Tuesday, September 9, 2008

San Mateo County: Tularemia Investigations

Entomology Report June 2008, San Mateo County Mosquito and Vector Control District

In response to a tularemia outbreak in primates housed in a facility in Portola Valley, the entomology staff have been investigating the role of possible vectors responsible for the disease transmission. Tularemia, also known as rabbit fever, is a potentially serious and highly infectious disease caused by a bacterium found in wild mammals, mainly rodents and rabbits. It can be transmitted to humans by a variety of means. Potential ways people can become infected include: ticks, biting flies, exposure to infected animal carcasses, eating or drinking contaminated food or water, or breathing in bacteria suspended in air. Symptoms of tularemia include: sudden fever, chills, headache, diarrhea, muscle aches, joint pain, dry cough, and weakness. This disease is treatable with antibiotics.

District staff have been examining the wildlife in the area to determine the cause of the outbreak. Burrowing ground squirrels are abundant near the facility and serve as a reservoir of infection. One group of vectors under investigation are horse flies in the family Tabanidae. These are large flies with a vicious and painful bite. They mainly feed on the blood of cattle and horses but will also attack humans and presumably other primates.

Two types of traps, a box trap and a malaise trap, were set out in the field to assess fly populations. Ground squirrels were trapped and blood samples were obtained to test for tularemia.

Saturday, May 24, 2008

San Mateo County: Lyme Disease

Entomology Report April 2008, San Mateo County Mosquito and Vector Control District

The district continues to survey for Lyme disease in San Mateo County recreational parks. Disease-causing spirochetes have been detected for the first time in ticks at two additional parks this year: Water Dog Lake in Belmont and Huddart Park in Woodside (refer to table). The average prevalence of infection for San Mateo County is between 1 and 3% for adults and nymphs.

Park/Trail     Tick Stage  # Collected  Positive  Prevalence
Huddart Park
Bay Tree Nymph 91 0 0
Richards Rd Nymph 21 0 0
Chickadee Nymph 84 3 3.6%*
Waterdog Lake
Lake Adults 114 1 0.8%

*Prevalence at this site is preliminary due to small sample size.

Friday, May 23, 2008

San Mateo County: Physician Lyme Disease Survey Follow-Up

Entomology Report March 2008, San Mateo County Mosquito Abatement District

Follow-up on the physician survey on Lyme disease continued in March. Based on survey results, the district mailed educational materials to over 200 primary care physicians in San Mateo County. The mailing consisted of a letter about infection in local ticks, instructions on disease reporting, brochures, and tick identification cards.

Results of the survey were presented to the California Lyme Disease Advisory committee in Sacramento on March 12. On March 20, the district discussed the survey in a teleconference of the Communicable Disease Exchange, a forum of health departments from counties throughout California. Two counties in the coastal region have expressed interest in conducting similar surveys or using the results of the present survey to guide physician education.