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Frequently Asked Questions

Can you get WNV infection from another person?

Town of Tewksbury - Board of Health
WNV is NOT transmitted from person to person. For example, you cannot get infected by WNV from touching or kissing a person who has the disease, or from contact with a health care worker who has recently treated someone with the disease.
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How is WNV infection treated?

Frequently Asked Questions
There is no specific treatment for WNV infection. In cases with mild symptoms, people experience symptoms such as fever and aches that pass on their own. In more severe cases, people usually need to go to the hospital where they can receive supportive treatment including intravenous fluids, help with breathing and nursing care.
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What are the symptoms of a WNv infection?

Resort Municipality of Whistler
Most mosquito bites cause itching and minor irritation. The symptoms of WNv range considerably and about 80 percent of people show no symptoms at all. Up to 20 percent have mild symptoms that may include fever, headache, vomiting and swollen lymph glands or a rash on the torso. These symptoms may last only a few days or persist for weeks. Less than 1 percent becomes seriously ill resulting in symptoms that can include meningitis, encephalitis, or polio-like paralysis.
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Town of Tewksbury - Board of Health
Among those who become infected with WNV, about 20% exhibit symptoms. Mild infections are common and include fever, headache, muscle weakness, and body aches, often with skin rash and swollen lymph glands. Headache, high fever, neck stiffness, stupor, disorientation, coma, tremors, occasional convulsions, paralysis, encephalitis and possibly death mark more severe infection. WNV encephalitis occurs in about 1 of every 150 infected persons, with a higher incidence among the elderly.
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How is WNV infection diagnosed?

Town of Tewksbury - Board of Health
Diagnosis of WNV infection is based on isolation of virus, demonstration of antibody to WNV, or demonstration of WN viral genomic sequences in tissue, blood, CSF or other body fluids. If you are a health care provider and suspect a case of WNV encephalitis, please call the MDPH's Division of Epidemiology and Immunization at (617) 983-6800.
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How do I know if an animal has WNV infection?

USGS National Wildlife Health Center - Frequently Asked Ques...
Signs of infection in wildlife, like in humans, can range from no symptoms to severe symptoms of neurologic illness. Commonly reported signs in animals have included: weakness, stumbling, trembling, head tremors, inability to fly/walk, and lack of awareness that allowed them to be easily approached and handled. These signs do not necessarily indicate WNV infection, and the only way to confirm WNV infection is by laboratory testing of tissues for the presence of virus.
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What is the incubation period of a WNV infection?

Town of Tewksbury - Board of Health
The incubation period of WNV infection is unclear; however, the incubation period for WNV encephalitis is usually five to fifteen days.
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What is the mortality rate of WNV infection?

Town of Tewksbury - Board of Health
Historically, the WNV infection case-fatality rate ranges from 3% to 15% of clinically apparent cases (the higher rates are among the elderly).
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Who is at risk for getting WNV infection?

Town of Tewksbury - Board of Health
All residents of areas where active viral transmission has been identified are at increased risk of getting WNV infection, but persons older than 50 years of age have a higher risk of developing severe illness such as encephalitis.
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Can you get West Nile infection from another person?

Beaverton Public Works - Operating Division - West Nile Viru...
No. West Nile infection is NOT transmitted from person to person. For example, you cannot get West Nile Virus from touching or kissing a person who has the disease, or from a health care worker who has treated someone with the disease.
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Are crows and raptors the only bird species with WNV infection?

USGS National Wildlife Health Center - Frequently Asked Ques...
Since 1999, WNV has been detected in over 225 wild and captive bird species. This list is based on reports from public health, wildlife and veterinary diagnostic laboratories across the United States. To see a list of those species, Click Here.
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Are birds the only species that are susceptible to WNV infection?

USGS National Wildlife Health Center - Frequently Asked Ques...
Birds are the natural host and reservoir of WNV. Although other animals, including several mammals and captive alligators, are susceptible to WNV infection, there is currently no evidence that animals other than birds naturally develop a high enough virus load to transmit the infection to an uninfected mosquito. The list of animal species in which WNV infection has been detected has continually increased since 1999 and can be found here.
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Can you get WNV infection directly from birds or from insects other than mosquitoes?

