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You are here: Health Home > Communicable Disease Control > West Nile Virus > News > Second Colorado Case of West Nile Virus Confirmed


Second Colorado Case of West Nile Virus Confirmed

July 2, 2007, DENVER - State health officials Monday confirmed a second human case of West Nile virus involving an individual from Cheyenne County.  The first case was reported last week in an individual from Logan County.

John Pape, an epidemiologist who specializes in animal-related diseases at the Colorado Department of Public Health and Environment, explained, "West Nile virus season is here, and we expect numbers to escalate very rapidly in the next few weeks. Because of confirmed cases and rapidly rising mosquito numbers, now is the time to take precautions against West Nile virus, which is a preventable disease.

"West Nile virus can be avoided by eliminating mosquito breeding grounds in back yards, wearing insect repellent and using other methods to avoid mosquito bites when outdoors," he said.

The announcement of the second human case of West Nile follows confirmation of the first mosquito pools that tested positive for West Nile in Larimer County last week. In addition, several counties have reported that populations of Culex mosquitoes, which transmit West Nile virus, are extremely high for this time of year and are rising.

Pape said, "Each season this virus will be present and circulating around the state. The severity of the season will depend on the weather."

Pape said studies show that cool, wet weather in early spring followed by very hot temperatures throughout the summer, which has been the weather pattern in Colorado so far this year, can be associated with a bad year. "Although only three mosquito pools have tested positive so far, this will change very quickly," he said.

In reviewing statewide surveillance data over the past four seasons, Pape said patterns of human infections have emerged.  "Approximately 85 percent of people who became ill with West Nile virus from 2003 to 2006 were infected when bitten by an infected mosquito during a six-week period from July 1 through the second week of August.  Therefore, we are entering the peak season of West Nile virus transmission," explained Pape.

Infected mosquitoes continue to feed through September and early October, depending on the weather, but fewer than 10 percent of human cases are contracted after Labor Day,  Pape explained. "July and August are the highest-risk months of being infected, and people should be extra diligent during this time and use whatever methods available to avoid mosquito bites. This is particularly important one hour before sunset through around midnight, when Culex mosquitoes are most actively feeding," he said.

Pape said that individuals can reduce the number of mosquitoes by cleaning out gutters and other places around their homes where there are pools of standing water that are good breeding places for mosquitoes. Such breeding grounds include empty flowerpots, plastic swimming pools or old tires.

"If you have a birdbath, remember to change the water at least weekly.
This also is a good time to repair torn window and door screens," he
said.

Additional precautions to take against West Nile virus include the following:

Use precautions or avoid outdoor activities, such as gardening, at dawn and after dusk when mosquitoes are most active.

If outside at dawn or after dusk, cover up by wearing light, loose-fitting pants and long-sleeved shirts, shoes and socks.

Use approved mosquito repellents containing DEET, picaridin or oil of lemon eucalyptus. DEET products generally provide the longest protection times. The other repellents do work but must be applied more frequently. Follow the product label for correct use. Products with 10 percent or less DEET are recommended for children.

Colorado has experienced four full seasons of West Nile virus transmission, each with different levels of transmission.  In 2006, there were 345 cases reported with seven deaths.  The mildest year thus far was 2005, when Colorado had 106 human cases and two deaths.  In 2004, cases were moderate with a total of 291 human cases, including four deaths. This represented a sharp downturn from the first full season of West Nile virus in Colorado in 2003 when there were 2,947 confirmed human cases of the disease and 63 deaths. Only 14 cases were reported in 2002, when the virus was first detected in the state in August of that year.  Overall, Colorado has recorded 3,704 human cases and 76 deaths, although the total number of identified cases represents only a small proportion of persons who actually were infected and became ill during this time.

Pape advised anyone who finds a dead bird to call the Colorado Health Emergency Line for the Public (CoHELP) at 1-877-462-2911. The emergency line staff is available to respond to hotline calls from 7 a.m. to 11 p.m. on Mondays through Fridays and from 9:30 a.m. to 8 p.m. on Saturdays and Sundays. In addition to taking reports of dead bird, staff can answer most questions about West Nile virus. The Rocky Mountain Poison and Drug Control Center operates the hotline under contract with the Department of Public Health and Environment's Emergency Preparedness and Response Program.

Additional information about West Nile virus is available online at www.FightTheBiteColorado.com.

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  1. Use DEET or alternative.
  2. DRESS in long sleeves and pants.
  3. Avoid DUSK until DAWN.
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