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  1. Article ; Online: History of the geographic distribution of the western blacklegged tick, Ixodes pacificus, in the United States.

    Eisen, Lars / Saunders, Megan E M / Kramer, Vicki L / Eisen, Rebecca J

    Ticks and tick-borne diseases

    2024  Volume 15, Issue 3, Page(s) 102325

    Abstract: Ixodes pacificus (the western blacklegged tick) occurs in the far western United States (US), where it commonly bites humans. This tick was not considered a species of medical concern until it was implicated in the 1980s as a vector of Lyme disease ... ...

    Abstract Ixodes pacificus (the western blacklegged tick) occurs in the far western United States (US), where it commonly bites humans. This tick was not considered a species of medical concern until it was implicated in the 1980s as a vector of Lyme disease spirochetes. Later, it was discovered to also be the primary vector to humans in the far western US of agents causing anaplasmosis and hard tick relapsing fever. The core distribution of I. pacificus in the US includes California, western Oregon, and western Washington, with outlier populations reported in Utah and Arizona. In this review, we provide a history of the documented occurrence of I. pacificus in the US from the 1890s to present, and discuss associations of its geographic range with landscape, hosts, and climate. In contrast to Ixodes scapularis (the blacklegged tick) in the eastern US, there is no evidence for a dramatic change in the geographic distribution of I. pacificus over the last half-century. Field surveys in the 1930s and 1940s documented I. pacificus along the Pacific Coast from southern California to northern Washington, in the Sierra Nevada foothills, and in western Utah. County level collection records often included both immatures and adults of I. pacificus, recovered by drag sampling or from humans, domestic animals, and wildlife. The estimated geographic distribution presented for I. pacificus in 1945 by Bishopp and Trembley is similar to that presented in 2022 by the Centers for Disease Control and Prevention. There is no clear evidence of range expansion for I. pacificus, separate from tick records in new areas that could have resulted from newly initiated or intensified surveillance efforts. Moreover, there is no evidence from long-term studies that the density of questing I. pacificus ticks has increased over time in specific areas. It therefore is not surprising that the incidence of Lyme disease has remained stable in the Pacific Coast states from the early 1990s, when it became a notifiable condition, to present. We note that deforestation and deer depredation were less severe in the far western US during the 1800s and early 1900s compared to the eastern US. This likely contributed to I. pacificus maintaining stable, widespread populations across its geographic range in the far western US in the early 1900s, while I. scapularis during the same time period appears to have been restricted to a small number of geographically isolated refugia sites within its present range in the eastern US. The impact that a warming climate may have had on the geographic distribution and local abundance of I. pacificus in recent decades remains unclear.
    MeSH term(s) Humans ; United States/epidemiology ; Animals ; Ixodes ; Deer ; Lyme Disease/epidemiology ; Borrelia burgdorferi ; Washington
    Language English
    Publishing date 2024-02-21
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 2541872-5
    ISSN 1877-9603 ; 1877-959X
    ISSN (online) 1877-9603
    ISSN 1877-959X
    DOI 10.1016/j.ttbdis.2024.102325
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Epidemic versus endemic West Nile virus dead bird surveillance in California: Changes in sensitivity and focus.

    Foss, Leslie / Feiszli, Tina / Kramer, Vicki L / Reisen, William K / Padgett, Kerry

    PloS one

    2023  Volume 18, Issue 4, Page(s) e0284039

    Abstract: Since 2003, the California West Nile virus (WNV) dead bird surveillance program (DBSP) has monitored publicly reported dead birds for WNV surveillance and response. In the current paper, we compared DBSP data from early epidemic years (2004-2006) with ... ...

