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Arboviral Infection Surveillance Protocol
April 2013 Arboviral Infection Surveillance Protocol Arboviruses endemic to the U.S. include Eastern equine encephalitis virus (EEE), La Crosse encephalitis virus (LAC), Saint Louis encephalitis virus (SLE), West Nile virus (WNV), Western equine encephalitis virus (WEE), and the tickborne Powassan encephalitis virus (POW). See other materials for information on non-endemic arboviruses (e.g., dengue fever and yellow fever) Provider Responsibilities 1. Report suspect and confirmed cases of arbovirus infection (including copies of lab results) to the local health department within one week of diagnosis. Supply requested clinical information to the local health department to assist with case ascertainment. 2. Assure appropriate testing is completed for patients with suspected arboviral infection. The preferred diagnostic test is testing of virus-specific IgM antibodies in serum or cerebrospinal fluid (CSF). In West Virginia, appropriate arbovirus testing should include EEE, LAC, SLE, and WNV. Testing for a complete arboviral panel is available free of charge through the West Virginia Office of Laboratory Services (OLS). Laboratory Responsibilities 1. Report positive laboratory results for arbovirus infection to the local health department within 1 week. 2. Submit positive arboviral samples to the Office of Laboratory Services within 1 week. 3. Appropriate testing for patients with suspected arboviral infection includes testing of virus-specific IgM antibodies in serum or CSF. In West Virginia, testing should routinely be conducted for WNV, EEE, SLE, and LAC. A complete arboviral panel is available free of charge through OLS. For more information go to: http://www.wvdhhr.org/labservices/labs/virology/arbovirus.cfm Local Health Responsibilities 1. Conduct an appropriate case investigation. -
MDHHS BOL Mosquito-Borne and Tick-Borne Disease Testing
MDHHS BUREAU OF LABORATORIES MOSQUITO-BORNE AND TICK-BORNE DISEASE TESTING MOSQUITO-BORNE DISEASES The Michigan Department of Health and Human Services Bureau of Laboratories (MDHHS BOL) offers comprehensive testing on clinical specimens for the following viral mosquito-borne diseases (also known as arboviruses) of concern in Michigan: California Group encephalitis viruses including La Crosse encephalitis virus (LAC) and Jamestown Canyon virus (JCV), Eastern Equine encephalitis virus (EEE), St. Louis encephalitis virus (SLE), and West Nile virus (WNV). Testing is available free of charge through Michigan healthcare providers for their patients. Testing for mosquito-borne viruses should be considered in patients presenting with meningitis, encephalitis, or other acute neurologic illness in which an infectious etiology is suspected during the summer months in Michigan. Methodologies include: • IgM detection for five arboviruses (LAC, JCV, EEE, SLE, WNV) • Molecular detection (PCR) for WNV only • Plaque Reduction Neutralization Test (PRNT) is also available and may be performed on select samples when indicated The preferred sample for arbovirus serology at MDHHS BOL is cerebral spinal fluid (CSF), followed by paired serum samples (acute and convalescent). In cases where CSF volume may be small, it is recommended to also include an acute serum sample. Please see the following document for detailed instructions on specimen requirements, shipping and handling instructions: http://www.michigan.gov/documents/LSGArbovirus_IgM_Antibody_Panel_8347_7.doc Michigan residents may also be exposed to mosquito-borne viruses when traveling domestically or internationally. In recent years, the most common arboviruses impacting travelers include dengue, Zika and chikungunya virus. MDHHS has the capacity to perform PCR for dengue, chikungunya and Zika virus and IgM for dengue and Zika virus to confirm commercial laboratory arbovirus findings or for complicated medical investigations. -
What Is Veterinary Public Health? Zoonosis
