Monday, August 27, 2018

PRO/AH/EDR> Hantavirus - Americas (51): USA (ND)

HANTAVIRUS - AMERICAS (51): USA (NORTH DAKOTA)
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Date: Mon 27 Aug 2018
Source: Grand Forks Herald [edited]
<http://www.grandforksherald.com/lifestyle/health/4490921-north-dakota-woman-dies-after-rare-rodent-related-illness>


A northeast North Dakota woman has died after falling ill to a rare
disease that's spread by infected rodent droppings, urine and saliva,
the state Department of Health said Monday, 27 Aug [2018].

The unidentified adult woman fell ill to hantavirus pulmonary syndrome
[HPS]. People can develop [an infection leading to] HPS by breathing
air that's contaminated with the virus when fresh rodent droppings,
urine or nesting materials are disturbed, but it's not transmitted
from person to person.

The woman had possible contact with rodent urine or droppings or
rodents in the environment, according to a news release. She was not
named in a news release nor was her city of residence.

"People need to be mindful of the presence or evidence of wild rodents
or rodent nests when conducting clean-up activities in a house, barn
or other buildings, especially in rural areas," Jill Baber,
epidemiologist for the department, said in a statement. "It is
important to avoid actions that stir up dust, such as sweeping or
vacuuming, if signs of rodents are present."

The state Department of Health has only received 16 reported cases of
HPS since 1993, and 8 of them were fatal. The last reported case was
in 2016.

Early symptoms include fever, muscle and body aches, fatigue,
headache, dizziness, chills, nausea and vomiting. The illness
progresses in a few days to include coughing and severe shortness of
breath.

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[Although this is the 1st case of a hantavirus infection in North
Dakota this year (2018), a previous case of a hantavirus infection was
posted on ProMED-mail in 2016.

The report above indicates that the woman was present in several
settings where her Sin Nombre hantavirus might have been acquired.

The hantavirus involved in this, and other cases in the western USA,
is Sin Nombre virus. Fatalities are due to hantavirus cardiopulmonary
syndrome (HPS). HPS can be very serious, and patients developing the
symptoms should seek medical attention at the earliest possible time.

Infected rodents shed the virus in feces, urine, and saliva.
Individuals opening up cabins or storage areas that have been closed
over winter or cleaning areas with signs of rodent presence should
heed the precautions that the CDC recommends in order to avoid
exposure to the virus
(<https://www.cdc.gov/rodents/cleaning/index.html>).

Deer mice, _Peromyscus maniculatus_, are the reservoir hosts of the
virus. An image of the deer mouse, _P. maniculatus_, can be seen at
<http://www.nsf.gov/news/mmg/media/images/mouse_f.jpg> and in the
report at the source URL above (2nd image). - Mod.TY

HealthMap/ProMED map available at:
North Dakota, United States: <http://healthmap.org/promed/p/236>]

[See Also:
Hantavirus - Americas (42): USA (NY) susp
http://promedmail.org/post/20180623.5872449
Hantavirus - Americas (41): USA (OR)
http://promedmail.org/post/20180614.5856117
Hantavirus - Americas (39): USA (CA)
http://promedmail.org/post/20180603.5835571
Hantavirus - Americas (33): USA (WA), Panama (LS)
http://promedmail.org/post/20180504.5784821
Hantavirus - Americas (32): USA (CA)
http://promedmail.org/post/20180428.5771405
Hantavirus - Americas (30): USA (NM)
http://promedmail.org/post/20180422.5763028
Hantavirus - Americas (26): USA (NM)
http://promedmail.org/post/20180328.5716118
Hantavirus - Americas (19): USA (CO)
http://promedmail.org/post/20180307.5671608
Hantavirus - Americas (18): USA (NM)
http://promedmail.org/post/20180304.5664080
Hantavirus - Americas (16): USA (AZ) comment
http://promedmail.org/post/20180302.5659946
Hantavirus - Americas (14): USA (AZ), Panama (LS)
http://promedmail.org/post/20180301.5657531
Hantavirus - Americas (11): USA, Canada
http://promedmail.org/post/20180213.5625804
Hantavirus - Americas (09): USA, Canada
http://promedmail.org/post/20180201.5600860
2016
----
Hantavirus update - Americas (34): USA (ND)
http://promedmail.org/post/20160721.4360405]
.................................................dk/ty/msp/dk
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