Introduction

Key facts about West Nile disease, (WHO 2011)

The history of WNV in the USA

In 1999 a significant outbreak of WNV neuroinvasive disease was identified in the New York city area. A coincident die off of corvid birds served to further heighten concern. Initially, St. Louis encephalitis was suspected, but tests on the birds confirmed West Nile Virus (WNV). Until then, WNV had not been confirmed the Western hemisphere.

New York public health officials understood the threat posed by WNV. They implemented mosquito eradication programs, fearing that WNV would spread as the birds migrated south. Those fears proved to be well founded.  Despite their efforts, the disease spread south, north and west as well.

By the end of 1999, WNV had been detected in 4 states; by 2000, it had spread to 8 states; and by 2001, to 22 states and Ontario, Canada. In 2002, the greatest number of cases were in Illinois; in 2003, in Colorado; and in 2004, in California, showing the inexorable march of the infection across the United States.

wnvmapAs of October 31, 2017, a total of 47 states and the District of Columbia have reported West Nile virus infections in people, birds, or mosquitoes in 2017. Overall, 1,697 cases of West Nile virus disease in people have been reported to CDC. Of these, 1,121 (66%) were classified as neuroinvasive disease (such as meningitis or encephalitis) and 576 (34%) were classified as non-neuroinvasive disease.

The CDC recommends that West Nile virus (WNV) disease should be considered in any person with a febrile or acute neurologic illness who has had recent exposure to mosquitoes, blood transfusion, or organ transplantation, especially during the summer months in areas where virus activity has been reported (CDC).

Click here to find your county's average annual incidence of WVN neuroinvasive disease reported to CDC by county, 1999-2016.


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Reference

CDC. West Nile Virus. Home. For Health Care Providers. Clinical Evaluation & Disease. Diagnosis & Reporting.
Retreived 11/9/17. https://www.cdc.gov/westnile/healthcareproviders/healthCareProviders-ClinLabEval.html

Kent R, Juliusson L, Weissmann M, Evans S, Komar N. (2009) Seasonal blood-feeding behavior of Culex tarsalis (Diptera: Culicidae) in Weld County, Colorado, 2007. J Med Entomol. 46(2):380-90.

World Health Organization. Media centre. West Nile virus. Fact sheet No.354. July 2011. Retrieved 11/11/17. http://www.who.int/mediacentre/factsheets/fs354/en/

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