    Abstract Since 2003, the California West Nile virus (WNV) dead bird surveillance program (DBSP) has monitored publicly reported dead birds for WNV surveillance and response. In the current paper, we compared DBSP data from early epidemic years (2004-2006) with recent endemic years (2018-2020), with a focus on specimen collection criteria, county report incidence, bird species selection, WNV prevalence in dead birds, and utility of the DBSP as an early environmental indicator of WNV. Although fewer agencies collected dead birds in recent years, most vector control agencies with consistent WNV activity continued to use dead birds as a surveillance tool, with streamlined operations enhancing efficiency. The number of dead bird reports was approximately ten times greater during 2004-2006 compared to 2018-2020, with reports from the Central Valley and portions of Southern California decreasing substantially in recent years; reports from the San Francisco Bay Area decreased less dramatically. Seven of ten counties with high numbers of dead bird reports were also high human WNV case burden areas. Dead corvid, sparrow, and quail reports decreased the most compared to other bird species reports. West Nile virus positive dead birds were the most frequent first indicators of WNV activity by county in 2004-2006, followed by positive mosquitoes; in contrast, during 2018-2020 mosquitoes were the most frequent first indicators followed by dead birds, and initial environmental WNV detections occurred later in the season during 2018-2020. Evidence for WNV impacts on avian populations and susceptibility are discussed. Although patterns of dead bird reports and WNV prevalence in tested dead birds have changed, dead birds have endured as a useful element within our multi-faceted WNV surveillance program.
    MeSH term(s) Animals ; Humans ; West Nile virus/physiology ; West Nile Fever/epidemiology ; West Nile Fever/veterinary ; Mosquito Vectors ; California/epidemiology ; Sparrows ; San Francisco ; Bird Diseases/epidemiology
    Language English
    Publishing date 2023-04-06
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0284039
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Evaluation of the effectiveness of the California mosquito-borne virus surveillance & response plan, 2009-2018.

    Danforth, Mary E / Snyder, Robert E / Lonstrup, Emma T N / Barker, Christopher M / Kramer, Vicki L

    PLoS neglected tropical diseases

    2022  Volume 16, Issue 5, Page(s) e0010375

    Abstract: Local vector control and public health agencies in California use the California Mosquito-Borne Virus Surveillance and Response Plan to monitor and evaluate West Nile virus (WNV) activity and guide responses to reduce the burden of WNV disease. All ... ...

    Abstract Local vector control and public health agencies in California use the California Mosquito-Borne Virus Surveillance and Response Plan to monitor and evaluate West Nile virus (WNV) activity and guide responses to reduce the burden of WNV disease. All available data from environmental surveillance, such as the abundance and WNV infection rates in Culex tarsalis and the Culex pipiens complex mosquitoes, the numbers of dead birds, seroconversions in sentinel chickens, and ambient air temperatures, are fed into a formula to estimate the risk level and associated risk of human infections. In many other areas of the US, the vector index, based only on vector mosquito abundance and infection rates, is used by vector control programs to estimate the risk of human WNV transmission. We built models to determine the association between risk level and the number of reported symptomatic human disease cases with onset in the following three weeks to identify the essential components of the risk level and to compare California's risk estimates to vector index. Risk level calculations based on Cx. tarsalis and Cx. pipiens complex levels were significantly associated with increased human risk, particularly when accounting for vector control area and population, and were better predictors than using vector index. Including all potential environmental components created an effective tool to estimate the risk of WNV transmission to humans in California.
    MeSH term(s) Animals ; California/epidemiology ; Chickens ; Culex ; Culicidae ; Encephalitis Virus, California ; Mosquito Vectors ; West Nile Fever/epidemiology ; West Nile Fever/prevention & control ; West Nile virus/physiology
    Language English
    Publishing date 2022-05-09
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 2429704-5
    ISSN 1935-2735 ; 1935-2735
    ISSN (online) 1935-2735
    ISSN 1935-2735
    DOI 10.1371/journal.pntd.0010375
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Surveillance of a kdr Resistance Mutation in Culex pipiens (Diptera: Culicidae) and Culex quinquefasciatus in California.

    Yoshimizu, Melissa Hardstone / Padgett, Kerry / Kramer, Vicki

    Journal of medical entomology

    2019  Volume 57, Issue 2, Page(s) 645–648

    Abstract: Culex pipiens Linnaeus and Culex quinquefasciatus Say are the primary vectors of West Nile and St. Louis encephalitis viruses in California. Pyrethrins and pyrethroids (synthetic pyrethrins) are the most widely used insecticides to control adult stage ... ...

