FMEL Arboviral Epidemic Risk Assessment: Fourth Update for 2010 Week 22 (May 31, 2010)

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FMEL Arboviral Epidemic Risk Assessment: Fourth Update for 2010 Week 22 (May 31, 2010) Current Assessment of SLE/WN Epidemic Risk: Background: St. Louis encephalitis virus (SLEV) and West Nile virus (WNV) are closely related mosquito-borne viruses that are endemic throughout Florida. Both viruses are transmitted by the bite of an infected mosquito to wild and domestic birds, wildlife, humans, and, in the case of WNV, equines (Shaman et al. 2003, Shaman et al. 2004a). The enzootic and epidemic vector for both viruses is Culex nigripalpus. Culex quinquefasciatus is likely a secondary vector of SLEV and WNV in the northern half of Florida. Culex restuans and Cx. salinarius may be important for the early-season amplification of SLEV and WNV throughout Florida. Both SLEV and WNV are maintained in nature through a spring cycle involving resident nesting birds that serve as amplification hosts and Culex vectors (Day 2001, Day and Lewis 1992, Shaman et al. 2005). Environmental conditions, especially rainfall and temperature, drive the amplification of these viruses. During years of extreme drought and years of extreme wetting the environmental conditions do not favor efficient amplification. During years of alternating wetting and drying cycles, amplification is efficient and the risk of virus transmission to humans increases dramatically (Shaman et al. 2002a). Years of efficient amplification result from ideal environmental conditions that favor mosquito reproduction. Environmental conditions that favor an increase in mosquito blood feeding result in an increase in the number of infected mosquitoes (Day and Shaman 2007) resulting in an increased probability of human and equine cases later in the year. An understanding of the relationship between rainfall, vector dispersal, and SLEV/WNV amplification allows us to use Modeled Water Table Depth (MWTD) data (Figures 2 and 3) and the Keetch-Byram Drought Index (KBDI) (Keetch and Byram 1968) (Figures 7 and 8) to track water table depth and surface water as predictors of mosquito movement, mosquito reproduction, viral amplification, and disease transmission risk (Shaman and Day 2005, Shaman et al. 2002b, Shaman et al. 2004b). Analysis of the SLEV/WNV Epidemic Risk Model developed at the Florida Medical Entomology Laboratory (FMEL) begins on January 1 st of each calendar year and is comprised of the four phases that are identified in Figure 3: Initial Dry Down (IDD), Initial Wetting (IWET), Secondary Dry Down (SDD), and Secondary Wetting (SWET). Real-time MWTD profiles for the Florida peninsula are compared to this model to determine risk of SLEV/WNV amplification and transmission (Figure 6). Current South Florida Assessment (MWTD) for SLEV/WNV Amplification: The May 31, 2010 MWTD analysis for peninsular Florida indicates four areas of high risk (Figures 4 and 5) that may support the amplification of SLEV/WNV during the avian nesting season (April-June). Water table depth in each of these areas has remained within the FMEL Epidemic Risk Model for SLEV/WNV through the May 31, 2010 posting date (Figure 6). It is important to remember that MWTD is just one parameter that needs to be monitored to assess epidemic risk. In addition to MWTD, avian abundance and reproduction along with vector abundance, reproduction, and population age structure need to be monitored in the high risk areas indicted by MWTD data. Current North Florida Assessment (KBDI) for SLEV/WNV Amplification: The March 1, April 1, and April 20, 2010 KBDI data analyses for the Florida Panhandle, North Florida, and Northeast Florida (Figure 7, three bottom images) indicate that these regions were extremely wet during this three month period. During March, 2010 the Panhandle Region began to dry (April 1, 2010 image in Figure 7). The KBDI data for April and May 2010 were not available for this update, although MWTD data indicate that much of south Florida has been unusually wet during this time. These conditions will not favor the amplification of SLEV and WNV. 1 Document Authors: Jonathan Day, Gregory Ross, Roxanne Connelly University of Florida IFAS FMEL

