Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/10956
Title: The changing epidemiology of Murray Valley encephalitis in Australia: the 2011 outbreak and a review of the literature.
Authors: Selvey, Linda A
Dailey, Lynne
Lindsay, Michael
Armstrong, Paul
Tobin, Sean
Koehler, Ann P
Markey, Peter G
Smith, David W
Affiliation: School of Public Health, Curtin University, Perth, Western Australia, Australia..
Independent consultant, Perth, Western Australia, Australia..
Environmental Health Directorate, WA Health, Perth, Western Australia, Australia..
Communicable Disease Control Directorate, WA Health, Perth, Western Australia, Australia..
Communicable Diseases Branch, Health Protection NSW, NSW Health, Sydney, New South Wales, Australia..
Communicable Disease Control Branch, SA Department for Health and Ageing, Adelaide, South Australia, Australia..
Centre for Disease Control, Department of Health, Northern Territory, Australia..
School of Pathology and Laboratory Medicine, Faculty of Medicine, Dentistry and Health Sciences, University of Western Australia, Perth, Western Australia, Australia..
Issue Date: 2014
Citation: PLoS neglected tropical diseases 2014; 8(1): e2656
Abstract: Murray Valley encephalitis virus (MVEV) is the most serious of the endemic arboviruses in Australia. It was responsible for six known large outbreaks of encephalitis in south-eastern Australia in the 1900s, with the last comprising 58 cases in 1974. Since then MVEV clinical cases have been largely confined to the western and central parts of northern Australia. In 2011, high-level MVEV activity occurred in south-eastern Australia for the first time since 1974, accompanied by unusually heavy seasonal MVEV activity in northern Australia. This resulted in 17 confirmed cases of MVEV disease across Australia. Record wet season rainfall was recorded in many areas of Australia in the summer and autumn of 2011. This was associated with significant flooding and increased numbers of the mosquito vector and subsequent MVEV activity. This paper documents the outbreak and adds to our knowledge about disease outcomes, epidemiology of disease and the link between the MVEV activity and environmental factors. Clinical and demographic information from the 17 reported cases was obtained. Cases or family members were interviewed about their activities and location during the incubation period. In contrast to outbreaks prior to 2000, the majority of cases were non-Aboriginal adults, and almost half (40%) of the cases acquired MVEV outside their area of residence. All but two cases occurred in areas of known MVEV activity. This outbreak continues to reflect a change in the demographic pattern of human cases of encephalitic MVEV over the last 20 years. In northern Australia, this is associated with the increasing numbers of non-Aboriginal workers and tourists living and travelling in endemic and epidemic areas, and also identifies an association with activities that lead to high mosquito exposure. This outbreak demonstrates that there is an ongoing risk of MVEV encephalitis to the heavily populated areas of south-eastern Australia.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/10956
DOI: 10.1371/journal.pntd.0002656
Type: Journal Article
Review
Subjects: Adult
Aged
Animals
Australia
Child, Preschool
Encephalitis Virus, Murray Valley
Encephalitis, Arbovirus
Female
Humans
Infant
Male
Middle Aged
Weather
Young Adult
Disease Outbreaks
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