The Massachusetts Department of Health (DPH) announced last week that mosquitoes infected with Eastern Equine Encephalitis (EEE) and West Nile virus (WNV) were found in Bolton, at Bolton Flats. The Aug. 25 announcement prompted an emergency meeting of Bolton's Board of Selectmen, who ultimately decided in favor of conducting truck-based aerial spraying for mosquitoes on roads deemed to be in close proximity to the area, including along Still River Road. The spraying took place Monday, Aug. 30, from 8 p.m. to midnight. (Bolton residents on targeted roads were given the choice to opt out.)
The announcement came on the heels of a press release issued by the DPH on Aug. 18, reporting that a horse in Lancaster had been diagnosed with, and ultimately died from, EEE. This was the second equine death in Worcester County attributed to the disease this year, and the fourth in the state.
Harvard Board of Selectman Chairman Peter Warren told the Press this week that he will invite Board of Health Chairman Jack Spero to the next Board of Selectmen meeting to discuss the situation and whether Harvard should consider spraying. He said he would also invite representatives from the Central Mass. Mosquito Control Program (CMMCP) to discuss the services they offer, and the risks associated with the transmission of EEE and WNV.
Late last week the DPH announced that the first cases of WNV and EEE were confirmed in two Massachusetts residents. The first case was a 46-year-old woman from Suffolk County who was diagnosed with WNV. The patient developed symptoms on Aug. 18 and was hospitalized on Aug. 20. The DPH reports that her condition has since improved and she is expected to be discharged soon.
The second case is a 43-year-old man from Middleborough who was diagnosed with EEE. He developed symptoms on Aug. 21 and was hospitalized on Aug. 23; he remains hospitalized. The town of Middleborough asked CMMCP to conduct "aggressive ground spraying, especially in the downtown area, sports fields, and schools." Middleborough officials requested that all outside activities from dusk to dawn be canceled or rescheduled until further notice, and advised residents to use repellent and protective clothing.
Both EEE and WNV are spread to humans through the bite of an infected mosquito. The DPH reports that there have been 10 human cases of WNV in Massachusetts during the last five years. There were no human cases of EEE during 2009. Between 2004 and 2006 there were 13 cases, with six deaths.
There is no treatment for EEE. In Massachusetts, about half of the people identified with EEE died from the infection. People who survive this disease are often permanently disabled; few people recover completely.
However, according to the DPH, EEE is a very rare disease in humans. Since the virus was first identified in Massachusetts in 1938, fewer than 100 cases have occurred; more than 60 percent of those cases have been from Plymouth and Norfolk counties. The department reports that outbreaks of EEE usually occur in Massachusetts every 10 to 20 years, with outbreaks typically lasting two to three years.