"Any type of carbon dioxide is attractive, even over a long distance," Conlon says. Larger people tend to give off more carbon dioxide, which is why mosquitoes typically prefer munching on adults to small children. Pregnant women are also at increased risk, as they produce a greater-than-normal amount of exhaled carbon dioxide. Movement and heat also attract mosquitoes.
So if you want to avoid an onslaught of mosquito bites at your next outdoor gathering, stake out a chaise lounge rather than a spot on the volleyball team. Here's why. As you run around the volleyball court, the mosquitoes sense your movement and head toward you. When you pant from exertion, the smell of carbon dioxide from your heavy breathing draws them closer. So does the lactic acid from your sweat glands. And then -- gotcha.
With a long track record -- mosquitoes have been around for 170 million years -- and more than 175 known species in the U.S., these shrewd summertime pests clearly aren't going to disappear any time soon. But you can minimize their impact.
http://www.webmd.com/allergies/features/are-you-mosquito-magnet
The Life Cycle of the Mosquito
Each of the species has a scientific name that is latin, such as Culex tarsalis. These names are used in a descriptive manner so that the name tells something about this particular mosquito. Some species have what is called "common names" as well as scientific names, such as Anopheles freeborni, the "Western malaria mosquito".
All mosquitoes must have water in which to complete their life cycle. This water can range in quality from melted snow water to sewage effluent and it can be in any container imaginable. The type of water in which the mosquito larvae is found can be an aid to the identification of which species it may be. Also, the adult mosquitoes show a very distinct preference for the types of sources in which to lay their eggs. They lay their eggs in such places such as tree holes that periodically hold water, tide water pools in salt marshes, sewage effluent ponds, irrigated pastures, rain water ponds, etc. Each species therefore has unique environmental requirements for the maintenance of its life cycle.
The feeding habits of mosquitoes are quite unique in that it is only the adult females that bite man and other animals. The male mosquitoes feed only on plant juices. Some female mosquitoes prefer to feed on only one type of animal or they can feed on a variety of animals. Female mosquitoes feed on man, domesticated animals, such as cattle, horses, goats, etc; all types of birds including chickens; all types of wild animals including deer, rabbits; and they also feed on snakes, lizards, frogs, and toads.
Most female mosquitoes have to feed on an animal and get a sufficient blood meal before she can develop eggs. If they do not get this blood meal, then they will die without laying viable eggs. However, some species of mosquitoes have developed the means to lay viable eggs without getting a blood meal.
The flight habits of mosquitoes depend again on the species with which we are dealing. Most domestic species remain fairly close to their point of origin while some species known for their migration habits are often an annoyance far from their breeding place. The flight range for females is usually longer than that of males. Many times wind is a factor in the dispersal or migration of mosquitoes. Most mosquitoes stay within a mile or two of their source. However, some have been recorded as far as 75 miles from their breeding source.
The length of life of the adult mosquito usually depends on several factors: temperature, humidity, sex of the mosquito and time of year. Most males live a very short time, about a week; and females live about a month depending on the above factors.
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Mosquito Life Cycle
Mosquito Life Cycle
The mosquito goes through four separate and distinct stages of its life cycle and they are as follows: Egg, Larva, pupa, and adult. Each of these stages can be easily recognized by their special appearance. There are four common groups of mosquitoes living in the Bay Area. They are Aedes, Anopheles, Culex, and Culiseta.
Egg : Eggs are laid one at a time and they float on the surface of the water. In the case of Culex and Culiseta species, the eggs are stuck together in rafts of a hundred or more eggs. Anopheles and Aedes species do not make egg rafts but lay their eggs separately. Culex, Culiseta, and Anopheles lay their eggs on water while Aedes lay their eggs on damp soil that will be flooded by water. Most eggs hatch into larvae within 48 hours.
Larva : The larva (larvae - plural) live in the water and come to the surface to breathe. They shed their skin four times growing larger after each molting. Most larvae have siphon tubes for breathing and hang from the water surface. Anopheles larvae do not have a siphon and they lay parallel to the water surface. The larva feed on micro-organisms and organic matter in the water. On the fourth molt the larva changes into a pupa.
Pupa: The pupal stage is a resting, non-feeding stage. This is the time the mosquito turns into an adult. It takes about two days before the adult is fully developed. When development is complete, the pupal skin splits and the mosquito emerges as an adult.
Adult: The newly emerged adult rests on the surface of the water for a short time to allow itself to dry and all its parts to harden. Also, the wings have to spread out and dry properly before it can fly.
The egg, larvae and pupae stages depend on temperature and species characteristics as to how long it takes for development. For instance, Culex tarsalis might go through its life cycle in 14 days at 70 F and take only 10 days at 80 F. Also, some species have naturally adapted to go through their entire life cycle in as little as four days or as long as one month.
The following pages show a typical mosquito egg raft, larva, pupa, and adult, and explains more about each stage.
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Mosquito Egg Raft
Culex mosquitoes usually lay their eggs at night. A mosquito may lay a raft of eggs every third night during its life span.
