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La Crosse Encephalitis in North Carolina
1Environmental Health Sciences Program
Western Carolina University
2Dept. of BiologyUNC-Greensboro
Brian Byrd 1, David Rollick 1*, Mike Riles 1*, Theo Tamini 2,
Laura White2*
, Alan Goggins1*
, Charles Sither 1*
, andGideon Wasserberg 2
*Undergraduate Students
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Haddow AD and Odoi A, The incidence risk, clustering,and clinical presentation of La Crosse virus infectionsin the eastern United States, 2003-2007. PLoS One .2009 Jul 3;4(7):e6145.
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La Crosse Encephalitis
Age Distribution (Years)
Illness is seen primarily in pediatrics
C a s e s
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0
5
10
15
20
25
30
35
40
1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
N U M B E R O F C A S E S
La Crosse Encephalitis Cases (NC: 1988-2011)
*
* *
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Annual Incidence per 100K
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2000
LACE Incidence(per 100,000)
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2000 2002 2004 2006 2008 2010
0
5
1 0
1 5
2 0
2 5
Year
I n c
i d e n c e p e r
1 0 0 K
Annual Incidence per 100K (Western NC Counties )
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Small MammalsTamias striatusSciurus carolinensis
Small Mammals
Tamias striatus Sciurus carolinensis
Mosquito Vector ( Ae. triseriatus )
Mosquito Vector ( Ae. triseriatus )
Female Mosquito
( Ae. triseriatus )
Human Host(Dead End)
Transovarial
Transmission
Infected Progeny
(Male and Female)
FemaleMosquito( Ae. triseriatus )
Male Mosquito( Ae. triseriatus )
(Virus dissemination/Transovarial transmission )
Venereal Transmission(male to uninfected female)
La Crosse Virus Cycle Adapted from Beaty and Marquardt (1996)
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Secondary/Suspect Vectors
Gerhardt et al. First isolation of La Crosse virus from naturally
infected Aedes albopictus Emerg Infect Dis. 2001 Sep-Oct;7(5):807-11
Aedes albopictus
Sardelis et al, Laboratory transmission of La Crosse virus byOchlerotatus j. japonicus (Diptera: Culicidae). J Med Entomol.2002 Jul;39(4):635-9.
Aedes japonicus
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TAP
Hughes MT et al. Comparative potential of Aedes triseriatus , Aedes albopictus , and Aedes aegypti (Diptera:Culicidae) to transovarially transmit La Crosse virus. J Med Entomol. 2006 Jul;43(4):757-61.
Transmission Amplification Potential
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What Drives LACE Risk?
Human Behaviors Protective Risky
Location Regional Microscale/Microhabitat
Vector Ecology Temporal Risk Native/Invasive Species
Environment
Host Agent
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Impact of AnthropogenicDisturbance
Goal: Investigate the role of anthropogeniceffects at the local habit scale
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Study Design
Peridomestic Sites:Six (6) Historical LACE Case Residences
Forested Sites:Six (6) Forested Sites
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Study Design
Peridomestic Forest
Case house
Ovitraps: 1 week sample periods twice monthly (May-Sept.)
Large Bore (Nasci) Aspiration: Every week
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Results
Ae. japonicus
Ae. triseriatus**
Ae. albopictus
Ovitraps(n=11,773*)
(2%)
(15%)
(83%)
*93K collected/11.7K identified**Aedes triseriatus/Aedes hendersoni
Nasci(n=1,040)
Ae. japonicus(33%)
Ae. triseriatus** (50%)
Other
Ae. albopictus(8%)
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Oviposition traps Total Number of eggs (n=93,158) 2-way ANOVA testing the effect of site and time
Mean number of eggs collected by sites per week from June12 th -October 8 th 2010
Number of wet containers per site
Number of eggs collected per number of wet containers
P= 0.001
P=0.0013, R=0.817
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Sites EC, LD, LOC = High wet containers density level (HIGH DISTURBANCE)
Sites BF, OR, SL = Low wet containers density level (LOW DISTURBANCE)
EC, LD, LOC = Sites with High wet artificial containers density levelBF, OR, SL = Sites with low wet artificial containers density level
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P = 0.03
No difference across habitat type, differences evident based on level of disturbance2-way repeated measures ANOVA testing the effect of habitat type and disturbance for each species
Does the effect of habitat type differ between sites of low disturbanceversus sites of high disturbance?
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Does the effect of habitat type differ between sites of low disturbanceversus sites of high disturbance?
Adult (resting) mosquitoes
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Epidemiologically Important Mosquitoes: Blood Fed and Gravid
Habitat Type Influences: Does the effect of habitat type differ between sites
of low disturbance versus high disturbance?
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Pilot Study Conclusions
Anthropogenic effects on the LACV systems are likelymediated via the introduction of artificial containers
Artificial containers attract the sylvatic Ae. triseriatusfrom forested habitat into the peridomestic habitat?
Anthropogenic effects (artificial containers) increase Ae. japonicus oviposition in the peridomestic habitat
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Public Health Implications
Source Reduction!
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Vertical Distribution Studies (2011)
Trap were placed at heights of 0, 3, 6, and 9 meters
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Results: Total Eggs Collected2791
974
2755
33
Rainfall (inches)
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Relative Abundance
6,553 COLLECTED2,686 IDENTIFIED
Aedes triseriatus
Aedes hendersoni
Aedes japonicus Aedes albopictus
Ae. albopictus (43%)
Ae. triseriatus (24%)
Ae. japonicus (20%)
Ae. hendersoni (13%)
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Aedes triseriatus vs Aedes hendersoni
Aedes triseriatus: 75% of the total eggs identified were oviposited at 3 or 6 meters Aedes hendersoni: 67% of the total eggs identified were oviposited at 6 or 9 meters
Aedes triseriatus Aedes hendersoni
75% 67%
N=349N=645
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Aedes albopictus
Aedes albopictus: 74% of the total eggs were oviposited at 3 meters or below
74%
N=1,155
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Aedes japonicus
Aedes japonicus: 61% of the total eggs identified were oviposited at ground level
61%
N=537
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Vertical Distribution Studies (2012: 0 vs 9 m)
A total of 11,394 eggs were collected and 2,595 were reared to 4 th instars and identified to species.
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2012 Vertical Distribution Study: A Comparative Approach (0 and 9 meters)
A
89%
11%
Natives: 349Invasive: 37
Natives: 665Invasive: 379
Natives: 482Invasive: 58
June 2012 Oviposition:
B C
64%
36%
90%
10%
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Acknowledgements
WCU QEP Funding WCU College of Health and Human Sciences UNC-Greensboro College of Arts and Sciences UNC-Greensboro Office of Research and
Economic Development
Tamini, Tuamami T., M.S., Does anthropogenic disturbanceaffect the ecological transmission drivers of the La Crossevirus? 2011
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