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Archive Number	20031111.2793
Published Date	11-NOV-2003
Subject	PRO/AH> West Nile virus, = human - USA=20 (Idaho) (02)


WEST NILE VIRUS, HUMAN - USA (IDAHO) (02)
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Date: Mon 10 Nov 2003
From: Steve Grenard <sgrenard@si.rr.com>


Re: Transmission of West Nile Virus from Alligators to Humans
-------------------------------------------------------------
[In the preceding post it was suggested that the 1st human case of West=20
Nile virus infection in Idaho had contracted the virus in the course of =
his=20
employment in an alligator farm -- see: West Nile virus, human - USA=20
(Idaho) 20031108.2767. Steve Grenard queried =
the identity of the vector and=20
the mode of transmission, and has forwarded the following response to =
his=20
questions obtained from Peter Brazaitis, former Curator of Animals at =
the=20
Central Park Zoo in New York City and the Superintendent of Reptiles at =
the=20
New York Zoological Park/Bronx Zoo.]

"I just got off the phone with knowledgeable people in Louisiana. There =
are=20
now a great many cases of West Nile virus among alligator farmers, =
workers,=20
and especially captive farmed alligators.  To save money on heating =
water,=20
the farmers have gone to only cleaning their tanks once a week and are=20
overcrowding the tanks by 3 times or more capacity.  The tanks are =
breeding=20
grounds for mosquitoes, filthy, and badly contaminated  with decaying =
food=20
and feces.  Worse, they are taking infected animals and releasing them =
back=20
into the wild.  We are talking 10's of thousands of animals on these =
farms.

Mosquitoes are freely feeding on and transmitting West Nile virus =
between=20
animals and people. The state does not enforce or inspect as they did in =

the past for fear of law suits.  Farmers fear that a finding of=20
contamination on the farms may result in their getting closed down.  =
Thus,=20
they will not allow inspections and threaten to sue the state if they do =

and they lose revenue because of it.  As the alligator farmers and their =

taxes are a big source of revenue to the state management program, and=20
farmers are pretty much running the state program, the state does not =
want=20
to rock the farmers' boat."

--
S. Grenard
<sgrenard@si.rr.com>

[The intervention of an arthropod vector in the transmission of West =
Nile=20
virus to the farm worker from captive alligators has not been definitely =

excluded, and other modes of transmission are possible. It would seem to =
me=20
that the critical factor is the amount of virus delivered rather than =
the=20
means of delivery. For example, it has been demonstrated experimentally=20
that West Nile virus can be transmitted directly between captive birds =
in=20
the absence of vectors and ectoparasites (see: West Nile virus,=20
bird-to-bird transmission (04) 20001102.1909). In humans West Nile =
virus=20
can be transmitted via blood donation, tissue transplantation, and by=20
maternal milk (see: West Nile virus, breast milk - USA (02) 20021004.5462).=20
In the case of the Idaho patient, mosquito-borne transmission cannot be=20
excluded, but it is not inconceivable that West Nile virus could be=20
transmitted via wounds and abrasions. Transmission among alligators has=20
been assumed to be by mosquitoes, but it is possible that there is =
direct=20
transmission via wounding. - Mod.CP]

[Experience with injecting red-tailed hawks with West Nile virus =
revealed=20
that the viraemia had stopped by day 6, but the signs didn't appear =
until=20
day 10. The same phenomenon may pertain in alligators, so that the sick=20
ones are no longer viraemic and therefore handling them should present =
no=20
problems. Plus the virus is not robust, so their presence in the warm =
tank=20
water is most unlikely. Clean water is important and they should have=20
proper filtration systems, if only to avoid recycling enteric pathogens =
and=20
any toxic chemical getting into the system through the ground water. - =
Mod.MHJ]

