Eastern & Western Equine Encephalitis
Eastern Eq​uine Encephalitis
Historical Data
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Between 1975 and 2009, there have been five cases in Virginia, the most recent was in 2003. Most cases are of infected horses that are too young to have gotten the vaccine. People do not get it that often because the mosquito would have to carry the virus, and it is not that common for the vector to carry. About eight cases are reported each year in the U.S. mostly near Atlantic, Gulf, and Great Lakes regions.
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It is a not common illness in humans. Most cases occur on the Atlantic and Gulf coasts. Causes disease in horses, humans, and some birds.
Symptoms
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Most people do not have symptoms, but severe cases include symptoms of headache, vomiting, high fever, and chills.
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Encephalitis is the inflammation of the brain. It could even get to disorientation, seizures, and coma.
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If the patient survives, they live with brain damage. There is a 33% mortality rate.
Transmission
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The virus undergoes a cycle with Culiseta melanura mosquitoes, this mosquito is not really considered a vector for humans because it feeds on birds mostly. The vectors of this disease are only mosquitoes that feed on humans and birds like Aedes, Coquillettidia, and Culex species. Both humans and horses are considered dead- end hosts for the virus. The virus infected mosquitoes are usually in very swampy areas where not many humans live, so only visitors get the disease most of the time.
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Infected by a bite of a mosquito that carries it. There are 27 types that carry the virus.
Pathogens
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it is an alphavirus belonging to genus Alphavirus and family Togaviridae. EEEV is a single stranded RNA genome. There are four different lineages of the virus. Group 1 mostly affects humans in North America and the Caribbean, while the other three mostly affect horses in Central and South America.
Treatment
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There is no real treatment for the disease, just for the symptoms.
Western Equine Encephalitis
Historical Data
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Mostly in the Midwest, West, and Rocky Mountain area.
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There was an outbreak in 1987 in the Western U.S. There were 37 reported cases of WEE, and is the biggest outbreak since 1977. There was even one death from the disease in Colorado. There have been a few cases in each state in the Midwest.
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There have been no known cases of WEE in Virginia, only EEE virus. WEE is common only the Midwest and Rocky Mountain areas. It is not likely to spread to Virginia either
Symptoms
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The symptoms of WEE virus is much the same as EEE virus, but the symptoms may last longer.
Transmission
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Every 5-10 years, the cycle the between transmission between birds and Culex tarsalis is more intense. The vectors of this disease are only mosquitoes that feed on humans and birds like Aedes, Coquillettidia, and Culex species.
Pathogens
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It is called the encephalomyelitis virus that is a type of alphavirus. The virus causes inflammation of the brain and spinal cord. It has similar characteristics of EEEV. The mortality rate is similar to Eastern virus.
Treatment
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There are no current treatment for humans, just the vaccine as a preventative for horses. They treat the symptoms, but many who get the disease live with lifelong brain damage.
Western Equine Encephalitis, Colorado Mosquito Control