West Nile Virus
West Nile Virus
Once upon a time, miners took canaries into the mines in order to use them as
living gas detectors. If the birds keeled over, it was time for the miners to clear out.
Crows started dropping out of the trees and exotic zoo birds began to die. Unlike
the 19th century miners, however, no one in the New York boroughs paid much attention
hospital. They had what was then described as "encephalitis of unknown etiology,"
Queens while veterinarian Tracey McNamara began working on dead birds at the Bronx
Zoo. Without knowing it, they were actually trying to solve the same puzzle. In late
August of 1999, these two curious, sharp-eyed women had caught the first glimpses of a
The West Nile virus was first identified in the West Nile district of Uganda in
1937. The virus is transmitted between birds by mosquitoes. But some mosquitoes bite
both humans and birds, so the virus is able to jump between species. Over the
intervening decades the virus has caused outbreaks in various parts of Africa, the Middle
East and a few European countries. That it suddenly appeared in the U.S. in the summer
Or maybe someone imported an already infected bird that later got bit by a local
mosquito. However it arrived, it's here to stay. In five years the virus has been carried by
birds and mosquitoes across forty-five states, and is working its way down into Mexico.
Last year the U.S. recorded 9,862 serious cases of West Nile fever and 264
Infections with the West Nile virus are characterized by fever, headache,
weakness and sometimes mental confusion. The elderly and the immunocompromised
are the usual victims, and they are the ones mostly likely to succumb to fatal cases of
Fortunately, most of us are not likely to notice that we even have the infection.
According to the Centers for Disease Control and Prevention in Georgia, eight out of ten
people infected with the virus will never show any symptoms. Those who do show
symptoms tend to have mild flu-like symptoms. Less than one percent of infections will
Still, no one wants to be in that one percent. There are no specific drugs or
treatments for West Nile fever. A vaccine is in development, but its testing, licensing and
marketing are years away. (The USDA recently licensed a vaccine for horses, but its
Prevention remains the best strategy for dealing with West Nile virus. Avoid the
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outside. Repair any holes in window and door screens and get rid of any standing water
in gutters, tires, and other containers where mosquitoes like to breed. Watch for dead
birds and report them; it's a sign that the virus may be in the area. Maryland's
Department of Health & Mental Hygiene has a good web page on West Nile virus,
At this writing, fourteen human cases of West Nile fever have been diagnosed
from New Mexico, Arizona, California, South Dakota, and Wyoming. Maryland has not
reported any cases, but that will almost certainly change over the course of the summer.
Once upon a time, malaria and yellow fever were common in the U.S. Both
infections have since been banished, but we still have plenty of other mosquito-borne
diseases, including Eastern Equine Encephalitis, Western Equine Encephalitis, St. Louis
Encephalitis, and La Crosse Encephalitis. West Nile is just the latest virus to add to the
list of summertime headaches. Unfortunately, it probably won't be the last. Viruses and
mosquitoes, like birds and people, travel far and travel fast.