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<br /> Hazard Mitigation Plan | 2022 <br />Epidemic/Pandemic/Vector-Borne Disease Hazards <br />- 95 - <br /> <br />or surfaces contaminated with avian influenza viruses. However, some infections have been <br />identified where direct contact was not known to have occurred. Illness in people has ranged from <br />mild to severe. <br /> <br />The spread of avian influenza A viruses from one ill person to another has been reported very <br />rarely, and when it has been reported it has been limited, inefficient and not sustained. However, <br />because of the possibility that avian influenza A viruses could change and gain the ability to <br />spread easily between people, monitoring for human infection and person-to-person spread is <br />extremely important for public health. <br />Vector-Borne Diseases <br />Vector-borne diseases are human illnesses caused by <br />parasites, viruses and bacteria that are transmitted by <br />vectors. Every year there are more than 700,000 deaths <br />from diseases such as malaria, dengue, schistosomiasis, <br />human African trypanosomiasis, leishmaniasis, Chagas <br />disease, yellow fever, Japanese encephalitis and <br />onchocerciasis. Vectors are living organisms that can <br />transmit infectious pathogens between humans, or from <br />animals to humans. Many of these vectors are <br />bloodsucking insects, which ingest disease-producing <br />microorganisms during a blood meal from an infected host <br />(human or animal) and later transmit it into a new host, after the pathogen has replicated. Often, <br />once a vector becomes infectious, they can transmit the pathogen for the rest of their life during <br />each subsequent bite/blood meal. <br />Mosquito-Borne Viruses <br />Mosquito‐borne viruses belong to a group of viruses commonly referred to as arboviruses (for <br />arthropod‐borne). Although 12 mosquito‐borne viruses are known to occur in California, only <br />West Nile virus (WNV), western equine encephalomyelitis virus (WEE), and St. Louis encephalitis <br />virus (SLE) are significant causes of human disease. WNV continues to seriously affect the health <br />of humans, horses, and wild birds throughout the state. Since 2003, there have been over 6,000 <br />WNV human cases with 248 deaths, and over 1,200 equine cases. <br /> <br />WNV first appeared in the United States in 1999 in New York and rapidly spread across the <br />country to California in subsequent years. California has historically maintained a comprehensive <br />mosquito‐borne disease surveillance and control program including the Mosquito-borne Virus <br />Surveillance and Response Plan, which is updated annually in consultation with local vector <br />control agencies. <br /> <br />Climate change will likely affect vector-borne disease transmission patterns. Changes in <br />temperature and precipitation can influence seasonality, distribution, and prevalence of vector- <br />borne diseases. A changing climate may also create conditions favorable for the establishment <br />of invasive mosquito vectors in California. <br /> <br />For most Californians, WNV poses the greatest mosquito-borne disease threat. Above-normal <br />temperatures are among the most consistent factors associated with WNV outbreaks. Mild <br />winters are associated with increased WNV transmission due, in part, to less mosquito and <br />resident bird mortality. Warmer winter and spring seasons may also allow for transmission to