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Gov. Arnold Schwarzenegger announces emergency measures for Kern, Colusa and San Joaquin counties because of their high West Nile virus concerns, at the Kern Mosquito and Vector Control Center in Bakersfield on Thursday. Bakersfield Mayor Harvey Hall, left, and Dr. Mark Horton, director of California Department of Public Health, center, listen. (Courtesy photo)

Governor declares emergency in three counties

By Garance Burke
Associated Press Writer
Updated: Friday, August 3, 2007 6:49 AM PDT

Gov. Arnold Schwarzenegger declared a state of emergency Thursday in three California counties hit hard by the mosquito-borne West Nile Virus, which has killed four this year and appears to be spreading at a rapid clip.

The emergency declaration applies to Kern, Colusa and San Joaquin counties, and will provide up to $1.35 million to help combat the spread of the virus, Schwarzenegger said.

West Nile is transmitted to humans through mosquito bites, and so far this year has infected three times more people than it did in the same period in 2006, he said.

The disease's epicenter thus far is Kern County, which has logged two-thirds of the state's 56 West Nile cases this year, including an 85-year-old Shafter man and a 96-year-old Bakersfield woman who died last month.

Health officials announced the state's third and fourth fatalities this week: two elderly residents of San Joaquin and Colusa counties.

Schwarzenegger met with Kern County mosquito control officials Thursday.

"Last year it was down, this year it has increased again," Schwarzenegger said.

"The important thing is that we all go all out and we work together, the counties and the state, in order to get the job done and get rid of the virus."

West Nile Virus is a mosquito-borne disease that is common in Africa, west Asia, the Middle East and, more recently, North America. Experts believe WNV is established as a seasonal epidemic in North America that flares up in the summer and continues into the fall.

Origin
West Nile Virus was first detected in the United States in New York in 1999. It first appeared in California in 2002.

How is it transmitted?
Infected mosquitoes: Most often, WNV is spread by the bite of an infected mosquito. Mosquitoes are WNV carriers, or vectors, that become infected when they feed on infected birds. Infected mosquitoes can then spread WNV to humans and other animals when they bite.
Transfusions, transplants and mother-to-child: All donated blood is checked for WNV before being used. The risk of getting WNV through blood transfusions and organ transplants is very small and should not prevent people who need surgery from having it. Transmission during pregnancy from mother-to-baby or transmission to an infant via breastfeeding is extremely rare.
Not through touching: It is not spread through casual contact such as touching or kissing a person with the virus, or by breathing in the virus.

Symptoms
People typically develop symptoms from 3-14 days after being bitten by an infected mosquito, however, they vary from one patient to another. The risk of severe disease is highest in people over 50 years old and those with other chronic health problems.
About one in five patients infected with the virus will develop symptoms of headache, fever and fatigue. This form of the disease can last between 7-21, or more, days.
About one in 150 infected people will develop severe illness with symptoms of neurological disease that can include any of the following: neck stiffness, confusion, coma, tremors, convulsions, muscle weakness, numbness and/or paralysis. Symptoms may last several weeks and neurological effects may be permanent.
There is no specific treatment for WNV infection. In cases with milder symptoms, people experience fever and aches that pass on their own.
In more severe cases, people may need to go to the hospital where they can receive supportive treatment including intravenous fluids, help with breathing and nursing care.

Can animals get sick from WNV?
Some species of wild birds, particularly crows and scrub jays, are very susceptible to WNV and can die from the infection.
Horses, too, are very susceptible and approximately one-third of horses that become ill die or are euthanized. An effective vaccine is available, and horse-owners should consult with a veterinarian about WNV vaccine and other vaccines against mosquito-borne viruses.
Dogs and cats rarely become ill when infected with WNV.
Source: California Health Department.
1. Buy and use bug repellent.
West Nile is spread by mosquitoes. Don't let them bite you. When you go outdoors, use a bug repellent, and make sure it includes the ingredient DEET. (DEET is not approved for use on dogs and cats, which very, very rarely contract West Nile Virus.)