Current Assessment of EEE Epidemic Transmission Risk: Background: Eastern equine encephalitis virus (EEEV) is a mosquito-borne virus that is endemic throughout Florida. It is transmitted by the bite of an infected mosquito to wild and domestic birds, wildlife, equines, and humans. The EEEV is maintained in freshwater hardwood swamps from the western panhandle through central northern Florida and into the central part of the Florida peninsula. The transmission of EEEV is supported in hardwood swamps from November to May each year through the interaction of resident and migrant wild birds and Culiseta melanura, the proven enzootic EEEV vector. During drought years the dispersal of infected mosquitoes is limited by dry contentions and EEEV transmission remains focused in the swamps. During wet years infected mosquitoes are able to disperse and initiate secondary EEEV amplification foci in habitats adjacent to the initial swamp amplification sites. The transmission of EEEV in these secondary amplification foci involves multiple mosquito vectors (often called bridge vectors) that include Anopheles crucians, Culex nigripalpus, Coquillettedia perturbans, Mansonia species, and floodwater Aedes species. An understanding of the relationship between rainfall, vector dispersal, and EEEV amplification allows us to use daily KBDI data to track ground surface wetting as a predictor of mosquito movement, EEEV amplification, and disease transmission risk. The KBDI profiles from each of the five Florida regions identified in Figure 7 are compared to the Epidemic Risk Model for EEEV developed at the FMEL (Figure 8). The EEEV model begins on November 1 st of each year and is slightly different for each of the five regions (Panhandle, North, Northeast, Central, and South). Spatial and temporal differences in geographic and environmental conditions between these separate regions accounts for the observed differences in the models. These preliminary EEEV models will be adjusted and modified as additional data are collected and analyzed during future EEEV amplification and transmission seasons. Current North Florida Assessment (KBDI) for EEEV: The November and December, 2009 and January through April 20, 2010 KBDI data for Panhandle, North, and Northeast Florida are presented in Figure 7. The KBDI data were fit to the FMEL EEEV Epidemic Risk Model for these three regions (Figure 8, top three images). The resulting analysis indicates that the northern half of Florida was extremely wet for much of the six month period from November 2009 through April 20, 2010. Northern Florida was extremely cold throughout the 2009/2010 winter season limiting mosquito flight and likely reducing the winter amplification of EEEV. While the wet conditions reported in the northern half of Florida may favor the amplification of EEEV, the cold winter temperatures limited its dispersal. The KBDI data for April and May 2010 were not available for this update, although MWTD data and Doppler radar data indicate that much of Florida has been unusually wet during these two months. Six sporadic EEE horse cases have been reported in six Florida counties (Marion, Volusia, Lake, Osceola, Polk, and Hillsborough) so far in 2010. This indicates that amplification of EEEV has occurred and that infected mosquitoes are active in central Florida. The unusually wet conditions reported throughout the state in April and May will likely not favor additional amplification of EEEV. Current South Florida Assessment (KBDI) for EEEV: The November and December, 2009 and January through April 20, 2010 KBDI data for Central and South Florida are presented in Figure 7. These KBDI data have been fit to the FMEL EEEV Epidemic Risk Model (Figure 8, bottom two images). The resulting data indicate that the southern half of Florida was moderately wet (KBDI values of 100-399) to moderately dry (KBDI values of 400-599) from November 2009 through March 1, 2010. During March, 2010 the southern half of the state was extremely wet (KBDI values of 1-99). The KBDI data for April and May 2010 were not available for this update, although MWTD data and Doppler radar data indicate that much of south Florida has been unusually wet during these two months. These wet conditions will not favor the amplification and dispersal of EEEV in south Florida. 2