Your Zoonosis Connection Veterinary Public Health Division Volume 4, Issue 1 March 2012 612 Canino Rd., Houston, Texas 77076 Phone: 281-999-3191 Fax: 281-847-1911 Harris County Rabies Update Inside this issue: Rabies continues to be a serious health threat to people and domestic What is Veterinary 2 animals. In the United States prior to 1960, the majority of all animal cases re- Public Health ported to the Centers for Disease Control and Prevention were seen in do- Rabies Submissions 3 mestic animals. Now more than 90% of the cases occur in wild animals. Since the 1950s, human rabies deaths have declined from more than a 100 annually Continuing Education 3 to a couple each year. This reduction in the number of human deaths associat- ed with rabies can be attributed to the implementation of rabies vaccination Zoonosis Trivia 4 laws, oral rabies vaccination programs, improved public health practices and the increased administration of post-exposure prophylaxis. Did you know? Veterinarians are In Harris County, rabies was last documented in a dog in 1979 and in a cat in uniquely qualified to 1986. However, rabies continues to be enzootic in our bat population. In address issues and 2011, 4.3% of bats submitted for testing were positive for rabies, which has de- concerns related to clined from 7.9% in 2010 (see table below). Last year, one horse and two the interactions of skunks tested positive for rabies in Harris County. The horse was infected people, animals, and with the South Central Skunk strain of rabies, which often spills over into oth- the environment. -
Melioidosis in Birds and Burkholderia Pseudomallei Dispersal, Australia
LETTERS 5. Mätz-Rensing K, Jentsch KD, Rensing S, Melioidosis in Birds However, these are mostly birds Langenhuynsen S, Verschoor E, Niphuis in captivity and often exotic to the H, et al. Fatal herpes simplex infection in and Burkholderia a group of common marmosets (Callithrix location, suggesting potential reduced jacchus). Vet Pathol. 2003;40:405–11. pseudomallei immunity. Little is known about doi:10.1354/vp.40-4-405 Dispersal, Australia melioidosis in wild birds. In Sabah, 6. Bruno SF, Liebhold M, Mätz-Rensing K, Malaysia, only 1 of 440 wild birds Romão MA, Didier A, Brandes A, et al. Herpesvirus infection in free-living black- To the Editor: Melioidosis is an admitted to a research center over 9 tufted-ear marmoset (Callithrix penicil- emerging infectious disease of humans years was found to have melioidosis lata E. Geoffroyi 1812) at the state park of and animals caused by the gram- (6). Serra da Tiririca, Niterói, Rio de Janeiro, negative bacterium Burkholderia Although birds are endotherms, Brazil. Berl Munch Tierarztl Wochenschr. 1997;110:427–30. pseudomallei, which inhabits soil and with high metabolic rates and body 7. Kalter SS, Heberling RL. Comparative surface water in the disease-endemic temperature (40°C–43°C) protecting virology of primates. Bacteriol Rev. regions of Southeast Asia and northern them from many diseases, some birds 1971;35:310–64. Australia (1). The aim of this study appear more susceptible to melioidosis. 8. Mansfi eld K. Emerging and re-emerging infectious diseases of nonhuman primates. was to assess the potential for birds Indeed, high body temperature would Proceedings of the American College to spread B. -
Anaplasmosis: an Emerging Tick-Borne Disease of Importance in Canada
IDCases 14 (2018) xxx–xxx Contents lists available at ScienceDirect IDCases journal homepage: www.elsevier.com/locate/idcr Case report Anaplasmosis: An emerging tick-borne disease of importance in Canada a, b,c d,e e,f Kelsey Uminski *, Kamran Kadkhoda , Brett L. Houston , Alison Lopez , g,h i c c Lauren J. MacKenzie , Robbin Lindsay , Andrew Walkty , John Embil , d,e Ryan Zarychanski a Rady Faculty of Health Sciences, Max Rady College of Medicine, Department of Internal Medicine, University of Manitoba, Winnipeg, MB, Canada b Cadham Provincial Laboratory, Government of Manitoba, Winnipeg, MB, Canada c Rady Faculty of Health Sciences, Max Rady College of Medicine, Department of Medical Microbiology and Infectious Diseases, University of Manitoba, Winnipeg, MB, Canada d Rady Faculty of Health Sciences, Max Rady College of Medicine, Department of Internal Medicine, Section of Medical Oncology and Hematology, University of Manitoba, Winnipeg, MB, Canada e CancerCare Manitoba, Department of Medical Oncology and Hematology, Winnipeg, MB, Canada f Rady Faculty of Health Sciences, Max Rady College of Medicine, Department of Pediatrics and Child Health, Section of Infectious Diseases, Winnipeg, MB, Canada g Rady Faculty of Health Sciences, Max Rady College of Medicine, Department of Internal Medicine, Section of Infectious Diseases, University of Manitoba, Winnipeg, MB, Canada h Rady Faculty of Health Sciences, Max Rady College of Medicine, Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada i Public Health Agency of Canada, National Microbiology Laboratory, Zoonotic Diseases and Special Pathogens, Winnipeg, MB, Canada A R T I C L E I N F O A B S T R A C T Article history: Human Granulocytic Anaplasmosis (HGA) is an infection caused by the intracellular bacterium Received 11 September 2018 Anaplasma phagocytophilum. -
