Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep....

30
Request of Zika Emergency Response Funding Peter Jiang, Ph.D. Entomologist Mosquito Control Services 405 NW 39 th Ave, Gainesville Florida Tel: 352-393-8287 Email: [email protected] Gainesville is the largest city in the region of North Central Florida and the home of the University of Florida as well as the Santa Fe College. The University of Florida is ranked as the nation's ninth largest university with 51,725 enrollment, plus a total of 15,887 students at the Santa Fe College, making Gainesville home to a significant transient population and one that frequently travels to arbovirus endemic areas abroad. Thus, Gainesville is at great risk of introduction and outbreak of dengue, chikungunya and Zika viruses. The Gainesville Mosquito Control program (GMC) is a city funded mosquito control program that provides mosquito control services for the citizens of Gainesville. Even though GMC is not a State-approved mosquito control program, it carries the same duties as other mosquito control programs: To protect Floridians health and safety and foster the quality of life from pestiferous and disease-carrying mosquitoes without the State funding. GMC uses Integrated Mosquito Management (IMM) approach - a combination of breeding site reduction, biological, chemical and physical control methods and citizen education to maintain targeted species of mosquitoes at acceptable levels. GMC performs regularly scheduled inspections (with treatment if warranted) in over 450 identified mosquito breeding sites, monitors mosquito populations by using CDC light traps to gauge daily mosquito control operations, provides mosquito fish to meet the needs of citizens, and conducts larval control by applying larvicides. GMC also uses ground-level, ultra-low volume (ULV) fogging when large numbers of adult mosquitoes are present in our area, and when source reduction or biological control or larviciding is inadequate. All of GMC employees are licensed with Public Health Pest Control (PHPC) licenses. Alachua County has had four confirmed travel-related cases of Zika infection and more than 31 suspected cases so far. With more than 50% of the county population living within the city of Gainesville, GMC plays a key role in terms of fighting for the Zika infections in Alachua County. So far GMC has, at the request and in coordination with the Department of Health (DOH)-Alachua, investigated and responded to a number of suspected and confirmed cases of Zika infection with limited resources. Furthermore, as mosquito season is under the way, mosquito control staff will be more focused on routine mosquito control operations such as responding to citizen’s service requests and conducting larvicide and adulticide missions. GMC Legislative ID# 160111A

Transcript of Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep....

Page 1: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Request of Zika Emergency Response Funding

Peter Jiang, Ph.D.

Entomologist

Mosquito Control Services

405 NW 39th Ave, Gainesville Florida

Tel: 352-393-8287

Email: [email protected]

Gainesville is the largest city in the region of North Central Florida and the home of

the University of Florida as well as the Santa Fe College. The University of Florida is ranked as

the nation's ninth largest university with 51,725 enrollment, plus a total of 15,887 students at the

Santa Fe College, making Gainesville home to a significant transient population and one that

frequently travels to arbovirus endemic areas abroad. Thus, Gainesville is at great risk of

introduction and outbreak of dengue, chikungunya and Zika viruses.

The Gainesville Mosquito Control program (GMC) is a city funded mosquito control

program that provides mosquito control services for the citizens of Gainesville. Even though

GMC is not a State-approved mosquito control program, it carries the same duties as other

mosquito control programs: To protect Floridians health and safety and foster the quality of life

from pestiferous and disease-carrying mosquitoes without the State funding. GMC uses

Integrated Mosquito Management (IMM) approach - a combination of breeding site reduction,

biological, chemical and physical control methods and citizen education to maintain targeted

species of mosquitoes at acceptable levels. GMC performs regularly scheduled inspections

(with treatment if warranted) in over 450 identified mosquito breeding sites, monitors mosquito

populations by using CDC light traps to gauge daily mosquito control operations, provides

mosquito fish to meet the needs of citizens, and conducts larval control by applying larvicides.

GMC also uses ground-level, ultra-low volume (ULV) fogging when large numbers of adult

mosquitoes are present in our area, and when source reduction or biological control or

larviciding is inadequate. All of GMC employees are licensed with Public Health Pest Control

(PHPC) licenses.

Alachua County has had four confirmed travel-related cases of Zika infection and more

than 31 suspected cases so far. With more than 50% of the county population living within the

city of Gainesville, GMC plays a key role in terms of fighting for the Zika infections in Alachua

County. So far GMC has, at the request and in coordination with the Department of Health

(DOH)-Alachua, investigated and responded to a number of suspected and confirmed cases of

Zika infection with limited resources. Furthermore, as mosquito season is under the way,

mosquito control staff will be more focused on routine mosquito control operations such as

responding to citizen’s service requests and conducting larvicide and adulticide missions. GMC

Legislative ID# 160111A

Page 2: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

is in urgent need for extra funding to hire additional personnel to ensure adequate response

during the upcoming mosquito season.

