Peak Transmission of Mosquito-Borne Illness Extends Through September in Massachusetts
As we transition from hot, humid summer days to weather that evokes feelings of fall, we must remain on guard when it comes to protecting ourselves from biting insects, including mosquitoes. Mosquitoes usually remain active until hard frost.
An outbreak of Eastern Equine Encephalitis, also known as EEE, is occurring in Massachusetts in 2019, with the first human cases of EEE taking place in the state this year since 2013, as reported by state public health officials.
The MA Department of Public Health states that EEE is a rare but serious and potentially fatal disease that can affect people of all ages. EEE has occurred sporadically in Massachusetts, with the most recent outbreak years occurring from 2004-2006 and 2010-2012. (The MA Department of Public Health states that since EEE was first identified in Massachusetts in 1938, fewer than 100 cases have been reported. Over 60% of those cases have been from Plymouth and Norfolk Counties.)
What is EEE? Eastern Equine Encephalitis is a rare disease caused by a virus that is spread by mosquito vectors. It is one of a group of mosquito-borne viruses that can cause encephalitis (inflammation of the brain). “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 will often be permanently disabled. Few people recover completely.” Source: https://www.mass.gov/service-details/eee-eastern-equine-encephalitis
Two types of infection are reported by the Centers for Disease Control and Prevention (CDC): systemic or encephalitic. Across the United States, according to the CDC, 5-10 cases of EEE are reported annually. This virus is transmitted through the bite of an infected mosquito. (Transmission does not occur from person to person.) For more information about symptoms and treatment, visit: https://www.cdc.gov/easternequineencephalitis/tech/symptoms.html
The MA Department of Public Health has announced a fourth human case of EEE in Massachusetts in 2019. Laboratory testing has confirmed EEE in a male over the age of 60 in southern Plymouth County, a male between the ages of 19-30 in eastern Worcester County, a male over the age of 60 in northern Franklin County, and a female over the age of 50 in southern Bristol County. Of these cases, one individual has reportedly passed away.
At the time this article was written, EEE virus activity has been detected in Barnstable, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, and Worcester counties. As of 8/29/19, the MA Department of Public Health categorizes at least 27 communities as “Critical Risk”; 37 communities as “High Risk”; and 126 communities as “Moderate Risk”. For a map of these locations, visit: http://www.mosquitoresults.com/ .
As a result, aerial applications of an insecticide have been made in certain areas of Massachusetts. While aerial spraying is expected to reduce the number of mosquitoes in these areas that can spread EEE, aerial applications (which target adult mosquitoes, not developing mosquito larvae), do not eliminate risk. For more information about aerial spraying for mosquitoes in these areas, visit: https://www.mass.gov/guides/aerial-mosquito-control-summer-2019 . This web page includes information about the pesticide product used in aerial spraying activities and the product’s active ingredients, as well as “Frequently Asked Questions” many may have about aerial spraying in Massachusetts.
Who is at risk? Anyone in an area where the virus is circulating can become infected with EEE; however, the CDC states that the risk is highest for people who live in, or visit, woodland habitats, and those who work outside (arborists, gardeners, golf course personnel, land managers, landscapers, and other landscape practitioners) or participate in outdoor recreational activities (campers, golfers, hikers, sports participants, etc.) due to greater exposure to potentially infected mosquitoes.
How can people minimize risk? Prevention of mosquito bites is vital. For areas in Massachusetts, even where aerial spraying has occurred, the MA Department of Public Health urges residents to continue to protect themselves from mosquito bites by taking various preventative measures. These include:
- Staying indoors during peak mosquito hours (between dusk and dawn) – the MA Department of Public Health provides recommended cancellation times for outdoor activities in high risk areas here: https://www.mass.gov/guides/aerial-mosquito-control-summer-2019 .
- Applying CDC recommended insect repellent when outdoors – those containing DEET, picaridin, IR3535, or oil of lemon eucalyptus have been recommended by the Centers for Disease Control for use on exposed skin/clothing when used as instructed on the label. Permethrin has also been recommended for use on clothing when used according to label instructions.
- A note about natural insect repellents (those not registered with the EPA): the effectiveness of non-EPA registered insect repellents, including some natural repellents, is not known. To protect yourself against mosquito-borne diseases, the CDC recommends using an EPA-registered insect repellent.
- Wearing long sleeves and pants, weather permitting.
- Repairing screens on doors and windows.
How can mosquitoes be managed in our landscapes? The University of Maryland Extension provides an excellent overview of steps we can take to reduce mosquitoes around homes:
- Keep gutters clean and be sure they drain properly.
- Remove sources of standing water in yards, where mosquitoes can breed – drain water out of flower pots, plant saucers, tarps, buckets, barrels, tires, bird baths, trash containers, toys, child’s wading pools, and other various containers and objects that can trap water.
- Use Bacillus thuringiensis israelensis (Bti) (Mosquito Dunks®, Mosquito Bits®, or similar products) according to label instructions to reduce breeding larvae. Bti is a naturally occurring bacterium found in soils, which targets and kills mosquito larvae, posing no threat to humans, pets, honeybees, etc. Bti may be purchased at businesses that sell garden products. For more information about Bti, visit: https://www.epa.gov/mosquitocontrol/bti-mosquito-control .
For more information about mosquito management in landscapes, go to https://extension.umd.edu/hgic/topics/controlling-mosquitoes.
For more information about EEE and managing mosquitoes, visit:
MA Department of Public Health:
Centers for Disease Control and Prevention:
University of Maryland Extension:
Colorado State University Extension:
Tawny Simisky, UMass Extension Entomologist