Culex mosquitoes lay their eggs one at a time, sticking them together to form a raft of from 200- 300 eggs. A raft of eggs looks like a speck of soot floating on the water and is about 1/4 inch long and 1/8 inch wide.
Tiny mosquito larvae emerge from the eggs within 24 hours.
Notes: Anopheles mosquitoes lay their eggs singly on the water, not in rafts. Aedes mosquitoes lay their eggs singly on damp soil. Aedes eggs hatch only when flooded with water (salt water high tides, irrigated pastures, treeholes, flooded stream bottoms, etc.).
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Mosquito Larva
Mosquito larvae, commonly called "wigglers" or "wrigglers", must live in water from 7 to 14 days depending on water temperature.
Larvae must come to the surface at frequent intervals to obtain oxygen through a breathing tube called a siphon. The larva eats algae and small organisms which live in the water.
During growth, the larva molts (sheds its skin) four times. The stages between molts are called instars. At the 4th instar, the larva reaches a length of almost 1/2 inch.
When the 4th instar larva molts it becomes a pupa.
Note : Anopheles are unlike Culex and Aedes larvae since they do not have a breathing tube, they must lie parallel to the water surface in order to get a supply of oxygen through a breathing opening.
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Mosquito Pupa
Mosquito pupae, commonly called "tumblers", must live in water from 1 to 4 days, depending upon species and temperature.
The pupa is lighter than water and therefore floats at the surface. It takes oxygen through two breathing tubes called "trumpets". When it is disturbed it dives in a jerking, tumbling motion and then floats back to the surface. The pupa does not eat.
The metamorphosis of the mosquito into an adult is completed within the pupal case.
The adult mosquito splits the pupal case and emerges to the surface of the water where it rests until its body can dry and harden.
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Mosquito Adult
Only female mosquitoes bite animals and drink blood. Male mosquitoes do not bite, but feed on the nectar of flowers.
Aedes mosquitoes are painful and persistent biters, attacking during daylight hours (not at night). They do not enter dwellings, and they prefer to bite mammals like humans. Aedes mosquitoes are strong fliers and are known to fly many miles from their breeding sources.
Culex mosquitoes are painful and persistent biters also, but prefer to attack at dusk and after dark, and readily enter dwellings for blood meals. Domestic and wild birds are preferred over man, cows, and horses. Culex tarsalis is known to transmit encephalitis (sleeping sickness) to man and horses. Culex are generally weak fliers and do not move far from home, although they have been known to fly up to two miles. Culex usually live only a few weeks during the warm summer months.
Those females which emerge in late summer search for sheltered areas where they "hibernate" until spring. Warm weather brings her out in search of water on which to lay her eggs.
Culiseta mosquitoes are moderately aggressive biters, attacking in the evening hours or in shade during the day.
Anopheles mosquitoes are the only mosquito which transmits malaria to man.
West Nile Cases Pass 4,500 Mark Nationwide: CDC
Number of deaths now stands at 183, up from 168 last week
October 17, 2012 RSS Feed PrintHealthDay Reporter
WEDNESDAY, Oct. 17 (HealthDay News) -- The number of West Nile virus cases this year has surpassed 4,500, U.S. health officials reported Wednesday, and the number of deaths has reached 183, up from 168 last week.
As of Tuesday, 48 states had reported West Nile infections in people, birds or mosquitoes. A total of 4,531 cases involved people. Of these cases, 51 percent were classified as neuroinvasive disease (such as meningitis or encephalitis) and 49 percent were classified as non-neuroinvasive disease.
The 4,531 cases are the highest number reported through the third week of October since 2003. Almost 70 percent of the reported cases are from eight states -- Texas, California, Louisiana, Mississippi, Illinois, South Dakota, Michigan and Oklahoma -- and more than one-third have been reported in Texas, according to the U.S. Centers for Disease Control and Prevention.
The best way to avoid the virus is to wear insect repellent and support local programs to eradicate mosquitoes. There is no treatment for West Nile virus and no vaccine to prevent it, according to the CDC.
Typically, 80 percent of people infected with the virus develop no or few symptoms, while 20 percent develop mild symptoms such as headache, joint pain, fever, skin rash and swollen lymph glands, according to the CDC.
Although most people with mild cases of West Nile virus will recover on their own, the CDC recommends that anyone who develops symptoms see their doctor right away.
People older than 50 and those with certain medical conditions, such as cancer, diabetes, hypertension, kidney disease and organ transplants, are at greater risk for serious illness.
The best way to protect yourself from West Nile virus is to avoid getting bitten by mosquitoes, which can pick up the disease from infected birds.
The CDC recommends the following steps to protect yourself:
- Use insect repellents when outside.
- Wear long sleeves and pants from dawn to dusk.
- Don't leave standing water outside in open containers, such as flowerpots, buckets and kiddie pools.
- Install or repair windows and door screens.
- Use air conditioning when possible.
For more on West Nile virus, visit the U.S. Centers for Disease Control and Prevention.
Copyright © 2012 HealthDay. All rights reserved.
http://health.usnews.com/health-news/news/articles/2012/10/17/west-nile-cases-pass-4500-mark-nationwide-cdc