Abstract

In 2009, an expansion of West Nile virus (WNV) into the Canadian province of British Columbia was detected. Two locally acquired cases of infection in humans and 3 cases of infection in horses were detected by ELISA and plaque-reduction neutralization tests. Ten positive mosquito pools were detected by reverse transcription PCR. Most WNV activity in British Columbia in 2009 occurred in the hot and dry southern Okanagan Valley. Virus establishment and amplification in this region was likely facilitated by above average nightly temperatures and a rapid accumulation of degree-days in late summer. Estimated exposure dates for humans and initial detection of WNV-positive mosquitoes occurred concurrently with a late summer increase in Culex tarsalis mosquitoes (which spread western equine encephalitis) in the southern Okanagan Valley. The conditions present during this range expansion suggest that temperature and Cx. tarsalis mosquito abundance may be limiting factors for WNV transmission in this portion of the Pacific Northwest.

Highlights

  • In 2009, an expansion of West Nile virus (WNV) into the Canadian province of British Columbia was detected

  • We examined spatial and temporal patterns of WNV activity in British Columbia in relation to mosquito abundance and temperature conditions present during the observed range expansion of 2009

  • Travel histories indicated that neither person had been outside of interior British Columbia during the period of potential exposure and that each had recently traveled in the southern Okanagan Valley, which is 70–80 km south of Kelowna (Figure 1)

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Summary

Introduction

In 2009, an expansion of West Nile virus (WNV) into the Canadian province of British Columbia was detected. West Nile virus (WNV) is a vector-borne flavivirus that is transmitted in an enzootic cycle between birds by mosquitoes; incidental transmission to humans occurs during periods of intense amplification, typically in late summer in the Northern Hemisphere [1]. MostWNV activity has occurred in the southern parts of the country, the virus has been detected as far north as Meadow Lake, Saskatchewan (54°8′N) [11] Despite this widespread activity, no local WNV transmission was detected in Canada’s westernmost province, British Columbia, during the WNV seasons (May to October) of 1999–2008 [7,11]. In August 2009, a long-delayed range expansion of WNV into British Columbia was confirmed; 2 locally acquired cases in humans, 10 positive mosquito pools, and 3 cases in horses were detected by provincial surveillance.

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