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# What is West Nile Fever?
- URL: https://www.upscprep.com/west-nile-fever-virus-culex-mosquitoes-kerala-upsc/
- Published: 2024-05-08T17:08:49.000Z
- Updated: 2024-05-08T17:08:49.000Z
- Description: GS3 | Diseases | Science & Technology
- Author: UPSCprep.com
- Tags: Current Affairs, UPSC Prelims, #show-toc

### Why in the News?

The Kerala health department is on alert after the death of a 47-year-old from Thrissur due to the West Nile Virus. 

![Kerala on alert as man dies of West Nile Fever | UPSC | THE HINDU](https://storage.ghost.io/c/92/07/9207d054-5e99-4b26-b8c8-424994497a07/content/images/2024/05/image-37.png)

- Earlier in 2019, a six-year-old boy in Malappuram district had died of the same infection.
- The virus was first reported in the state, in Alappuzha in 2006 and then in Ernakulam in 2011\.

---

### What is the West Nile Virus?

- The West Nile Virus is a **mosquito-borne**, **single-stranded RNA virus**.
- It is a flavivirus related to the viruses that cause St. Louis encephalitis, Japanese encephalitis, and yellow fever.

### How does it spread?

- **Culex species of mosquitoes** act as the principal vectors for transmission.  
  - It is transmitted by infected mosquitoes between and among humans and animals, including birds, which are the reservoir host of the virus.

![Culex Mosquitoes | Spread West Nile Virus and Japanese Encephalitis (JE) | UPSC](https://storage.ghost.io/c/92/07/9207d054-5e99-4b26-b8c8-424994497a07/content/images/2024/05/image-36.png)

![West Nile Virus | West Nile Fever | UPSC](https://www.drishtiias.com/images/uploads/1630394917_image1.jpg)

- WNV can also spread through:
  - Blood transfusion
  - From an infected mother to her child
  - Exposure to the virus in laboratories.
- It is **not known to spread by contact** with infected humans or animals.
  - To date, **no human-to-human transmission** of WNV through casual contact has been documented.

### Incubation Period

The **incubation period**, according to CDC, for WNV disease is 

- Typically **2 to 6 days**
  - But can range from 2 to 14 days.
- It can be for several weeks in immunocompromised people.

### Symptoms

- **Asymptomatic** in **80%** of the infected people.
- The rest of the **20%** develop **West Nile fever** or severe West Nile disease.
  - The symptoms include f**ever, headache, fatigue, body aches, nausea, rash,** and **swollen glands**.
- **Severe infection** can lead to neuroinvasive diseases such as:  
  - West Nile encephalitis
  - Meningitis
  - West Nile poliomyelitis
  - Acute flaccid paralysis
  - WNV-associated Guillain-Barré syndrome
  - Radiculopathy

*Note: It usually turns fatal in persons with co-morbidities and immuno-compromised persons (such as transplant patients).*

### **Treatment**

No WNV-specific Vaccine, prophylaxis or treatment is available. 

- Only supportive treatments are given to neuroinvasive WNV patients.
- Health authorities globally advise for personal protective measures to reduce the risk of mosquito bites.

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### Spread of West Nile Virus

![West Nile virus outbreak | UPSC | West Nile Fever](https://images.theconversation.com/files/14459/original/3pcc8w65-1345513025.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&fit=clip)

According to the WHO, human infections attributable to WNV have been reported in many countries in the world for over 50 years.

- The virus was first isolated in a woman in the **West Nile district** of **Uganda** in 1937\.
- In 1997, a more virulent strain caused the death of different bird species in **Israel**, presenting signs of encephalitis and paralysis.
- In 1999, a WMV strain reached New York, producing a large outbreak that spread across the **Americas**, from Canada to Venezuela.

> WNV outbreak sites are found along major bird migratory routes.

Today, the virus is found commonly in **Africa**, **Europe**, the **Middle** **East**, **North** **America**, and **West Asia**.

---

### What are the **Preventive measures?**

In most countries, the peak for WNV infections generally coincides with the period when mosquito vectors are most active, and the ambient temperature is sufficiently high for virus multiplication. 

- Public health departments to ensure **larval source reduction** especially at breeding and resting sites for the mosquito vectors.
- **Active Animal Health Surveillance System**  
  - Since WNV outbreaks in animals precede human cases, an **active animal health surveillance system** is essential  
    - To detect new cases in birds and horses.
    - And provide early warnings to veterinary and human public health authorities.
- **Prevent blood transfusion-transmitted WNV infections** during the active virus transmission period.  
  - It is advised to implement a 28-day blood donor deferral or nucleic acid testing of prospective donors who have visited or lived in an affected area.
  - Donors of organs, tissues and cells living in or returning from an affected area should be tested for WNV infection.

![West Nile Virus Prevention Tips | UPSC](https://storage.ghost.io/c/92/07/9207d054-5e99-4b26-b8c8-424994497a07/content/images/2024/05/image-38.png)

There are several steps **you** can take to reduce your risk of getting bitten by an infected mosquito:

- **Minimize mosquito exposure:**
  - Use insect repellent with DEET, picaridin, IR3535, oil of lemon eucalyptus (OLE), para-menthane-diol (PMD), or 2-undecanone when outdoors, especially during dawn, dusk, and evening.
  - Wear long-sleeved shirts and long pants when possible, especially if you're outdoors during peak mosquito times.
  - Eliminate mosquito breeding grounds around your home by removing standing water sources like gutters, birdbaths, and old tyres.
- **Travel precautions:**
  - If travelling to an area with a high risk of WNV, be extra vigilant about mosquito bite prevention.

By following these preventive measures, you can significantly reduce your chances of getting West Nile Virus.

![](https://storage.ghost.io/c/92/07/9207d054-5e99-4b26-b8c8-424994497a07/content/images/2024/05/image-33.png)

*Source: The Hindu, The Indian Express*

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