DOCSLIB.ORG

Other Tick Borne Illnesses Illnesses Colorado Tick Fever Babesiosis Tularemia Ehrlichiosis

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Other Tick Borne Illnesses Illnesses Colorado Tick Fever Babesiosis Tularemia Ehrlichiosis Disclosures Common Bites and Stings • None David Hartnett, MD Assistant Professor Department of Emergency Medicine The Ohio State University Wexner Medical Center Learning Objectives Impact of bites and stings • Discuss the incidence of bites and stings in the US • 1.5 million ED visits per year • Review management of clinically relevant species • Insects • Mammals • Arachnids • Reptiles • Describe indications and methods of rabies prophylaxis 1 Hymenoptera • Bees, vespids, fire ants • Symptomatic control Insects - 50% • Localized, systemic, and anaphylactic Source: Alvesgaspar - Own work CC BY-SA 3.0, reactions • Stinger removal • Killer Bees Source: James Heilman, MD Own work, CC BY-SA 3.0, Africanized Killer Bees LD50 (mg/kg) Venom (µg) European Honey Bee 2.8 148 Africanized Honey Bee 2.8 156 Cape Honey Bee 3.0 187 LD50 for a 110 lb person Rule of Thumb Honey Bees – 890 Stings 6 stings/lb – survival Yellow Jackets – 3600 stings 8 stings/lb – LD50 Source: James Heilman, MD - Own work CC BY-SA 3.0, Paper wasps – 850 stings 10 stings/lb – Death Source: James Heilman, MD Own work, CC BY-SA 3.0, 2 Bed bugs Mosquito borne illnesses • Behavior • Travel medicine • Chikungunya • Transmission • Dengue • Incidence • Japanese Encephalitis • Malaria • Prevention • Yellow Fever • Zika • Symptom control • Infestation treatment • Endemic to United States Source: CDC • Eastern Equine Encephalitis • St Louis Encephalitis • La Crosse Encephalitis • West Nile La Crosse Virus Encephalitis – West Nile Virus – incidence by Incidence per 100,000 state per 100,000 3 Arachnids - 16% Source: CDC Lyme Disease Rocky Mountain Spotted Fever • Progression • Clinical • Prophylactic Diagnosis Treatment • Doxycycline • Symptomatic Treatment • STARI Source: CDC Source: CDC Source: CDC Source: CDC 4 Other Tick Borne Other Tick Borne Illnesses Illnesses Colorado Tick Fever Babesiosis Tularemia Ehrlichiosis Source: CDC Source: CDC Source: CDC Source: CDC Black Widow Brown Recluse • Localized • Necrotic Reactions Arachnidism- • Systemic hemotoxin Neurotoxin • Local wound care • Treatment – Photograph by Mark • NOT RECLUSE Analgesics, BZD, Chappell of University of antihypertensives California, Riverside. CC BY-SA 2.5 • Antivenin? • Failed Therapies Source: CDC Source: CDC Source: CDC 5 Brown Recluse Centruroides – Arizona bark scorpion • Neurotoxin • Treatment – supportive care Source: CDC • Centruroides immune Fab – Anascorp By Rosa Pineda - Own work, CC BY-SA 3.0, Source: Musides at English Wikipedia, CC BY-SA 3.0, Canine - 26% • Incidence • Infection Risk • Antibiotics Others • Closure 6 Canine Bites Other Mammals - 7% • Humans • Cat Bites • Bats • Raccoons • Possums Rabies Reptiles - 1% • Pre – exposure vaccination Crotalidae Elapidae • Post – exposure treatment • Rattle snakes, • Coral Snake copperheads, • Rabies vaccine – • Neurotoxin cottonmouths 0,3,7,14 days • Coralmyn • Human rabies • Local necrosis and Source: CDC systemic hemotoxin immunoglobulin • CroFab • Previously Vaccinated • Waking up with a bat Source: Norman.benton - Own work CC BY-SA 3.0, Source: Glenn Bartolotti - Own work, CC BY-SA 4.0, Source: CDC 7.
