News of an epidemic of West Nile virus in the U.S. probably has you on high alert. But don't let worries about mosquitoes keep you and your family from enjoying the outdoors. The chances of anyone in your family becoming sick with the West Nile virus are extremely low, no matter what part of the country you live in.
Taking precautions against mosquito bites can help lessen the fear, but so can learning about the virus. Here's what you need to know:
West Nile is a virus that is spread by the Culex species of mosquito. Mosquitoes become infected by feeding on infected birds, and then transmit the virus to humans and animals through bites. It is not transmitted from person to person, animal to animal, or animal to person.
Once in the bloodstream, the virus multiplies and spreads. If the virus reaches the brain, the result is encephalitis — an inflammation of the brain that can affect the entire nervous system. Although rare, encephalitis is the most serious complication associated with the virus; those at greatest risk are people older than 50.
West Nile virus has been around a long time. It is commonly found in Africa, Eastern Europe, West Asia, and the Middle East, but until 1999 had not been found in the Western Hemisphere. It's unknown how the West Nile virus entered the United States, but experts say it's most similar to the strains found in the Middle East.
Since that time, the Centers for Disease Control and Prevention (CDC) has verified reports of West Nile virus infection in birds, mosquitoes, or humans throughout most of the country. There is no evidence to suggest that West Nile virus is transmitted by ticks, birds, or any other insect besides mosquitoes. It is possible for your pet to become infected, but your pet cannot transmit the virus to you.
Although the risk of infection is very low due to routine screening of donated blood, the infection has been transmitted through blood transfusion in a few cases. There have also been a few reports of fetuses of pregnant women becoming infected when the mother developed West Nile virus infection.
Most of the time, a person bitten by an infected mosquito does not get sick. Most people who do get sick from the virus become only mildly ill. A person may experience flu-like symptoms such as fever, headache, body aches, and sometimes skin rash and swollen glands.
About 1 person in 150 infected with the West Nile virus will get severely ill. Severe infection can result in encephalitis; symptoms can include severe headache, high fever, neck stiffness, disorientation, and sometimes convulsions. Although very rare, severe West Nile infection in healthy, younger people can be fatal, but the elderly are at greatest risk for severe complications.
The incubation period for West Nile virus is usually 3 to 14 days. In the northern United States, infections occur mainly in the summer and early fall, but in the warmer southern regions, the virus can be transmitted all year.
What can you do to protect yourself from West Nile virus? The CDC recommends these precautions:
If anyone in your family has any symptoms of West Nile virus, contact your doctor right away. The doctor will determine your risk based on where you live or whether you've traveled to an area where infected mosquitoes have been found. If the doctor suspects West Nile virus, a blood sample will be drawn and sent to a lab to be tested for infection.
There is no specific treatment for West Nile encephalitis other than supportive therapy (such as hospitalization, intravenous fluids, and respiratory support) for severe cases. Antibiotics will not work because a virus, not bacteria, causes West Nile disease. No vaccine for the virus is currently available.
The public has played a large role in helping track West Nile infection patterns by reporting the appearance of dead birds to the authorities. Continued surveillance is essential to keep the virus in check.
If you see a dead bird in your area, do not handle the body with your bare hands. Instead, contact your state or local health department immediately. Once virus activity is discovered in an area — even before the first case of human disease is reported — mosquito control measures can go into effect, including the widespread spraying of pesticides against adult mosquitoes and larvae.
Reviewed by: Mary L. Gavin, MD
Date reviewed: August 2012
|Centers for Disease Control and Prevention (CDC) The CDC (the national public health institute of the United States) promotes health and quality of life by preventing and controlling disease, injury, and disability.|
|Encephalitis Encephalitis is an inflammation of the brain. Although encephalitis sounds scary, understanding its causes, symptoms, and treatment can help you feel prepared to deal with it if you ever need to.|
|Encephalitis Encephalitis is a rare brain inflammation caused by a virus. The best way to avoid encephalitis is to prevent the illnesses that may lead to it.|
|West Nile Virus You've probably heard about West Nile virus and know that mosquitoes have something to do with it. Learn more about the virus, including how you can protect yourself.|
|Hey! A Mosquito Bit Me! There are thousands of different kinds of mosquitoes in many different sizes and colors. Learn all about mosquitoes and how they bite you in this article.|
|Lyme Disease Lyme disease can affect the skin, joints, nervous system, and other organ systems. If diagnosed quickly and treated with antibiotics, Lyme disease in kids is almost always treatable.|
|Are Insect Repellents With DEET Safe for Kids? Find out what the experts have to say.|
|Bug Bites and Stings In most cases, bug bites and stings are just nuisances. But in some cases, they can cause infections and allergic reactions. It's important to know the signs, and when to get medical attention.|
|Bug Bites and Stings Generally, insect bites and stings are harmless. Find out how to keep pests from ruining your fun.|
|Woods and Camping Safety for the Whole Family A family camping trip can be an enjoyable experience with a little preparation.|
|Can I Use Bug Killers and Repellents During Pregnancy? Find out what the experts have to say.|
|What to Do When You're Bugged by Bugs Ugh. Bugs. They're cool, but they also can ruin your day by stinging or biting you. Find out how to handle them in this article.|
|What's West Nile Virus? What exactly is the West Nile virus? And what do mosquitoes have to do with it? Find out in this article!|
What to expect when coming to Akron Children's
For healthcare providers and nurses
Residency & Fellowships, Medical Students, Nursing and Allied Health
For prospective employees and career-seekers
Our online community that provides inspirational stories and helpful information.