2. Get rid of standing water.
Mosquitoes breed in stagnant water. Check your property for standing water and remove it. Could there be water in that old bucket or garbage can in a corner of the yard? In a tire left outside the garage? A birdbath? Rain gutters? Pool covers?

3. Watch out at dawn and dusk.
Avoid being outdoors at dawn and dusk, when mosquitoes are most active.

4. Dress to distress — mosquitoes, that is.
Wear long sleeves and long pants when practical. If you are going to be outside for an extended time, or during peak mosquito hours, spray your clothing with insecticide, too.

5. Keep the pond water moving.
If you have a pond, make sure you keep your aerator in good working order. If there is no aerator, manually agitate the water regularly, or consider draining it. Vegetation attracts breeding mosquitoes. You may want to think about stocking your pond with mosquito fish, small minnows that eat mosquito larvae.

6. Spot and report dead birds.
Dead birds may show that West Nile is circulating between birds and mosquitoes in your neighborhood. Over 130 species of birds have been infected with West Nile. Authorities may or not pick up the dead bird, depending on how much information they already have on file regarding your area. To report dead birds, call a statewide hotline: (877) WNV-BIRD ((877) 968-2473).

7. Keep the pests out of the house!
Check doors and screens, and make sure they are in good condition, so mosquitoes are kept out.

8. Horses a special concern.
Equine enthusiasts should be aware that West Nile has infected some horses in the Lodi area. There are two fully approved virus vaccines for horses. The UC Davis School of Veterinary Medicine suggests that horse owners consult their personal veterinarians to discuss which vaccine may be most appropriate. For further information, visit the UC Davis Center for Equine Health Web site at: http://www.vetmed.ucdavis.edu/ceh/wnv_info.html.

9. Make sure baby is protected.
Place mosquito netting over infant carriers when you are outdoors with infants.

10. Be alert to major breeding grounds.
If you see a substantial body of standing water that could be a breeding ground for mosquitoes that you feel may have been overlooked, you may report it to local mosquito control officials. For standing water, call the San Joaquin Mosquito and Vector Control District at (209) 982-4675 or (800) 300-4675.

Most infected people never get sick, but up to about 20 percent develop mostly mild flu-like symptoms. Severe symptoms, including fatal brain inflammation, are rare.

Health officials recommend people avoid infection by staying inside at dawn and dusk, when mosquitoes are most active; wearing clothes that keep mosquitoes away from the skin; draining areas where mosquitoes can breed; and using insecticide with the chemical DEET.

In Sacramento County, authorities said Monday that West Nile had reached an epidemic rate there and had to be combatted with a mass aerial-spraying campaign — often considered a last resort. More than 55,000 acres of urban neighborhoods north of the American River were scheduled to be sprayed.

Health officials in San Jose said Thursday that a Santa Clara County resident had become infected, in their first local case this year.

In Kern County, the new funds won't be enough to educate the public in time for the disease's high season in August and September, said Sen. Dean Florez, D-Shafter.

The state needs to provide a more consistent budget for eradication efforts in winter months, hire more vector control officers and coordinate surveillance efforts with real estate agents, who can provide updated information about vacant properties where standing water could provide the insects with a fertile breeding ground, he said.

"Next season could be quite possibly worse than this year unless we get a new infusion of money," Florez said.

Schwarzenegger said he was directing state agencies to take proactive measures, and that more funds could be made available if needed.

Reader Feedback

Pz wrote on Aug 9, 2007 7:13 AM:

" Trish, hopefully you'll never be my RN. B.T.'s do you even know how it works, It reacts with the Alkali pH in an insects stomach, Ours are acidic, Plus its approved for Organic growers to use on their crops. As for Pyrethrins, they are derived from Chrysthanimums, and are used in Flea sprays for your pets and are also approved for Organic growers to use on thier crops also. Wow must be pretty save/soft for Organic growers to use! "

Bill the realtors wrote on Aug 8, 2007 8:33 PM:

" Bill the realtors for the mess they created. Its obvious that you don't sell a house to someone if they don't have a job, no savings, have no credit and no social security number. Then you tell them no money down and give them cash at the end of escrow so they can buy a new car, kitchen appliances and have money left over to pay a few house payments. When these "buyers: lose their houses we have to deal with it. With blight, bugs, mosquitoes, and YOU keep a profit? "

