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

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1 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT AUGUST 17 TO AUGUST 23, 2014 REPORT WEEK 34 CANADA HUMANS: During surveillance week 34 (August 17 to August 23, 2014), three human cases positive for West Nile virus were reported: two in Manitoba [Prairie Mountain (1) * and Winnipeg (1)] and one in Ontario [Simcoe- Muskoka (1)]. * This case was likely not exposed during the 2014 West Nile virus season. MOSQUITOES: Since the start of the 2014 West Nile virus season, a reported 70 mosquito pools have tested positive for West Nile virus in Canada: 19 in Manitoba [Interlake- Eastern Health Region (7), Southern Health Region (8) and Winnipeg Health Region (4)]; 13 in Ontario [Haliburton-Kawartha-Pine Ridge District (1), Halton Regional (2), Lambton (1), Middlesex-London (3), Niagara Regional (1), Peel Regional (4) and City of Toronto (1)];19 in Quebec * [Laval (3), Montérégie (4) and Montreal (12)] and 19 in Saskatchewan. * Week 34 data was not available at the time of publication. DEAD BIRDS: During surveillance week 34, the Canadian Wildlife Health Cooperative tested five dead birds for West Nile virus. One dead bird tested positive for West Nile virus in Ontario. Since the start of the 2014 West Nile virus season, the Canadian Wildlife Health Cooperative tested 75 dead birds for West Nile virus in Canada: Saskatchewan (51), Ontario (17) and Quebec (7). Of these, four (5.3%) dead birds were positive for West Nile virus: Ontario (1), Quebec (1) and Saskatchewan (2). DOMESTIC ANIMALS: Since the start of the 2014 West Nile virus season, the Canadian Food Inspection Agency reported three horses tested positive for West Nile virus in Canada: Alberta (1) and Saskatchewan (2). National West Nile virus surveillance data and maps can be accessed via the Public Health Agency of Canada web site. UNITED STATES Since the start of the 2014 West Nile virus season and as of August 19, 2014, 210 West Nile virus human disease cases have been reported by the Centers for Disease Control and Prevention (CDC): Arizona (14), Arkansas (1), California (57), Colorado (12), District of Columbia (1), Georgia (1), Indiana (1), Iowa (4), Kansas (1), Louisiana (34), Mississippi (9), Missouri (1), Nebraska (9), New Jersey (1), New York (1), North Dakota (3), Oklahoma (1), Pennsylvania (2), South Dakota (21), Tennessee (2), Texas (30), Washington (3) and Wisconsin (1). Of these, 113 (53.8%) were diagnosed as neuroinvasive disease cases and 97 (46.2%) as non-neuroinvasive cases. Eleven fatal cases were reported. Seventy presumptive viremic blood donors have been identified. Detailed information can be accessed via the Centers for Disease Control and Prevention web site. ISSN:

2 2 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT AUGUST 17 TO AUGUST 23, 2014 EUROPEAN UNION, EUROPEAN ECONOMIC AREA AND NEIGHBOURING COUNTRIES During surveillance week 34, the European Centre for Disease Prevention and Control (ECDC) reported a West Nile virus infection had been notified by Austria and was detected through blood donation screening; Greece reported two new cases. Since the start of the 2014 West Nile virus season, four human cases have been reported in Europe: Austria (1) and Greece (3). Twenty-seven human cases have been reported in neighbouring countries: Bosnia and Herzegovina (13), Russian Federation (7), Serbia (5) and Israel (2). Detailed information can be accessed via the European Centre for Disease Prevention and Control web site.

3 Number of clinical cases and asymptomatic infections 3 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT AUGUST 17 TO AUGUST 23, 2014 FIGURE 1: West Nile Virus clinical cases and asymptomatic infections, by Province/Territory and by report week, 2014 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* * 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.

4 4 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT AUGUST 17 TO AUGUST 23, 2014 TABLE 1: West Nile Virus clinical cases and asymptomatic infections, by Province/Territory and by report week, 2014 season Report week Newfoundland and Labrador Prince Edward Island New Brunswick Nova Scotia Quebec Ontario Manitoba * Saskatchewan Alberta British Columbia Yukon Territory Northwest Territory Nunavut Total * * One of these cases was likely not exposed during the 2014 West Nile virus season.

