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Prevention and Control of Communicable Diseases - Missouri ...

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July 2011<br />

MOSQUITO-BORNE DISEASE (VIRAL)<br />

Reportable to local or state health departments<br />

153<br />

PROVIDER<br />

Mosquito-borne diseases are viral diseases that are spread by infected mosquitoes. Each disease is caused<br />

by a different virus. The many viruses have the potential <strong>of</strong> causing serious disease affecting the brain <strong>and</strong><br />

central nervous system. Removal <strong>of</strong> potential breeding sites is important in preventing the spread <strong>of</strong><br />

mosquitoes.<br />

CAUSE West Nile virus (WNV) flavivirus<br />

Eastern Equine encephalitis (EEE) alphavirus<br />

Western Equine encephalitis (WEE) alphavirus<br />

Saint Louis encephalitis (SLE) flavivirus<br />

California Group (i.e. La Crosse ) bunyavirus<br />

SYMPTOMS May not be apparent or may range from mild headaches <strong>and</strong> influenza-like<br />

symptoms (such as fever, malaise, tiredness, headache, stiff neck, nausea,<br />

vomiting, rash, or muscle aches) to mental confusion <strong>and</strong> convulsions. Severe<br />

cases may develop inflammation <strong>of</strong> the brain (encephalitis). Most infections do<br />

not progress to encephalitis.<br />

SPREAD Each virus is spread through the bite <strong>of</strong> a specific species <strong>of</strong> mosquito. West Nile<br />

disease may be spread by blood transfusion <strong>and</strong> transplanted organs. Some<br />

mosquitoes are weak flyers <strong>and</strong> tend to live close to their hatching sites.<br />

Birdbaths, wading pools, dog bowls, <strong>and</strong> other artificial containers <strong>of</strong> water should<br />

be emptied weekly to eliminate mosquito-breeding areas. Road ditches should be<br />

properly graded to allow water to drain. Rain gutters should be cleaned annually<br />

(every spring). Tires are notorious breeding places for mosquitoes.<br />

INCUBATION The incubation period is usually 2 to 6 days, but ranges from 2 to 14 days, <strong>and</strong><br />

may be up to 21 days in immunocompromised people.<br />

CONTAGIOUS None. It is not spread person-to-person.<br />

PERIOD<br />

EXCLUSION Childcare <strong>and</strong> School: None.<br />

DIAGNOSIS Recommend parents/guardians call their healthcare provider if symptoms <strong>of</strong><br />

arboviral disease are present. A healthcare provider must make the diagnosis.<br />

TREATMENT Recommend parents/guardians call their healthcare provider.<br />

PREVENTION/CONTROL<br />

This fact sheet is for provider information only.<br />

If you have questions, please call the health department.<br />

� Eliminate potential breeding sites. Mosquitoes breed in water <strong>and</strong> artificial<br />

containers, especially flower pots, birdbaths, cans, children’s toys, wading pools,<br />

tire swings, old tires, or anything that will hold a small pool <strong>of</strong> water should be<br />

emptied or discarded. Old tires should be sent to a recycling center for proper<br />

disposal. Gas stations or tire stores may be a potential drop-<strong>of</strong>f site.

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