West Nile Virus 2014 End of Year Report West Nile virus (WNV) arrived in Arizona in 2003 and is now endemic in Maricopa County. The Maricopa County Department of Public Health (MCDPH) Office of Epidemiology collaborates with the Maricopa County Department of Environmental Services (MCDES) Office of Vector Control to identify and monitor areas of WNV activity. This report describes trends in human infections during 2014. Please visit http://www.maricopa.gov/wnv/ for more information about WNV. Characteristics of Human WNV Infections: Maricopa County, 2014 Non-neuroinvasive† † 13 3 93 Neuroinvasive† =Fever =Fever in donor 43 28 3 Hospitalized =Encephalitis =Meningitis =Other 70 4 2 Deaths Gender M/F 12 49/44 =Neuroinvasive =Non-neuroinvasive =Unknown severity 60 (0-93) *Viremic donors who do not become symptomatic (10) are not included in year total †Manifestation of disease was not known for 3 cases Human Cases of WNV in Maricopa County by Month of Onset, 2010-2014 40 Number of Human Cases1 2014 (n=93) 40 Number of Human Cases =White, Non-Hispanic =Hispanic or Latino =Black, Non-Hispanic =Asian/Pacific Island =Other, Non-Hispanic =Unknown WNV Cases in Humans and WNV Positive Mosquito Pools in Maricopa County by Month, 2014 45 2013 (n=52) 35 2012 (n=88) 30 2011 (n=45) 2010 (n=115) 25 20 15 70 Human Cases (n=93) 35 30 60 50 Mosquito Pools (n=232) 25 40 20 30 15 20 10 10 5 0 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 10 Month3 5 1 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Month A human case is an individual infected with WNV and with a clinically compatible illness 2 Mosquito pools are a collection of mosquitoes collected by MCDES from a county trap and tested positive for WNV 3 Human data are based on date of symptom onset, mosquito data are based on date of mosquito collection WNV Deaths in Maricopa County, 2010-2014 TOTAL Tempe Surprise Scottsdale Phoenix Peoria Mesa Glendale Gilbert Chandler Number of Deaths Rates of Human WNV Cases in Maricopa County By City, 2014 1.4 2.38 0.81 City1,3 5.72 1.65 3.69 15 12 6 4 5 2 0 2010 2011 2012 2013 2014 Year 4.34 WNV Mortality Description 2014 2.8 2.00 12 10 1.97 1.7 0.00 1 69 12 1 1 2 8 Number of Mosquito Pools2 Year Total* Demographics Median Age (Range) Race/Ethnicity 4.00 6.00 Rates per 100,0002 8.00 Population statistics for each city were obtained from United States Census Bureau 2013 Population Estimates 2 Rate per 100,000 population = (N/population) * 100,000 3 Rates for cities with ≥ 100,000 populations shown * Total includes cities displayed in figure, as well as other cities and unincorporated areas with populations <100,000 Confirmed Deaths 12 Clinical Presentation 11 1 =Encephalitis =Fever Median Age (Range) 78 (62-93) Gender M/F 7/5 Race/Ethnicity 10 1 1 =White, Non-Hispanic or Latino =Hispanic or Latino =Unknown Mean age of West Nile Virus survivors (54 years) versus deaths (76 years) was statistically significant for 2014 (α=0.05).