[see also:
West Nile virus, human - USA (Idaho) 20031108.2767
West Nile virus update 2003 - USA (32)   20031106.2757
2002
----
West Nile virus, reptiles, alligators - USA (FL) (05) 20021121.5859
West Nile virus, reptiles, alligators - USA (FL) (04) 20021117.5836
West Nile virus, reptiles, alligators - USA (FL) (03) 20021116.5820
West Nile virus, reptiles, alligators - USA (FL) (02) 20021115.5815
West Nile virus, reptiles, alligators - USA (FL)  20021114.5797]
...................cp/mhj/tg/pg/mpp


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} #splashtxt { FONT-SIZE: 10px; COLOR: black; FONT-FAMILY: Arial } #header2orange { FONT-WEIGHT: bold; FONT-SIZE: 12px; COLOR: #ff6600; FONT-FAMILY: = Verdana, Helvetica, Arial } #linkorange { FONT-SIZE: 10px; COLOR: #ff6600; FONT-FAMILY: Verdana, Helvetica, Arial } #beegee { LEFT: 0px; BACKGROUND-IMAGE: url(images/top_nav_bg2.gif); WIDTH: 100%; = POSITION: absolute; TOP: 0px; HEIGHT: 76px } .regionheaderwhite { FONT-SIZE: 11px; COLOR: #ffffff; FONT-FAMILY: Verdana, Arial, Helvetica } .regionheaderblue { FONT-SIZE: 11px; COLOR: #006699; FONT-FAMILY: Verdana, Arial, Helvetica } .regionheaderblack { FONT-WEIGHT: bold; FONT-SIZE: 12px; COLOR: #000033; FONT-FAMILY: = Verdana, Arial, Helvetica } .fieldtitlecourier { FONT-SIZE: 12px; COLOR: #000000; FONT-FAMILY: "Courier New", Courier, = Monaco } ------=_NextPart_000_0036_01C3A945.C2D82A90 Content-Type: application/octet-stream Content-Transfer-Encoding: quoted-printable Content-Location: http://www.promedmail.org/i/javascript/core.js function flowSelectAll()=0A= {=0A= if (typeof(flowSelectArray)=3D=3D"undefined")=0A= return true;=0A= else=0A= {=0A= var theList;=0A= for (a=3D0;a=3D maxNo)=0A= {textArea.value =3D textArea.value.substring(0, maxNo);=0A= textArea.style.color =3D 'red';=0A= }=0A= else=0A= {msg =3D null;=0A= textArea.style.color =3D 'black';}=0A= }=0A= ctrF.innerHTML =3D textArea.value.length;=0A= maxF.innerHTML =3D maxNo;=0A= if (textArea.value.length > 0)=0A= {ctrBlk.style.visibility =3D 'visible';}=0A= else=0A= {ctrBlk.style.visibility =3D 'hidden';}=0A= =0A= if (pctFull >=3D 90)=0A= {ctrBlk.style.color=3D'red';}=0A= else if (pctFull >=3D "80")=0A= {ctrBlk.style.color=3D'#EAA914';}=0A= else=0A= {ctrBlk.style.color=3D'black';}=0A= } // End charCount()=0A= =0A= =0A= function shuttleItem(theSource, theDest, moveAll) {=0A= srcList =3D document.getElementById(theSource);=0A= destList =3D document.getElementById(theDest);=0A= var arrsrcList =3D new Array();=0A= var arrdestList =3D new Array();=0A= var arrLookup =3D new Array();=0A= var i;=0A= =0A= if (moveAll){=0A= for ( i =3D 0; i <=3D srcList.length-1; i++ )=0A= srcList.options[i].selected =3D true;=0A= }=0A= for (i =3D 0; i < destList.options.length; i++) {=0A= arrLookup[destList.options[i].text] =3D = destList.options[i].value;=0A= arrdestList[i] =3D destList.options[i].text;}=0A= var fLength =3D 0;=0A= var tLength =3D arrdestList.length;=0A= for(i =3D 0; i < srcList.options.length; i++) {=0A= arrLookup[srcList.options[i].text] =3D srcList.options[i].value;=0A= if (srcList.options[i].selected && srcList.options[i].value !