GMC’s CDC light trap collection indicates that Aedes albopictus is the only container

mosquito species in Gainesville. However, the re-emerging of Aedes aegypti in St. Johns and

Duval Counties is a wakeup call for us. GMC is planning to enhance our surveillance program

by adding BG sentinel traps into our routine trapping system so that the detailed distribution of

Ae. albopictus and Ae. aegypti in the County level can be determined. Aedes albopictus hot

spots will be identified. Currently GMC has 4 BG traps being used for Zika case response. We

want to employ additional BG traps into our 16 trapping zones. GMC is also planning to expand

our ovitrap program from current 2 locations to 16 locations/zones (GMC started monitoring Ae.

albopictus population by using ovitraps last year, we successfully detected the seasonality of

oviposition and egg hatching rate of Ae. albopictus in Gainesville). The results were reported at

“The 13th Anastacia Mosquito Control District’s (AMCD) Workshop” (Please the attached

AMCD2016 PowerPoint presentation).

Last year, GMC conducted a field study to evaluate the efficacy of ULV truck spray

against caged Ae. aegypti. Results indicated that ground ULV spray had poor control of this

species; the average mortality ranged from 2 to 45% 24-hour post treatment (Please see the

attached AMCA.Jiang presentation). However, in a separate study, an excellent control was

yielded by using backpack sprayer to treat the natural population of adult Ae. albopictus. Also,

the number of eggs was reduced significantly (Please see the attached Duet presentation at the

Florida Mosquito Control Association (FMCA)). GMC decided to incorporate this control strategy

into our Zika emergency response plan and to expand this study by testing different adulticides

and backpacks. Because backpack control lasts only for 1-3 days, GMC wants to incorporate

larval control strategy by adding thermal fogger application to achieve a long term control of Ae.

albopictus; as reported by Dr. James Cilek, Navy Entomology Center of Excellence.

Detailed budget for the emergency response for Zika:

Personnel: Two full time equivalent temporary positions. These positions will be responsible for

the BG and ovitraps setup, retrieving, data collection. The two also are in charge of field larval

collection as well as bring the eggs and larvae back to the lab to rear to adult for ID. The two are

required to conduct public education and outreach regularly, door to door inspection and clean

up in the case of Zika cases.

Equipment:

IGEBA TF-34 Thermal fogger: Larvicide application

10 BG traps, batteries and chargers: Aedes albopictus and Ae. aegypti surveillance

Eaton Brother green fluted plastic vases: ovitraps

Germination paper: Used to collect Aedes egg in the field

HOBO water proof shuttle thermometers: Will be used to record field weather data

Page 3: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Curtis Dyna-Fog Twister XL3: Backpack sprayer for adulticide application

IPad: will be used for field data collection

Chemicals:

Vectobac WDG: Larvicide for thermal fogger application

Naturlar DT: Larvicide for small container control

Duet: Adulticide

Miscellaneous:

Lab supplies, computer supplies, bottles, BG lures, dry ice

Page 4: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Gainesville Mosquito Control

Peter Jiang, Ph.D. Entomologist

Gainesville Mosquito Control Services

Legislative ID# 160111C

Page 5: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Which is more dangerous?

Page 6: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Mosquito-Borne Diseases Rising

1900s Malaria

Yellow fever

Dengue

Dog Heartworm

Eastern Equine Encephalitis

St. Louis Encephalitis

Japanese Encephalitis

Venezuelan Equine Encep.

LaCrosse Encephalitis

Western Equine Encep.

2000s Malaria

Yellow fever

Dengue

Dog Heartworm

Eastern Equine Encephalitis

St. Louis Encephalitis

Japanese Encephalitis

Venezuelan Equine Encep.

LaCrosse Encephalitis

Western Equine Encephalitis

West Nile Virus

Chikungunya

Zika virus

1800s Malaria

Yellow fever

Dengue

Page 7: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Surveillance • All control is governed by survey results indicating a specific need • Spray operations should NEVER be scheduled on a recurring

basis!

0

50

100

150

200

250

300

350

400

450

500

5/21 5/28 6/4 6/11 6/18 6/25 7/2 7/9 7/16 7/23 7/30 8/6 8/13 8/20 8/27 9/3 9/10 9/17

Aver

age

# M

osqu

itoes

/per

nig

ht/t

rap

Page 8: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

0.0

5.0

10.0

15.0

20.0

25.0

30.0

SS-1 SS SS+1 SS+2 SS+3 SS+4 SS+5 SS+6 SS+7 SS+8 SR

Aver

age

num

ber o

f mos

quito

es/p

er tr

ap/h

Time (h)

Overall host-seeking patterns of Cq. perturbans and Cx. erraticus. SS, sunset, 20.43 h; SR, sunrise, 6.39 h.

