NAME: St. Louis encephalitis
SYNONYM OR CROSS REFERENCE: SEV, SELV, Mosquito-borne encephalitis, arbovirus, viral encephalitis
CHARACTERISTICS: Family Flaviviridae (formerly Togaviridae), Flavivirus genus; 40-50 nm diameter, enveloped, positive sense ssRNA; Member of Japanese encephalitis (JE) antigenic complex
PATHOGENICITY: Acute inflammatory disease of short duration involving brain, spinal cord and meninges; most infections are asymptomatic; severe infections marked by acute onset, headache, high fever, nausea, myalgia, and malaise, followed by meningeal signs, stupor, coma, convulsions and paralysis; children may develop urinary tract symptoms; severity increases with age, over 60 has the highest rate of acute encephalitis; fatality rate of 2-22%; HIV infection may be a risk factor; 30-50% of severe cases have prolonged convalescence.
EPIDEMIOLOGY: St. Louis encephalitis occurs in Northern, Southern and Central America; cases occur in temperate latitudes in summer and early fall and are commonly limited to areas and years of high temperature and many mosquitoes
HOST RANGE: Humans, wild birds, other mammals
INFECTIOUS DOSE: Unknown
MODE OF TRANSMISSION: By bite of infective mosquitoes
INCUBATION PERIOD: Usually 4-21 days
COMMUNICABILITY: Not directly transmitted from person to person; virus is not demonstrated in blood of human after onset of disease; viremia in birds 2-5 days; mosquitoes are infective for life
RESERVOIR: Most likely birds; Overwinters possibly in birds, rodents, bats, reptiles, amphibians or surviving mosquito eggs or adults
ZOONOSIS: Yes, from infected animals via mosquitoes; infected animals are asymptomatic
VECTORS: Mosquitoes - Culex spp.
- C. pipiens, C. tarsalis, C, quinquefasciatus, C.
nigripalpus
DRUG SUSCEPTIBILITY: N/A
SUSCEPTIBILITY TO DISINFECTANTS: Susceptible to disinfectants - 1% sodium hypochlorite, 2% glutaraldehyde, 3-8% formaldehyde, alcohol, iodine, phenol iodophors and organic solvents/detergents
PHYSICAL INACTIVATION: Inactivated by heat; reduced by 50% in 10 min at 50o C, completely inactivated in 30 min at 56o C; sensitive to UV and gamma irradiation
SURVIVAL OUTSIDE HOST: Stable in aerosol form for up to 6 hrs at room temperature
SURVEILLANCE: Monitor for symptoms of arthropod-borne viral fever; serological identification and antibody titire
FIRST AID/TREATMENT: No specific treatment; supportive care
IMMUNIZATION: None
PROPHYLAXIS: None
LABORATORY-ACQUIRED INFECTIONS: At least 1 reported infection
SOURCES/SPECIMENS: Blood, CSF, urine and exudates
PRIMARY HAZARDS: Exposure to aerosols of infectious solutions and animal bedding, accidental parenteral inoculation, broken skin contact
SPECIAL HAZARDS: None
CONTAINMENT REQUIREMENTS: Biosafety level 3 practices, containment equipment and facilities for activities using potentially infectious clinical materials and infected tissue culture, animals or arthropods
PROTECTIVE CLOTHING: Laboratory coat; gloves and gown with ties in back and tight wrists when working with agent
OTHER PRECAUTIONS: None
SPILLS: Allow aerosols to settle; wearing protective clothing, gently cover spill with paper towels and apply 1% sodium hypochlorite, starting at perimeter and working towards the centre; allow sufficient contact time before clean up
DISPOSAL: Decontaminate before disposal; steam sterilization, incineration
STORAGE: In sealed containers that are appropriately labelled (in a locked level 3 facility)
Date prepared: March, 2001
Prepared by: Office of Laboratory Security, PHAC
Although the information, opinions and recommendations contained in this Material Safety Data Sheet are compiled from sources believed to be reliable, we accept no responsibility for the accuracy, sufficiency, or reliability or for any loss or injury resulting from the use of the information. Newly discovered hazards are frequent and this information may not be completely up to date.
Copyright ©
Health Canada, 2001
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