West Nile Virus national surveillance report: July 15 - 21, 2018

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Organization: Public Health Agency of Canada

Published: August 1, 2018

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West Nile Virus - Week 29 2018

Canada

Human

As of July 21, 2018, the Public Health Agency of Canada has been informed of two clinical (confirmed or probable) cases of West Nile virus (WNV) reported by Ontario. One case was related to travel outside of Canada and the other was locally acquired. Clinically, one case (50%) has been classified as WNV neurological syndrome and one case (50%) is unspecified. No deaths have been reported.

Mosquito

To date (week 29), the PHAC has been notified of 5,642 mosquito pools tested for WNV: 323 in Saskatchewan, 962 in Manitoba, 3,784 in Ontario, and 573 in Québec. Of these, fifty-six positive mosquito pools were found: four in Saskatchewan (Moist Mixed Grassland/Aspen Parkland [4]), forty in Manitoba (Winnipeg [11], Interlake-Eastern [9], Prairie Mountain [7], and Southern [13]) and twelve in Ontario (Halton Region [1], Peel Region [1], Windsor-Essex County [7] and York Region [3]).

Wild Bird

As of week 29, a total of twenty-six dead wild birds have been tested for WNV by the Canadian Wildlife Health Cooperative (CWHC) and Manitoba Agriculture: one in Alberta, four in Saskatchewan, three in Manitoba, twelve in Ontario, five in Québec, and one in Nova Scotia. Of these, nine dead wild birds were positive for WNV: three in Manitoba (Winnipeg Regional Health [3]), two in Quebec (Estrie [2]) and four in Ontario (Wellington-Dufferin-Guelph [1], Middlesex-London [2] and Southwestern Public Health [1]).

Equine

The Canadian Food Inspection Agency (CFIA) has not reported domestic animals tested positive for WNV, since the start of the 2018 WNV season.

United States and U.S. territories

As of July 24, thirty-nine human cases of WNV have been reported to the US Centers for Disease Control and Prevention (CDC). Of these, twenty-three (59%) were classified as neuroinvasive disease and sixteen (41%) as non-neuroinvasive disease. One death has been reported. In addition, twelve presumptive viremic blood donors have been identified.

Europe and Neighboring Countries

As of July 19, forty-eight human cases of West Nile fever have been reported to the European Centre for Disease Prevention and Control in the following countries: Serbia (29), Greece (12), Italy (4), Romania (2), and Hungary (1). No deaths have been reported.

Weekly updates: 2018 West Nile fever transmission season

Other Mosquito-borne Diseases - Week 29 2018

Canada

Eastern Equine Encephalitis virus

No human cases of Eastern Equine Encephalitis virus (EEEV) have been reported to the PHAC, since the 2018 season.

California Serogroup virus

In surveillance week 29, no human cases/exposures of California serogroup virus were diagnosed by the National Microbiology Laboratory in the Public Health Agency of Canada.

Figure and tables

Figure 1: Geographic distribution of WNV human clinical cases and asymptomatic infections in Canada, 2018
Figure 1. Text version below.
Figure 1 - Text description

Map showing geographic distribution of human cases of West Nile virus (WNV) in Canada.

As of July 21, 2018, one human case associated with WNV in Canada has been reported to the Public Health Agency of Canada (PHAC).

Figure 2: WNV human clinical cases and asymptomatic infections in Canada by reported week, 2018
Figure 2. Text version below.

Figure 2 note ±: WNV clinical cases and asymptomatic infections are grouped by report week, based on episode date. Episode date could include one of the following: onset date, diagnosis date, lab sample date or reporting date.

Figure 2 - Text description

As of week 29, ending July 21, 2018, there is one human clinical cases and asymptomatic infections associated with WNV in Canada.

Table showing human clinical cases and asymptomatic infections associated with WNV in Canada, by province or territory and by week monitoring, dated July 21, 2018
Province / Territory Report Weekfigure 2 table note ± Total
23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47
British Columbia 0 0 0 0 0 0 0 - - - - - - - - - - - - - - - - - - 0
Alberta 0 0 0 0 0 0 0 - - - - - - - - - - - - - - - - - - 0
Manitoba 0 0 0 0 0 0 0 - - - - - - - - - - - - - - - - - - 0
Ontario 0 0 0 0 0 1 0 - - - - - - - - - - - - - - - - - - 0
Québec 0 0 0 0 0 0 0 - - - - - - - - - - - - - - - - - - 0
Total 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

'-' = Not available.