Three Month Precipitation Probability Forecast*: *Weather Outlook is provided by and used with the permission of Sean Lucsh, Meteorologist, Florida Division of Forestry. Should there be any questions, please contact Sean Lucsh at luchss@doacs.state.fl.us. CURRENT CONDITIONS A strong El Niño persisted through the 2009/2010 winter. In Florida, the winter was wetter and cooler than normal, as would be expected during an El Niño mode. Though cooler, El Niño winters do not generally support the harsh freezes observed in Florida this year, a persistent and strongly negative Arctic Oscillation allowed frequent invasions of cold arctic air into much of the United States, including Florida. Drought conditions are not currently present in any part of Florida due to frequent and heavy rains. South Florida appears closer to a normal year than the rest of the state thanks to a drier January but still reported at or above normal precipitation during the 2009/2010 winter. THREE MONTH (JUNE - AUGUST, 2010) PRECIPITATION PROBABILITY FORECAST The current El Niño is expected to gradually weaken, but may persist into the late spring/early summer. As a result of the weakening El Niño, the three month precipitation outlook (June, July, and August) for the southeastern United States is that slightly above normal rainfall conditions (A) will persist in Florida and the Gulf Coast region. Figure 1. National Weather Service Climate Prediction Center Three-Month Outlook. The map contours show the total probability (%) of two categories; above normal (A) and below normal (B). For any point on the map, the sum of the probabilities for these two categories is 100%. The two categories are defined by observations (n = 30) made between 1971 and 2000. The coldest/driest 15 years define category B, while the warmest/wettest 15 years define category A. When forecasters decide that one of the extreme categories is likely to define local conditions, they assign probabilities which exceed 50% to that category. This means that the probability of observing conditions defining the opposite category makes up the remaining part of the total (100%). In regions where the forecasters have no indications favoring either A or B, the chance of these two categories is 50:50 and the region is labeled EC (equal chances ). 3

Figure 2. Modeled Water Table Depth calculation points located on a 0.125 degree resolution grid. A Topographically Based Hydrology model (Shaman et al. 2002b) is used to simulate variations in water table depth at each of the 589 sites. Mean area water table depth provides an integrated measure of near surface soil wetness conditions that are inputted into a Geographical Information System based model to produce the FMEL Arboviral Epidemic Risk Maps (Figure 5). Figure 3. Weekly Modeled Water Table Depth (MWTD) values in Indian River County for the SLE epidemic years 1977 (blue line) and 1990 (green line). The FMEL Arboviral Epidemic Risk Model values (highlighted in orange) are compared to real-time WTD values collected across peninsular Florida. MWTD values that fall continuously within the shaded area through the Initial Dry Down (IDD) and Initial Wetting (IWET) phases are necessary for the successful amplification of SLEV and WNV. Areas where MWTD data closely follow the trends of the first two phases are considered at high risk for FOCAL arboviral transmission. The Secondary Dry Down (SDD) phase, circled in red, along with a Secondary Wetting phase, are considered critical for EPIDEMIC arboviral transmission. The last two phases provide conditions conducive for a second round of amplification followed by dispersal of virus out of the secondary amplification foci. 4

Figure 4. The current Modeled Water Table Depth (MWTD) profile reported in peninsula Florida. Areas highlighted in orange have a deep water table and reduced surface water. Areas highlighted in blue have a shallow water table and increased surface water. Figure 5. Map of peninsular Florida indicating areas at high risk (highlighted in red) for arboviral amplification (SLEV and WNV). The high risk areas closely track the FMEL Arboviral Epidemic Risk Model shown in Figure 6. Focal arboviral transmission may occur in these high risk areas if bird and mosquito populations are present at sufficient levels to support arboviral amplification during the next three months. 5

Figure 6. The averaged weekly MWTD values collected between January 1 and May 31, 2010 for the four areas of elevated epidemic risk shown in Figure 5. The real-time MWTD data from each region was compared with the FMEL Arboviral Epidemic Risk Model for SLEV generated from MWTD observations made in Indian River County during the 1977 and 1990 St. Louis encephalitis epidemics. Deviation of real-time MWTD data from the FMEL Arboviral Epidemic Risk Model may reduce the likelihood of SLEV/WNV amplification and transmission. 6

