Reprinted from the Health District's quarterly publication mailed to district residents (Summer 2004)


TOPIC: Protect yourself against West Nile Virus
 
by karin meyer

Think the West Nile Virus bug won’t bite you? Think again.

Lessons learned from last summer:

• Colorado was hit harder than any other state last year, with almost 3,000 West Nile Virus cases reported and 61 deaths.
• People of all ages were infected, not just the elderly. The average age of Coloradans reporting illness was 47. While the elderly and those with compromised immune systems are particularly at risk, the illness also struck people in their teens, 20s, 30s, and 40s.
• Illness from the West Nile Virus was anything but mild in Colorado. For those who showed symptoms, the average length of illness was two weeks, and many were ill for months. Symptoms ranged from malaise, headache, fever and muscle pain to brain and nervous system disorders such as encephalitis and meningitis.
• Of those who reported symptoms, 54 percent said they never used mosquito repellent.

All of these statistics are telling, but perhaps the last is the most eye-opening. Absent a vaccine against West Nile Virus, prevention is the key to stopping infection. Apply repellent!


by polly anderson

Where can I find more information on West Nile Virus?
Larimer County, Fort Collins, Loveland, Poudre Valley Health System and the Health District have teamed up to post West Nile Virus information at www.healthinfosource.com. Find links to:
• Signs and symptoms
• Larviciding information (as available)
• DEET fact sheets
• Local news releases

How can I reduce the number of mosquitoes around my house?
Mosquitoes need water to lay their eggs, so it is important to eliminate or reduce standing water.
This checklist will help:
• Clean and refill pet water and food bowls often.
• Keep gutters free of debris so water flows freely.
• Clean and refill birdbaths weekly.
• Cover trash cans and recycling containers or cut drainage holes so water can’t accumulate.
• Check your property for other places water can accumulate, including wheelbarrows, grills, planters and flower pots, empty pipes, air conditioners, old tires (including tire swings) and flat roofs.

apply repellent
chart comparing repellent effectiveness


How does mosquito repellent work?
Female mosquitoes bite people and animals because they need the protein found in blood to help develop their eggs. Mosquitoes are attracted to people by skin odors and carbon dioxide from breath. Many repellents contain DEET (N,N-diethyl-m-toluamide), a chemical which repels the mosquito, making the person unattractive for feeding. DEET does not kill mosquitoes; it just makes them unable to locate us.

Are non-DEET repellents effective?
Some non-DEET repellent products also provide some protection from mosquito bites. However, studies have suggested that other products do not offer the same level of protection, or that protection does not last as long as products containing DEET. A soybean-oil-based product has been shown to provide protection for a period of time similar to a product with a low concentration of DEET (4.75 percent) The type and concentration of repellent to use depends on the amount of time you will be outdoors as well as your exposure to mosquitoes.
chart comparing repellent effectiveness

How should products containing DEET be used on children?
No definitive studies exist in the scientific literature about what concentration of DEET is safe for children. No serious illness has been linked to the use of DEET in children when used according to product recommendations.
The American Academy of Pediatrics suggests applying repellent with low concentrations of DEET to infants 2 months and older. “Insect repellents containing DEET with a concentration of 10 percent appear to be as safe as products with a concentration of 30 percent when used according to the directions on the product labels,” the AAP says.

How should I apply repellent?
Always follow the recommendations appearing on the product label when using repellent and use these precautions with children:
• When using repellent on a child, apply it to your hands and then rub them on your child.
• Avoid children’s eyes and mouth and use it sparingly around their ears.
• Do not apply repellent to children’s hands. (Children may tend to put their hands in their mouths.)
• Do not allow young children to apply insect repellent themselves; have an adult do it for them. Keep repellents out of reach of children.
• Do not apply repellent to skin under clothing. If repellent is applied to clothing, wash treated clothing before wearing again.

How often should repellent be reapplied?
Follow the directions on the product you are using in order to determine how frequently you need to reapply it. Sweating, perspiration or getting wet may mean that you need to re-apply repellent more frequently. The more DEET a repellent contains the longer time it can protect you. A higher percentage of DEET in a repellent does not mean that your protection is better — just that it will last longer. DEET concentrations higher than 50 percent do not increase protection time. Turn back one page and see chart.

Source: CDC web site