Reportable Disease Surveillance in Virginia, 2013
Reportable Disease Surveillance in Virginia, 2013 Marissa J. Levine, MD, MPH State Health Commissioner Report Production Team: Division of Surveillance and Investigation, Division of Disease Prevention, Division of Environmental Epidemiology, and Division of Immunization Virginia Department of Health Post Office Box 2448 Richmond, Virginia 23218 www.vdh.virginia.gov ACKNOWLEDGEMENT In addition to the employees of the work units listed below, the Office of Epidemiology would like to acknowledge the contributions of all those engaged in disease surveillance and control activities across the state throughout the year. We appreciate the commitment to public health of all epidemiology staff in local and district health departments and the Regional and Central Offices, as well as the conscientious work of nurses, environmental health specialists, infection preventionists, physicians, laboratory staff, and administrators. These persons report or manage disease surveillance data on an ongoing basis and diligently strive to control morbidity in Virginia. This report would not be possible without the efforts of all those who collect and follow up on morbidity reports. Divisions in the Virginia Department of Health Office of Epidemiology Disease Prevention Telephone: 804-864-7964 Environmental Epidemiology Telephone: 804-864-8182 Immunization Telephone: 804-864-8055 Surveillance and Investigation Telephone: 804-864-8141 TABLE OF CONTENTS INTRODUCTION Introduction ......................................................................................................................................1 -
Leptospirosis Associated Equine Recurrent Uveitis Answers to Your Important Questions What Is Leptospirosis Associated Equine Recurrent Uveitis (LAERU)?
Lisa Dauten, DVM Tri-State Veterinary Services LLC " Leptospirosis Associated Equine Recurrent Uveitis Answers to your Important Questions! What is Leptospirosis Associated Equine Recurrent Uveitis (LAERU)? Let’s start by breaking down some terminology.! Uveitis- inflammation of the uvea. Resulting in cloudiness of the eye, pain, and potential blindness. Also know as “Moon Blindness”. Caused by trauma, infection, or corneal disease.! Uvea- part of the eye containing the iris, ciliary body, and choroid. It keeps the lens of the eye in place, maintains fluid in the eye, and keeps things in the blood from entering the inside of the eye (blood-ocular barrier). ! Recurrent Uveitis- inflammation of the uvea that sporadically reoccurs through out a horses life time. Each time there is a reoccurring episode, the damage to the eye is made worse, eventually leading to permanent damage and potential blindness. ! Leptospirosis- bacteria found in the environment shed in the urine of wildlife and livestock. Horses usually are exposed when grazing pastures or drinking from natural water sources.! LAERU- Recurrent Uveitis in horses caused by Leptospirosis.! What are the clinical signs of Uveitis? Uveitis can come on very suddenly. A lot of times horses present with severe pain in the eye, tearing, squinting, and rubbing face. The eye itself is cloudy, white or blue in color. Sometimes the signs are not as dramatic. The color change of the eye may progress slowly. In these cases, horse owners may mistake the changes for cataracts.! What do I do if I think my horse has Uveitis? Call your veterinarian to request an appointment. -
Tick-Borne Diseases in Maine a Physician’S Reference Manual Deer Tick Dog Tick Lonestar Tick (CDC Photo)