    Abstract Culex pipiens Linnaeus and Culex quinquefasciatus Say are the primary vectors of West Nile and St. Louis encephalitis viruses in California. Pyrethrins and pyrethroids (synthetic pyrethrins) are the most widely used insecticides to control adult stage mosquitoes to prevent disease transmission. The most abundant and widespread mutation associated with pyrethroid resistance is the L1014F mutation of the voltage-sensitive sodium channel gene. Statewide, based on the testing of almost 2,000 mosquitoes from 14 counties, the resistant allele frequency was 71%. Although the L1014F mutation was found in all counties assessed, the resistance allele profiles differed between regions of California. The highest resistant allele frequency occurred in the Central region and lowest frequencies were from the Northern and Southern regions. Resistance allele frequencies observed in 2014-2016 are nearly 1.5 times higher than those from pre-2012, indicating that resistance profiles can change over time. Regular monitoring of the L1014F kdr mutation will help aid in operational decisions.
    MeSH term(s) Alleles ; Animals ; California ; Culex/drug effects ; Culex/genetics ; Gene Frequency ; Insect Proteins/genetics ; Insect Proteins/metabolism ; Insecticide Resistance/genetics ; Mosquito Vectors/drug effects ; Mosquito Vectors/genetics ; Mutation ; Seasons ; Species Specificity ; Voltage-Gated Sodium Channels/genetics ; Voltage-Gated Sodium Channels/metabolism
    Chemical Substances Insect Proteins ; Voltage-Gated Sodium Channels
    Language English
    Publishing date 2019-11-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 410635-0
    ISSN 1938-2928 ; 0022-2585
    ISSN (online) 1938-2928
    ISSN 0022-2585
    DOI 10.1093/jme/tjz208
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Characterizing Areas with Increased Burden of West Nile Virus Disease in California, 2009–2018

    Danforth, Mary E / Fischer, Marc / Snyder, Robert E / Lindsey, Nicole P / Martin, Stacey W / Kramer, Vicki L

    Vector borne and zoonotic diseases. 2021 June 02,

    2021  

    Abstract: West Nile virus (WNV) is a mosquito-borne flavivirus that can cause severe neurological disease in humans, for which there is no treatment or vaccine. From 2009 to 2018, California has reported more human disease cases than any other state in the United ... ...

    Abstract West Nile virus (WNV) is a mosquito-borne flavivirus that can cause severe neurological disease in humans, for which there is no treatment or vaccine. From 2009 to 2018, California has reported more human disease cases than any other state in the United States. We sought to identify smaller geographic areas within the 10 California counties with the highest number of WNV cases that accounted for disproportionately large numbers of human cases from 2009 to 2018. Eleven areas, consisting of groups of high-burden ZIP codes, were identified in nine counties within southern California and California's Central Valley. Despite containing only 2% of California's area and 17% of the state's population, these high-burden ZIP codes accounted for 44% of WNV cases reported and had a mean annual incidence that was 2.4 times the annual state incidence. Focusing mosquito control and public education efforts in these areas would lower WNV disease burden.
    Keywords West Nile virus ; burden of disease ; education ; humans ; mosquito control ; nervous system diseases ; vaccines ; California
    Language English
    Dates of publication 2021-0602
    Publishing place Mary Ann Liebert, Inc.
    Document type Article
    Note NAL-AP-2-clean
    ZDB-ID 2047199-3
    ISSN 1557-7759 ; 1530-3667
    ISSN (online) 1557-7759
    ISSN 1530-3667
    DOI 10.1089/vbz.2021.0014
    Database NAL-Catalogue (AGRICOLA)

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  6. Article ; Online: West Nile Virus-Associated Hospitalizations, California, 2004-2017.

    Snyder, Robert E / Cooksey, Gail Sondermeyer / Kramer, Vicki / Jain, Seema / Vugia, Duc J

    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

    2020  Volume 73, Issue 3, Page(s) 441–447

    Abstract: Background: West Nile virus (WNV) is the most commonly reported mosquito-borne disease in the USA. California reports more WNV disease than any other state.: Methods: We identified WNV-associated hospitalizations from 2004 through 2017 in California ... ...