Trisha Springstead RN wrote on Aug 7, 2007 6:42 AM:

" The Spraying of Bt Bacillus thuringiensis, is causing disease. It is sprayed on Genetically Modified Foods and is in our seeds, soy, cotton, Pyrethines are NEUROTOXINS they should never be sprayed on Human Beings, Animals, Children. Go to the National Pediculosis Foundation and Read about what they do. Also Read the Seeds of Deception. If we keep spraying like this we are doomed. "

To John wrote on Aug 6, 2007 10:08 PM:

" The symptoms you describe related to WNV sounds very similar to the symptoms of our our CC and city bureaucrats. They can't seem to remember what happened only minutes before. I thought they were either crazy or had Alzheimers. Now I know they may be infected with West Nile Virus. That explains everything now. I need to make up some id badges for them to remind everyone they talk with to speak v e r y s l o w l y. "

Leonard wrote on Aug 6, 2007 6:47 PM:

" Petie Evans: You are confusing antibiotics with antiviral drugs. They are two completely different classes of drugs which operate in completely different ways. If you don't know what you are talking about, please keep your thoughts to yourself and stop spreading dangerous misinformation. "

Fred wrote on Aug 6, 2007 4:47 PM:

" PLEASE STOP USING ANTIBIOTICS FOR VIRAL INFECTION..... "

Peter Evans III wrote on Aug 6, 2007 4:23 PM:

" Fortunately antibiotics are the single best defence against West Nile virus, all viruses in fact are readily defeated by the CORRECT antivirus antibiotic. The short supply of antibiotic antivirus chemicals causes some to be misled that antibiotics do not work well against West Nile when in fact they are 100 percent effective. Really people, do not believe what you see on TV, antibiotics are completely effective against West Nile. Just ask your Doctor, that is why he Prescribes it. "

lisa wrote on Aug 6, 2007 10:31 AM:

" do you people not realize anibiotics only work on a bacterial infection? antibiotics are 100% ineffective on a virus. due to this blatent overuse, people have almost no immune systems left, and staph bacteria are killing people in all hospitals because they are resistent against antibiotics. read, people, read!!!! "

Andrew Semlek wrote on Aug 6, 2007 8:55 AM:

" Well in the present dispensetion we can only pray for God to intervene. Abuja Nigeria, "

CEC wrote on Aug 6, 2007 7:59 AM:

" this is very serious I lost my father in 2002 from westnile 10 days in the hospital and he was gone it will effect my family forever "

Lowell wrote on Aug 6, 2007 5:05 AM:

" "Therefore, even though there are now more antibiotics on the market, let's hope that this virus isn't immune to them." Umm hate to break this to you honey, but antibiotics don't do jack diddly squat to a virus!! Now, if there's any kind of opportunistic or secondary infections, then yeah, antibiotics would be good to go.. but against a virus, such as West Nile or the Flu, antibiotics have absolutely no effect. "

steven wrote on Aug 6, 2007 3:51 AM:

" sra, it's important to remember that antibiotics have NO effect against a virus. Using them in response to west nile virus (or any other virus, like the average cold for that matter) simply serves to decrease their effectiveness for everyone in the future by artificially evolving drug-resistant bacteria. It's a really important health issue. "

Karl wrote on Aug 5, 2007 11:05 PM:

" sra: Antibiotics are ineffective against viruses. Agents that are effective against viruses are called antivirals. "

sra wrote on Aug 5, 2007 4:12 PM:

" My great-grandmother told me about a virus that spread like wild fire during Prohibition. People were dying by the thousands, so much so that they had to dig trenches and have mass burials. Therefore, even though there are now more antibiotics on the market, let's hope that this virus isn't immune to them. Better safe than sorry. Therefore, perhaps the Governor is correct to begin these measures now. "

Bill Quinby wrote on Aug 5, 2007 8:56 AM:

" Quote: "The risk of severe disease is highest in people over 50 years old and those with other chronic health problems." Um . . . so, being over 50 is a chronic health problem? "

Vag Shantharam Shenai wrote on Aug 5, 2007 7:37 AM:

