Kansas 07/11/14 KS Dept of Health & Environment: Media Release – fatal case of primary amoebic meningoencephalitis (PAM) caused by Naegleria fowleri, a free-living amoeba found in freshwater, in a resident of Johnson County. The investigation indicates there were several potential fresh water exposures in Kansas, so the actual source of the infection cannot be determined. Initial laboratory examination has identified the presence of Naegleria fowleri in a specimen from the patient, and additional laboratory testing by the U.S. Centers for Disease Control and Prevention is pending. This is the second known case of PAM caused by Naegleria fowleri in Kansas. The first case occurred in 2011. Naegleri fowleri can be found in freshwater environments around the world, but infection causing PAM is extremely rare. From 1962 to 2013, there have been 132 cases reported in the United States, with 34 of those cases occurring from 2004 to 2013. Most cases have occurred in southern-tier states. The risk of infection is very low, but increases during the summer months when water temperatures rise and more people participate in water-related activities. The infection typically occurs when the amoeba enters the body through the nose while the person is swimming underwater or diving and travels to the brain.
Symptoms usually appear about five days after infection, but can range between one and seven days, and include headache, fever, nausea and vomiting, stiff neck, confusion, lack of attention to people and surroundings, loss of balance and bodily control, seizures, and hallucinations. This infection cannot be spread from person to person or contracted from a properly maintained swimming pool.- For complete media release with precautions see http://www.kdheks.gov/news/web_archives/2014/07112014.htm
West Nile Virus (WNV):
California 07/10/14 Orange County: The local county health care agency reported this week that a male Santa Ana resident has tested positive for WNV. He is now recovering at home. There have been 10 human cases reported in the state this year but this is the first human case of WNV in Orange County so far. – See http://lakeforest-ca.patch.com/groups/around-town/p/orange-county-gets-its-first-case-of-west-nile-of-the-year
Oklahoma 07/10/14 OK State Dept of Health: Officials have confirmed the state’s first human case of WNV this year in a Major County resident. Last year Oklahoma reported 84 human cases of WNV including 8 fatalities. – See http://www.ok.gov/health/Disease,_Prevention,_Preparedness/Acute_Disease_Service/Disease_Information/Tickborne_and_Mosquitoborne_Diseases/West_Nile_Virus/
Georgia 07/11/14 Glynn County: Residents of St. Simons Island are being cautioned to watch for raccoons behaving strangely after one of 11 that a woman was caring for on the island was found to have rabies, Glynn County Police Chief Matt Doering said. The raccoon that tested positive for rabies had been in contact with the others and with pet cats and dogs. Four of the raccoons are still missing and residents are cautioned to be alert for any animals showing signs of rabies including aggression, illness and confusion. Anyone who spots a raccoon showing those symptoms is asked to call the Glynn County police who will assess the animal’s behavior and call the Department of Natural Resources if necessary. Anyone who is in contact with a rabid or potentially rabid raccoon or other animal is asked to call the Glynn County Health Department at (912) 279-2940. – See http://members.jacksonville.com/news/georgia/2014-07-11/story/woman-was-caring-rabid-raccoon-st-simons-island-police-say
Pennsylvania 07/10/14 Westmoreland County: A deer that attacked the manager of a paint store in East Huntington Township as she arrived for work at a strip mall has tested positive for rabies. Two men came to her aid and subdued the deer, which she said had scabs on its head and green foam coming from its mouth. The animal died before wildlife officials arrived. – See video and complete article at http://www.azcentral.com/story/news/weird/2014/07/10/rabid-deer-attacks-woman-outside-paint-store/12475861/