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 2016. Please visit http://www.maricopa.gov/wnv/ for more information about WNV. Characteristics of Human WNV Infections: Maricopa County, 2016 Demographics 63 Non-neuroinvasive† 17 Fever Hospitalized Deaths Gender M/F 45 Neuroinvasive 3 Non-neuroinvasive 5 37/26 Neuroinvasive 22 Encephalitis 23 Meningitis 1 Other Median Age (Range) 50 (4-93) Race/Ethnicity 41 White, Non-Hispanic 2 Black, Non-Hispanic 1 Asian/Pacific Islander 6 Hispanic or Latino 1 Native American 1 Other, Non-Hispanic 11 Unknown *Viremic donors who do not become symptomatic (3) are not included in year total Human Cases of WNV in Maricopa County by Month of Onset, 2012-2016 WNV Cases in Humans and WNV Positive Mosquito Pools in Maricopa County by Month, 2016 20 35 Number of Human Cases 30 Number of Human Cases1 2016 (n=63) 2015 (n=62) 2014 (n=93) 25 2013 (n=52) 20 2012 (n=88) 15 15 10 35 30 Human Cases (n=63) 25 Mosquito Pools (n=113) 20 15 10 5 5 0 10 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Number of Mosquito Pools2 Year Total* Month3 5 A human case is an individual infected with WNV and with a clinically compatible illness 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 1 0 2 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Month Rates of Human WNV Cases in Maricopa County (MC) By City, 2016 Gilbert 3.23 Surprise 4 6 Tempe 2.72 2012 2.44 Glendale 1.49 Phoenix 0.87 Mesa 0.82 Peoria 0.87 1.49 Population statistics for each city were obtained from United States Census Bureau 2016 Population Estimates 2 Rate per 100,000 population = (N/population) * 100,000 3 Rates for cities with ≥ 100,000 populations shown *All MC includes cities displayed in figure, as well as other cities and unincorporated areas with populations <100,000 2013 5 2 3.03 Scottsdale 1 12 3.80 Chandler All MC* WNV Deaths in Maricopa 2012-2016 2014 2015 2016 WNV Mortality Description 2016 Confirmed Deaths 5 Clinical Presentation 4 Encephalitis 1 Meningitis Median Age (Range) 77 (48-93) Gender M/F 1/4 Race/Ethnicity 4 White, Not Hispanic 1 Unknown Mean age of West Nile Virus survivors (48 years) versus deaths (75 years) was statistically significant for 2016 (α=0.05).