    Abstract Background: West Nile virus (WNV) is the most commonly reported mosquito-borne disease in the USA. California reports more WNV disease than any other state.
    Methods: We identified WNV-associated hospitalizations from 2004 through 2017 in California and estimated hospitalization incidence using Patient Discharge Data. We described demographic, geographic, and clinical characteristics of WNV hospitalizations; identified risk factors for in-hospital death; and tabulated hospitalization charges.
    Results: From 2004 through 2017, 3109 Californians were hospitalized with WNV (median, 214 patients/year; range, 72-449). The majority were male (1983; 63.8%) and aged ≥60 years (1766; 56.8%). The highest median annual hospitalization rate (0.88 hospitalizations/100 000 persons) was in the Central Valley, followed by southern California (0.59 hospitalizations/100 000 persons). Most patients (2469; 79.4%) had ≥1 underlying condition, including hypertension, cardiovascular disease, diabetes, chronic kidney disease, or immunosuppression due to medications or disease. Median hospitalization length of stay was 12 days (interquartile range, 6-23 days). During hospitalization, 1317 (42%) patients had acute respiratory failure and/or sepsis/septic shock, 772 (24.8%) experienced acute kidney failure, and 470 (15.1%) had paralysis; 272 (8.8%) patients died. Nearly 47% (1444) of patients were discharged for additional care. During these 14 years, $838 680 664 (mean $59.9 million/year) was charged for WNV hospitalizations, 73.9% through government payers at a median charge of $142 321/patient.
    Conclusions: WNV-associated hospitalizations were substantial and costly in California. Hospitalization incidence was higher in males, elderly persons, and patients with underlying conditions. WNV persists as a costly and severe public health threat in California.
    MeSH term(s) Aged ; Animals ; California/epidemiology ; Female ; Hospital Mortality ; Hospitalization ; Humans ; Male ; Vaccines ; West Nile Fever/epidemiology ; West Nile virus/immunology
    Chemical Substances Vaccines
    Language English
    Publishing date 2020-06-11
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S. ; Comment
    ZDB-ID 1099781-7
    ISSN 1537-6591 ; 1058-4838
    ISSN (online) 1537-6591
    ISSN 1058-4838
    DOI 10.1093/cid/ciaa749
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Characterizing Areas with Increased Burden of West Nile Virus Disease in California, 2009-2018.

    Danforth, Mary E / Fischer, Marc / Snyder, Robert E / Lindsey, Nicole P / Martin, Stacey W / Kramer, Vicki L

    Vector borne and zoonotic diseases (Larchmont, N.Y.)

    2021  Volume 21, Issue 8, Page(s) 620–627

    Abstract: West Nile virus (WNV) is a mosquito-borne flavivirus that can cause severe neurological disease in humans, for which there is no treatment or vaccine. From 2009 to 2018, California has reported more human disease cases than any other state in the United ... ...

    Abstract West Nile virus (WNV) is a mosquito-borne flavivirus that can cause severe neurological disease in humans, for which there is no treatment or vaccine. From 2009 to 2018, California has reported more human disease cases than any other state in the United States. We sought to identify smaller geographic areas within the 10 California counties with the highest number of WNV cases that accounted for disproportionately large numbers of human cases from 2009 to 2018. Eleven areas, consisting of groups of high-burden ZIP codes, were identified in nine counties within southern California and California's Central Valley. Despite containing only 2% of California's area and 17% of the state's population, these high-burden ZIP codes accounted for 44% of WNV cases reported and had a mean annual incidence that was 2.4 times the annual state incidence. Focusing mosquito control and public education efforts in these areas would lower WNV disease burden.
    MeSH term(s) Animals ; California/epidemiology ; Incidence ; United States ; Vaccines ; West Nile Fever/epidemiology ; West Nile Fever/veterinary ; West Nile virus
    Chemical Substances Vaccines
    Language English
    Publishing date 2021-06-02
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 2047199-3
    ISSN 1557-7759 ; 1530-3667
    ISSN (online) 1557-7759
    ISSN 1530-3667
    DOI 10.1089/vbz.2021.0014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Surveillance of Flea-Borne Typhus in California, 2011-2019.

