Mosquito Bite Waiting To Happen.
Some relations who fell consume to a 2009-2010 outbreak of dengue fever in Florida carried a particular viral strain that they did not deliver into the country from a recent trip abroad, according to a fresh genetic analysis conducted by the US Centers for Disease Control and Prevention. To date, most cases of dengue fever on American besmirch have typically intricate travelers who "import" the painful mosquito-borne disease after having been bitten elsewhere bestvito. But though the virus cannot move from person to person, mosquitoes are able to pick up dengue from infected patients and, in turn, bed-cover the disease among a local populace.
The CDC's viral fingerprinting of Key West, FL, dengue patients therefore raises the specter that a illness more commonly found in parts of Africa, the Caribbean, South America and Asia might be gaining drag among North American mosquito populations. "Florida has the mosquitoes that mail dengue and the climate to sustain these mosquitoes all year around," cautioned muse about lead author Jorge Munoz-Jordan prostacet.drug-purchase.info. "So, there is potential for the dengue virus to be transmitted locally, and cause dengue outbreaks get a kick out of the ones we saw in Key West in 2009 and 2010," he said.
And "Every year more countries count up another one of the dengue virus subtypes to their lists of locally transmitted viruses, and this could be the casing with Florida," said Munoz-Jordan, chief of CDC's molecular diagnostics work in the dengue branch of the division of vector-borne disease. He and his colleagues communication their findings in the April issue of CDC's Emerging Infectious Diseases.
Dengue fever is the most widespread mosquito-borne viral disorder in the world, now found in roughly 100 countries, the study authors noted. That said, until the 2009-2010 southern Florida outbreak, the United States had remained basically dengue-free for more than half a century.
Ultimately, 93 patients in the Key West breadth by oneself were diagnosed with the disability during the outbreak, which seemingly ended in 2010, with no new cases reported in 2011. But the shortage of later cases does not give experts much comfort. The reason: 75 percent of infected patients show no symptoms, and the muscular "house mosquito" population in the region remains a disease-transmitting adversity waiting to happen.
To try and get a handle on just how serious that risk might be, the CDC team looked at blood samples from 16 of Florida's 67 counties, tranquil from dengue patients by the Florida Department of Health. Rigorous genetic testing revealed what researchers feared: the classification of a regional Key West strain among dengue patients who had not recently traveled outside the United States.
The tandem was able to trace the new Key West strain back to its original imported source: a Central American viral make an effort initially brought into Florida by patients infected in that region. But they stressed that as the restricted mosquito population acquired the virus from this first round of patients, it developed into a pellucid strain of its own. In turn, the new strain was passed on to state residents who had not recently visited Central America.
The upshot: In some cases the dengue fever "smoking gun" was the provincial Florida mosquito population, rather than mosquitoes from other regions. "But the Key West virus injure did not resemble those found elsewhere in Florida," said Carina Blackmore, greatest of the Florida Department of Health's bureau of environmental public health medicine in Tallahassee. This, she said, implies that while patients in the Key West tract had indeed contracted dengue from native mosquito carriers, patients in other parts of the state got sick through more typical means: travel abroad.
In terms of what to do about locally driven bug risk, Dr Marc Siegel, a clinical associated professor of medicine in the department of medicine at NYU Langone Medical Center in New York City, said that the uncertainty is how best to deal with a Florida landscape that is a "notorious breeding center" for mosquitoes. "Mosquitoes don't extremely ride on planes," he noted. "The issue here is that the mosquito population is growing in the overload areas there.
This is all about these breeding grounds, which help the disease get a footing in the local area," Siegel said. "But then the theme is, how do you handle an environment that gives rise to this kind of contagion spread?" added Siegel, who is the author of numerous books on infectious diseases and contagions. "It's a ticklish problem that will require going step by step. Spraying is one route, but it's not always the answer reduce. It may, in fact, become an culmination of getting rid of the breeding areas themselves altogether.
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