July 6, 2022 | Volume 2 | Issue 6 | As of Week 26
Welcome to the Florida Disease Activity Update from the desk of Dr. Jonathan Day.
It continues to be Clarke’s privilege to share Dr. Day's weekly analysis of arbovirus disease activity in Florida with mosquito control professionals across the state. Our shared goal with Dr. Day is to provide timely and actionable information that mosquito control programs can use to make operational decisions and protect public health from vector-borne diseases.

An archive of all past newsletter issues remains available on the Clarke website.
A QUESTION FROM OUR READERS

Bobby from Tampa, FL asks: “I’ve noticed that most of the EEEV transmission so far in 2022 (as measured by sentinel chicken seroconversions and EEEV-positive equines) has been focused in the Central Florida region. What accounts for this shift in transmission to the south?”

A: Transmission of EEEV in Florida depends on at least three factors. 

First, the virus must be present before it can be amplified and transmitted by vector mosquitos. In many regions of Florida, EEEV may be endemic in freshwater swamps throughout the year. In other parts of the state, the virus may be reintroduced during spring and autumn avian migrations.

Second, susceptible avian amplification hosts, vector mosquitoes, and EEEV must overlap in habitats where viral amplification occurs producing a large number of infected mosquitoes.

Finally, the dispersal of infective mosquitoes out of the initial amplification sites is facilitated by groundwater fluctuations. Wet springs, dry summers, and wet falls are the groundwater sequences that result in high levels of EEEV transmission (see Figure 4 below). Historically, the highest levels of EEEV transmission in Florida have been reported in North Florida and the Panhandle Counties.
THE CURRENT OUTLOOK FOR ARBOVIRAL TRANSMISSION IN FLORIDA DURING 2022

There continues to be low-level transmission of EEEV in Florida as measured by sentinel chicken seroconversions and EEEV-positive equines.

Most of the transmission has been reported in a narrow band in Central Florida (Figures 1, 2, and 3). The potential for transmission of WNV in Southwest Florida remains high, but to date, there has been little indication that WNV experienced significant amplification and dispersal during the South Florida spring drought and early summer rainfall events (Figure 2). None of the groundwater conditions reported in Florida to date have tracked the ideal conditions for the amplification, dispersal, and transmission of EEEV or WNV during the first six months of 2022 (Figure 4).
Figure 1. The KBDI reported for Florida on July 3, 2022. The northern marked area is the transition zone between wet North Florida and dry South Florida where the transmission of EEEV is currently reported. The southern marked area was extremely dry during the spring and has experienced extreme wetting during the early summer. It is in this region that transmission of WNV is highly probable during the summer of 2022.
Figure 2. The current 2022 transmission of EEEV in Florida as measured by sentinel chicken seroconversions.
Figure 3. The current 2022 transmission of EEEV in Florida as measured EEEV-positive equines.
Figure 4. Groundwater profiles for heavy EEEV (1991) and Flavivirus (1990) transmission years with arrows indicating Week 26 in early July.
Year to Date Summary of Mosquito-Borne Disease Transmission

As of Week 26, 2022 the following mosquito-borne disease transmission events and pathogen introductions have been reported in Florida:
Table 1. Summary of mosquito-borne disease transmission and introductions in Florida as of July, 2, 2022.
The first six months of 2022 have been below average relative to arboviral transmission (EEEV, SLEV, and WNV) and disease introductions (DENV and malaria) in Florida. The only active arboviral transmission in the state is the EEEV reported in the western Panhandle and Central Florida around Orange County (Figures 2 and 3).

Based on recent rainfall patterns, South Florida is at the highest risk of WNV transmission in the coming weeks.  
OPERATIONAL STRATEGIES TO CONSIDER
Vector and arboviral surveillance remain some of the most important tools that vector control agencies currently have at their disposal. Arboviral transmission indices (sentinel chickens, positive equines, positive exotics such as emus), positive humans, and positive mosquito pools) provide indicators of local virus transmission, although sometimes not in a timely manner. Monitoring mosquito populations and their age structure gives additional information about potential transmission risks. Supplemental vector control efforts in and around sites where virus transmission is known or suspected of recently occurring provide another mechanism to mitigate viral transmission.
 
Specific operational strategies will be discussed during the 2022 arboviral transmission season depending on where and when vector-borne disease transmission becomes obvious in Florida.
 
There is currently a moderate risk of arboviral transmission in some parts of Florida. It is important to note that arboviral transmission risk is never zero. The transmission of EEEV in the wet to dry transition zone in Central Florida will continue to be an issue of concern during the coming weeks (Figures 1, 2, 3, and 4). The rapid change from dry to wet groundwater conditions in South Florida (Figure 1) during the past three weeks may favor the transmission of WNV in July and August.   
 
It is also important to continue monitoring travel-related introductions of DENV and malaria, although these have both been below average during the first half of 2022. Historically, introductions of DENV into Miami Dade and Monroe Counties have sparked outbreaks of locally-acquired DEN. 
ABOUT DR. JONATHAN DAY
Jonathan Day, Professor Emeritus of Medical Entomology from the University of Florida, is a national expert on mosquitoes and other blood-feeding arthropods that transmit diseases to humans, domestic animals, and wildlife. In collaboration with other researchers, Dr. Day has developed an effective system for monitoring and predicting epidemics of mosquito-borne diseases.
Acknowledgments: This analysis would not be possible without the tireless efforts of multiple agencies across Florida. At least 27 Florida agencies collect serum samples from sentinel chickens each week and mail them to the Florida Department of Health Tampa Branch Laboratory for analysis, compilation and reporting. Data are summarized by researchers at the Florida Department of Health in Tallahassee and reported weekly as the Florida Arbovirus Surveillance Report.

Contributors to this summary and full report include: Andrea Morrison, PhD, MSPH, Rebecca Zimler, PhD, MPH, and Danielle Stanek, DVM, Florida Department of Health, Bureau of Epidemiology; Lea Heberlein-Larson, DrPH; Alexis LaCrue, PhD, MS; Maribel Castaneda, and Valerie Mock, BS, Florida Department of Health Bureau of Public Health Laboratories, and Carina Blackmore, DVM, PhD, FDOH Division of Disease Control and Health Protection. And, Dr. Rachel Lacey, Florida Department of Agriculture and Consumer Services, Animal Disease Diagnostic Laboratory in Kissimmee, FL.

Daily updates of the Keetch-Byram Drought Index (KBDI) are produced by the Florida Department of Agriculture and Consumer Services, Forest Service.

All of the graphics used in issues of this Newsletter are designed and developed by Gregory Ross.
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