West Nile Virus Warning Issued By Greenwich Health Department

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GREENWICH, CT — From the Greenwich Health Department: With the warm weather comes the mosquitoes and with the mosquitoes the threat of West Nile Virus. The State of Connecticut began their mosquito trapping and testing for the virus in the beginning of June. So far, WNV has been found in mosquitoes in New Canaan and Easton, Connecticut.

In conjunction with the State and other Towns across Connecticut, the Town of Greenwich has begun the
fight against West Nile Virus this month and will continue through October, 2018. The program involves
conducting a preemptive larviciding program that will include the treatment of public and private roadway
catch basins, public school ground catch basins and other property owned and operated by the Town if
necessary. Director of Health, Caroline Calderone Baisley stated, "Controlling the mosquito population in
the larval stage through the application of larvicide has been found to be very effective over the years, so it is
prudent to continue this action."

The Town, along with several State agencies will implement an integrated mosquito management program
that includes monitoring and surveillance, education and prevention. Adult mosquito control will only be
considered if necessary. In Connecticut, in 2017, mosquitoes, domestic animals and humans were included in
surveillance systems. The following is a list of those results:

? There were three (3) human cases of West Nile Virus in Connecticut
? Mosquitoes were collected at 91 permanent mosquito-trapping stations in 72 municipalities throughout the state. A total of 195,453 mosquitoes were trapped and tested for WNV, Eastern Equine Encephalitis (EEE) and Zika virus. WNV positive mosquitoes were found in thirty (30) Connecticut towns including Greenwich. The Zika virus was not isolated from mosquito pools in Connecticut in 2017.

Director of Environmental Services, Michael S. Long stated, "Although the town's larvicide program will
treat catch basins, the general public must be vigilant in eliminating standing water on their own properties
and protecting themselves from biting mosquitoes at all times. It is important to recognize that the highest
risk of exposure to West Nile Virus infected mosquitoes is during the months of August and September."

As in the past, the Department of Health will work closely with all agencies, including the Connecticut
Department of Energy and Environmental Protection (DEEP), which will identify and monitor mosquito
breeding sites starting in June; the Connecticut Agricultural Experiment Station (CAES), which will trap and isolate arboviruses in the mosquito population; the Connecticut Department of Public Health, which will conduct surveillance of West Nile Virus infection in humans; and the Connecticut Department of Agriculture (DoAg), which will carry out surveillance in domestic animals.

When bitten by an infected mosquito, most people are able to fight off the infection and experience either
mild symptoms, such as headache and fever, or no symptoms at all. It is believed that approximately one in
100 persons bitten by an infected mosquito become ill. In a minority of infected persons, especially those
over 50 years old, West Nile Virus can cause serious illness, including encephalitis and meningitis. Infection
leads to death in 3 to 15 percent of persons with severe forms of the illness. The virus is spread to humans
by the bite of an infected mosquito, which becomes infected when it bites a bird carrying the virus. West
Nile virus is not spread by person-to-person contact or directly from birds to people. Although there is no
specific treatment or cure, the symptoms and complications of the disease can often be treated. Most
people who become ill recover.

In some individuals, including the elderly and persons with compromised immune systems, WNV can cause
serious illness that affects the central nervous system. At its most serious, it can cause permanent
neurological damage and can be fatal. General symptoms occur suddenly between 5 – 15 days following the
bite of an infected mosquito and range from a slight fever, headache, rash, swollen lymph nodes, nausea,
malaise and eye pain, to the rapid onset of severe headache, high fever, stiff neck, disorientation, severe
muscle weakness, gastrointestinal symptoms, coma or death. Residents are encouraged to see a physician
immediately if they develop any of these sudden symptoms.

"Personal measures are extremely important to protect ourselves against biting mosquitoes during the day
and at night," says Michael S. Long. The following precautions should be taken:

? Avoid outdoor activities at dawn and dusk when mosquitoes are most active.
? If you plan to be outdoors for a long period of time, wear long sleeved shirts, long pants and use mosquito repellent according to the manufacturer's directions on the label (10% or less DEET for children and no more than 30% DEET for adults). Avoid application of repellents with DEET on infants and small children.
? Cover up arms and legs of children playing outdoors and cover playpens or carriages with mosquito netting.
? Don't camp overnight near stagnant or standing water where mosquitoes are most active.
? If you dispose of a dead animal – handle with gloves or bag the animal without touching it.

In addition, Greenwich residents are urged to continue to participate in the Town's mosquito control efforts
by eliminating areas of standing water around their homes which includes:

YARD AND HOME CHECKLIST
? Get rid of old tires, tin cans, buckets, drums, bottles or any water holding containers.
? Fill in or drain any low places (puddles, ruts) in yard.
? Keep rain gutters, drains, ditches and culverts clean of weeds and trash so water will drain properly.
? Cover trash containers to keep out rainwater.
? Repair leaky pipes and outside faucets.
? Empty plastic wading pools at least once a week and store indoors when not in use.
? Make sure your backyard pool is properly chlorinated every day.
? Fill in tree rot holes and hollow stumps that hold water with sand or concrete.
? Change the water in birdbaths and plant pots or drip trays at least once each week.
? Keep grass cut short and shrubbery well trimmed around the house so adult mosquitoes cannot hide there.
? Eliminate collected water in boat or pool covers.
? Ponds and stagnant water bodies that do not support fish, frogs or other amphibians that eat mosquito larvae may be treated with a biological control agent such as Bacillus thuringiensis israelensis (BTI) and Bacillus sphaericus (BS). It is suggested that the Department of Health or Greenwich Conservation Commission be contacted when treatment is considered.

For more information about the Town's larviciding program, personal protection and property management
recommendations, the State of Connecticut mosquito management program, the following contact sites are
available.

The Town of Greenwich Mosquito Management Brochure is available throughout the community and on the Town's Website.

Greenwich Department of Health www.greenwichct.org
Division of Environmental Services (203) 987-1001
Greenwich Conservation Commission (203) 622-6461

Connecticut Department of Energy and Environmental Protection
Communications Division (860) 424-4100
DEEP Mosquito Management Program Website www.ct.gov/mosquito

Connecticut Department of Public Health www.ct.gov/dph
Toxic Hazards Assessment Program (860) 509-7742
Epidemiology Program (860) 509-7994

Connecticut Agricultural Experiment Station (860) 974-8604
Website www.ct.gov/caes

Department of Agriculture (860) 713-2505; Website www.ct.gov/doag

Westchester County Department of Health Information Line (914) 813-5000
Website www.co.westchester.ny.us/healt...

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