West Nile Virus and Other Mosquito-Borne Disease National Surveillance Report - November 15 to November 21, 2015 (Report Week 46)

Summary

Canada

Humans

During surveillance week 46 ending on Nov 21, 2015, no human cases of West Nile virus were reported to the Public Health Agency of Canada (the Agency).

As of surveillance week 46, a total of 76 human clinical cases have been reported to the Agency: Quebec (39), Ontario (32), and Manitoba (5). Of these, forty-four (58%) were classified as West Nile virus Neurological Syndrome, twenty-five (33%) as West Nile virus Non-Neurological Syndrome, and seven (9%) as Unclassified. In addition, four (4) asymptomatic infections from two provinces have been reported: three in Quebec [Laval (1) and Montérégie (2)] and one in Ontario [Toronto].

Mosquitoes

As of surveillance week 46, 173 (0.86%) out of the 20,046 mosquito pools have tested positive for West Nile virus in Canada: Quebec (33), Ontario (94), Manitoba (30), and Saskatchewan (16).

Dead Birds

As of surveillance week 46, the Canadian Wildlife Health Cooperative and the Quebec Ministry of Health and Social Services have reported a total of 51 dead birds that were tested positive for West Nile virus: Quebec (21), Ontario (29), and Saskatchewan (1).

Domestic Animals

As of surveillance week 46, the Canadian Food Inspection Agency and Le ministère de l'Agriculture, des Pêcheries et de l'Alimentation du Québec  have reported a total of 11 horses that were tested positive for West Nile virus: Quebec (1), Ontario (3), Manitoba (1), Saskatchewan (3) and Alberta (3).

Seven horses from three provinces have tested positive for Eastern Equine Encephalitis virus: Ontario [Richmond (1), Carlsbad Springs (1), Gananoque (1), Brinston (1)], Quebec [Saint-Lambert (1)] and Nova Scotia [New Germany (1), South Brookfield (1)]

United States

As of December 1, 2015, the Centers for Disease Control and Prevention (CDC) has reported a total of 1,902 human cases of West Nile virus:

Alabama (10), Arizona (92), Arkansas (18), California (637), Colorado (90), Connecticut (10), Delaware (2 ), District of Columbia (4), Florida (9),Georgia (15), Idaho (13), Illinois (69), Indiana (18), Iowa (13),Kansas (33), Kentucky (0), Louisiana (43), Maine (1), Maryland (46), Massachusetts (9), Michigan (18), Minnesota (6), Mississippi (39), Missouri (28), Montana (3), Nebraska (67), Nevada (7), New Jersey (25), New Mexico ( 13), New York (28), North Carolina (4), North Dakota (23), Ohio (35), Oklahoma (86), Oregon (1), Pennsylvania (30), South Carolina (0), South Dakota(40), Tennessee (6 ), Texas (245), Utah (8), Virginia (21), Washington(24), Wisconsin (6) and Wyoming (7).

Of these, 1,247 (66%) were diagnosed as neuroinvasive disease cases, 655 (34%) as non-neuroinvasive disease cases. 102 fatal cases were reported. In addition, 316 presumptive viremic blood donors have been identified.

European Union, European Economic Area and Neighbouring countries

As of November 19, 2015, the European Centre for Disease Prevention and Control has reported 108 cases of West Nile fever in humans  in the EU Member States: Austria, Belgium, Bulgaria, Croatia, Republic of Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden and the UK,  as well as 193 cases in the neighboring countries:  Armenia, Azerbaijan, Belarus, Georgia, Moldova, Ukraine,  Algeria, Egypt, Israel, Jordan, Lebanon, Libya, Morocco, Palestine, Syria and Tunisia , since the beginning of the 2015 transmission season.

FIGURE 1: West Nile Virus human clinical cases and asymptomatic infections, by Province/Territory and by report week, 2015 season

Text equivalent below in Table 1

TABLE 1: West Nile Virus human clinical cases and asymptomatic infections, by Province/Territory and by report week, 2015 season Table 1 Footnote *
Report Weeks of 2015
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 Total

Table 1 Footnotes

Table 1 Footnote 1

This province has stopped human surveillance since week 37.

Return to Table 1 footnote ǂ referrer

Table 1 Footnote 2

West Nile virus clinical cases and asymptomatic infections are grouped by report week, based on episode date.  Episode date could include one of the following: onset date, diagnosis date, lab sample date or reporting date.