Load more

Recommended publications
  • Joint Statement on Insect Repellents by EPA And
    Joint Statement on Insect Repellents from the Environmental Protection Agency and the Centers for Disease Control and Prevention July 17, 2014 The Environmental Protection Agency (EPA) and Centers for Disease Control and Prevention (CDC) are recommending that the public use insect repellents and take other precautions to avoid biting insects that carry serious diseases. The incidence of these diseases is on the rise. This joint statement discusses diseases that are transmitted by ticks and mosquitoes, the role of government in vector control and disease prevention, the history of repellents, how to use repellents as part of an integrated control program, and how to select and use a repellent. Introduction and Purpose CDC and EPA developed this joint statement to promote awareness of repellents and to highlight the effectiveness of repellents in preventing mosquito and tick bites. The agencies believe that promoting the use of repellents may reduce the impact of diseases and nuisance effects caused by these pests. Vector-borne diseases, such as those transmitted by mosquitoes and ticks, are among the world's leading causes of illness and death today. A wide variety of arthropods, including mosquitoes, ticks, fleas, black flies, sand flies, horse flies, stable flies, kissing bugs, lice and mites, feed on human blood. Among these, mosquitoes and ticks transmit some of the most serious vector- borne diseases both globally and within the United States. Diseases Transmitted by Mosquitoes and Ticks Mosquito-transmitted West Nile virus caused over 36,000 disease cases and 1,500 deaths in the United States between 1999 and 2012 (CDC, 2012). Mosquitoes also transmit other viruses that cause severe disease in the United States, including La Crosse encephalitis, eastern equine encephalitis and dengue.
    [Show full text]
  • Mosquitoborne Diseases of Minnesota
    Are mosquitoborne diseases treatable? There are no medications to treat viruses that are spread by mosquitoes. Instead, the symptoms are treated with supportive care. People with mild illness typically recover A Culex tarsalis on their own. Those with severe nervous mosquito as it is about to begin system illness may need to be hospitalized feeding and nerve damage and death may occur. How can I protect myself from a mosquitoborne disease? • Know that July through September is the highest risk of mosquitoborne disease in Minnesota - West Nile virus disease – dawn and dusk for Culex tarsalis mosquitoes hat is a mosquitoborne - La Crosse encephalitis – daytime What symptoms should I watch for? for Aedes triseriatus mosquitoes Most people who become infected with disease? • Use repellents a mosquitoborne disease won’t have any People can get a mosquitoborne - Use DEET-based repellents (up Wdisease when they are bitten by a mosquito symptoms at all or just a mild illness. Symptoms to 30%) on skin or clothing that is infected with a disease agent. In usually show up suddenly within 1-2 weeks of Minnesota, there are about fifty different being bitten by an infected mosquito. A small types of mosquitoes. Only a few species are percentage of people will develop serious nervous system illness such as encephalitis Look for this label capable of spreading disease to humans. For on your repellent example, Culex tarsalis is the main mosquito or meningitis (inflammation of the brain or to know how long that spreads West Nile virus to Minnesotans. surrounding tissues). Watch for symptoms like: it will work.
    [Show full text]
  • Orthobunyaviruses: from Virus Binding to Penetration Into Mammalian Host Cells
    viruses Review Orthobunyaviruses: From Virus Binding to Penetration into Mammalian Host Cells Stefan Windhaber 1 , Qilin Xin 2 and Pierre-Yves Lozach 1,2,* 1 CellNetworks—Cluster of Excellence and Center for Integrative Infectious Diseases Research (CIID), Department of Infectious Diseases, Virology, University Hospital Heidelberg, 69120 Heidelberg, Germany; [email protected] 2 Institut National de Recherche Pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Ecole Pratique des Hautes Etudes (EPHE), Viral Infections and Comparative Pathology (IVPC), UMR754-University Lyon, 69007 Lyon, France; [email protected] * Correspondence: [email protected] Abstract: With over 80 members worldwide, Orthobunyavirus is the largest genus in the Peribunyaviri- dae family. Orthobunyaviruses (OBVs) are arthropod-borne viruses that are structurally simple, with a trisegmented, negative-sense RNA genome and only four structural proteins. OBVs are potential agents of emerging and re-emerging diseases and overall represent a global threat to both public and veterinary health. The focus of this review is on the very first steps of OBV infection in mammalian hosts, from virus binding to penetration and release of the viral genome into the cytosol. Here, we address the most current knowledge and advances regarding OBV receptors, endocytosis, and fusion. Keywords: arbovirus; Bunyamwera; cell entry; emerging virus; endocytosis; fusion; La Crosse; Oropouche; receptor; Schmallenberg Citation: Windhaber, S.; Xin, Q.; Lozach, P.-Y. Orthobunyaviruses: 1. Introduction From Virus Binding to Penetration into Mammalian Host Cells. Viruses Orthobunyavirus consists of over 80 members that are globally distributed, which is a 2021, 13, 872. https://doi.org/ genus of the family Peribunyaviridae (Bunyavirales order) along with Herbevirus, Pacuvirus, 10.3390/v13050872 and Shangavirus (Table1)[ 1].
