Yes I have, but you aren't looking at the data for whatever reason. Let me try again:
These occupations would represent greater exposure than the tourists and the baseline seroprevalence was minimal. It's not always clear what results in the clusters of cases other than sizable increases in rodent populations.
What they need to do is better housekeeping of the tent cabins. That's the thing which stands out when I look at the reports.
It's unfortunately an uphill battle given the way these tent cabins, shelters and what have you are built, not enough staff to care properly for them and the daunting number of tourists that circulate through parks along with the prolific rodent resevoir habits and weather and it's impossible to eliminate exposure potential.
Too bad it's getting late in the year and my vacation time is dwindling. I'd love to go to a less crowded Yosemite.
As a result of growing up in New mexico, Whenever I go into a place where Deer Mice might lurk, I take a spay bottle of dilute bleach solution, wear a mask, and spray the dog-**** out of the place, especially in dark corners and
Wet it down, don't vacuum or sweep when you clean up mice droppings or nests, is what I teach in worker safety classes.
Oh heaven's yes. It happens anytime public health turns to the news media to reach potentially exposed people.
If it's relevant data the health dept usually does. Look at the West Nile notices and you'll see they mention the biggest risk is the elderly and immunocompromised and that most people get a mild illness or no illness.
You are misstating 'my standard' and you continue to ignore the zero positive serologies in all but the most concentrated exposure group.
It depends how many people they tested . That could represent 3 people. I don't know. I haven't seen the actual data.
1 of 5 is a 20% fatality rate, and that's incredibly high.
When they say cases in the Western hemisphere, I's guess that's because related viruses such as the Korean hantavirus don't cause the HPS, but I'd have to look into that.
The Asian and European hantavirus strains cause HFRS or haemorrhagic fever with renal syndrome.
Our local population had ~30% prevalence when surveyed many years ago. The culprit deer mice make their way into my house every few months. There have been a couple cases in the area over the last couple decades. It's just not very commonly transmitted but I still take no chances.
I'll have to read more about the two different presentations. I knew about the hemorrhagic disease but now I'm curious how it might be continent related.
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One of the epidemiologically-interesting things about hanta in the U.S. is that often people infected are travelling so where they become symptomatic is far from where they were infected so local physicians aren't often aware.
It's also reservoir-specific. In other words, each strain is associated with a specific rodent or insectivore host.
That was an isolated case that took place in a nosocomial setting and involved blood to blood transmission.
Really? So the infected health care worker(s) had blood exposures? Wow, I hadn't heard that. All I recall was that a patient was transported some distance to a hospital and at least one health care worker at the hospital then got infected.
This is the one I was thinking of: http://www.ncbi.nlm.nih.gov/pubmed/9284576 However, I came across this which is more robust evidence of person-person transmission. It's not at all common if it is occuring and either some South American strains are unique in their ability for person-person transmission or no one is looking hard in other places.
Thanks for hunting those up.