=3D = "") {=0A= arrdestList[tLength] =3D srcList.options[i].text;=0A= tLength++;}=0A= else {=0A= arrsrcList[fLength] =3D srcList.options[i].text;=0A= fLength++;}=0A= }=0A= arrsrcList.sort();=0A= arrdestList.sort();=0A= srcList.length =3D 0;=0A= destList.length =3D 0;=0A= var c;=0A= for(c =3D 0; c < arrsrcList.length; c++) {=0A= var no =3D new Option();=0A= no.value =3D arrLookup[arrsrcList[c]];=0A= no.text =3D arrsrcList[c];=0A= srcList[c] =3D no;=0A= }=0A= for(c =3D 0; c < arrdestList.length; c++) {=0A= var no =3D new Option();=0A= no.value =3D arrLookup[arrdestList[c]];=0A= no.text =3D arrdestList[c];=0A= destList[c] =3D no;=0A= }=0A= } // End shuttleItem()=0A= =0A= =0A= // setStyleByClass: given an element type and a class selector,=0A= // style property and value, apply the style.=0A= // args:=0A= // t - type of tag to check for (e.g., SPAN)=0A= // c - class name=0A= // p - CSS property=0A= // v - value=0A= var ie =3D (document.all) ? true : false;=0A= =0A= function setStyleByClass(t,c,p,v){=0A= var elements;=0A= if(t =3D=3D '*') {=0A= // '*' not supported by IE/Win 5.5 and below=0A= elements =3D (ie) ? document.all : document.getElementsByTagName('*');=0A= } else {=0A= elements =3D document.getElementsByTagName(t);=0A= }=0A= for(var i =3D 0; i < elements.length; i++){=0A= var node =3D elements.item(i);=0A= for(var j =3D 0; j < node.attributes.length; j++) {=0A= if(node.attributes.item(j).nodeName =3D=3D 'class') {=0A= if(node.attributes.item(j).nodeValue =3D=3D c) {=0A= eval('node.style.' + p + " =3D '" +v + "'");=0A= }=0A= }=0A= }=0A= }=0A= }=0A= // End setStyleByClass()=0A= =0A= // e - element id=0A= // s - style=0A= // v - value=0A= // setStyle('P100_NAME','display','none') hides item P100_NAME=0A= function setStyle(e,s,v){=0A= theItem =3D document.getElementById(e);=0A= eval('theItem.style.'+ s + " =3D '" + v + "'");=0A= }=0A= =0A= function popupURL(url)=0A= {w =3D = open(url,"winLov","Scrollbars=3D1,resizable=3D1,width=3D800,height=3D600"= );=0A= if (w.opener =3D=3D null)=0A= w.opener =3D self;=0A= w.focus();}=0A= =0A= function confirmDelete(msg)=0A= {=0A= var confDel =3D msg;=0A= if(confDel =3D=3Dnull){=0A= confDel=3D confirm("Would you like to perform this delete = action?");}=0A= else{=0A= confDel=3D confirm(msg);}=0A= =0A= if (confDel=3D=3D true){=0A= doSubmit('Delete');}=0A= }=0A= =0A= // use for popups in which you want the page to close after delete=0A= function confirmDelete2(msg)=0A= {=0A= var confDel =3D msg;=0A= if(confDel =3D=3Dnull){=0A= confDel=3D confirm("Would you like to perform this delete = action?");}=0A= else{=0A= confDel=3D confirm(msg);}=0A= =0A= if (confDel=3D=3D true){=0A= doSubmit('Delete');=0A= window.close();=0A= }=0A= }=0A= =0A= function submitEnter(itemObj,e){=0A= var keycode;=0A= if (window.event) keycode =3D window.event.keyCode;=0A= else if (e) keycode =3D e.which;=0A= else return true;=0A= =0A= if (keycode =3D=3D 13)=0A= {=0A= doSubmit(itemObj.id);=0A= return false;=0A= }=0A= else=0A= return true;=0A= }=0A= =0A= // written to hide/show region a region