WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT

Transcription

1 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT OCT 4 TO OCT 1, 215 REPORT WEEK 4 CANADA HUMANS During surveillance week 4, ending on Oct.1, 215, six (6) human clinical cases of West Nile virus were reported to the Public Health Agency of Canada (the Agency). Of these, four cases were reported in Quebec [ Laval (1), Lanaudière (1), Montérégie (1), Mauricie et du Centre-du-Québec (1) ] and two cases in Ontario [Toronto (1), Durham (1)]. Additionally, one asymptomatic infection was reported in Toronto, Ontario. As of surveillance week 4, a total of 5 human clinical cases have been reported to the Agency: Quebec (2), Ontario (25), and Manitoba (5). Of these, twenty-six (52%) were classified as West Nile virus Neurological Syndrome, twenty-one (42%) as West Nile virus Non- Neurological Syndrome, and three (6%) as Unclassified. In addition, five (5) asymptomatic infections have been reported. Of these, four cases were reported in Quebec [Laval (1) and Montérégie (3)] and one case in Toronto, Ontario. MOSQUITOES As of surveillance week 4, 172 (.86%) out of the 2,46 mosquito pools have tested positive for West Nile virus in Canada: Quebec (32), Ontario (94), Manitoba (3), and Saskatchewan (16). DEAD BIRDS As of surveillance week 4, the Canadian Wildlife Health Cooperative and the Quebec Ministry of Health and Social Services have reported a total of 43 dead birds that were tested positive for West Nile virus: Quebec (18), Ontario (24), and Saskatchewan (1). DOMESTIC ANIMALS As of surveillance week 4, the Canadian Food Inspection Agency has reported 9 horses that were tested positive for West Nile virus: Ontario (3), Manitoba (1), Saskatchewan (3) and Alberta (2). Five horses have tested positive for Eastern Equine Encephalitis virus from two provinces: Ontario [Richmond (1), Carlsbad Springs (1), Gananoque (1), Brinston (1)], and Quebec [Saint-Lambert (1)]. UNITED STATES As of October 13, 215, the Centers for Disease Control and Prevention (CDC) has reported a total of 1,332 human cases of West Nile virus: Alabama (6), Arizona (59), Arkansas (16), California (311), Colorado (83), Connecticut (5), Delaware (1 ), District of Columbia (1), Florida (8),Georgia (1), Idaho (13), Illinois (52), Indiana (15), Iowa (7),Kansas (24), Kentucky (), Louisiana (42), Maine (1), Maryland (42), Massachusetts (5), Michigan (16), Minnesota (5), Mississippi (36), Missouri (21), Montana (3), Nebraska (57), Nevada (7), New Jersey (22), New Mexico ( 11), New York (24), North Carolina (3), North Dakota (18 ), Ohio (29), Oklahoma (65), Oregon (1), Pennsylvania (3), South Carolina (), South Dakota(37), Tennessee (3 ), Texas (185), Utah (6), Virginia (19 ), Washington(23), Wisconsin (6) and Wyoming (4). ISSN:

2 2 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT OCT 4 TO OCT 1, 215 Of these, 841 (63%) were diagnosed as neuroinvasive disease cases, 491 (37%) as non-neuroinvasive disease cases. 66 fatal cases were reported. In addition, 26 presumptive viremic blood donors have been identified. EUROPEAN UNION, EUROPEAN ECONOMIC AREA AND NEIGHBOURING COUNTRIES As of 8 October 215, the European Centre for Disease Prevention and Control has reported 96 cases of West Nile fever in humans in the EU Member States: Austria, Belgium, Bulgaria, Croatia, Republic of Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden and the UK, as well as 15 cases in the neighboring countries: Armenia, Azerbaijan, Belarus, Georgia, Moldova, Ukraine, Algeria, Egypt, Israel, Jordan, Lebanon, Libya, Morocco, Palestine, Syria and Tunisia, since the beginning of the 215 transmission season.

3 3 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT OCT 4 TO OCT 1, 215 FIGURE 1: Counts 1 8 West Nile Virus human clinical cases and asymptomatic infections, by Province/Territory and by report week, 215 season New Brunswick Nunavut Northwest Territory Yukon Territory British Columbia Alberta Saskatchewan Manitoba Ontario Quebec Nova Scotia Prince Edward Island Newfoundland and Labrador Report Week

4 4 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT OCT 4 TO OCT 1, 215 TABLE 1: West Nile Virus human clinical cases and asymptomatic infections, by Province/Territory and by report week, 215 season Newfoundland and Labrador Report Weeks of Total Prince Edward Island New Brunswick Nova Scotia Quebec Ontario Manitoba Saskatchewan ǂ ǂ ǂ ǂ Alberta British Columbia Yukon Territory Northwest Territory Nunavut Total ǂ This province has stopped human surveillance since week 37.