Town of Tewksbury - Board of Health
In general, only infected mosquitoes transmit WNV. Ticks, however, may transmit WNV between birds and, possibly, from infected birds to people, but this has not been documented in the U.S.
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Q. Can you get WNV or EEE from another person?

Division of Infectious Disease > Mosquito-borne Disease F...
No. WNV and EEE are NOT transmitted from person-to-person. For example, you cannot get either virus from touching or kissing a person who has WNV or EEE, or from a health care worker who has treated someone with either disease.
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How does a person get infected with WNv?

Resort Municipality of Whistler
People are infected with WNv by being bitten by an infected mosquito. The risk level in the province is expected to vary by region and to flare up in the summer and fall depending on climate conditions. The public will be notified by public health officials if birds or mosquitoes in the province test positive for the virus. When people are exposed to mosquitoes in an area the WN virus has been detected they are at risk for infection.
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WHAT IS WNV?

Environmental Health and Lab: Madison Department of Public H...
West Nile Virus is a virus that was first identified in Uganda in 1937. This virus was first identified in the United States in 1999 during an outbreak in New York. Since that time, the virus has been found in mosquitoes, birds, horses, and humans in various locations in the United States.
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Can WNV be transmitted from one person to another?

Q&A - West Nile virus: Signs, Symptoms, Transmission
West Nile virus cannot be spread through casual or intimate contact, such as touching or kissing a person with the virus. Little information is known. There is some speculation that the mosquitoes primarily responsible for WNV transmission may not be present in large numbers at altitudes above 8,000 feet. However, until more is learned about the mosquito populations at higher altitudes, the best recommendation is to protect yourself at all altitudes.
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How common is WNV infection?

West Nile Virus FAQs
Much less than 1 percent of mosquitoes in an infection area are actually carrying the virus. Less than 1 percent of people who are bitten and become infected will develop severe illness.
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Who is at risk of WNV infection?

NIOSH Document: 2006-115 - Recommendations for Protecting Ou...
Workers who handle and process WNV-infected tissues or animals are at risk of infection if their skin is penetrated or cut. Also, anyone who lives or works in areas with WNV-infected mosquitoes is at risk of WNV infection. People of all ages are at risk of the flu-like symptoms of this infection. Although people usually recover, the symptoms may be severe enough to result in lost workdays for extended periods.
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What should I do if I develop symptoms of WNV infection?

NIOSH Document: 2005-155 - Recommendations for Protecting Ou...
Tell your supervisor about any symptoms that might be caused by WNV infection. If you develop severe symptoms such as high fever, stiff neck, disorientation, tremors, muscle weakness, or paralysis, seek medical attention immediately. Be sure to tell your health care provider that you work outdoors. The period between receiving the infected bite and having symptoms is 3 to 14 days. Testing for WNV infection is available. No vaccine is currently available to prevent WNV infection in humans.
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What are the clinical signs of WNV infection?

West Nile Virus in Horses
Birds that are infected with WNV may show signs such as the inability to fly, incoordination, and abnormal movements. Most crows are simply found dead. Clinical signs of horses which do become ill range from very mild signs to fatal illness. Typical signs include ataxia (incoordination, stumbling, limb weakness) that either appears suddenly or appears gradually and worsens, somnolence (sleepiness), dullness, listlessness, facial paralysis (droopy eyelids, lower lip), and inability to rise.
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How many confirmed cases of human WNV infection have there been in the United States?

Town of Tewksbury - Board of Health
During the 1999 New York encephalitis outbreak, there were 62 human cases, including seven deaths in New York City. During 2000, there were 21 human cases (14 in NY, 6 in NJ, 1 in CT), including 2 deaths. More recently, in 2001, 66 human cases were identified in the United States including 9 deaths. Human cases were identified in NY, FL, NJ, MD, CT, GA, MA, PA, AL, and LA.
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For how long can a person transmit the infection?

Hand Foot and Mouth Disease–HFMD
During the acute phase, a person can infect others through secretions from the nose and throat. Discharge due to coughing and sneezing can cause the virus to be transmitted easily. Young children who tend to drool can also transmit the infection through the saliva. Until the blisters dry, a person should be regarded as infectious. Fluid from the blisters contains the virus. The virus is also present in the stool for several weeks after symptoms of illness have vanished.
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