    [Show full text]
  • California Encephalitis, Hantavirus Pulmonary Syndrome, Hantavirus Hemorrhagic Fever with Renal 166 Syndrome, and Bunyavirus Hemorrhagic Fevers Raphael Dolin
    i. Bunyaviridae California Encephalitis, Hantavirus Pulmonary Syndrome, Hantavirus Hemorrhagic Fever With Renal 166 Syndrome, and Bunyavirus Hemorrhagic Fevers Raphael Dolin SHORT VIEW SUMMARY Definition Major Causes of Human Diseases Diagnostic tests are typically performed in } Bunyavirales is a large order of RNA viruses (See Table 166.1) reference laboratories. consisting of 10 families and more than 350 } California encephalitis group: Therapy named species. They are enveloped, } La Crosse virus (LACV) } Treatment is primarily supportive because specific single-stranded RNA viruses with a segmented Jamestown Canyon virus (JCV) } antiviral therapy is not available. Ribavirin has genome. Bunyavirales members can be found Rift Valley fever virus (RVFV) } been studied in some bunyavirus infections, and worldwide and are able to infect invertebrates, Crimean-Congo hemorrhagic fever virus (CCHFV) } data from in vitro and in vivo models hold vertebrates, and plants. Hantaviruses } promise. Ribavirin has shown clinical benefit in Hemorrhagic fever with renal syndrome Epidemiology } HFRS and in CCHF. However, comprehensive (HFRS) } Bunyaviruses are significant human pathogens clinical trials have not been conducted. } Hantavirus pulmonary syndrome with the ability to cause severe disease, } Severe fever with thrombocytopenia syndrome Prevention ranging from febrile illness, encephalitis, and virus (SFTSV) } No specific preventive measures are available, hepatitis to hemorrhagic fever. but experimental vaccines for some With exception of hantaviruses,
    [Show full text]
  • North Carolina Department of Health and Human Services Division of Public Health
    North Carolina Department of Health and Human Services Division of Public Health Pat McCrory Aldona Z. Wos, M.D. Governor Ambassador (Ret.) Secretary DHHS Daniel Staley Acting Division Director Date: 1 APR 2015 To: NC Medical Providers From: Dr. Megan Davies, State Epidemiologist Subject: Annual Update on Diagnosis and Surveillance for Arboviral disease (2 pages) Arboviral Diseases: Per North Carolina law, neuroinvasive arboviral diseases are reportable by health care providers to their local health department. These infections are transmitted by the bite of an infected mosquito and the spectrum of illness ranges from asymptomatic to fever, altered mental status, and acute signs of central or peripheral neurologic dysfunction and, rarely, death. La Crosse encephalitis (LACE) is the most commonly reported arboviral disease in North Carolina (figures 1, 2) and during 2014 LACE cases represented all of the domestically acquired arboviral disease cases. Although LAC infection has been reported across the state, historical data demonstrates that several southwestern counties report over 75% of all LACE cases. While LaCrosse virus infection was first characterized in and named after LaCrosse, Wisconsin, most cases are now reported from focal regions of the eastern US, specifically in Appalachia. [1] West Nile virus infection (WNV) and Eastern Equine encephalitis (EEE) are neuro-invasive diseases also reported in North Carolina, but are much less common than LAC. Over the past five years, fewer than 10 cases total have been reported annually. Chikungunya, Dengue, and Yellow Fever are also reportable diseases. These infections are associated with travel to endemic areas and there is no transmission occurring within North Carolina.
