West Nile virus is commonly found in Africa, West Asia and the Middle East. It is closely related to St. Louis encephalitis virus, which also is found in the United States. It is not known how long WNV has been in the U.S., but scientists at the Centers for Disease Control and Prevention (CDC) believe the virus has probably been in the eastern U.S. since the summer of 1999, possibly longer.
The virus can infect humans, birds, mosquitoes, horses and some other mammals. Most North Americans are susceptible to the virus, although a few may be immune. It is important to note that most individuals exposed to WNV through mosquito bites do not develop any symptoms or if they do, only develop mild viral symptoms.
Because the spread of West Nile virus is closely linked to mosquitoes, it is considered a seasonal epidemic that flares up in the summer and continues into the fall.
Prevention is the best way to protect yourself and your family from West Nile virus. According to the Centers for Disease Control and Prevention (CDC), fighting mosquito bites is key to reducing your risk of getting WNV and there are many ways to reduce your risk:
Below are more tips for reducing your exposure to mosquitoes.
The San Francisco Department of Public Health has alerted and mobilized groups such as the Public Works Department, Caltrans, the National Park Service, the zoo and all campuses, including UCSF, to look for the presence of West Nile virus. These groups are working to establish and implement a mosquito inspection, prevention and abatement program.
The UCSF Office of Environmental Health and Safety and Facilities Management have implemented a mosquito surveillance, prevention and abatement program to protect the UCSF Medical Center and campus communities. This program includes scheduled inspections for standing water and possible mosquito breeding grounds and clean up of standing water as well as pest control services if needed.
West Nile virus is rarely transmitted from one human to another but rather is spread through the following:
Human to human transmission does not occur through breathing or by touching, kissing or sexual contact.
Approximately 80 percent of people who are infected with West Nile virus will not show any symptoms at all.
Approximately 20 percent of those infected will develop West Nile fever, symptoms of which can include:
Sometimes swollen lymph glands or a skin rash on the chest, stomach and back also accompany the fever.
About one in 150 people infected with WNV will develop severe illness. The severe symptoms can include:
These symptoms may last several weeks and neurological effects may be permanent.
If you develop symptoms of severe West Nile virus illness, such as severe headaches or confusion, seek medical attention immediately.
To make a diagnosis of WNV, your doctor will ask about your medical history and assess your risk of exposure to the virus. People who live in or have traveled to areas where West Nile virus activity has been identified are at higher risk. In addition, those 50 years of age or older have the highest risk of developing a severe infection from the virus. If you are determined to be at high risk and have symptoms of West Nile, your doctor likely will draw blood to make a definitive diagnosis.
The most commonly used laboratory test measures antibodies that are produced very early in an infected person, called IgM antibodies, that can be measured in blood or cerebrospinal fluid (CSF), which is the fluid surrounding the brain and spinal cord. This test may not be positive when symptoms first occur but is positive in most infected people within eight days from the onset of symptoms.
Severe WNV illness usually requires hospitalization. Pregnant women and nursing mothers are encouraged to talk to their doctor if they develop symptoms that could be WNV.
The incubation period for West Nile virus is thought to range from three to 14 days. Symptoms generally last three to six days.
There is no specific treatment for West Nile virus. In milder cases, people experience symptoms such as fever and aches that pass on their own. In more severe cases, people usually need to go to the hospital to receive supportive treatment including intravenous fluids, help with breathing and nursing care.
Approximately one in 150 infections will result in severe neurological disease, including encephalitis and meningitis. The most significant risk factor for developing severe neurological disease is advanced age.
Find more information about West Nile virus and what you can do to reduce your risk at the Centers for Disease Control and Prevention (CDC) Web site: www.cdc.gov.
This information was adapted from the Centers for Disease Control and Prevention (CDC) Web site: www.cdc.gov.
Reviewed by health care specialists at UCSF Medical Center.
This information is for educational purposes only and is not intended to replace the advice of your doctor or health care provider. We encourage you to discuss with your doctor any questions or concerns you may have.