Impact of West Nile virus outbreak upon St. Tammany Parish Mosquito Abatement District.

St. Tammany Parish, Louisiana, experienced an outbreak of West Nile virus (WNV) in 2002, with 40 human cases and 4 deaths, most occurring from June to August. Culex pipiens quinquefasciatus was believed to be the primary vector of WNV during the outbreak, although circumstantial evidence suggests that Aedes albopictus also may have been involved in transmission. Dead bird reports were the 1st indication of the outbreak and were an excellent indicator of WNV activity; however, sentinel chickens were the most effective in tracking viral activity. Although sentinel chickens tested positive 2-3 wk after the 1st dead bird, they peaked at about the same time as human cases, and continued testing positive when viral activity was no longer detected in birds and mosquito pools. Lag time between the 1st positive sentinel chicken and the peak in human cases was 6 wk. If this trend continues in the future, sentinel chickens could be used to predict the peak in number of human cases. The 2002 WNV outbreak had a strong impact on operational budget of the St. Tammany Parish Mosquito Abatement District (88% increase above the 3-year average). Vector control activities accounted for most of the operational increase and consisted of targeted population reduction of known WNV-competent mosquito species. The goal of these activities was to prevent new human WNV cases. The 3- to 10-fold reduction in vector mosquito populations from May to August, together with a dramatic drop in number of new human cases by the end of August, indicated that our strategy was effective.

Ecology of potential West Nile virus vectors in Southeastern Louisiana: enzootic transmission in the relative absence of Culex quinquefasciatus.

A study of West Nile virus (WNV) ecology was conducted in St. Tammany Parish, Louisiana, from 2002 to 2004. Mosquitoes were collected weekly throughout the year using Centers for Disease Control and Prevention (CDC) light traps placed at 1.5 and 6 m above the ground and gravid traps. A total of 379,466 mosquitoes was collected. WNV was identified in 32 pools of mosquitoes comprising four species; 23 positive pools were from Culex nigripalpus collected during 2003. Significantly more positive pools were obtained from Cx. nigripalpus collected in traps placed at 6 m than 1.5 m that year, but abundance did not differ by trap height. In contrast, Cx. nigripalpus abundance was significantly greater in traps placed at 6 m in 2002 and 2004. Annual temporal variation in Cx. nigripalpus peak seasonal abundance has important implications for WNV transmission in Louisiana. One WNV-positive pool, from Cx. erraticus, was collected during the winter of 2004, showing year-round transmission. The potential roles of additional mosquito species in WNV transmission in southeastern Louisiana are discussed.

West Nile virus-infected mosquitoes, Louisiana, 2002.

Human cases of West Nile virus (WNV) disease appeared in St. Tammany and Tangipahoa Parishes in southeastern Louisiana in June 2002. Cases peaked during July, then rapidly declined. We conducted mosquito collections from August 3 to August 15 at residences of patients with confirmed and suspected WNV disease to estimate species composition, relative abundance, and WNV infection rates. A total of 31,215 mosquitoes representing 25 species were collected by using primarily gravid traps and CO2-baited light traps. Mosquitoes containing WNV RNA were obtained from 5 of 11 confirmed case sites and from 1 of 3 sites with non-WNV disease. WNV RNA was detected in 9 mosquito pools, including 7 Culex quinquefasciatus, 1 Cx. salinarius, and 1 Coquillettidia perturbans. Mosquito infection rates among sites ranged from 0.8/1,000 to 10.9/1,000. Results suggest that Cx. quinquefasciatus was the primary epizootic/epidemic vector, with other species possibly playing a secondary role.