2018
DOI: 10.4269/ajtmh.18-0420
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St. Louis Encephalitis Virus Disease in the United States, 2003–2017

Abstract: St. Louis encephalitis virus (SLEV), an arthropod-borne flavivirus, can cause disease presentations ranging from mild febrile illness through severe encephalitis. We reviewed U.S. national SLEV surveillance data for 2003 through 2017, including human disease cases and nonhuman infections. Over the 15-year period, 198 counties from 33 states and the District of Columbia reported SLEV activity; 94 (47%) of those counties reported SLEV activity only in nonhuman species. A total of 193 human cases of SLEV disease … Show more

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Cited by 31 publications
(23 citation statements)
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“…Unfortunately, it is not possible to control for changes in the case definition of WNV disease; however, our ability to predict and estimate the risk of WNV transmission to humans will continue to improve as more years of data accumulate in these databases. Some limitations and biases in passive infectious disease surveillance have already been extensively discussed elsewhere [74][75][76][77][78][79][80][81][82]. Unlike active WNV blood donor surveillance, in which all blood donations are screened for WNV, passive surveillance of patients with symptomatic WNV depends on care availability and provider recognition, yielding a difficult to define epidemiologic sampling frame.…”
Section: Discussionmentioning
confidence: 99%
“…Unfortunately, it is not possible to control for changes in the case definition of WNV disease; however, our ability to predict and estimate the risk of WNV transmission to humans will continue to improve as more years of data accumulate in these databases. Some limitations and biases in passive infectious disease surveillance have already been extensively discussed elsewhere [74][75][76][77][78][79][80][81][82]. Unlike active WNV blood donor surveillance, in which all blood donations are screened for WNV, passive surveillance of patients with symptomatic WNV depends on care availability and provider recognition, yielding a difficult to define epidemiologic sampling frame.…”
Section: Discussionmentioning
confidence: 99%
“…Any inflammation or pathology that also involves the parenchyma is referred to as meningoencephalitis. "Neurotropic" (i.e., able to reach the CNS) arboviruses are classically associated with encephalitis [63,78,[85][86][87] but can also cause meningitis, for instance in infections by St. Louis encephalitis virus (SLEV) [88], tickborne encephalitis virus (TBEV) [89], DENV [90], WNV [91], CHIKV [92], ZIKV, Powassan virus (POWV), and Eastern Equine encephalitis virus (EEEV) [93]. During Toscana virus meningitis, serum levels of IFN-α, IP-10, and eotaxin are significantly increased in the acute phase of infection in comparison with healthy controls [94], which could participate to an ensuing CNS infiltration of neutrophils, monocytes, and antiviral CD8 + lymphocytes.…”
Section: Arboviral Infections and Neuroinflammationmentioning
confidence: 99%
“…mosquitoes and passeriform and columbiform birds. While SLEV infections are non-fatal in birds, spillover into humans [1] and horses [2] can result in significant and sometimes fatal neurological disease. The genome of SLEV is encoded by a single-stranded, positive-sense RNA genome consisting of one open reading frame (ORF) and non-coding regions at the 5' and 3' ends.…”
Section: Introductionmentioning
confidence: 99%
“…Endemic activity in the absence of outbreaks also has been reported in Florida (FL) [13], Texas (TX) [14] and California (CA) [15][16][17] from 1933 to 2003 (reviewed in [18]). Following the first detection of West Nile virus (WNV, also a flavivirus) in the Americas in 1999, SLEV activity was significantly reduced throughout the US [1]. In CA, SLEV was not detected after 2003, the year WNV was first detected in CA, until 2015 when SLEV-positive mosquito pools and sentinel chickens were detected in Coachella Valley in Riverside County, CA [18].…”
Section: Introductionmentioning
confidence: 99%