West nile virus risk factors: Difference between revisions

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| style="padding: 5px 5px; background: #DCDCDC;" | '''Age > 50 years'''
| style="padding: 5px 5px; background: #DCDCDC;" | '''Age > 50 years'''
| style="padding: 5px 5px; background: #F5F5F5;" | While persons of any age can be infected with WNV, US surveillance data indicate that persons over age 50 are at higher risk for severe disease and death due to WNV infection.<ref name=CDC>{{cite web | title = Epidemic/epizootic West Nile virus in the United States : guidelines for surveillance, prevention, and control. 3rd revision | url = http://stacks.cdc.gov/view/cdc/7271 }}</ref>
| style="padding: 5px 5px; background: #F5F5F5;" | While persons of any age can be infected with WNV, US surveillance data indicate that persons over age 50 are at higher risk for severe disease and death due to WNV infection.<ref name=CDC>{{cite web | title = Epidemic/epizootic West Nile virus in the United States : guidelines for surveillance, prevention, and control. 3rd revision | url = http://stacks.cdc.gov/view/cdc/7271 }}</ref>
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| style="padding: 5px 5px; background: #DCDCDC;" | '''Organ recipients'''
| style="padding: 5px 5px; background: #F5F5F5;" |
Higher risk of developing neuroinvasive disease after:<ref name="pmid14966429">{{cite journal| author=DeSalvo D, Roy-Chaudhury P, Peddi R, Merchen T, Konijetti K, Gupta M et al.| title=West Nile virus encephalitis in organ transplant recipients: another high-risk group for meningoencephalitis and death. | journal=Transplantation | year= 2004 | volume= 77 | issue= 3 | pages= 466-9 | pmid=14966429 | doi=10.1097/01.TP.0000101434.98873.CB | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14966429  }} </ref>
*[[Blood transfusion]]
*Transmission from organ donor
*Exposure to community
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Revision as of 22:43, 11 September 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Risk Factors

Risk factors for infection with West Nile virus include:

Risk of infection Description
Outdoor exposure While conclusive data are lacking, it is reasonable to infer that persons engaged in extensive outdoor work or recreational activities are at greater risk of being bitten by WNV-infected mosquitoes.[1][2]
Homeless persons Extensive outdoor exposure and limited financial resources to acquire mosquito repellents constitute a greater risk factor.[1][2]
Residences lacking window screens Absence of intact window/door screens is a likely risk factor for exposure to mosquito bites.[1][2]
Warmer temperatures Associated with higher periods of incidence of disease due to shorter incubation periods of the virus in mosquitoes, and increased efficiency of viral transmission to birds.[3][4][5]
Regional factors

Agricultural lands[6]; irrigated terrains[7]; heavy rain periods[8]; weak rain periods[8]

Risk of severe disease Description
Age > 50 years While persons of any age can be infected with WNV, US surveillance data indicate that persons over age 50 are at higher risk for severe disease and death due to WNV infection.[1]
Organ recipients

Higher risk of developing neuroinvasive disease after:[9]

  • Transmission from organ donor
  • Exposure to community

References

  1. 1.0 1.1 1.2 1.3 "Epidemic/epizootic West Nile virus in the United States : guidelines for surveillance, prevention, and control. 3rd revision".
  2. 2.0 2.1 2.2 Campbell, Grant L; Marfin, Anthony A; Lanciotti, Robert S; Gubler, Duane J (2002). "West Nile virus". The Lancet Infectious Diseases. 2 (9): 519–529. doi:10.1016/S1473-3099(02)00368-7. ISSN 1473-3099.
  3. Soverow JE, Wellenius GA, Fisman DN, Mittleman MA (2009). "Infectious disease in a warming world: how weather influenced West Nile virus in the United States (2001-2005)". Environ Health Perspect. 117 (7): 1049–52. doi:10.1289/ehp.0800487. PMC 2717128. PMID 19654911.
  4. Kilpatrick AM, Meola MA, Moudy RM, Kramer LD (2008). "Temperature, viral genetics, and the transmission of West Nile virus by Culex pipiens mosquitoes". PLoS Pathog. 4 (6): e1000092. doi:10.1371/journal.ppat.1000092. PMC 2430533. PMID 18584026.
  5. Reisen WK, Fang Y, Martinez VM (2006). "Effects of temperature on the transmission of west nile virus by Culex tarsalis (Diptera: Culicidae)". J Med Entomol. 43 (2): 309–17. PMID 16619616.
  6. Bowden SE, Magori K, Drake JM (2011). "Regional differences in the association between land cover and West Nile virus disease incidence in humans in the United States". Am J Trop Med Hyg. 84 (2): 234–8. doi:10.4269/ajtmh.2011.10-0134. PMC 3029173. PMID 21292890.
  7. DeGroote JP, Sugumaran R (2012). "National and regional associations between human West Nile virus incidence and demographic, landscape, and land use conditions in the coterminous United States". Vector Borne Zoonotic Dis. 12 (8): 657–65. doi:10.1089/vbz.2011.0786. PMID 22607071.
  8. 8.0 8.1 Landesman WJ, Allan BF, Langerhans RB, Knight TM, Chase JM (2007). "Inter-annual associations between precipitation and human incidence of West Nile virus in the United States". Vector Borne Zoonotic Dis. 7 (3): 337–43. doi:10.1089/vbz.2006.0590. PMID 17867908.
  9. DeSalvo D, Roy-Chaudhury P, Peddi R, Merchen T, Konijetti K, Gupta M; et al. (2004). "West Nile virus encephalitis in organ transplant recipients: another high-risk group for meningoencephalitis and death". Transplantation. 77 (3): 466–9. doi:10.1097/01.TP.0000101434.98873.CB. PMID 14966429.

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