Because of elevated risk from mosquito-borne disease, RI Health Dept. suggests changing schedules

No one is immune, not even Dr. Fauci

NOTE: CNN reports that pandemic hero Dr. Anthony Fauci was released from the hospital where he was being treated for West Nile Disease, one of the mosquito-borne diseases currently plaguing our area. He is recovering at home. There is no vaccine nor effective treatment for West Nile other than to treat the symptoms. West Nile can be fatal especially to older people. Fauci is 83. Hope Dr. Fauci has a speedy recovery.

Due to the elevated risk of mosquito-borne diseases in Rhode Island and neighboring states, the Rhode Island Department of Environmental Management (DEM) the Rhode Island Department of Health (RIDOH) and the Mosquito Borne Disease Advisory Group (MDAG) they convene, are recommending that members of the public, schools, and communities consider “smart-scheduling.”

With this recommendation that has been communicated to municipal officials and the Rhode Island Interscholastic League (RIIL), the MDAG recommends that schools and organizations consider rescheduling games, practices, and other outdoor activities scheduled to occur during early morning or dusk hours to earlier in the afternoon or relocated to an indoor venue.

The recommended smart-scheduling of outdoor activities during peak mosquito activity hours is intended to help minimize the risk of mosquito bites. DEM and RIDOH urge Rhode Islanders to continue protecting themselves and their loved ones from mosquito bites and the diseases they carry, including Eastern Equine Encephalitis virus (EEE) and West Nile Virus (WNV).

While the most recent mosquito samples from 121 samples collected from 22 traps set statewide by DEM on August 8 and 13 and tested by the Rhode Island State Health Laboratories (RISHL) have confirmed no positive findings of WNV, EEE virus, or Jamestown Canyon Virus (JCV), previous testing has indicated a significant risk in Washington County and an elevated risk level throughout Rhode Island. 

Previously this season, Rhode Island has announced 17 EEE virus findings and five WNV findings, the State of Connecticut has announced 27 EEE virus findings, 192 WNV findings, one JCV finding, one human case of WNV, and an animal case of EEE virus in a deer, and the Commonwealth of Massachusetts has announced 262 WNV findings, 69 EEE findings, one human case of EEE virus, one animal case of EEE virus, and two human cases of WNV. It is notable that EEE virus and WNV has been detected in several Massachusetts and Connecticut communities bordering Rhode Island.

Although extremely rare in humans, EEE virus is very serious and has a much higher human mortality rate than WNV. Approximately 30% of people with EEE virus die, and many survivors have ongoing neurological problems. Unlike WNV, which is prevalent in Rhode Island every year, EEE virus risk is variable, changing from year to year. For more information on EEE virus and ways to prevent it, please visit www.health.ri.gov/eee.

WNV is the leading cause of mosquito-borne disease in the continental United States and is much more prevalent than EEE virus. 

Cases of WNV occur during mosquito season, which starts in the summer and continues through fall. There are no vaccines to prevent or medications to treat WNV in people. Fortunately, most people infected with WNV do not feel sick. About one in five people who are infected develop a fever and other symptoms. About one out of 150 infected people develop a serious, sometimes fatal, illness. For more information about WNV, please visit www.health.ri.gov/wnv. 

EEE virus and WNV are typically present in wild bird populations. Birds are reservoirs of the diseases and mosquitoes transmit these viruses among birds. During an active mosquito season, the viruses are amplified in the environment with each generation of mosquitoes. At a certain point, several mosquito species that bite both birds and mammals serve as a bridge between infected birds and uninfected mammals. Most bridge species are within the Aedes, Coquillettidia, and Culex genera.

Local communities voluntarily participate in mosquito control through DEM’s larvicide distribution program, which provides municipalities with a limited free supply of mosquito larvicide briquettes that release environmentally benign bacteria over a 90-day period in underground stormwater catchment basins that are prime breeding areas of mosquitoes, requiring only one application per season. In April, the Town of Westerly conducted an aerial application of mosquito larvicide across 500 acres of Chapman Swamp and nearby swamplands by helicopter recommended as part of the state's action plan to reduce mosquito populations and related disease risk.

Mosquito Control:

Residents can help control mosquitoes by removing backyard mosquito breeding grounds. The Asian Tiger Mosquito has become prevalent in Rhode Island urban environments, and it is expected to be common again this season. It is notable as a daytime biter encountered in shaded backyards. It has a striking black and white pattern evident to the naked eye. It develops from eggs laid in artificial containers, so residents are urged to remove standing water from containers such as buckets, pots, wheelbarrows, boats, and pools. Clogged rain gutters and puddles formed on tarps also can support the larvae of this species. The Asian tiger mosquito is known to transmit several diseases, including WNV.

In addition to considering smart-scheduling, Rhode Islanders should take the following measures to protect themselves from mosquito bites and to help minimize mosquito breeding:

Protect yourself!

• Put screens on windows and doors. Fix screens that are loose or have holes.
• Consider rescheduling outdoor activities that occur during the evening or early morning at sunrise and sundown (when mosquitoes carrying the EEE virus are most active). If you must be outside, wear long-sleeved shirts and pants and use bug spray.
• Use EPA-approved bug spray with one of the following active ingredients: DEET (20-30% strength), picaridin, IR3535, and oil of lemon eucalyptus or paramenthane. Always read the label and follow all directions and precautions.
• Do not use bug spray with DEET on infants under two months of age. Check the product label to find the concentration of DEET in a product. The American Academy of Pediatrics recommends that repellents contain no more than 30% DEET when used on children. Children should be careful not to rub their eyes after bug spray has been applied on their skin. Wash children’s hands with soap and water to remove any bug spray when they return indoors.
• Put mosquito netting over playpens and baby carriages.

Remove mosquito breeding grounds!

• Remove items around your house and yard that collect water. Just one cup of water can produce hundreds of mosquitoes; an unused tire containing water can produce thousands of mosquitoes.
• Clean your gutters and downspouts so that they can drain properly.
• Remove any water from unused swimming pools, wading pools, boats, planters, trash and recycling bins, tires, and anything else that collects water, and cover them.
• Remove or treat any shallow water that can accumulate on top of a pool cover. Larvicide treatments, such as Mosquito Dunks can be applied to kill immature mosquitoes. This environmentally friendly product is available at many hardware and garden stores and online.
• Clean and change water in birdbaths at least once a week.

Best practices for horse owners!

Horses are particularly susceptible to WNV and EEE virus. Horse owners are advised to vaccinate their animals early in the season and practice the following:

• Remove or cover areas where standing water can collect.
• Avoid putting animals outside at dawn, dusk, or during the night when mosquitoes are most active.
• Insect-proof facilities where possible and use approved repellents frequently.
• Monitor animals for signs of fever and/or neurological signs (such as stumbling, moodiness, loss of appetite) and report all suspicious cases to a veterinarian immediately. If you are unsure if your horse is properly vaccinated, consult your veterinarian.

Visit health.ri.gov/mosquito for additional mosquito prevention tips, videos, and local data. DEM traps mosquitoes weekly and tests them at the RIDOH State Health Laboratories. From June through September, DEM issues advisories on test results, with additional reports as necessary. Typically, positive test results trigger additional trapping to assess risk.  

For more information on DEM programs and initiatives, visit www.dem.ri.gov. Follow DEM on Facebook, Twitter (@RhodeIslandDEM), or Instagram (@rhodeisland.dem) for timely updates. Sign up here to receive the latest press releases, news, and events from DEM's Public Affairs Office to your inbox.