body, should support other uses=0A= function hideShow(objectID,imgID,showImg,hideImg){=0A= theImg =3D document.getElementById(imgID);=0A= theDiv =3D document.getElementById(objectID);=0A= if(theDiv.style.display =3D=3D 'none'){=0A= theImg.src =3D hideImg;=0A= document.getElementById(objectID).style.display =3D 'block';}=0A= else{=0A= theImg.src =3D showImg;=0A= document.getElementById(objectID).style.display =3D 'none';}=0A= }=0A= =0A= //Get a value from a cookie=0A= function getCookieVal (offset) =0A= {=0A= var endstr =3D document.cookie.indexOf (";", offset);=0A= if (endstr =3D=3D -1)=0A= endstr =3D document.cookie.length;=0A= return unescape(document.cookie.substring(offset, endstr));=0A= }=0A= =0A= //Get a cookie and it's value=0A= function GetCookie (name) =0A= {=0A= var arg =3D name + "=3D";=0A= var alen =3D arg.length;=0A= var clen =3D document.cookie.length;=0A= var i =3D 0;=0A= while (i < clen) =0A= {=0A= var j =3D i + alen;=0A= if (document.cookie.substring(i, j) =3D=3D arg)=0A= return getCookieVal (j);=0A= i =3D document.cookie.indexOf(" ", i) + 1;=0A= if (i =3D=3D 0) break; =0A= }=0A= return null;=0A= }=0A= //Set a cookie and it's value=0A= function SetCookie (name, value) =0A= {=0A= var argv =3D SetCookie.arguments;=0A= var argc =3D SetCookie.arguments.length;=0A= var expires =3D (argc > 2) ? argv[2] : null;=0A= var path =3D (argc > 3) ? argv[3] : null;=0A= var domain =3D (argc > 4) ? argv[4] : null;=0A= var secure =3D (argc > 5) ? argv[5] : false;=0A= document.cookie =3D name + "=3D" + escape (value) +=0A= ((expires =3D=3D null) ? "" : ("; expires=3D" + = expires.toGMTString())) +=0A= ((path =3D=3D null) ? "" : ("; path=3D" + path)) +=0A= ((domain =3D=3D null) ? "" : ("; domain=3D" + domain)) +=0A= ((secure =3D=3D true) ? "; secure" : "");=0A= }=0A= // Used for quick edit links=0A= function quickLinks(what){=0A= if (what =3D=3D 'HIDE'){=0A= setStyleByClass('img','eLink','display','none'); =0A= setStyle('hideEdit','display','none');=0A= setStyle('showEdit','display','inline');=0A= SetCookie('MarvelQuickEdit',what);}=0A= else{=0A= setStyleByClass('img','eLink','display','inline'); =0A= setStyle('hideEdit','display','inline');=0A= setStyle('showEdit','display','none');=0A= SetCookie('MarvelQuickEdit',what);} =0A= }=0A= =0A= function popupFieldHelp(curentItemId, sessionId, closeButtonName){=0A= if (arguments[2])=0A= var closeButton =3D = '&p_close_button_name=3D'+encodeURIComponent(closeButtonName);=0A= else=0A= var closeButton =3D '';=0A= w =3D open("wwv_flow_item_help.show_help?p_item_id=3D" + = curentItemId + "&p_session=3D" + = sessionId+closeButton,"winhelp","Scrollbars=3D1,resizable=3D1,width=3D500= ,height=3D350");=0A= if (w.opener =3D=3D null)=0A= w.opener =3D self;=0A= w.focus();=0A= }=0A= =0A= function popUp2(URL,width,height) {=0A= day =3D new Date();=0A= id =3D day.getTime();=0A= eval("page" + id + " =3D window.open(URL, '" + id + "', = 'toolbar=3D0,scrollbars=3D1,location=3D0,statusbar=3D0,menubar=3D0,resiza= ble=3D1,width=3D'+width+',height=3D'+height);");=0A= }=0A= ------=_NextPart_000_0036_01C3A945.C2D82A90--