About one in every five people infected with the virus show symptoms, usually similar to the flu, said Dr. Rosmarie Kelly, a public health entomologist with the Georgia Department of Public Health. But officials say about one in 150 people will develop a serious illness that is sometimes fatal, due to brain or spinal cord swelling.
As of Monday, DeKalb workers had visited 800 homes to warn people about the disease, said DeKalb health spokesman Eric Nickens. Staff walked 80 properties with homeowners to assess whether they have places that could be good for laying eggs.
“Mosquitoes that breed,” Nickens said, “they don’t go far from where they are born.”
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For years, DeKalb has been the worst for West Nile in Georgia. Officials say part of the reason is DeKalb's water and sewer system, which has been ignored to the point of being overburdened.
“The older the infrastructure, the higher likelihood you have for broken pipes or anything along the lines that mosquitoes have to lay their larvae in,” Nickens said.
This map shows where mosquitoes tested positive for the West Nile virus. (DeKalb County Board of Health)
Credit: DeKalb County Board of Health
Credit: DeKalb County Board of Health
There have been no human cases reported in Georgia so far this year. Last year, 34 people in Georgia were found to have the virus. A Dunwoody woman in her 90s died from the disease.
“If we get no human cases, it’ll be the first time since 2001,” Kelly said. “I suspect we probably will have human cases, but I also suspect it’ll be a low human case (rate).”
For those in Cobb and Gwinnett counties buzzing with worry, sorry. Officials from both counties said they don’t test mosquitoes in part because of a lack of funding, but Cobb’s health department spokeswoman Valerie Crow said they have two part-time mosquito techs who investigate resident complaints.
Kelly, an entomologist, said the state sets weekly traps in all 159 counties to count the species as a way to predict public health issues, but most of what the state does is education.
Urmila Poudel, a seasonal staff member from the DeKalb County Health Department’s Division of Environmental Health, spreads larvicide pellets in a culvert to help control mosquitoes. After a stretch of heavy rains, mosquitoes tend to multiply. This year, testing is showing an unusually high number of mosquitoes testing positive for West Nile virus. BOB ANDRES /BANDRES@AJC.COM
The West Nile programs in DeKalb and Fulton started about two decades ago when the first stateside case of the disease was confirmed in New York. The only other places in Georgia that test traps for West Nile are Chatham County in the Savannah area; Lowndes County, which sits on the Florida border about 140 miles from Macon; and Glynn County, which is where Brunswick and St. Simons Island are located.
The disease is most common in urban areas with dense populations, so why would those outside the state’s largest city or suburbs test?
“Chatham County has a large tourism industry,” Kelly said. “If they didn’t do mosquito control, they’d have a small tourism industry.”
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Kelly thinks this won’t be a bad year for the disease in Georgia because the weather hasn’t been ideal for the spread of the disease.
Mosquitoes need warm, stagnant water to breed, but the amount on a magnolia leaf after a rain is enough to lay eggs. Once the larvae mature, mosquitoes get the virus from the blood of birds carrying the virus in their system.
To get them before they mature, Fulton has already put chemicals in 8,700 water basins and atop manholes with pooling water to kill mosquito larvae, said Eli Jones, Fulton’s deputy health director.
As for the live ones, he said it took the lab two weeks to a month to tell them the mosquitoes at Frankie Allen Park near Buckhead had tested positive for West Nile. He said they have four traps test positive last year.
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In both counties, the traps use a stinky brew to attract mosquitoes.
Nickens said the staff mixes hay and water in a trash can, then let it get all smelly outside the health department building — “when you take the lid off, it draws quite the aroma” — which crews then use to fill traps with a fan that sucks mosquitoes into a net to be tested.
This all takes time, and money — Nickens said the county’s West Nile budget this year is more than $280,000.
What would help most, he said, is people just dumping water.
“By eliminating the water, that’s half the battle,” he said.
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The West Nile virus is now in our area.