Figure 2 table notes

Figure 2 table note ±

WNV clinical cases and asymptomatic infections are grouped by report week, based on episode date. Episode date could include one of the following: onset date, diagnosis date, lab sample date or reporting date.

Return to figure 2 table note ± referrer

Figure 3: WNV human clinical cases and asymptomatic infections for selected years by reported week, in Canada
Figure 3. Text version below.

Figure 3 note *: WNV clinical cases and asymptomatic infections are grouped by report week, based on episode date. Episode date could include one of the following: onset date, diagnosis date, lab sample date or reporting date.

Figure 3 - Text description
Table showing WNV human clinical cases and asymptomatic infections in Canada, by report week for selected years
Year Report Weekfigure 3 table note * Total
23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47
2018 0 0 0 0 0 1 0 - - - - - - - - - - - - - - - - - - 1
2017 0 0 1 0 1 1 7 3 8 10 26 31 31 27 13 16 7 8 4 1 1 3 0 0 0 200
2016 0 1 0 0 0 0 0 1 5 5 14 11 16 12 9 6 15 5 0 0 3 1 0 1 0 105
2014 0 0 0 0 0 0 1 0 0 0 4 3 5 6 1 1 0 0 1 0 0 0 0 0 0 22
2012 1 0 0 0 3 5 11 16 27 53 63 57 43 43 45 24 30 14 9 5 1 0 0 0 0 450
2007 2 2 3 4 11 35 36 72 139 424 471 443 287 182 116 71 30 18 10 11 5 4 2 0 0 2,378
2003 0 0 0 1 1 1 5 11 9 27 66 249 323 324 178 107 82 37 14 8 4 3 0 0 0 1,450

'-' = Not available.

Figure 3 table notes

Figure 3 table note *

WNV clinical cases and asymptomatic infections are grouped by report week, based on episode date. Episode date could include one of the following: onset date, diagnosis date, lab sample date or reporting date.

Return to figure 3 table note * referrer

Table 1: WNV human clinical cases and asymptomatic infections in Canada by reported weeks and year to date, 2018
Province/Territory Clinical Cases Total clinical casestable 1 note 1 Total travel-related casestable 1 note 2 Total asymptomatic infectionstable 1 note 3
Neurological syndrome Non-neurological syndrome Unclassified/ Unspecified
Week 29: July 15 to July 21, 2018
Newfoundland and Labrador 0 0 0 0 0 0
Prince Edward Island 0 0 0 0 0 0
Nova Scotia 0 0 0 0 0 0
New Brunswick 0 0 0 0 0 0
Québec 0 0 0 0 0 0
Ontario 1 0 1 2 1 0
Manitoba 0 0 0 0 0 0
Saskatchewantable 1 note 4 0 - - - - -
Alberta 0 0 0 0 0 0
British Columbia 0 0 0 0 0 0
Yukon Territory 0 0 0 0 0 0
Northwest Territory 0 0 0 0 0 0
Nunavut 0 0 0 0 0 0
Total 1 0 1 2 1 0
Year to date: January 1 to July 21, 2018
Newfoundland and Labrador 0 0 0 0 0 0
Prince Edward Island 0 0 0 0 0 0
Nova Scotia 0 0 0 0 0 0
New Brunswick 0 0 0 0 0 0
Québec 0 0 0 0 0 0
Ontario 1 0 1 2 1 0
Manitoba 0 0 0 0 0 0
Saskatchewantable 1 note 4 0 - - - - -
Alberta 0 0 0 0 0 0
British Columbia 0 0 0 0 0 0
Yukon Territory 0 0 0 0 0 0
Northwest Territory 0 0 0 0 0 0
Nunavut 0 0 0 0 0 0
Total 1 0 1 2 1 0

'-' = Not available.

Table 1 notes

Table 1 note 1

Total clinical cases are the sum of confirmed and probable: WNV neurological and non-neurological syndromes, along with any unclassified or unspecified cases.

Return to table 1 note 1 referrer

Table 1 note 2

Likely related to travel outside the Province/Territory. These cases are included in either the total clinical cases or WNV asymptomatic infections.

Return to table 1 note 2 referrer

Table 1 note 3

Satisfies WNV diagnostic test criteria in the absence of clinical criteria. This category could include asymptomatic blood donors whose blood is screened using a nucleic acid amplification test, by blood operators (i.e. Canadian Blood Services or Hema-Quebec) and is subsequently brought to the attention of public health officials. Blood operators in Canada perform a supplementary WNV specific nucleic acid amplification test following any positive donor screen test result.