Return to Table 1 footnote * referrer

Newfoundland and Labrador 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Prince Edward Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
New Brunswick 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nova Scotia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Quebec 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 1 2 1 2 6 4 2 5 7 7 2 0 0 0 42
Ontario 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 5 2 5 1 5 2 3 3 1 2 0 0 0 33
Manitoba 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 1 0 0 0 0 0 0 0 0 5
Saskatchewan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Table 1 Footnote ǂ Table 1 Footnote ǂ Table 1 Footnote ǂ Table 1 Footnote ǂ Table 1 Footnote ǂ Table 1 Footnote ǂ Table 1 Footnote ǂ Table 1 Footnote ǂ Table 1 Footnote ǂ Table 1 Footnote ǂ 0
Alberta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
British Columbia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Yukon Territory 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Northwest Territory 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nunavut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 1 1 3 1 0 2 7 4 8 9 10 4 8 10 8 4 0 0 0 80
TABLE 2: West Nile Virus human clinical cases and asymptomatic infections by Province/Territory for the current report week and year to date, 2015 season
  Week 46: Nov 15 to Nov 21, 2015
West Nile virus neurological syndrome West Nile virus non-neurological syndrome Unclassified/unspecified Total clinical casesTable 2 Footnote 1 Number of travel-related casesTable 2 Footnote 2 West Nile virus asymptomatic infectionTable 2 Footnote 3

Table 2 Footnotes

Table 2 Footnote 1

Total clinical cases is the sum of both probable and confirmed: West Nile virus neurological and non-neurological syndromes, along with any unclassified or unspecified cases.

Return to Table 2 footnote 1 referrer

Table 2 Footnote 2

Likely related to travel outside the Province/Territory. These cases are included in either the total clinical cases or West Nile virus asymptomatic infections.

Return to Table 2 footnote 2 referrer

Table 2 Footnote 3

Satisfies West Nile virus diagnostic test criteria in the absence of clinical criteria. This category could include asymptomatic blood donors whose blood is screened using a nucleic acid amplification test, by blood operators (i.e. Canadian Blood Services or Hema-Quebec) and is subsequently brought to the attention of public health officials. Blood operators in Canada perform a supplementary West Nile virus specific nucleic acid amplification test following any positive donor screen test result.

Return to Table 2 footnote 3 referrer

Newfoundland and Labrador 0 0 0 0 0 0
Prince Edward Island 0 0 0 0 0 0
Nova Scotia 0 0 0 0 0 0
New Brunswick 0 0 0 0 0 0
Quebec 0 0 0 0 0 0
Ontario 0 0 0 0 0 0
Manitoba 0 0 0 0 0 0
Saskatchewan 0 0 0 0 0 0
Alberta 0 0 0 0 0 0
British Columbia 0 0 0 0 0 0
Yukon Territory 0 0 0 0 0 0
Northwest Territory 0 0 0 0 0 0
Nunavut 0 0 0 0 0 0
Total 0 0 0 0 0 0
Year to date: January 1 to Nov 21, 2015
Newfoundland and Labrador 0 0 0 0 0 0
Prince Edward Island 0 0 0 0 0 0
Nova Scotia 0 0 0 0 0 0
New Brunswick 0 0 0 0 0 0
Quebec 29 10 0 39 2 3
Ontario 14 11 7 32 4 1
Manitoba 1 4 0 5 0 0
Saskatchewan 0 0 0 0 0 0
Alberta 0 0 0 0 0 0
British Columbia 0 0 0 0 0 0
Yukon Territory 0 0 0 0 0 0
Northwest Territory 0 0 0 0 0 0
Nunavut 0 0 0 0 0 0
Total 44 25 7 76 6 4

FIGURE 2: West Nile Virus clinic al cases and asymptomatic infections by report week for selected years

Text equivalent below in Table 3

TABLE 3: West Nile Virus clinical cases and asymptomatic infections by report week for selected years
  Report week
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47

Table 3 Footnotes

Table 3 Footnote 1

One of these cases was likely exposed prior to the 2014 West Nile virus season.

Return to Table 3 footnote * referrer

2015 0 0 0 0 0 0 0 0 0 0 0 1 0 2 1 0 2 7 4 8 9 10 4 7 10 8 4 1 2 0
2014 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 4Table 3 Footnote * 3 5 6 1 1 0 0 1 0 0 0 0 0 0
2013 1 0 0 0 0 1 1 0 0 0 1 2 1 5 5 8 17 11 13 13 11 9 1 6 1 0 4 1 0 1 0
2012 1 0 0 0 0 0 0 0 0 0 3 5 11 16 27 53 63 57 43 43 45 24 30 14 9 5 1 0 0 0 0
2007 0 0 0 0 0 0 2 2 3 4 11 35 36 72 139 424 471 443 287 182 116 71 30 18 10 11 5 4 2 0 0
2005 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 11 28 28 38 45 27 15 7 12 3 3 1 0 0 0
2003 0 0 0 0 0 0 0 0 0 1 1 1 5 11 9 27 66 249 323 324 178 107 82 37 14 8 4 3 0 0 0
TABLE 4.1: Number of West Nile Virus mosquito pools tested weekly by Province/Territory - 2015 seasonTable 4.1 Footnote 1
Province / Territory Report week of 2015
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 Total

Table 4.1 Footnotes

Table 4 Footnote 1

Detailed West Nile virus mosquito surveillance data can be accessed through Provincial/Territorial websites.