Figure 7. Averaged monthly Keetch-Byram Drought Index values (at a 4.0 km 2 resolution) reported in Florida between November 1, 2009 and April 20, 2010. The state is divided into five regions; Panhandle, North, Northeast, Central, and South. Arboviral Epidemic Risk Models for EEEV have been developed at the FMEL for each of these regions and the current status of these models is depicted in Figure 8. Currently KBDI data is not available for Florida after April 20 th. Graphics will be updated when data becomes available. 7

Figure 8. Averaged weekly KBDI observations from five regions of Florida (Figure 7) made between November 1, 2009 and April 20, 2010. The KBDI data for each region is compared to the FMEL Arboviral Epidemic Risk Models for EEEV (grey plots) generated from KBDI observations made within each region during the 2007/2008 EEEV transmission season. Deviation of observed KBDI values from the FMEL Arboviral Epidemic Risk Models may reduce the likelihood of EEEV amplification and transmission. Currently KBDI data is not available for Florida after April 20 th. Graphics will be updated when data becomes available. 8

Acknowledgments This work was funded in part through grants from the Florida Department of Agriculture and Consumer Services, 1203 Governor s Square Boulevard, Suite 300, Tallahassee, Florida 32301. KBDI data are provided by the Florida Division of Forestry, Florida Department of Agriculture and Consumer Services. References Day, J.F. 2001. Predicting St. Louis encephalitis virus epidemics: Lessons from recent, and not so recent, outbreaks. Annual Review of Entomology 46:111-38. Day, J.F. and A.L. Lewis. 1992. An integrated approach to St. Louis encephalitis surveillance in Indian River County, Florida. Florida Journal of Public Health 4:12-16. Day, J.F. and J. Shaman. 2007. Using hydrologic conditions to track the risk of focal and epidemic arboviral transmission in Peninsular Florida. J. Med. Entomol. (In Press). Keetch, J.J. and Byram, G. M. 1968. A Drought Index for Forest Fire Control. U.S.D.A. Forest Service Research Paper S E- 38. Revised November 1988 Shaman, J. and J.F. Day. 2005. Achieving real-time operational hydrologic monitoring and forecasting of mosquito-borne disease transmission. Emerging Infectious Diseases 11:1343-1350. Shaman, J., J.F. Day and M. Stieglitz. 2002a. Drought-induced amplification of St. Louis encephalitis virus in Florida. Emerging Infectious Diseases 8:575-580. Shaman, J., J.F. Day and M. Stieglitz. 2003. St. Louis encephalitis virus in wild birds during the 1990 south Florida epidemic: The importance of drought, wetting conditions, and the emergence of Culex nigripalpus (Diptera: Culicidae) to arboviral amplification and transmission. Journal of Medical Entomology 40:547-554. Shaman, J., J.F. Day and M. Stieglitz. 2004a. The spatial-temporal distribution of drought, wetting, and human cases of St. Louis encephalitis in south-central Florida. American Journal of Tropical Medicine and Hygiene 71:251-261. Shaman, J., J.F. Day and M. Stieglitz. 2005. Drought-Induced amplification and epidemic transmission of West Nile Virus in south Florida. Journal of Medical Entomology 42:134-141. Shaman, J., J.F. Day, M. Stieglitz, S. Zebiak and M. Cane. 2004b. Seasonal forecast of St. Louis encephalitis virus transmission, Florida. Emerging Infectious Diseases 10:802-809. Shaman, J., M. Stieglitz, C. Stark, S. Le Blancq and M. Cane. 2002b. Predicting flood and swampwater mosquito abundances using a dynamic hydrology model. Emerging Infectious Diseases 8:6-13. 9 Document Authors: Jonathan Day, Gregory Ross, Roxanne Connelly University of Florida IFAS FMEL