5 5 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT OCT 4 TO OCT 1, 215 TABLE 2: West Nile Virus human clinical cases and asymptomatic infections by Province/Territory for the current report week and year to date, 215 season Week 4: Oct 4 to Oct 1, 215 West Nile virus neurological syndrome West Nile virus nonneurological syndrome 1 Number of travel-related Unclassified/unspecified Total clinical cases cases 2 West Nile virus asymptomatic infection 3 Newfoundland and Labrador Prince Edward Island Nova Scotia New Brunswick Quebec 4 4 Ontario Manitoba Saskatchewan Alberta British Columbia Yukon Territory Northwest Territory Nunavut Total

6 6 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT OCT 4 TO OCT 1, 215 Year to date: January 1 to Oct 1, 215 West Nile virus neurological syndrome West Nile virus nonneurological syndrome 1 Number of travel-related Unclassified/unspecified Total clinical cases cases 2 West Nile virus asymptomatic infection 3 Newfoundland and Labrador Prince Edward Island Nova Scotia New Brunswick Quebec Ontario Manitoba Saskatchewan Alberta British Columbia Yukon Territory Northwest Territory Nunavut Total Total clinical cases is the sum of both probable and confirmed: West Nile virus neurological and non-neurological syndromes, along with any unclassified or unspecified cases. Likely related to travel outside the Province/Territory. These cases are included in either the total clinical cases or West Nile virus asymptomatic infections. Satisfies West Nile virus diagnostic test criteria in the absence of clinical criteria. This category could include asymptomatic blood donors whose blood is screened using a nucleic acid amplification test, by blood operators (i.e. Canadian Blood Services or Hema-Quebec) and is subsequently brought to the attention of public health officials. Blood operators in Canada perform a supplementary West Nile virus specific nucleic acid amplification test following any positive donor screen test result.

7 7 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT OCT 4 TO OCT 1, 215 FIGURE 2: West Nile Virus clinic al cases and asymptomatic infections by report week for selected years Counts Report Week by Episode date 215 * * West Nile virus clinical cases and asymptomatic infections are grouped by report week, based on episode date. Episode date could include one of the following: onset date, diagnosis date, lab sample date or reporting date.

8 8 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT OCT 4 TO OCT 1, 215 TABLE 3: West Nile Virus clinical cases and asymptomatic infections by report week for selected years Report week * * One of these cases was likely exposed prior to the 214 West Nile virus season.

9 9 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT OCT 4 TO OCT 1, 215 TABLE 4.1: Number of West Nile Virus mosquito pools tested weekly by Province/Territory season 1 Province / Territory Report week of Total Newfoundland and Labrador Prince Edward Island New Brunswick Nova Scotia Quebec NA² 1743 Ontario Manitoba Saskatchewan ǂ ǂ ǂ ǂ ǂ 527 Alberta British Columbia Yukon Territory Northwest Territory Nunavut Total Detailed West Nile virus mosquito surveillance data can be accessed through Provincial/Territorial websites. ² Not available at the time of reporting. ǂ This province has stopped mosquito surveillance since week 36. This province has stopped mosquito surveillance since week 38.

10 1 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT OCT 4 TO OCT 1, 215 TABLE 4.2: Number of mosquito pools tested and number of positive mosquito pools by Province/Territory, 215 season Year to date: January 1 to Oct 1, 215 Province Number of positive mosquito pools Number of mosquito pools tested Percentage of positive mosquito pools (%) Quebec Ontario Manitoba Saskatchewan Total

11 11 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT OCT 4 TO OCT 1, 215 FIGURE 3: Reported number of dead birds testing positive for West Nile Virus by Province/Territory and by report week, 215 season* Number of dead birds testing positive Nunavut Northwest Territory Yukon Territory British Columbia Alberta Saskatchewan Manitoba Ontario Quebec Nova Scotia New Brunswick Prince Edward Island Newfoundland and Labrador Report Week * Data from the Canadian Wildlife Health Cooperative and the Quebec Ministry of Health and Social Services

12 12 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT OCT 4 TO OCT 1, 215 TABLE 5: Reported number of dead birds testing positive for West Nile Virus by Province/Territory and by report week, 215 season* Report week of Total Newfoundland and Labrador Prince Edward Island New Brunswick Nova Scotia Quebec Ontario Manitoba Saskatchewan 1 1 Alberta British Columbia Yukon Territory Northwest Territory Nunavut Total * Data from the Canadian Wildlife Health Cooperative and the Quebec Ministry of Health and Social Services

13 13 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT OCT 4 TO OCT 1, 215 FIGURE 4: Percentage of dead birds testing positive for West Nile Virus in the 215 season by report week, as compared to the 23, 212 and 214 seasons 12 Percentage of positive results Percentage positive 215 Percentage positive 214 Percentage positive 212 Percentage positive Report week

14 14 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT OCT 4 TO OCT 1, 215 TABLE 6: Percentage of dead birds testing positive for West Nile Virus in the 215 season by report week, as compared to the 23, 212 and 214 seasons Report week Numbers positive Numbers tested Percentage positive Numbers positive Numbers tested * Percentage positive Percentage positive Percentage positive * Data became available during Week 3; this is a cumulative number of dead birds tested from Week 1 to Week 3.