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Eau Claire City County Health Department- July Communicable Disease Update

July Communicable

Disease Updates

 

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Cyclosporiasis: What we know, what we don't

You're probably hearing about cyclosporiasis (caused by the parasite cyclospora) in the news. The U.S. is experiencing a multistate outbreak right now.

 

Is cyclosporiasis in our area? Eau Claire County has had four cases since May 1, which is within normal range for this time of year.

 

What is cyclospora? Cyclospora is a parasite that causes watery diarrhea and stomach pain. People are exposed to it by eating contaminated produce or by drinking contaminated water in a country where the parasite is common. It's very unlikely to spread from person to person.

 

What are the current outbreaks tied to? The FDA said earlier this month that the multistate outbreak was linked to Taylor Farms shredded iceberg lettuce, although on July 19 it said the positive cyclospora test should be considered a false positive. The FDA is continuing to work with states to collect and analyze samples to test for cyclospora.

 

Taylor Farms on July 17 said it would remove all iceberg lettuce sourced from central Mexico from the U.S. market. The recall included Marketside-brand lettuce sold at Walmart:

  • 12-ounce and 24-ounce Iceberg Salad with "best if used by" dates July 18 to August 3
  • 8-ounce and 16-ounce Shredded Lettuce with "best if used by" dates July 18 to August 3

 

What are the signs of cyclosporiasis? Symptoms usually begin 2-14 days after being exposed to the parasite:

 

  • Watery diarrhea
  • Stomach cramps
  • Loss of appetite
  • Weight loss
  • Fever
  • Nausea
  • Fatigue

 

Symptoms can last from a few days to months if left untreated. Symptoms may come in cycles where they seem to go away, but come back again.

 

Is there treatment? Cyclosporiasis can be treated with antibiotics. Getting rest and drinking fluids are especially important if you have diarrhea.

 

What do I do if I think I have cyclosporiasis? Talk to your doctor or health care provider.

 

How can I reduce risk? Wash your hands before cooking. Wash fruits and veggies under running water before cutting, cooking, or eating. For firmer fruits and veggies, use a clean produce brush to scrub them.

 

Health officials have recommended buying whole heads of lettuce (rather than prewashed, bagged lettuce or salad mixes), throwing away the outer 2-3 layers of leaves, and washing the inner leaves under running water. Veggies and fruits are also safer when cooked.

 

When travelling in other countries, avoid eating raw produce or undercooked food, drink only bottled water, and avoid ice. 

 

Is cyclospora common? It's not common in Wisconsin and the U.S., although Wisconsin usually sees an increase in cyclospora cases in the summer. Cases are usually tied to international travel or eating contaminated imported produce.

West Nile Virus and mosquitoes

This year's first instances of confirmed West Nile virus (WNV) activity in Wisconsin were reported this month: mosquitoes collected in Milwaukee County and a wild bird from Bayfield County tested positive for WNV.

 

When are people at risk? The risk of getting sick with WNV is highest in late summer and early fall. Last year Wisconsin had 27 confirmed and probable human cases, including one in Eau Claire County.

 

What are the symptoms? Most people who get WNV don't have symptoms. People who do get sick may have fever, chills, headache, muscle aches, rash, and fatigue. Some people will become severely ill with symptoms like a high fever, muscle weakness, stiff neck, disorientation, mental confusion, tremors, paralysis, seizure, and coma. Older adults and people with weakened immune systems have more risk of developing severe illness that can be fatal.

 

How is WNV monitored? Health departments monitor mosquitoes and birds for WNV because it helps us understand where and when the virus is active, and know when to alert people about higher risk.

 

How does it spread? WNV is spread to humans, birds, and other animals via infected mosquitoes. The virus doesn't directly spread from person to person, animal to animal, or animal to person.

 

How can I reduce risk? Prevent mosquito bites when you can:

 

  • Use bug spray with DEET, picaridin, oil of lemon eucalyptus, or IR3535 on exposed skin or clothing.
  • Wear long sleeves, pants, and socks when outside.
  • If you have outdoor activities in the evening or early morning, when mosquitoes that spread WNV are most active, consider rescheduling.
  • Trim or mow tall grass, weeds, and vines. Mosquitoes use these areas to rest during hot daylight hours.
  • Get rid of any standing water around your home.

 

If you suspect you have WNV symptoms, talk with your doctor or a health care provider.