    Yomogida, Kyle / Kjemtrup, Anne / Martínez-López, Beatriz / Ibrahim, Mireille / Contreras, Zuelma / Ngo, Van / Halai, Umme-Aiman / Balter, Sharon / Feaster, Matt / Zahn, Matthew / Shearer, Eric / Sorvillo, Rochelle / Balanji, Nora / Torres, Cindy / Prado, Belinda / Porse, Charsey / Kramer, Vicki

    The American journal of tropical medicine and hygiene

    2023  Volume 110, Issue 1, Page(s) 142–149

    Abstract: Flea-borne typhus (FBT), also referred to as murine typhus, is an acute febrile disease in humans caused by the bacteria Rickettsia typhi. Currently, cases of FBT are reported for public health surveillance purposes (i.e., to detect incidence and ... ...

    Abstract Flea-borne typhus (FBT), also referred to as murine typhus, is an acute febrile disease in humans caused by the bacteria Rickettsia typhi. Currently, cases of FBT are reported for public health surveillance purposes (i.e., to detect incidence and outbreaks) in a few U.S. states. In California, healthcare providers and testing laboratories are mandated to report to their respective local public health jurisdictions whenever R. typhi or antibodies reactive to R. typhi are detected in a patient, who then report cases to state health department. In this study, we characterize the epidemiology of flea-borne typhus cases in California from 2011 to 2019. A total of 881 cases were reported during this period, with most cases reported among residents of Los Angeles and Orange Counties (97%). Demographics, animal exposures, and clinical courses for case patients were summarized. Additionally, spatiotemporal cluster analyses pointed to five areas in southern California with persistent FBT transmission.
    MeSH term(s) Animals ; Mice ; Humans ; Typhus, Endemic Flea-Borne/diagnosis ; Typhus, Epidemic Louse-Borne ; Rickettsia typhi ; California/epidemiology ; Siphonaptera/microbiology
    Language English
    Publishing date 2023-12-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2942-7
    ISSN 1476-1645 ; 0002-9637
    ISSN (online) 1476-1645
    ISSN 0002-9637
    DOI 10.4269/ajtmh.23-0272
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: A forty-year review of Rocky Mountain spotted fever cases in California shows clinical and epidemiologic changes.

    Kjemtrup, Anne M / Padgett, Kerry / Paddock, Christopher D / Messenger, Sharon / Hacker, Jill K / Feiszli, Tina / Melgar, Michael / Metzger, Marco E / Hu, Renjie / Kramer, Vicki L

    PLoS neglected tropical diseases

    2022  Volume 16, Issue 9, Page(s) e0010738

    Abstract: Rocky Mountain spotted fever (RMSF) is a life-threatening tick-borne disease documented in North, Central, and South America. In California, RMSF is rare; nonetheless, recent fatal cases highlight ecological cycles of the two genera of ticks, Dermacentor ...

