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| West
Nile virus encephalitis is an infection of the brain caused by
the West Nile virus. Encephalitis refers to an inflammation of
the brain, meningitis is an inflammation of the membrane
around the brain and the spinal cord, and meningoencephalitis
refers to inflammation of the brain and the membrane
surrounding it.
People get it from the bite of an infected
mosquito. Mosquitos are infected when they feed on an infected
bird. When an infected mosquito bites a person, the virus is
injected into the person and may cause illness. West Nile
virus encephalitis is NOT spread from person to person. West
Nile virus has been detected in breast milk, raising the
possibility that the microbe could be transmitted through
nursing as well as by blood transfusion, organ donation and
the usual route, mosquito bite. The
virus can infect humans, birds, mosquitoes, horses and some
other mammals.
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| Symptoms of West
Nile Virus |
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- symptoms of a mild
infection: fever, headache, bodyaches, skin rash, and
swollen lymph glands
- symptoms of a severe
infection may be marked by: high fever, severe headache,
neck stiffness, stupor, disorientation, tremors,
convulsions, muscle weakness, paralysis, coma and death.
- Contact your health care
provider if you have concerns about your health. If severe
symptoms develop, see your doctor immediately
The incubation period for
West Nile Virus is generally 5-15 days following a bite from
an infected mosquito.
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Mosquito Prevention
and Repellents:
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- Wear long-sleeved shirts and
long pants when you are outdoors.
- You may want to limit the
amount of time you spend outdoors at dawn and dusk, or at
other times when mosquitos are active.
- Use insect repellent that
contains DEET (N,N-diethyl-meta-toluamide). Be sure to
carefully follow the directions on the label. DEET can be
harmful if overused. It should be applied sparingly, to
clothing and exposed areas of skin. It should not be
applied to a child’s face or hands, or to skin that is
scratched or irritated. When applying DEET to
younger children do not apply to hands that maybe put in
the mouth as ingested DEET maybe dangerous.Use DEET
repellents with concentrations below 10 percent for
children and below 30 percent for adults. Do not use DEET
on infants. Do not use DEET on children under age 3 or in
concentrations greater than listed above, without first
consulting your health care provider. Cream, lotion, or
stick formulas are best for applying to areas of exposed
skin. Wash skin where DEET was applied when mosquito
exposure has ended.
- Take special care to cover
up the arms and legs of children playing outdoors.
- Cover baby carriages or
outdoor playpens with mosquito netting.
- Fix any holes in your
screens and make sure they are tightly attached to the
doors and windows.
- Wash DEET off after coming
indoors.
- DEET has been used safely in
pregnant and breast feeding women; although, avoiding DEET
and areas with mosquitoes maybe better.
Mosquitos need water to reproduce.
They can breed in any puddle or standing water that lasts more
than four days. By removing areas of standing water around
your house, you will eliminate their breeding grounds and
reduce the number of mosquito..
- Dispose of, or regularly
empty, any metal cans, plastic containers, ceramic pots,
and other water holding containers (including trash cans)
on your property.
- Pay special attention to
discarded tires. Tires are a common place for mosquitos to
breed.
- Drill holes in the bottom of
recycling containers that are left outdoors, so water can
drain out.
- Clean clogged roof gutters
of leaves and debris that prevent drainage of rainwater.
- Turn over plastic wading
pools and wheelbarrows when not in use.
- Do not allow water to
stagnate in birdbaths. Change it every three or four days.
- Aerate ornamental ponds or
stock them with fish.
- Keep swimming pools clean
and properly chlorinated. Remove standing water from pool
covers.
- Use landscaping to eliminate
standing water that collects on your property.
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| Diagnosis |
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If
you or your family members develop symptoms such as high
fever, confusion, muscle weakness, and severe headaches, you
should see your doctor immediately.
Your physician will first take a medical history to assess
your risk for West Nile virus. People who live in or traveled
to areas where West Nile virus activity has been identified
are at risk of getting West Nile encephalitis; persons older
than 50 years of age have the highest risk of severe
disease.
If you are determined to be at high risk and have symptoms of
West Nile encephalitis, your doctor will draw a blood sample
and send it to a commercial or public health laboratory for
confirmation. |
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| Treatment |
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There is
no treatment or medication specific to West Nile Virus;
doctors treat the symptoms of the infection. Most people
recover from a West Nile Virus infection. Of the people
infected with West Nile, only about 30% exhibit any noticeable
symptoms, and these tend to be mild, resembling flu symptoms.
Less than 1% of these cases become life-threatening.
Currently, no vaccine exists to prevent West Nile Virus in
humans. Researchers are working on development of a vaccine;
At this time, then, the only prevention against West Nile is
to avoid being bitten by mosquitoes. |
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For more
details about West Nile Virus disease information refer
to:
CDC West Nile Virus Home Page |
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West
Nile Virus Infection: Information for Clinicians
(PDF File)
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Information
on DEET use and children
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