US: Patient dies of rare mosquito-borne disease

A person has died in the northeastern United States from Eastern Equine Encephalitis (EEE). The rare disease, spread by mosquitoes, is raising alarms among health officials.

The New Hampshire State Department of Health announced on Tuesday, August 27, that a patient has died from the rare mosquito-borne disease known as Eastern Equine Encephalitis (EEE). Local health officials confirmed that the patient was an adult from Hampstead, but they did not disclose further details regarding the individual’s gender or age.

The individual had been hospitalized due to severe deterioration of the central nervous system. “The last reported human infection with the eastern equine encephalitis virus in New Hampshire was in 2014,” when the Department of Health noted “three human infections, including two fatalities,” the statement added.

Health authorities express concern

This death has raised concerns in the northeastern United States regarding the risk of EEE spreading, with climate change exacerbating its prevalence. Earlier this month, Massachusetts, which borders New Hampshire, reported its first case of EEE this year, involving an 80-year-old individual. Symptoms of the Eastern equine encephalitis virus include fever, headache, vomiting, diarrhea, behavioral changes, and drowsiness, according to the CDC, the nation’s leading public health agency. It can also lead to significant neurological impairment.

Approximately 30% of those infected with EEE die, and many survivors experience lasting physical or mental effects. Individuals under 15 and over 50 are considered to be at the highest risk. Health authorities recommend using mosquito repellent, wearing protective clothing while outdoors, and eliminating stagnant water near homes to help reduce mosquito breeding.

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A report from the association Climate Central in 2023 emphasizes that the number of “mosquito days”—when warm, humid weather is ideal for these insects—has increased across much of the United States over the past four decades due to human-induced climate change.

Marianne LEROUX with AFP

Rising Concerns Over Eastern Equine Encephalitis (EEE) in the Northeastern United States

In a tragic event that has caught the attention of health officials and the public alike, a person has died in New Hampshire from Eastern Equine Encephalitis (EEE), a rare but serious mosquito-borne disease. Announced by the New Hampshire State Department of Health on August 27, 2023, this case reflects growing concerns about the spread of EEE and highlights the need for increased awareness, prevention efforts, and public education on this frightening disease.

The Recent EEE Case in New Hampshire

The individual who succumbed to the disease was described as an adult from Hampstead, New Hampshire. Specific details regarding the individual’s age or gender have not been disclosed. This patient had been hospitalized due to a significant deterioration of the central nervous system, showcasing the extreme effects of EEE. Health officials noted that the last recorded human infection in New Hampshire occurred in 2014, when three cases—including two fatalities—were reported.

Health Authorities Raise Alarm

This unfortunate death has raised alarm bells among health authorities throughout the northeastern United States. The risk of EEE transmission appears to be increasing, exacerbated by environmental changes and the ongoing realities of climate change. Earlier in August, Massachusetts announced its first case of EEE this year involving an 80-year-old resident. With a mortality rate of nearly 30% for those infected, and many survivors facing severe long-term neurological complications, the gravity of the situation cannot be overstated.

Understanding Eastern Equine Encephalitis

Eastern Equine Encephalitis is primarily spread through the bites of infected mosquitoes. The disease, while rare, has serious consequences for those who contract it. The Centers for Disease Control and Prevention (CDC) outlines several symptoms associated with EEE, including:

  • Fever
  • Headache
  • Vomiting
  • Diarrhea
  • Behavioral changes
  • Drowsiness

Following initial symptoms, the disease can lead to significant neurological impairment, which may result in long-term physical or mental disabilities for survivors. Children under 15 years and adults over 50 years are particularly vulnerable.

Risk Factors and Geographic Distribution

EEE is most commonly reported in the southeastern and northeastern regions of the United States. Instances of the disease often occur during peak mosquito activity periods in the summer and early fall. As temperatures rise and weather conditions become favorable for mosquito breeding, instances of EEE may increase.

State Reported EEE Cases (2023) Most Affected Age Group
New Hampshire 1 (Fatal) Adult
Massachusetts 1 80+
Florida 0 N/A

Preventive Measures Against EEE

To combat the threat of EEE, health officials advise the following preventive measures:

  • **Use Mosquito Repellent:** Apply EPA-registered insect repellents containing DEET, picaridin, oil of lemon eucalyptus, or permethrin to clothing.
  • **Wear Protective Clothing:** Opt for long-sleeved shirts and long pants when outdoors, especially in the evening and early morning—peak mosquito activity times.
  • **Eliminate Stagnant Water:** Regularly check your property for standing water, which can serve as breeding grounds for mosquitoes. Empty containers, clean bird baths, and maintain gutters to avoid water accumulation.

Furthermore, community efforts to reduce mosquito populations through environmental management and public health campaigns can substantially decrease the risk of EEE outbreaks.

The Impact of Climate Change on Mosquito Populations

A report by Climate Central suggests that the number of “mosquito days” has grown considerably in recent decades, largely attributed to climate change. Warmer temperatures and higher humidity create ideal conditions for mosquitoes, increasing the likelihood of infectious diseases such as EEE spreading.

Lessons from Previous EEE Outbreaks

Historical data on EEE outbreaks reveals that specific climatic conditions play a crucial role in the transmission of the virus. For instance, an outbreak in Massachusetts in 2004 involved an unusually high number of cases, correlating with a wet summer that provided breeding grounds for mosquitoes. This highlights the importance of monitoring climatic patterns to anticipate and mitigate future outbreaks effectively.

First-Hand Experiences: Stories of Survivor Challenges

The realities of EEE extend beyond the statistics. Sadly, many survivors of the virus can experience life-altering effects. Some individuals report long-lasting symptoms, such as cognitive difficulties, mobility issues, and emotional changes. Such stories serve as a stark reminder of the serious nature of mosquito-borne diseases and emphasize the need for proactive measures.

Community Awareness and Public Education

Public awareness campaigns can empower residents to take preventive actions against EEE. The role of local health departments in educating communities about the signs and symptoms of EEE, along with effective prevention strategies, is essential. Additionally, collaboration with environmental agencies can help enhance mosquito control programs.

Conclusion: The Importance of Vigilance

The recent death in New Hampshire acts as a wake-up call regarding the potential dangers of Eastern Equine Encephalitis. As the climate continues to change and create conditions favorable for mosquito propagation, the importance of continuous public education and preventive measures cannot be overstated. Residents in affected areas should remain vigilant and informed about the risks associated with EEE and do their part to mitigate this serious health threat.

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