    Abstract Rocky Mountain spotted fever (RMSF) is a life-threatening tick-borne disease documented in North, Central, and South America. In California, RMSF is rare; nonetheless, recent fatal cases highlight ecological cycles of the two genera of ticks, Dermacentor and Rhipicephalus, known to transmit the disease. These ticks occur in completely different habitats (sylvatic and peridomestic, respectively) resulting in different exposure risks for humans. This study summarizes the demographic, exposure, and clinical aspects associated with the last 40 years of reported RMSF cases to the California Department of Public Health (CDPH). Seventy-eight RMSF cases with onsets from 1980 to 2019 were reviewed. The incidence of RMSF has risen in the last 20 years from 0.04 cases per million to 0.07 cases per million (a two-fold increase in reports), though the percentage of cases that were confirmed dropped significantly from 72% to 25% of all reported cases. Notably, Hispanic/Latino populations saw the greatest rise in incidence. Cases of RMSF in California result from autochthonous and out-of-state exposures. During the last 20 years, more cases reported exposure in Southern California or Mexico than in the previous 20 years. The driver of these epidemiologic changes is likely the establishment and expansion of Rhipicephalus sanguineus sensu lato ticks in Southern California and on-going outbreaks of RMSF in northern Mexico. Analysis of available electronically reported clinical data from 2011 to 2019 showed that 57% of reported cases presented with serious illness requiring hospitalization with a 7% mortality. The difficulty in recognizing RMSF is due to a non-specific clinical presentation; however, querying patients on the potential of tick exposure in both sylvatic and peridomestic environments may facilitate appropriate testing and treatment.
    MeSH term(s) Animals ; California/epidemiology ; Disease Outbreaks ; Humans ; Rhipicephalus ; Rhipicephalus sanguineus ; Rocky Mountain Spotted Fever/epidemiology
    Language English
    Publishing date 2022-09-15
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2429704-5
    ISSN 1935-2735 ; 1935-2735
    ISSN (online) 1935-2735
    ISSN 1935-2735
    DOI 10.1371/journal.pntd.0010738
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Epidemiologic and environmental characterization of the Re-emergence of St. Louis Encephalitis Virus in California, 2015-2020.

    Danforth, Mary E / Snyder, Robert E / Feiszli, Tina / Bullick, Teal / Messenger, Sharon / Hanson, Carl / Padgett, Kerry / Coffey, Lark L / Barker, Christopher M / Reisen, William K / Kramer, Vicki L

    PLoS neglected tropical diseases

    2022  Volume 16, Issue 8, Page(s) e0010664

    Abstract: St. Louis encephalitis virus (SLEV) is an endemic flavivirus in the western and southeastern United States, including California. From 1938 to 2003, the virus was detected annually in California, but after West Nile virus (WNV) arrived in 2003, SLEV was ... ...

    Abstract St. Louis encephalitis virus (SLEV) is an endemic flavivirus in the western and southeastern United States, including California. From 1938 to 2003, the virus was detected annually in California, but after West Nile virus (WNV) arrived in 2003, SLEV was not detected again until it re-emerged in Riverside County in 2015. The re-emerging virus in California and other areas of the western US is SLEV genotype III, which previously had been detected only in Argentina, suggesting a South American origin. This study describes SLEV activity in California since its re-emergence in 2015 and compares it to WNV activity during the same period. From 2015 to 2020, SLEV was detected in 1,650 mosquito pools and 26 sentinel chickens, whereas WNV was detected concurrently in 18,108 mosquito pools and 1,542 sentinel chickens from the same samples. There were 24 reported human infections of SLEV in 10 California counties, including two fatalities (case fatality rate: 8%), compared to 2,469 reported human infections of WNV from 43 California counties, with 143 fatalities (case fatality rate: 6%). From 2015 through 2020, SLEV was detected in 17 (29%) of California's 58 counties, while WNV was detected in 54 (93%). Although mosquitoes and sentinel chickens have been tested routinely for arboviruses in California for over fifty years, surveillance has not been uniform throughout the state. Of note, since 2005 there has been a steady decline in the use of sentinel chickens among vector control agencies, potentially contributing to gaps in SLEV surveillance. The incidence of SLEV disease in California may have been underestimated because human surveillance for SLEV relied on an environmental detection to trigger SLEV patient screening and mosquito surveillance effort is spatially variable. In addition, human diagnostic testing usually relies on changes in host antibodies and SLEV infection can be indistinguishable from infection with other flaviviruses such as WNV, which is more prevalent.
    MeSH term(s) Animals ; Chickens ; Culicidae ; Encephalitis Virus, St. Louis ; Encephalitis, St. Louis/epidemiology ; Humans ; Mosquito Vectors ; West Nile Fever/epidemiology ; West Nile Fever/veterinary ; West Nile virus
    Language English
    Publishing date 2022-08-08
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, P.H.S. ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 2429704-5
    ISSN 1935-2735 ; 1935-2735
    ISSN (online) 1935-2735
    ISSN 1935-2735
    DOI 10.1371/journal.pntd.0010664
    Database MEDical Literature Analysis and Retrieval System OnLINE

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