Cq. perturbans Cx. erraticus

Page 9: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Zika Mosquitoes- Container breeder

Page 10: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Questions?

Page 11: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Florida Department of Health (DOH) Paul D. Myers, MS

Administrator

1

Zika Virus Update

2016

FDOH-Alachua

#160111D

Page 12: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Zika Virus

2

Flavivirus: Testing has potential for cross-reactivity with other flaviviruses

Originally identified in Africa and Southeast Asia First identified in Uganda’s Zika Forest in 1947

Transmission Mosquito – Aedes aegypti, possibly Aedes albopictus Transmission in the womb and at the time of birth Sexual (3 documented to date) Transfusion cases (2 recently documented) Lab exposures Detected in breast milk, saliva, and urine but no documented

transmission Outbreaks since 2007

Page 13: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Zika Fever Distribution

3 Courtesy of CDC.

Page 14: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Zika Fever Distribution

4 As of April 18, 2016, courtesy of CDC.

Page 15: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

5

Courtesy of PAHO.

Page 16: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Zika Virus Link to Microcephaly?

6 http://www.cdc.gov/ncbddd/birthdefects/microcephaly.html

Page 17: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Zika Fever Symptoms

7

Incubation period: 2-14 days 1 in 5 people infected will become symptomatic Few hospitalizations

Fever (often low-grade) Rash Joint pain Red eyes

Muscle ache Headache Pain behind the eyes Vomiting

Most common signs and symptoms

Page 18: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

General Aedes aegypti and Aedes albopictus Distribution

Courtesy of FDACS 8

Page 19: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Alachua County Surveillance Network

9

Citizen Complaints Physicians Veterinarians Retention Basin Assessments Sentinel Chicken Flocks Mosquito Traps Dead Bird reporting City of Gainesville Mosquito Control

Page 20: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Alachua County Mosquito Surveillance

Page 21: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

11

Page 22: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Mosquitoes

Page 23: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya
Page 24: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya
Page 25: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Alachua County Vulnerable Pop.

15

Page 26: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

DOH-Alachua Response Activities

16

Response similar to dengue/chikungunya During interview Complete travel history Avoid mosquito bites while ill Highlight prevention methods

Inform local mosquito control officials of suspect cases Inform Arbovirus Surveillance Coordinator on

suspicion of locally acquired cases Provide public information on disease, transmission,

prevention, protective actions

Page 27: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Mosquito Bite Prevention

17

DRAIN water from any containers where water has collected.

CLOTHING: If you must be outside when mosquitoes are active, cover up. Wear shoes, socks, long pants, and long sleeves.

REPELLENT: Apply mosquito repellent to bare skin and clothing. Always use repellents according to the label. Repellents with DEET, picaridin, oil of lemon eucalyptus, para-menthane-diol, and IR3535 are effective. Use netting to protect children younger than 2 months.

See: Mosquito Bite Protection in Florida www.floridahealth.gov/zika

Page 28: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Status

18

To date no cases of locally acquired Zika have been reported

As of June 24: 180 Zika fever cases (travel-associated)acquired outside

the US reported in 24 counties in Florida. (6-23-16 FDOH)

4 Zika fever cases (travel-associated) Alachua County cases acquired outside continental US (6-24-16 FDOH)

35 persons tested in Alachua County (6/24/16 FDOH)

Page 29: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

More Information

19

Paul Myers [email protected] (352) 334-8873

Nadia Kovacevich [email protected] (352) 225-4181

Page 30: Request of Zika Emergency Response Funding · Japanese Encephalitis . Venezuelan Equine Encep. LaCrosse Encephalitis . Western Equine Encephalitis . West Nile Virus . Chikungunya

Budget Effort/Time percentage allocated to Zika

Salaries

2 Full Time Equivalent Positions $89,000 100%

Fringe Benefits (5.4%) $4,050 100%

Equipment

IGEBA TF-34 Thermal Fogger $2,149

10 BG Sentinel Traps, 10 batteries, 10 battery chargers $2,500

Eaton Brothers green fluted pastic vases (5 cases) $150

Germination paper (5 cases) $360

HOBO Water Proof Shuttle thermometer (5) $1,245

Curtis Dyna-Fog Twister XL3 $2,250

Ipads (2) (Field data recording) $1,200

Chemicals

Vectobac WDG (Larvicide) $1,200

Naturlar DT (2 cases) (Larvicide) $3,215

Duet (drum) (Adulticide) $11,943

Miscellaneous $1,500

Lab suplies, computer supplies, bottles, BG lures, dry ice

mailing containers

Total $120,762

Legislative ID# 160111B