5 5 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT AUGUST 17 TO AUGUST 23, 2014 TABLE 2: West Nile Virus human clinical cases and asymptomatic infections by Province/Territory for the current report week and year to date, 2014 season Week 34: August 17 to August 23, 2014 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 infections 3 Newfoundland and Labrador Prince Edward Island Nova Scotia New Brunswick Quebec Ontario Manitoba 0 0 2* 2* 0 0 Saskatchewan Alberta British Columbia Yukon Territory Northwest Territory Nunavut Total 0 0 3* 3* 0 0 * One of these cases was likely not exposed during the 2014 West Nile virus season.

6 6 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT AUGUST 17 TO AUGUST 23, 2014 Year to date: January 1 to August 23, 2014 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 infections 3 Newfoundland and Labrador Prince Edward Island Nova Scotia New Brunswick Quebec Ontario Manitoba 0 0 2* 2* 0 0 Saskatchewan Alberta British Columbia Yukon Territory Northwest Territory Nunavut Total 0 0 3* 3* 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. * One of these cases was likely not exposed during the 2014 West Nile virus season.

7 Number of clinical cases and asymptomatic infections 7 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT AUGUST 17 TO AUGUST 23, 2014 FIGURE 2: West Nile Virus clinical cases and asymptomatic infections by report week for selected years Report week* * 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 AUGUST 17 TO AUGUST 23, 2014 TABLE 3: West Nile Virus clinical cases and asymptomatic infections by report week for selected years Report week * * One of these cases was likely not exposed during the 2014 West Nile virus season.

9 9 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT AUGUST 17 TO AUGUST 23, 2014 TABLE 4.1: Reported cumulative number of West Nile Virus positive mosquito pools by Province/Territory and by report week, 2014 season* Report week of Newfoundland and Labrador Prince Edward Island New Brunswick Nova Scotia Quebec ** Ontario Manitoba Saskatchewan Alberta British Columbia Yukon Territory Northwest Territory Nunavut Total * Detailed West Nile virus mosquito surveillance data can be accessed through Provincial/Territorial websites. ** Week 34 data was not available at the time of publication.

10 10 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT AUGUST 17 TO AUGUST 23, 2014 TABLE 4.2: Number of mosquito pools tested and number of positive mosquito pools by Province/Territory, 2014 season Year to date: January 1 to August 23, 2014 Number of mosquito pools tested Number of positive mosquito pools Percentage of positive mosquito pools (%) Newfoundland and Labrador Prince Edward Island New Brunswick Nova Scotia Quebec 6,986* 19* 0.3 Ontario 9, Manitoba 1, Saskatchewan Alberta British Columbia Yukon Territory Northwest Territory Nunavut Total 19, * Week 34 data was not available at the time of publication.

11 Number of dead birds testing positive 11 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT AUGUST 17 TO AUGUST 23, 2014 FIGURE 3: Reported number of dead birds testing positive for West Nile Virus by Province/Territory and by report week, 2014 season* Nunavut Northwest Territory Yukon Territory British Columbia Alberta Saskatchewan Manitoba Ontario Quebec Nova Scotia New Brunswick Prince Edward Island Newfoundland and Labrador Report week of 2014 * Data from the Canadian Wildlife Health Cooperative.

12 12 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT AUGUST 17 TO AUGUST 23, 2014 TABLE 5: Reported number of dead birds testing positive for West Nile Virus by Province/Territory and by report week, 2014 season* Report week of Total Newfoundland and Labrador Prince Edward Island New Brunswick Nova Scotia Quebec Ontario Manitoba Saskatchewan Alberta British Columbia Yukon Territory Northwest Territory Nunavut Total * Data from the Canadian Wildlife Health Cooperative.

13 Percentage of dead birds testing positive 13 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT AUGUST 17 TO AUGUST 23, 2014 FIGURE 4: Percentage of dead birds testing positive for West Nile Virus in the 2014 season by report week, as compared to the 2003, 2012 and 2013 seasons Percentage positive 2014 Percentage positive 2013 Percentage positive 2012 Percentage positive Report week

14 14 WEST NILE VIRUS AND OTHER MOSQUITO-BORNE DISEASE NATIONAL SURVEILLANCE REPORT AUGUST 17 TO AUGUST 23, 2014 TABLE 6: Percentage of dead birds testing positive for West Nile Virus in the 2014 season by report week, as compared to the 2003, 2012 and 2013 seasons Report week Numbers positive Numbers tested * Percentage positive Numbers positive Numbers tested Percentage positive Percentage positive Percentage positive * Data became available during Week 30; this is a cumulative number of dead birds tested from Week 1 to Week 30.

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