Return to table 1 note 3 referrer

Table 1 note 4

Saskatchewan provides counts of WNV neurological syndrome cases only.

Return to table 1 note 4 referrer

Table 2: WNV mosquito surveillancetable 2 note * in Canada, as of July 21, 2018
Province / Territory Number of positive mosquito pools Number of mosquito pools tested Percentage of positive mosquito pools (%)
Saskatchewan 4 323 1.24
Manitoba 40 962 4.15
Ontario 12 3,784 0.32
Québec 0 573 0.00
Total 56 5,642 0.99

Table 2 notes

Table 2 note 1

Mosquito surveillance data is reported by the following four provinces: Quebec, Ontario, Manitoba, and Saskatchewan.

Return to table 2 note * referrer

Table 3: Total number of WNV mosquito pools tested by report week and by province/ territory, 2018table 3 note
Province Report Week Total
23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
Saskatchewan 15 18 17 45 54 79 95 - - - - - - - - - - - 323
Manitoba 39 89 107 124 122 241 240 - - - - - - - - - - - 962
Ontario - - - 842 955 1,024 963 - - - - - - - - - - - 3,784
Québec 69 77 105 105 - 108 - - - - - - - - - - - - 573
Total 123 184 229 1,116 1,131 1,532 1,298 - - - - - - - - - - - 5,642

'-' = Not available.

Table 3 notes

Table 3 note 1

Detailed West Nile Virus mosquito surveillance data can be accessed through provincial/territorial websites.

Return to table 3 note referrer

Figure 4: Number of WNV positive dead wild birds in Canada by reported week, 2018figure 4 note *
Figure 4. Text version below.

Figure 4 notes

Figure 4 note *

Not all provinces conduct dead wild bird surveillance as part of their respective WNV surveillance program. However, WNV positive dead wild birds may be identified through the National Wildlife Disease Surveillance Program, CWHC.

Return to figure 4 note * referrer

Figure 4 - Text description

As of week 29, ending July 21, 2018, there are nine WNV cases in birds, in Canada.

Table showing the reported number of dead birds tested positive for WNV in Canada, by province/territory and by report week, 2018 season.
Province Jun Jul Aug Sept Oct Nov Total
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48
Québec 0 0 0 0 0 0 0 2 - - - - - - - - - - - - - - - - - - - 2
Ontario 0 0 0 0 0 0 0 4 - - - - - - - - - - - - - - - - - - - 4
Manitoba 0 0 3 0 0 0 0 0 - - - - - - - - - - - - - - - - - - - 3
Saskatchewan 0 0 0 0 0 0 0 0 - - - - - - - - - - - - - - - - - - - 0
Total 0 0 3 0 0 0 0 6 - - - - - - - - - - - - - - - - - - - 9

'-' = Not available.

Figure 5: Percentage of dead wild birds positive for WNV by report week in 2012, 2015, 2016, 2017, 2018 and number of dead birds positive in Canada by report week, 2018figure 5 note *
Figure 5. Text version below.

Figure 5 notes

Figure 5 note *

Not all provinces conduct dead wild bird surveillance as part of their respective WNV surveillance program. However, WNV positive dead wild birds may be identified through the National Wildlife Disease Surveillance Program, CWHC.

Return to figure 5 note * referrer

Figure 5 - Text description
Table showing percentage of dead wild birds positive for WNV by report week in 2012-2018 and number of dead birds positive in Canada by report week, 2018*
Jun Jul Aug Sept Oct Nov
22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47
2013 Percentage positive 0 0 0 0 20 0 0 56 20 45 47 38 38 75 69 67 60 67 0 50 100 0 17 0 0 0
2014 Percentage positive 0 0 0 0 0 0 0 0 0 0 15 20 29 31 0 27 75 0 20 0 50 0 0 0 0 0
2015 Percentage positive 0 0 100 0 0 0 100 83 60 73 0 25 67 83 57 50 80 67 0 21 0 0 0 0 50 0
2016 Percentage positive

0

0

0

0

0

0

0

0

0

0

33

50

23

25

80

43

43

20

36

0

80

0

0

0

0

0

2017 Percentage positive

0

0

0

100

25

50

100

33

87

86

53

77

74

87

80

71

57

31

43

33

20

50

50

0

0

0

2018 Percentage positive

0

0

100

0

0

0 0 67 - - - - - - - - - - - - - - - - - -
2018 Number positive

0

0

3

0

0

0 0 6 - - - - - - - - - - - - - - - - - -

'-' = Not available.

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