Epidemiology of St. Louis encephalitis and other acute encephalitides. 1978

K E Powell, and K D Kappus

Cases of acute encephalitis reported to the CDC are divided into five groups: arboviral (8% of the 1965 to 1974 total), enteroviral (2%), post-infection (25%), encephalitis due to other known agents (3%), and encephalitis of indeterminate etiology (62%). With increased use of live virus vaccines against measles, mumps, and rubella, postinfection encephalitis has decreased, and SLE had become one of the most common preventable encephalitides in the United States. In 1975 SLE virus caused at least 1,791 cases of encephalitis, 42% of the reported total. In addition, the age distribution of persons with encephalitis of indeterminate etiology suggests that SLE virus may be an important contributor to that caegory during the summer months. The warm-weather transmission cycle of the SLE virus is well established. The reservoir is birds. The principal vector is the peridomestic C. pipiens mosquito in the Midwest and South and the rural C. tarsalis in the West. Man is an incidental and dead-end host. The winter reservoir is unknown. Human illness occurs in the summer. Asymptomatic human infections are about 200 times more common than symptomatic infections. Clinical attack rates and severity of illness increase with age. Case-fatality ratios of 35 to 38% have been reported for persons 60 years of age and older. For unknown reasons, SLE virus causes periodic major epidemics. The epidemics are more noticeable and better studied in major cities, but they probably affect rural areas as well. SLE is more common in areas of the country with warm climates. Epidemics in the North, when they occur, begin later but are of the same duration as epidemics in the South. Presumably, large epidemics of SLE can be prevented by mosquito control programs. Cumbersome and possibly insensitive diagnostic techniques impair our evaluation and understanding of SLE and other encephalitides. Insufficient information about the factors causing or preceding SLE epidemics impedes successful preventive measures. The use of emergency mosquito control programs after an epidemic has started has not been shown to reduce the number of human cases.

UI MeSH Term Description Entries
D007303 Insect Vectors Insects that transmit infective organisms from one host to another or from an inanimate reservoir to an animate host. Insect Vector,Vector, Insect,Vectors, Insect
D009032 Mosquito Control The reduction or regulation of the population of mosquitoes through chemical, biological, or other means. Control, Mosquito
D004197 Disease Reservoirs Animate or inanimate sources which normally harbor disease-causing organisms and thus serve as potential sources of disease outbreaks. Reservoirs are distinguished from vectors (DISEASE VECTORS) and carriers, which are agents of disease transmission rather than continuing sources of potential disease outbreaks. Humans may serve both as disease reservoirs and carriers. Disease Reservoir,Human Disease Reservoirs,Infectious Disease Reservoir,Reservoirs of Infection,Infectious Disease Reservoirs,Disease Reservoir, Human,Disease Reservoir, Infectious,Disease Reservoirs, Human,Human Disease Reservoir,Infection Reservoir,Infection Reservoirs,Reservoir, Disease,Reservoir, Infectious Disease,Reservoirs, Human Disease
D004671 Encephalitis, Arbovirus Infections of the brain caused by arthropod-borne viruses (i.e., arboviruses) primarily from the families TOGAVIRIDAE; FLAVIVIRIDAE; BUNYAVIRIDAE; REOVIRIDAE; and RHABDOVIRIDAE. Life cycles of these viruses are characterized by ZOONOSES, with birds and lower mammals serving as intermediate hosts. The virus is transmitted to humans by the bite of mosquitoes (CULICIDAE) or TICKS. Clinical manifestations include fever, headache, alterations of mentation, focal neurologic deficits, and COMA. (From Clin Microbiol Rev 1994 Jan;7(1):89-116; Walton, Brain's Diseases of the Nervous System, 10th ed, p321) Arthropod-Borne Encephalitis,Australian Encephalitis,Encephalitis, Epidemic,Mosquito-Borne Encephalitis,Murray Valley Encephalitis,Arboviral Encephalitis,Arthropod-Borne Viral Encephalitis,Encephalitis, Arthropod-Borne,Encephalitis, Mosquito-Borne,Epidemic Encephalitis,Viral Encephalitis, Arthropod-Borne,Arboviral Encephalitides,Arbovirus Encephalitides,Arbovirus Encephalitis,Arthropod Borne Encephalitis,Arthropod Borne Viral Encephalitis,Arthropod-Borne Encephalitides,Arthropod-Borne Viral Encephalitides,Encephalitis, Arboviral,Encephalitis, Arthropod Borne,Encephalitis, Arthropod-Borne Viral,Encephalitis, Australian,Encephalitis, Mosquito Borne,Encephalitis, Murray Valley,Epidemic Encephalitides,Mosquito Borne Encephalitis,Mosquito-Borne Encephalitides,Valley Encephalitis, Murray,Viral Encephalitis, Arthropod Borne
D004674 Encephalitis, St. Louis A viral encephalitis caused by the St. Louis encephalitis virus (ENCEPHALITIS VIRUS, ST. LOUIS), a FLAVIVIRUS. It is transmitted to humans and other vertebrates primarily by mosquitoes of the genus CULEX. The primary animal vectors are wild birds and the disorder is endemic to the midwestern and southeastern United States. Infections may be limited to an influenza-like illness or present as an ASEPTIC MENINGITIS or ENCEPHALITIS. Clinical manifestations of the encephalitic presentation may include SEIZURES, lethargy, MYOCLONUS, focal neurologic signs, COMA, and DEATH. (From Adams et al., Principles of Neurology, 6th ed, p750) Lethargic Encephalitis, Type C,Meningoencephalitis, St. Louis,Saint Louis Encephalitis,St. Louis Viral Encephalitis,Encephalitis, Saint Louis,Encephalitis, Viral, St. Louis,St. Louis Encephalitis,St. Louis Meningoencephalitis,Type C Lethargic Encephalitis,Louis Meningoencephalitides, St.,Meningoencephalitides, St. Louis,St. Louis Meningoencephalitides
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000367 Age Factors Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time. Age Reporting,Age Factor,Factor, Age,Factors, Age
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D001717 Birds Warm-blooded VERTEBRATES possessing FEATHERS and belonging to the class Aves. Aves,Bird
D012621 Seasons Divisions of the year according to some regularly recurrent phenomena usually astronomical or climatic. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Seasonal Variation,Season,Seasonal Variations,Variation, Seasonal,Variations, Seasonal

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