tick-borne diseases in Maine A Physician’s Reference Manual Deer Tick Dog Tick Lonestar Tick (CDC PHOTO) Nymph Nymph Nymph Adult Male Adult Male Adult Male Adult Female Adult Female Adult Female images not to scale know your ticks Ticks are generally found in brushy or wooded areas, near the DEER TICK DOG TICK LONESTAR TICK Ixodes scapularis Dermacentor variabilis Amblyomma americanum ground; they cannot jump or fly. Ticks are attracted to a variety (also called blacklegged tick) (also called wood tick) of host factors including body heat and carbon dioxide. They will Diseases Diseases Diseases transfer to a potential host when one brushes directly against Lyme disease, Rocky Mountain spotted Ehrlichiosis anaplasmosis, babesiosis fever and tularemia them and then seek a site for attachment. What bites What bites What bites Nymph and adult females Nymph and adult females Adult females When When When April through September in Anytime temperatures are April through August New England, year-round in above freezing, greatest Southern U.S. Coloring risk is spring through fall Adult females have a dark Coloring Coloring brown body with whitish Adult females have a brown Adult females have a markings on its hood body with a white spot on reddish-brown tear shaped the hood Size: body with dark brown hood Unfed Adults: Size: Size: Watermelon seed Nymphs: Poppy seed Nymphs: Poppy seed Unfed Adults: Sesame seed Unfed Adults: Sesame seed suMMer fever algorithM ALGORITHM FOR DIFFERENTIATING TICK-BORNE DISEASES IN MAINE Patient resides, works, or recreates in an area likely to have ticks and is exhibiting fever, This algorithm is intended for use as a general guide when pursuing a diagnosis. -
Tick-Borne Disease Working Group 2020 Report to Congress
2nd Report Supported by the U.S. Department of Health and Human Services • Office of the Assistant Secretary for Health Tick-Borne Disease Working Group 2020 Report to Congress Information and opinions in this report do not necessarily reflect the opinions of each member of the Working Group, the U.S. Department of Health and Human Services, or any other component of the Federal government. Table of Contents Executive Summary . .1 Chapter 4: Clinical Manifestations, Appendices . 114 Diagnosis, and Diagnostics . 28 Chapter 1: Background . 4 Appendix A. Tick-Borne Disease Congressional Action ................. 8 Chapter 5: Causes, Pathogenesis, Working Group .....................114 and Pathophysiology . 44 The Tick-Borne Disease Working Group . 8 Appendix B. Tick-Borne Disease Working Chapter 6: Treatment . 51 Group Subcommittees ...............117 Second Report: Focus and Structure . 8 Chapter 7: Clinician and Public Appendix C. Acronyms and Abbreviations 126 Chapter 2: Methods of the Education, Patient Access Working Group . .10 to Care . 59 Appendix D. 21st Century Cures Act ...128 Topic Development Briefs ............ 10 Chapter 8: Epidemiology and Appendix E. Working Group Charter. .131 Surveillance . 84 Subcommittees ..................... 10 Chapter 9: Federal Inventory . 93 Appendix F. Federal Inventory Survey . 136 Federal Inventory ....................11 Chapter 10: Public Input . 98 Appendix G. References .............149 Minority Responses ................. 13 Chapter 11: Looking Forward . .103 Chapter 3: Tick Biology, Conclusion . 112 Ecology, and Control . .14 Contributions U.S. Department of Health and Human Services James J. Berger, MS, MT(ASCP), SBB B. Kaye Hayes, MPA Working Group Members David Hughes Walker, MD (Co-Chair) Adalbeto Pérez de León, DVM, MS, PhD Leigh Ann Soltysiak, MS (Co-Chair) Kevin R. -
Fragile Transmission Cycles of Tick-Borne Encephalitis Virus May Be Disrupted by Predicted Climate Change
doi 10.1098/rspb.2000.1204 Fragiletransmissionc yclesof tick-borne encephalitisvirusmaybedisruptedbypredicted climatechange Sarah E.Randolph * and David J.Rogers Department of Zoology,University of Oxford, SouthP arks Road, Oxford OX13PS, U K Repeatedpredictions that vector-bornedisease prevalencewill increase withglobal warming are usually basedon univariatemodels. T oaccommodatethe fullrange of constraints, the present-daydistribution of tick-borneencephalitis virus (TBEv) was matched statistically tocurrent climatic variables,to provide a multivariatedescription of present-day areas of disease risk.This was then appliedto outputs ofageneral circulationmodel that predicts howclimatic variablesmay change in the future, andfuture distributions ofTBEv were predicted forthem. Theexpected summer rise intemperature anddecrease inmoisture appearsto drive the distributionof TBEv into higher-latitude and higher-altitude regions progressively throughthe 2020s,2050s and 208 0s.The ¢ naltoe-hold in the 2080smay be con¢ ned to a small partof Scandinavia,including new foci in southern Finland. The reason for this apparentcontraction of the rangeof TBEv is that its transmission cycles dependon a particularpattern oftick seasonal dynamics, whichmay be disrupted byclimate change.The observed marked increase inincidence of tick-borne encephalitisin most parts ofEuropesince 1993may be dueto non-biological causes, such aspoliticaland sociologicalchanges. Keywords: ticks; tick-borneencephalitis; global warming ;climate matching;risk maps the winter withminimum temperatures below 712 8C. 1.INTRODUCTION Further south,in areas with medium tohigh tick densi- Tick-borneencephalitis (TBE) ,causedby two subtypes of ties, further increases intick abundance were related to a £avivirus(TBEv) transmitted bythe ticks Ixodes ricinus combinationof milder winters (fewer dayswith minimum and I.persulcatus ,is the most signi¢cant vector-borne temperatures below 7 7 8C)and extended spring and disease inEurope and Eurasia. -