    [Show full text]
  • Chikungunya-Fight the Bite
    Safety Short A number of mosquito-borne viruses have previously been detected, or are currently being transmitted, within the U.S., including La Crosse encephalitis virus, St. Louis encephalitis virus, Western equine encephalitis virus, West Nile virus, and sporadic cases of Dengue virus. Recently, there has been a dramatic rise in the cases of Chikungunya (pronounced chik-en-gun- ye) fever detected in the continental U.S. Although each of these cases was acquired from mosquito bites abroad, health officials are on high alert for local outbreaks of Chikungunya virus. The chikungunya name originates from the Makondo language, meaning “bent up” or “contorted”, which describes the posture of those afflicted with the disease. Chikungunya virus was first isolated during a Tanzanian epidemic in 1952 and periodic outbreaks have been detected in African and Asian countries, since the 1960s. Between 2005-2006 Chikungunya outbreaks occurred in India (1.5 million infected) as well as the Indian Ocean islands of Réunion and Mauritius (272,000 infected). In 2007, infected travelers caused an outbreak in northeast Italy, demonstrating the potential for non-tropical epidemics in Europe and the United States. The first local transmission of Chikungunya virus in the Americas was detected in the Caribbean, Saint Martin, in December of 2013. Since then, it has spread to 14 other countries and has been declared an epidemic in the Caribbean. As such, the number of imported cases in the U.S. has significantly increased; an average of 28 cases/year 2006-2013, compared to 129 as of July 1st in 2014. To date, all reported cases in the continental U.S.
    [Show full text]
  • Rift Valley Fever Sept 2016
    EXOTIC Rift Valley f ever and Australian wildlife Fact sheet Introductory statement Rift Valley fever (RVF) is a zoonotic arboviral disease that causes high abortion rates and fatalities in livestock. Rift Valley Fever has never been reported in Australia (OIE 2015). However, Australia has several potentially competent vector, reservoir, and free-ranging and captive host species, plus the environmental conditions currently deemed as risk factors for RVF outbreaks. It is uncertain what role Australian native fauna would play should on outbreak occur in Australia, but susceptible wild animals could pose a considerable threat to RVF control, because of their potential to harbour and spread the virus (Animal Health Australia 2013). Aetiology Virus: Rift Valley fever virus (RVFV); genus: Phlebovirus; family: Bunyavirida. Other notable viruses in this family include La Crosse encephalitis, California encephalitis, Crimean-Congo haemorrhagic fever and Nairobi sheep disease viruses (Geering et al. 1995; Peters 1998). Grouping (non-taxonomic): Arbovirus - see separate WHA factsheet on Arboviruses for more details. Natural hosts RVF has a very wide host range, however the full host range of the virus is unknown. The susceptibility of Australian fauna to RVF is unknown, as is the potential role of native fauna in the ecology and epidemiology of virus, if it were to enter Australia (Animal Health Australia 2013). Reservoir host: Uncertain – livestock, Aedes spp.* mosquitoes (eggs) (CDC 2013). present in Australia in free-ranging/ wild situations Amplifying host: Livestock*, humans* (?) (Animal Health Australia 2013; CDC 2013). Clinically affected hosts: Humans*, sheep*, goats*, cattle*, buffalo*, camels* (Geering et al. 1995; Animal Health Australia 2013; CDC 2013).
