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Eastern Equine Encephalitis

4th December 2008


Eastern Equine Encephalitis (EEE)
 
 
-         Mosquito vectors and bird hosts
-         Found in most states East of the Mississippi River
-         People and horses are “dead-end” hosts, cycle stops here
-         1933 – got its name in an outbreak in Mid-Atlantic States but around long before
 
 
Clinical Signs
 
-         initially, non-specific signs – fever, lethargy, stiffness
-         then may progress to neurologic disease
-         signs vary according to what part of the CNS if affected
-         cerebral lesions - behavior changes, excitability, lethargy, circling, leaning against a wall, abnormal sensitivity to light and sound
-         cerebral and spinal cord lesions – blindness, ataxia, cranial nerve deficits, weakness
-         mortality rates are 75% - 95 %, complete recovery is rare
 
Diagnosis
 
-         clinical signs
-         antibody titers – one very high titer or paired titers
-         virus isolation
 
Prevention
 
-         decrease mosquito populations
-         reduce stagnant water
-         mosquitoes begin to breed in any standing water that lasts for more than 4 days
-         screens, stall at dusk and dawn, insect repellant, fans, keep lights off in barn
-         vaccination