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West Nile Virus and Insect Bite Prevention

Document Number: 258
West Nile Virus has been making the headlines recently due
to the increasing number of cases being reported and identified in the
United States. However, this virus is not exactly new. In fact, West Nile
Virus was
first identified in 1937 in the West Nile District of Uganda, and the
first appearance in North America was back in 1999.
How is West Nile Virus Spread?
Infected
mosquitoes spread West Nile Virus. Mosquitoes most commonly pick up
the disease from infected birds, and go on to infect other animals while feeding
on their
blood. In a mosquito, the virus is found in the salivary glands, which
mosquitoes use to anesthetize the skin of the animal on which they are
feeding. Note:
the virus cannot be spread by human-to-human contact.
West Nile Virus
in Humans
In the bloodstream of humans, the virus multiplies and crosses
the blood/brain
barrier. When this happens, the virus can cause West Nile encephalitis,
a serious condition resulting in the inflammation of brain tissue. However,
it is important to note that most people who become infected have either
no
symptoms, or only mild symptoms. Also, if a person does contract the
virus, a natural immunity is developed that is assumed to last all their
life.
Prevention
While there is currently not a vaccine for West Nile Virus, the Center
for Disease Control has advice for reducing risk of exposure. These include:
- Stay
indoors at dawn, dusk, and in the early evening.
- Wear long-sleeved
shirts and long pants when outdoors.
- Spray clothing with repellents containing permethrin or DEET since mosquitoes may bite through thin
fabric.
- Apply
insect
repellent
to exposed skin. An effective repellent will contain 35% DEET.
Other effective mosquito repellents, as reported by the CDC in April 2005,
are picaridin and oil of lemon eucalyptus.
- Always read
and follow manufacturers directions when using repellents, and
avoid applying repellents to the hands of children.
- Install or repair
window and door screens
so that mosquitoes cannot get indoors.
- Vitamin B and 'ultrasonic" devices are not effective in preventing
mosquitoes.
Reporting
An unusual number of dead birds in an area
may indicate the presence
of West Nile Virus. While there are over 110 species of birds known
to have been infected, the virus tends to be somewhat more lethal
to crows and jays. State
and local health departments are responsible for investigating
reports of dead birds.
For more information on West Nile Virus, please
check out the Centers
for Disease Control and Prevention website at: http://www.cdc.gov/ncidod/dvbid/westnile/index.htm
For a listing of State and Local Government Sites: http://www.cdc.gov/ncidod/dvbid/westnile/city_states.htm
For a fact sheet on using DEET insect repellents safety, please see:
http://www.epa.gov/pesticides/factsheets/chemicals/deet.htm
For information on DEET alternatives, please see: http://www.cdc.gov/ncidod/dvbid/westnile/RepellentUpdates.htm
--------------------------------------------------------------------------------
Use clothing, repellents to fight off bugs
Warmer
temperatures
are a sure sign
that summer is on the way. And with the warmer
temperatures come those pesky, nuisance insects to ruin your outdoor
activities. A single acre
of land can easily
accommodate more than 400 million insects that can sting, bite, chew
or just generally annoy us enough to want to stay indoors. Insects
such as hornets, bees
and fire ants use stingers, which penetrate the
skin and inject venom. Bites from mosquitoes and black flies initially cause
itching, but
it’s the insect’s
saliva that’s the main irritant. The saliva is highly acidic and
can create swelling, welts and severe itching. Chiggers are chewers
who
tear small pieces of skin
and secrete a liquid that dissolves skin cells. A close encounter
with chiggers will leave you with one of the most itchy and painful
of all
insect wounds.
There
are two options to fight off these insects. The
first approach is to dress in loose pants and long-sleeved shirts. Mosquito
netting
is also
a good idea for
covering the face and neck. This full-body covering
keeps insects away from the skin and prevents bites or stings.
A second option is to use insect
repellent. The most commonly used repellents
generally contain DEET (N, N-diethyl-m-toluamide), which was developed in
1946 by the U.S. military and made available to the public in 1957. Other
repellents such as picaridin, also known as KBR 3023, and oil of lemon eucalyptus
have been recently found to be effective alternatives to DEET for mosquito
protection.
Although DEET works well as a repellent, it does have some
shortcomings. In 1961, the New England Journal
of Medicine reported a study on the effects
of continuous exposure to DEET. The study indicated
that DEET penetrated the skin and entered the bloodstream easily, and should
therefore
be used with caution.
It found that some children generously treated
with DEET for several weeks experienced seizures, convulsions and developed
toxic encephalopathy.
Adults, the study reported,
experienced confusion, irritability, insomnia and
other neurological problems when exposed to high levels of DEET.
Health effects
After completing a comprehensive reassessment of DEET, the
Environmental Protection Agency (EPA) concluded that as long as users follow
label directions and take proper precautions, insect repellents containing
DEET do not present a health concern.
Rashes, blisters, skin and mucous membrane
irritation, and numb or burning lips have occurred among people who applied
products containing a high concentration (50 or 75 percent) of DEET and
among those excessively exposed. Toxic encephalopathy and seizures have been
associated
with use in children. Subtle insomnia, mood disturbances and impaired
cognitive function in adults has been associated with excessive application.
Suggestions
for DEET Use
To prevent adverse reactions, it’s recommended that DEET-based products be applied
sparingly or over clothing rather than directly on the skin. Another option is
using products that have low concentrations of DEET.
Other suggestions for DEET
based repellent use include the following:
- Read and follow all directions and
precautions on the product label.
- Do not apply over cuts, wounds or irritated
skin.
- Do not apply to hands or near eyes and mouth of young children.
- Do
not allow young children to apply the product.
- Use just enough repellent to
cover exposed skin and/or clothing.
- Do not use under clothing.
- Avoid over-application.
- After
returning indoors, wash treated skin with soap and water.
- Wash treated clothing
before wearing again.
- Do not spray aerosol or pump spray products in enclosed
areas.
- To apply aerosol or pump spray products to face, spray on
hands first and then rub on face. Do not spray directly onto face.
Even with its shortfalls,
an estimated 200 million people use DEET-based products and adverse
reactions are extremely rare. DEET Free Options
Two alternatives to DEET based repellents were announced
by the CDC in an April 28th, 2005 press release. While the CDC still
states that DEET is “highly effective” it does recommend products that contain either
piraridin or oil of lemon eucalyptus as effective mosquito repellent options.
The release indicates that picaridin has been used for years in Europe, Australia,
Latin America and Asia and “evidence indicates that it works very well, often
comparable with DEET products of similar concentration. ”
According to the
CDC, oil of lemon eucalyptus (also know as p-menthane 3,8-diol or PMD)
is, “a
plant-based mosquito repellent that provided protection time similar to low
concentration DEET products in two recent studies. ”
A little planning and
a few precautions can make a big difference when spending time outside
this summer. So whether it’s work or relaxation, by dressing appropriately and
having the right insect repellents on hand, you can be considerably more
comfortable outdoors.
Click here for a selection of insect
repellents.
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Please Note: The information contained in this
publication is intended for general information purposes only. This
publication is not a substitute for review of the applicable government
regulations and standards, and should not be construed as legal advice
or opinion. Readers with specific questions should refer to the cited
regulation or consult with an attorney.
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