    [Show full text]
  • City of Powell Minutes of 06.21.2016 Exhibit 1
    City of Powell Minutes of 06.21.2016 Exhibit 1 Shelia Hiddleson, RN, MS Health Commissioner 1 West Winter St. 3 West Winter St. General Office Hours: Mon. - Fri. 8:00 a.m. - 5:00 p.m. (2nd floor) WIC Plumbing Office Hours: Mon. - Fri. 7:30 a.m. - 4:30 p.m. Main Reception Immunization Clinics Clinic Hours Beginning: Mon. - Fri. 7:30 a.m. Vital Statistics Adult Health Clinics [email protected] Environmental Health Directory of Services Main Reception 740-368-1700 17. Hazardous Materials 740-203-2064 Clinic Reception 740-203-2040 18. Health Promotion 740-203-2029 Information Line 740-203-2015 19. HIV Testing 740-203-2040 WIC 740-203-2050 20. Immunization - Adult & Children 740-203-2040 21. Litter and Recycling 740-203-2076 1. Air Quality Information 740-203-2078 22. Matter of Balance 740-203-2054 2. Animal Bite Reporting 740-203-2066 23. Mosquito Control 740-203-2069 3. Birth and Death Certificates 740-203-2021 24. DGHD In Your Neighborhood 740-203-2040 4. Program for Children with 25. Nursing 740-203-2040 Medical Handicaps 740-203-2040 26. Nutrition Services Community & School 740-203-2025 5. Car Seats 740-203-2076 27. Personnel Office (recruiting) 740-203-2009 6. Cardiovascular Health 740-203-2040 28. Plumbing Inspector 740-203-2088 7. Communicable Diseases 740-203-2017 29. Plumbing Permits 740-203-2088 8. Community Assessment 740-203-2025 30. Rabies Information 740-203-2066 9. Community Health Education 740-203-2039 31. Rodent Control and Animal Complaints 740-203-2066 10.
    [Show full text]
  • Zoonotic Potential of International Trade in CITES-Listed Species Annexes B, C and D JNCC Report No
    Zoonotic potential of international trade in CITES-listed species Annexes B, C and D JNCC Report No. 678 Zoonotic potential of international trade in CITES-listed species Annex B: Taxonomic orders and associated zoonotic diseases Annex C: CITES-listed species and directly associated zoonotic diseases Annex D: Full trade summaries by taxonomic family UNEP-WCMC & JNCC May 2021 © JNCC, Peterborough 2021 Zoonotic potential of international trade in CITES-listed species Prepared for JNCC Published May 2021 Copyright JNCC, Peterborough 2021 Citation UNEP-WCMC and JNCC, 2021. Zoonotic potential of international trade in CITES- listed species. JNCC Report No. 678, JNCC, Peterborough, ISSN 0963-8091. Contributing authors Stafford, C., Pavitt, A., Vitale, J., Blömer, N., McLardy, C., Phillips, K., Scholz, L., Littlewood, A.H.L, Fleming, L.V. & Malsch, K. Acknowledgements We are grateful for the constructive comments and input from Jules McAlpine (JNCC), Becky Austin (JNCC), Neville Ash (UNEP-WCMC) and Doreen Robinson (UNEP). We also thank colleagues from OIE for their expert input and review in relation to the zoonotic disease dataset. Cover Photographs Adobe Stock images ISSN 0963-8091 JNCC Report No. 678: Zoonotic potential of international trade in CITES-listed species Annex B: Taxonomic orders and associated zoonotic diseases Annex B: Taxonomic orders and associated zoonotic diseases Table B1: Taxonomic orders1 associated with at least one zoonotic disease according to the source papers, ranked by number of associated zoonotic diseases identified.
