West Nile virus National Surveillance Report English Edition September 8 to September 14, 2013 (Report Week 37)

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1 West Nile virus National Surveillance Report English Edition September to September, (Report Week ) Canada Humans: During surveillance week, the Public Health Agency of Canada (the Agency) was informed of nineteen human clinical cases of West Nile virus (WNv): eight () in Quebec; two () in Ontario; and nine (9) in Alberta. As of week, there have been a total of sixty-one clinical cases and two asymptomatic infections reported to the Agency: seventeen () in Quebec; twenty-four () in Ontario; two () in Manitoba; one () in Saskatchewan, and nineteen (9) in Alberta. Of the 6 clinical cases, sixteen (6%) were diagnosed as WNv neurological syndrome; thirty-five (5%) as WNv non-neurological syndrome; and ten (6%) as unclassified. Two fatal cases associated with West Nile virus have been reported. Mosquitoes: To date (Week ), a total of, mosquito pools have been tested for WNv [Quebec (,69); Ontario (,); Manitoba (9); Saskatchewan (6); and British Columbia (9)]. Of these, 9 (.%) mosquito pools tested positive for WNv [Quebec (); Ontario (9); Saskatchewan (); Manitoba (9); and British Columbia ()]. Dead Birds: A total of dead birds have been tested for WNv by the Canadian Cooperative Wildlife Health Centre. Of these, 5 positives were reported [Quebec (); Ontario (9); Manitoba (); Saskatchewan ()]. Domestic Animals: A total of thirty-six animals tested positive for WNv have been reported by the Canadian Food Inspection Agency: Quebec (two horses, one domestic bird); Ontario (two alpacas, seven horses, two birds); Manitoba (two horses); Saskatchewan (eleven horses); and Alberta (nine horses). National WNv surveillance data and maps can be found on the PHAC website at: United States As of week, 9 human cases of WNv have been reported by the Centers for Disease Control and Prevention in the Unites States. Of these, (6%) were diagnosed as neuroinvasive disease, and (5%) non-neuroinvasive. Thirty-three fatal cases were reported. One hundred and ninety-two cases of presumptive viremic blood donors were reported. Europe and Neighbouring countries A total of 5 human cases of WNv have been reported by the European Centre for Disease Prevention and Control. Of these, one hundred and thirty-nine human cases have been reported in the European Union and the European Economic Area: Croatia (); Greece (65), Hungary (), Italy (); and Romania (). Three-hundred and sixty-one human cases have been reported in neighbouring countries: Bosnia and Herzegovina (), the Former Yugoslav Republic of Macedonia one (); Montenegro (); Serbia (); the Russian Federation (); Ukraine (); and Israel (56).

2 Counts Figure WNv clinical cases and asymptomatic infections, by Province / Territory and by report week, season 6 6 New Brunswick Nunavut Northwest Territory Yukon Territory British Columbia Alberta Saskatchewan Manitoba Ontario Quebec Nova Scotia Prince Edward Island Newfoundland and Labrador Report Weeks of

3 Link Figure to the following table below Table Report Weeks of Newfoundland and Labrador Prince Edward Island New Brunswick Nova Scotia Quebec 5 Ontario 5 Manitoba Saskatchewan Alberta 9 British Columbia Yukon Territory Northwest Territory Nunavut Total 5 9 6

4 Provinces and territories Provinces and territories Table West Nile virus human clinical cases and asymptomatic infections by Province / Territory for the current Report Week and year to date, Season September -, (Week ) West Nile virus Neurological syndrome West Nile virus Unclassified / Total clinical # of travel West Nile virus Non-Neurological syndrome Unspecified cases related cases asymptomatic infections Newfoundland and Labrador Prince Edward Island # cases # cases Nova Scotia New Brunswick Quebec 5 Ontario Manitoba Saskatchewan Alberta 9 9 British Columbia Yukon Territory Northwest Territory Nunavut Total 5 9 Year to date: From January to September, Newfoundland and Labrador Prince Edward Island

5 Nova Scotia New Brunswick Quebec 6 Ontario 9 Manitoba Saskatchewan Alberta 9 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 (NAT), 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 NAT following any positive donor screen test result.

6 Counts Figure WNv clinical cases and asymptomatic infections by report week, season compared to previous seasons Report Weeks of

7 Link Figure to the following table below Table 9 Report Weeks of

8 Table Reported cumulative number of West Nile virus positive mosquito pools by Province/Territory and by report week, season* Report Weeks of Newfoundland Prince Edward Island New Brunswick Nova Scotia Quebec Ontario Manitoba Saskatchewan Alberta British Columbia Yukon Territory Northwest Territory Nunavut * Detailed West Nile virus mosquito surveillance data can be accessed through Provincial/ Territorial websites

9 Counts Figure Reported number of dead birds testing positive for WNv by Province / Territory and by report week, season 6 Nunavut Northwest Territory Yukon Territory British Columbia Alberta Saskatchewan Manitoba Ontario Quebec Nova Scotia New Brunswick Prince Edward Island Newfoundland and Labrador Report Weeks of

10 Link figure to the following table 5 below Table 5 Newfoundland and Labrador Prince Edward Island Report Weeks of New Brunswick Nova Scotia Quebec Ontario 9 Manitoba 5 Saskatchewan Alberta British Columbia Yukon Territory Northwest Territory Nunavut Total

11 percentage of positive results Figure Percentage of dead birds testing positive for WNv in the season by report week, as compared to the and seasons Percentage positive 9 Percentage positive Percentage positive Report Weeks of

12 Link figure to the following table below Table Report Weeks of Numbers positive Numbers tested Percentage positive Percentage positive Percentage positive

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