" INDIA has a solution. However INDIANS do not have confidence in Fellow Indians. They have confidence in Americans. So when Americans have confidence in the INDIAN solution, then Indians will also get confidence :) PLEASE read www.wastetohealth.com and discover the root cause solution. God has made the world so beautiful and we are NOT supposed to suffer. ASK QUESTIONS, then answers will come. I ask all to discover FACT, not go by faith alone. "

ak wrote on Aug 5, 2007 3:52 AM:

" They've been spraying us with unknown substances for years. Check out the "carnicom" website. "

John wrote on Aug 4, 2007 10:40 PM:

" A friend of mine was unfortunate enough to get WNV from an infected mosquito. I can honestly say that while the disease may be somewhat overhyped, the impact that it has on someone's life are not. Death occurs in a limited number of cases, but the neurological impact that occurs is very real. He often has trouble remembering what happened the day before and has a lot of trouble remembering things that occured after the incident. This is after 4 years. Unless you know someone who has contracted the full blown disease, you really shouldn't comment on it. "

GovAgent wrote on Aug 4, 2007 6:03 PM:

" Yes this is epidemic, we need to keep all children inside before dusk, that goes for the elderly too! the other lodi article that blames the inflatable pools in Lodi is a real stretch, considering that there is sitting water in fields all around the valley! "

Lodian wrote on Aug 4, 2007 12:49 PM:

" jake: You took the words right out of my mouth! "

Ivan Dixon wrote on Aug 4, 2007 11:35 AM:

" Great point about the bird flu vaccine Jack. It is stupid to prepare for things that later turn out not to have happened. I mean every year I buy homeowners insurance and nothing ever happens to my house. What a waste! Starting next year, I am getting rid of the insurance. I can always get it later if the house catches on fire, can't I? "

jeff wrote on Aug 4, 2007 10:17 AM:

" legalize marijuana! "

Rich wrote on Aug 4, 2007 10:14 AM:

" The article says "using insecticide with the chemical DEET." DEET is a repellant, not an insecticide. It's the primary ingredient in Off and similar products. This is a pretty serious gaffe in an article on a very serious subject. "

pete krohn 06375 wrote on Aug 4, 2007 7:00 AM:

" better chance of dying during a drive by mis-aim, or some jakass jumping the curb! bigger emergency is OVERPOPULATION and unbridled assitance to those OTHER countries! "

baljit wrote on Aug 4, 2007 1:51 AM:

" As a neuroIR I would recommend AVM coiling to protect. "

Anti-Jack wrote on Aug 3, 2007 8:24 PM:

" Do not talk on behalf of anyone including taxpayers but yourself. Why don't you stand up against the Bush-war and demand not to spend the taxpayers' money to get Americans killed and kill innocent Iraqis and others? It is cheaper to make friends than enemies, man. "

jake wrote on Aug 3, 2007 8:21 PM:

" I agree with Jack, it is bad when one person dies, but a state of emergency? Forty-five people die daily on average from drunk-drivers and the guilty get to plead their case. Something is not right. "

Susan wrote on Aug 3, 2007 6:06 PM:

" Is there a WNV vaccine for humans? If not, are they working on one? "

Jack wrote on Aug 3, 2007 5:21 PM:

" Of all the health scares out there, West Nile has got to be the one of most overhyped. 80 percent of the infected show no symptoms and are uncounted. The remaining 20% have a 4.4 % fatality rate. Extrapolated, that's a 0.8% fatality rate. It's also just 3% of total deaths from influenza last year. We need to start questioning institutionalized fear mongering. After transfering a billion tax payer dollars to Rumfeld and Roche's pockets for a non-existent bird flu pandemic stockpile, enough is enough! "

worried wrote on Aug 3, 2007 4:49 PM:

" my big concern would be inhaling insecticide sprayed all over the community--rather than a million-to-one shot of contracting a disease fatal only in the elderly or infirm. sounds like a good smokescreen (or insectiscreen, if you will) to try out some new chemicals! somebody's getting rich--most likely the same folks working on a cure for the cancer that the insecticide will cause . . . "

Comments on this story are now closed.

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