2018 DSHS Arbovirus Activity
Health and Human Texas Department of State Services Health Services Arbovirus Activity in Texas 2018 Surveillance Report August 2019 Texas Department of State Health Services Zoonosis Control Branch Overview Viruses transmitted by mosquitoes are referred to as arthropod-borne viruses or arboviruses. Arboviruses reported in Texas may include California (CAL) serogroup viruses, chikungunya virus (CHIKV), dengue virus (DENV), eastern equine encephalitis virus (EEEV), Saint Louis encephalitis virus (SLEV), western equine encephalitis virus (WEEV), West Nile virus (WNV), and Zika virus (ZIKV), many of which are endemic or enzootic in the state. In 2018, reported human arboviral disease cases were attributed to WNV (82%), DENV (11%), CHIKV (4%), ZIKV (2%), and CAL (1%) (Table 1). In addition, there were two cases reported as arbovirus disease cases which could not be diagnostically or epidemiologically differentiated between DENV and ZIKV. Animal infections or disease caused by WNV and SLEV were also reported during 2018. Local transmission of DENV, SLEV, and WNV was documented during 2018 (Figure 1). No reports of EEEV or WEEV were received during 2018. Table 1. Year-End Arbovirus Activity Summary, Texas, 2018 Positive Human* Arbovirus Mosquito Avian Equine TOTAL TOTAL Fever Neuroinvasive Severe Deaths PVD‡ Pools (Human) CAL 1 1 1 CHIK 7 7 7 DEN 20 20 20 SLE 2 0 2 WN 1,021 6 19 38 108 146 11 24 1,192 Zika** 4 4 TOTAL 1,023 6 19 65 109 0 178 11 24 1,226 CAL - California serogroup includes California encephalitis, Jamestown Canyon, Keystone, La Crosse, Snowshoe hare and Trivittatus viruses CHIK - Chikungunya DEN - Dengue SLE - Saint Louis encephalitis WN - West Nile ‡PVD - Presumptive viremic blood donors are people who had no symptoms at the time of donating blood through a blood collection agency, but whose blood tested positive when screened for the presence of West Nile virus or Zika virus. -
Rat-Bite Fever (Streptobac8dlu.S Monilnjiormh) : a Potential Emerging Disease Margot H
Original Report Rat-Bite Fever (Streptobac8dlu.s monilnjiormh) : A Potential Emerging Disease Margot H. Graves, BS;” and J. Michael Janda, PhD* ABSTRACT Two distinct clinical syndromes have been identified in association with S. moniliformis infection. One, Haver- Objectives: To determine the relative prevalence of human infec- hill fever, originally recognized in 1926, is an infection tions attributable to Streptobacillus moniliformis in California transmitted to humans through the consumption of con- over the past 3 decades. taminated water, milk, or food previously in contact with Methods: A retrospective analysis of all the data collected was rats.‘,* The disease is characterized by a high incidence conducted on S. moniliformis cultures identified by the Micro- of pharyngitis and pronounced vomiting. bial Diseases Laboratory (MDL) from January 1970 to Decem- The more common syndrome associated with S. ber 1998. moniliformis infection, however, is rat-bite fever @RF). This illness is characterized by abrupt onset of high fevers, Results: Information on a total of 45 S. moniliformis isolates headaches, severe migratory arthralgia, vomiting, and a was analyzed. Overall, 91% of the isolates were from human rash (2-4 days later). The petechial rash develops over sources; 58% were received since 1990. These strains were the extremities, in particular the palms and the soles.’ The divided almost equally between males and females, with 50% onset of symptoms typically occurs 10 or more days after of the isolates from patients 9 years old or younger. In 75% of the cases of human infections where a diagnosis was given, exposure. Any related wound has usually healed by the rat-bite fever (RBF) was suspected; 83% of these suspected time symptoms develop.