Laurel County man talks about bout with West Nile; one of few diagnosed with disease in Kentucky

A Laurel County man has shared his story after contracting the West Nile Virus, which, though rare in Kentucky, has been more common nationwide this year than it has been since it was first discovered in 1999.

Kelly Curens spent three weeks at the University of Kentucky medical center, much of which was spent in an induced coma. He started feeling sick after a camping trip at Lake Cumberland, reports Phil Penderton for WKYT-TV. The illness started with a headache and graduated to feeling dizzy, which were symptoms to similar to ones he experienced a few years ago when he was diagnosed with a brain tumor. When he went to the emergency room at St. Joseph London hospital, he had a seizure. 

Curens was one of the first in Kentucky to be positively diagnosed with the virus, which has affected more than 1,100 people nationwide this year. About half of the cases have been in Texas. Four horses have been diagnosed with the disease in Kentucky since Aug. 2. Craig Carter, director of the UK Veterminary Diagnostic Lab, said Kentucky is "still in the high-risk part of the season for West Nile infection."

Curens has been treated and is feeling much better now. "From what I was told, I'm very lucky," he said. "My blood sugar and blood pressure has always been good. Had I not been healthy I probably wouldn't be here today."

The elderly, infants and babies at the most risk, said Marion Pennington, regional epidemiologist at the Cumberland Valley District Health Department.

To protect oneself from the West Nile Virus, officials advise to:
• Dispose of tin cans, plastic containers, ceramic pots and other containers that could collect water.
• Remove discarded tires from properties. They are the most common mosquito breeding grounds in the country.
• Drill holes in recycling containers.
• Drain gutters properly and clean gutters in the spring and fall.
• Turn over swimming pools and wheelbarrows when they aren't in use.
• Change the water in birdbaths on a regular basis.
• Clean and chlorinate swimming pools and hot tubs.
• Make sure screens on windows don't have holes in them.
• Wear long-sleeve shirts and long pants when outside in the early morning and late evening. (Read more)

West Nile outbreak light in Ky. but 'one of the largest' in nation

U.S. health officials reported Wednesday three times the usual number of West Nile cases for this time of year and one expert told the Associated Press it was “one of the largest” outbreaks since the virus appeared in this country in 1999.

So far, 1,118 illnesses have been reported, about half of them in Texas, according to the Centers for Disease Control and Prevention. Kentucky has reported few cases.

In an average year, fewer than 300 cases are reported by mid-August. There have also been 41 deaths this year. Most infections are usually reported in August and September, so it’s too early to say how bad this year will end up, CDC officials said. AP reports that West Nile virus peaked in 2002 and 2003, when severe illnesses reached nearly 3,000 and deaths surpassed 260.

 The best way to prevent West Nile disease, say experts, is to avoid mosquito bites. Insect repellents, screens on doors and windows and wearing long sleeves and pants are some of the recommended strategies. Also, empty standing water from buckets, kiddie pools and other places to discourage breeding. (Read more)

Many more serious cases of West Nile virus reported this year, but only one in Kentucky

Though only one Kentuckian has been affected, more serious cases of people infected by the West Nile virus have been reported this year than any since 2004. Through July, 241 cases were reported in 22 states. The virus has caused four deaths. Nearly 150 cases have been in Texas, particularly in the Dallas area, reports Mike Stobbe for The Associated Press.

Of the 241 cases, 144 were considered serious, meaning the virus spread to the brain and nervous system, causing, among other ailments, encephalitis. Last year, less than 700 cases were reported.
Health officials blame the combination of a mild winter, early spring and hot summer, prime conditions for mosquitoes to breed. "Unless the weather changes dramatically, we'll see more cases (in 2012) than we have in the last couple of years," said Roger Nasci of the Centers for Disease Control and Prevention.

About 1 in 5 people who are infected with the virus get sick. One in 150 get severe symptoms, including neck stiffness, disorientation, coma and paralysis, Stobbe reports. (Read more)

EPA says DEET is safe for fighting off skeeters when used correctly; some natural alternatives are also effective

Though April showers did bring May flowers, May's seemingly constant rain also grew something else in Kentucky: mosquitoes — and lots of them. To protect oneself from the irritating suckers (Getty Images), there is a host of products from which to choose.

The most obvious are products containing DEET, a synthetic compound that was approved for the general public in 1957, reports Amanda Leigh Mascarelli of the Los Angeles Times. DEET is used by 30 percent of Americans each year, the Environmental Protection Agency reports. A 2009 market survey showed products containing the compound accounted for 90 percent of the insect repellent market.

(LAT photo Kirk McKoy) Though popular, DEET has its drawbacks. It can dissolve some plastics, such as soldier's goggles, watchbands and computer keyboards. It can pollute soil and water, is sticky on skin, is not effective against all insects, and is smelly. Is it unsafe? That is a common conception, but EPA insists it is safe when used properly. "There really is no chemical out there that works better than DEET," said Donald Roberts, a retired professor of tropical public health at the Uniformed Services University of the Health Sciences. (Read more)

There are more natural alternatives on the market. Oil of lemon eucalyptus (LA Times photo by Hatley Mason), which is sold under the name Citriodiol, has been proven effective for six or more hours and is found in brands like Repel, Cutter and Coleman Botanicals. Though more natural than DEET, it is still considered a hybrid natural/synthetic product.

A pine oil derivative called isolongifolenone also shows great promise, though testing is still ongoing. "It does look as if this organic repellent functions pretty much at an equal level with DEET, maybe even better," Roberts said. "Until we have a lot more test data, it would be hard to give a definitive statement on that, but I would say that it shows real promise." It is hoped the product will be on the market within 18 months.

Unlike compounds such as DEET, natural repellents are characterized as "minimum-risk pesticides" by EPA, making them "exempt from safety testing because their active and inert ingredients have been deemed safe for intended use," Mascarelli reports. But the manufacturers do not have to prove how well these natural repellents work. For the most part, they do work, but generally not for very long. The lemon-eucalyptus and pine oil alternatives seem to be the exception. (Read more)

Fight is on against mosquitoes, West Nile virus after flooding

The fight is on to rid Western Kentucky of a mosquito infestation  worsened by recent flooding. Treatment to kill adult mosquitoes began Wednesday night, The Gleaner of Henderson reports.

The effort is partly to prevent the spread of the West Nile virus, a potentially serious illness. Mild infection can result in fever, headache, body ache and a skin rash. Severe infection, which affects about 1 in 150 infected people, can lead to high fever, disorientation, sleepiness and even coma, paralysis and death. Mosquitoes can transmit the infection to humans with a bite. (Centers for Disease Control and Prevention diagram)

The state's plan is a two-part process, killing adult mosquitoes and their larvae. It uses aerial spraying over 700,000 acres in Western Kentucky, concentrating on areas along or near waterways where flooding was most problematic. Planes will spray from dusk until after midnight until treatment is complete. Afterward, ground crews with the Transportation Cabinet will treat against mosquito larvae in standing water. The state Department of Agriculture will also spray ditch lines along roads. Chemicals used in the treatments are only harmful to mosquitoes, gnats and black flies, a state press release reads. It is safe for humans, pets and livestock.

Residents are asked to eliminate standing water in containers on their property and wear insect repellent and long-sleeved clothing. (Read more)