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West Nile virus Bulletin : 2001 Archive
Disease Control Service Public Health Branch
Volume 2 / Issue 7 – September 4, 2001

IN THIS ISSUE

Summary of Ontario Surveillance Activities
Human Surveillance No confirmed cases in the year 2001.
Mosquito Surveillance A pilot program for mosquito surveillance was initiated in six heath units in early August. Windsor, Halton, Peel, Toronto and Chatham are also trapping mosquitoes because of WNv activity.
Dead Bird Surveillance As of August 30, a total of 2,943 dead birds have been sighted and/or collected in Ontario. Of these, 1,689 were collected and sent to Guelph for consideration, and 1,038 were sent to Winnipeg for WNv testing. As of September 4, there are 32 confirmed WNv-positive birds and 2 presumptive WNv-positive birds. Twenty-nine birds were Crows and 5 birds were Blue Jays. The confirmed positive birds were found in Windsor (13), Halton (3), Peel (10), Toronto (6) and the presumptive positive birds were found in Chatham-Kent (2).
Summary of surveillance activities in other jurisdictions to date
Canada
As of August 30, 2001, there have been 4,446 dead birds reported to the WNv Dead Bird Surveillance program for all Canadian provinces.
U.S.
Human Cases :
Nine human cases of WNv have been identified have been reported in 2001.
Birds, mosquitoes, horses and other animals :
1,766 dead birds, 6 live birds, and 360 WNv-positive mosquito pools that tested positive for WNv. Forty-nine horses have been identified with WNv.

WNv Surveillance in Ontario

The purpose of the WNv Bulletins is to provide a summary of the results of the various surveillance activities in Ontario for the current year. This issue will update WNv findings elsewhere in Canada and in the U.S.

WNv Activities in Ontario for the Year 2001

Human Encephalitis Surveillance

Health Canada has asked that key health care providers, including family and emergency room physicians, infectious disease specialists and neurologists, monitor their patients for symptoms of WNv in 2001. These health care professionals are being asked to promptly report any probable and confirmed cases of viral encephalitis to local/provincial public health authorities.

REMINDER
  1. Physicians (Hospital, clinic, private practice) :

    • Send blood samples from suspect WNv patients to the Central Public Health Laboratory (CPHL) in Toronto for serological testing to :

      Central Public Health Lab
      81 Resources Road
      Toronto, ON
      M9P 3T1

    • Report suspect WNv cases immediately to the local Medical Officer of Health and fax "Patient Report Form"

  2. Health Units :

    • Report suspect WNv cases immediately by telephone to Dr. Margaret Fearon.

      Dr. Margaret Fearon
      416-235-5725  (pager : 416-715-4209)
      (After hours duty officer : 416-605-6113)

    • Report suspect WNv cases immediately by telephone to Dr. Chuck Le Ber or Dr. Dean Middleton at the Ministry of Health and Long-Term Care (MOHLTC), Public Health Branch.

      Dr. Chuck Le Ber
      416-327-7421

      Dr. Dean Middleton
      416-327-7422
    • Report suspect WNv cases in RDIS under the disease "viral meningitis/encephalitis" as outlined in the April 27, 2001 letter to all MOH and Communicable Disease Coordinators from Dr. Colin D'Cunha regarding Enhanced Passive Human Surveillance for West Nile Encephalitis.
Mosquito Surveillance in Ontario

The Ministry of Health and Long-Term Care (MOHLTC) has requested the assistance of six health units to take part in a mosquito surveillance program which began in early August, 2001. The six health units are Eastern Ontario, Leeds, Hastings, Toronto, Hamilton, and Niagara.

As WNv activity was identified in birds, mosquito surveillance began in Windsor, Halton, Peel, Toronto (provided additional traps) and Chatham-Kent.

Dead Bird Surveillance

This bulletin summarizes information up to, and including, the 35th week of the Dead Bird Surveillance season (Week 35 = Aug 27 to 31, 2001). There have been a total of 2,943 reported dead bird sightings and/or submissions. Of these 2,943 birds, 1,689 were picked up and sent to the lab in Guelph for WNv testing ('pick-ups'), of which 1,038 were submitted for testing at the national laboratory in Winnipeg ('Submissions'). Maps stating the number of dead bird submissions to the lab will be provided weekly to health units.

Figure 1.   Ontario Reported Number of WNV Surveillance Program Dead Birds
August 30, 2001 (N=2,943*)

* Omitted from graph :   91 reported dead birds = missing, 3 reported dead birds = prior to season

Data Source :   Canadian Cooperative Wildlife Health Centre, Health Canada August 30, 2001

Note :

  • Week 16 = April 16-20, 2001
  • Week 35 = August 27-31, 2001

Figure 2.   Types of Ontario Dead Birds Reported in 2001 Season as of August 30, 2001

Figure 3.   Total Number of Dead Bird Reports in 2001 by Ontario Health Units as of Aug 30, 2001

Note **   'PickUps' are health unit submissions to the lab in Guelph, whereas 'Submissions' refer to dead birds sent to the lab in Winnipeg for Federal WNv Testing.

Data Source :   Canadian Cooperative Wildlife Health Centre & Health Canada (August 16, 2001)

Other News

Worldwide Geographic Distribution

WNv has been described worldwide and is no longer limited to African and Eurasia.

North American Geographic Distribution

The American media has paid much attention to state health departments and local units with respect to their choices regarding the spraying of chemical pesticides.

Figure 4.   Number of birds, mosquito pools, horses and humans that have tested positive for WNv in the USA, 2001.

U.S. National Maps

Maps of the United States WNv Surveillance Programs can be accessed through the United States Geological Survey : Center for Integration of Natural Disaster Information (CINDI) Web site.

Maps

Acknowledgements

The contribution of the following agencies and individuals in the publication of this year's issues of the WNv Bulletin is greatly appreciated :

Ontario Ministry of Health and Long-Term Care (MOHLTC) : Public Health Branch : Dr. Colin D'Cunha, Dr. Charles Le Ber and Dr. Dean Middleton.

Canadian Cooperative Wildlife Health Centre : Dr. Ian Barker and Ron Templeman.

Health Canada : Dr. Peter Buck and Rob Meyers.


For more information
Comments, questions and suggestions about surveillance results in this bulletin
should be directed to :

Dr. Dean Middleton,
Veterinary Consultant,
Disease Control Service,
Tel: 416-327-7422,
E-mail : dean.middleton@moh.gov.on.ca
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