Return to Table 4.1 footnote 1 referrer

Table 4 Footnote 2

Mosquito surveillance for 2015 has ended in these jurisdictions.

Return to Table 4.1 footnote referrer

Newfoundland and Labrador 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Prince Edward Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
New Brunswick 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nova Scotia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Quebec 0 0 0 0 0 0 0 0 0 120 127 132 131 129 126 133 125 123 131 128 123 108 107 Table 4.1 Footnote Table 4.1 Footnote 1743
Ontario 0 0 0 0 0 180 356 852 886 954 1152 1216 1219 1222 1176 1168 1168 987 881 802 712 526 396 65 Table 4.1 Footnote 15918
Manitoba 0 0 0 0 12 4 87 82 44 75 73 132 139 204 275 195 228 69 92 113 34 Table 4.1 Footnote Table 4.1 Footnote Table 4.1 Footnote Table 4.1 Footnote 1858
Saskatchewan 0 0 0 0 2 0 3 3 10 13 16 40 47 69 67 80 94 42 41 Table 4.1 Footnote Table 4.1 Footnote Table 4.1 Footnote Table 4.1 Footnote Table 4.1 Footnote Table 4.1 Footnote 527
Alberta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
British Columbia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Yukon Territory 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Northwest Territory 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nunavut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 14 184 446 937 940 1162 1368 1520 1536 1624 1644 1576 1615 1221 1145 1043 869 634 503 65 0 20046
TABLE 4.2: Number of mosquito pools tested and number of positive mosquito pools by Province/Territory, 2015 season
Province Year to date: January 1 to Nov 21, 2015
Number of positive mosquito pools Number of mosquito pools tested Percentage of positive mosquito pools (%)
Quebec 33 1743 1.89
Ontario 94 15918 0.59
Manitoba 30 1858 1.61
Saskatchewan 16 527 3.04
Total 173 20046 0.86

FIGURE 3: Reported number of dead birds testing positive for West Nile Virus by Province/Territory and by report week, 2015 season*

Text equivalent below in Table 5

TABLE 5: Reported number of dead birds testing positive for West Nile Virus by Province/Territory and by report week, 2015 seasonTable 5 Footnote *
  Report week of 2015
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 Total

Table 5 Footnotes

Table 5 Footnote 1

Data from the Canadian Wildlife Health Cooperative and  the Quebec  Ministry of Health and Social Services

Return to Table 5 footnote * referrer

Newfoundland and Labrador 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Prince Edward Island 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
New Brunswick 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nova Scotia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Quebec 0 0 0 0 0 0 0 0 0 0 0 1 1 2 3 0 1 1 3 4 0 0 2 0 0 0 0 0 0 3 21
Ontario 0 0 0 0 0 0 0 1 0 0 0 0 4 1 8 0 0 1 1 0 2 4 2 0 4 0 0 0 0 1 29
Manitoba 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Saskatchewan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1
Alberta 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
British Columbia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Yukon Territory 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Northwest Territory 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Nunavut 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 1 0 0 0 1 5 3 11 0 1 2 5 4 2 4 4 0 4 0 0 0 0 4 51

FIGURE 4: Percentage of dead birds testing positive for West Nile Virus in the 2015 season by report week, as compared to the 2003, 2012 and 2014 seasons

Text equivalent below in Table 6

TABLE 6: Percentage of dead birds testing positive for West Nile Virus in the 2015 season by report week, as compared to the 2003, 2012 and 2014 seasons
 /td> Report week
17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47

Table 6 Footnotes

Table 6 Footnote 1

Data became available during Week 30; this is a cumulative number of dead birds tested from Week 1 to Week 30.

Return to Table 6 footnote * referrer

Numbers positive 2015 0 0 0 0 0 0 0 1 0 0 0 1 5 3 11 0 1 2 5 4 2 4 4 0 4 0 0 0 0 4
Numbers tested 2015 0 0 0 0 0 0 0 1 0 0 1 1 6 5 15 7 4 3 6 7 4 5 6 2 19 0 0 0 0 8
Percentage positive 2015 0 0 0 0 0 0 0 100 0 0 0 100 83 60 73 0 25 67 83 57 50 80 67 0 21 0 0 0 0 50
Numbers positive 2014 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 2 4 0 2 3 0 1 0 0 0 0 0 0 0
Numbers tested 2014 0 0 0 0 0 0 0 0 0 0 0 0 0 41Table 6 Footnote * 10 13 9 7 13 6 10 3 1 4 2 1 0 0 0 0 0
Percentage positive 2014 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 22 29 31 0 20 100 0 25 0 0 0 0 0 0 0
Percentage positive 2012 0 0 0 0 0 0 0 0 0 0 33 67 33 67 33 50 67 64 67 33 67 67 55 0 0 0 0 0 0 0 0
Percentage positive 2003 0 0 1 0 1 1 1 1 1 3 3 6 7 10 17 21 38 35 43 46 45 45 58 29 20 15 8 0 0 0 0
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