    [Show full text]
  • ZD Surveillance Report
    WEST VIRGINIA 2017 ZOONOTIC DISEASE SURVEILLANCE REPORT Office of Epidemiology and Prevention Services Division of Infectious Disease Epidemiology 350 Capitol Street, Room 125 Charleston, West Virginia 25301 Miguella Mark-Carew, PhD Jessica Shiltz, MPH Eric Dotseth, MS 2017 Mosquito-borne Disease Surveillance Summary Introduction Mosquito-borne diseases, most of which are viruses, are transmitted through the bite of infected mosquitoes. Surveillance for these diseases in West Virginia focuses on four endemic arboviruses—La Crosse encephalitis virus (LAC), West Nile virus (WNV), St. Louis encephalitis virus (SLE), and eastern equine encephalitis virus (EEE)—and travel-associated diseases such as chikungunya, dengue fever, malaria, and Zika virus (ZIKV). Historically, LAC has been the mosquito-borne disease of most concern in West Virginia, with up to 40 human cases reported in previous years. Most people who become infected with endemic with arboviral infections have no clinical symptoms; however, encephalitis (inflammation of the brain) is a potentially life-threatening complication that is often reported among infected persons who develop symptoms. Symptoms generally begin one to two weeks after a mosquito bite and include fever, headache, myalgia, meningitis, and neurologic dysfunction. There is no specific treatment available for arboviral infections. Environmental surveillance for arboviral diseases monitors local activity in non-human species. Mosquito surveillance is important to understanding the distribution of these vectors and the diseases that they may transmit to humans. Mosquito surveillance is conducted in selected counties across the state from late spring through fall. Horses can become infected with arboviruses resulting in clinical illness. Mosquitoes, dead birds and horses have all been used to help identify WNV and other arboviral disease activity in West Virginia.
    [Show full text]
  • Communicable and Environmental Disease Services
    5962 CEDS_03_AR_Covr 11/2/04 8:07 AM Page 1 Tennessee Department of Health Communicable and Environmental Disease Services Tennessee Department of Health. Authorization No. 343341, 700 copies. This public document was 2003 Annual Report promulgated at a cost of $5.25 per copy. 10/04 Tennessee Department of Health Communicable and Environmental Disease Services 2003 Annual Report Communicable and Environmental Disease Services Section Tennessee Department of Health 4th Floor Cordell Hull Building 425 5th Avenue North Nashville, TN 37247-4911 615-741-7247 (24/7) 1-800-404-3006 FAX 615-741-3857 Communicable and Environmental Disease Services Annual Report 2003 Tennessee Department of Health Communicable and Environmental Disease Services Kenneth S. Robinson, MD, Commissioner of Health Wendy J. Long, MD, MPH, Deputy State Health Officer Bureau of Health Services Allen S. Craig, MD, State Epidemiologist; Director, Communicable and Environmental Disease Services Available electronically at the Tennessee Department of Health website. Click on Programs, and then click on Communicable and Environmental Disease Services. http://tennessee.gov/health This report reflects the contributions of the many committed professionals who are part of the Communicable and Environmental Disease Services Section, Tennessee Department of Health. i Communicable and Environmental Disease Services Annual Report 2003 TABLE OF CONTENTS Section I. Introduction...........................................................................................................................1
    [Show full text]
  • Dengue Fever Surveillance Protocol
    April 2016 Dengue Fever Surveillance Protocol Dengue, also known as dengue fever (DF), dengue hemorrhagic fever (DHF), or breakbone fever, is a mosquito-borne viral infection that manifests with fever and may be accompanied by a combination of nausea/vomiting, rash, aches and pains, leukopenia, and capillary leakage leading to mucosal bleeding and other complications. Although the majority of dengue cases in the United States are travel-associated, recent years have revealed multiple local transmission events in the states of Florida, Hawaii, and Texas. Unlike other arboviral diseases endemic to West Virginia (i.e. West Nile virus, La Crosse encephalitis), cases of dengue must be reported within 24 hours to the local health department. Provider Responsibilities 1. Report suspect or confirmed cases to your local health department within 24 hours; emerging infectious diseases are considered Category II reportable conditions and require faster responses to facilitate prompt public health prevention and control measures (e.g. home environmental assessments, contact tracing). Supply requested clinical information to the local health department to assist with case ascertainment. a. A serum specimen must be collected. Serum samples are preferred for most molecular and serological dengue tests. The proper diagnostic testing algorithm is detailed by the CDC at the following link: http://www.cdc.gov/zika/pdfs/denvchikvzikv-testing-algorithm.pdf. Other specimens such as CSF, urine, amniotic fluid, and tissues may be submitted alongside patient- matched serum for evaluation of the utility of these specimen types. 2. Submit a serum sample to the Office of Laboratory Services (OLS) for forwarding to CDC for testing. Assure appropriate testing is completed.
    [Show full text]