Reuters Health
Friday, October 18, 2002
TALLAHASSEE, Fla. (Reuters) - A Florida 7-year-old may have
contracted West Nile disease from a blood transfusion, state health
officials said on Friday, heightening fears the potentially deadly virus
may have entered the national blood supply.
The virus, which can cause severe brain inflammation, is normally
spread by mosquitoes. But amid an outbreak this year in the United
States there have been 29 cases nationwide since Aug. 28 in which
patients became ill with West Nile after receiving blood or blood
products, the Florida Department of Health said.
The US Centers for Disease Control and Prevention has previously said
there was no evidence linking the infections to the nation's blood
supply, because most have been in areas where West Nile virus is present
in the mosquito population.
The Florida child had recently received "multiple blood
products," but investigators had not determined whether that was
the source of the virus. "We're in the process of looking at
natural as well as blood-related transmission," Florida Department
of Health spokesman Bill Parizek said.
Epidemiologists were trying to trace the blood products to determine
whether the donors carried West Nile.
The spokesman declined to comment on the child's condition, citing
patient confidentiality.
The child, who was not identified, lives in Alachua County in north
central Florida, one of 34 Florida counties under medical alert for West
Nile and other mosquito-borne viruses.
Fears that West Nile could be transmitted through blood surfaced in
September after four organ recipients were infected from a single donor
in Georgia.
Health officials have conceded they do not have the capability to
test the nation's blood supplies for the virus. They said the potential
risk of contracting West Nile from blood was likely very small.
There have been 3,104 confirmed cases of West Nile in the United
States this year, 172 of them fatal. The outbreak is the largest since
West Nile, which is common in Africa and the Middle East, surfaced in
the Americas three years ago striking mainly the elderly and people with
weak immune systems.
Florida has confirmed 13 human cases of the disease, none of them
fatal.
Most people bitten by a West Nile-carrying mosquito have no symptoms
and those who do normally suffer little more than flu-like illness, but
they can carry the virus in their blood for days or even weeks.