A lack of data on the health and aging needs of LGBTQ people in local communities has hindered Dayton organizations striving to better serve them. And though national data can be used to generalize what their needs may be, there’s no substitute for information collected locally.

To help solve this data gap, students at the Wright State University Boonshoft School of Medicine are working with Public Health Dayton & Montgomery County along with an alliance of community organizations to lead the LGBTQ Aging with Pride Survey. The survey includes questions on background demographics, health care, social support, and personal relationships and behaviors, as well as a needs assessment. It’s tailored to individuals age 50 or older, but all those 21 years or older and identifying as a member of the local LGBTQ community can participate.

It is the first large-scale effort with a rigorous, academic approach to gather data on the population living in Montgomery County and others nearby. The survey is completely anonymous and will be available for approximately four months. Results will help inform and improve the work of health care providers and service organizations with LGBTQ patients and clients, and also will guide ongoing work for the Public Health LGBTQ Health Alliance, a coalition of about 60 LGBTQ and allied people, organizations and community partners. Results will be made available through Public Health and other community partners.

“We want to help make the quality of life for LGBTQ people in the Miami Valley as healthy and productive as possible,” said Jerry Mallicoat, LGBTQ Health Initiatives project manager at Public Health – Dayton & Montgomery County. “The survey is a good first step to accomplishing that.”

West Nile VirusTire & Container

West Nile virus (WNV) is an arthropod-borne virus (arbovirus) spread by the bite of infected mosquitoes.

Most people are infected in Ohio by the northern house mosquito, Culex pipiens.  Mosquitoes become infected when they feed on infected birds.  Infected mosquitoes can then spread the virus to humans and other animals when they bite.

West Nile virus was first detected in the United States in New York City in 1999 and quickly spread across the country within a few years.  In Ohio, West Nile virus was first identified in birds and mosquitoes in 2001.  The following year, the first human cases and deaths were reported.  By the end of 2002, all but one of the state’s 88 counties reported positive humans (441 total human cases), mosquitoes, birds or horses.  West Nile virus is now established in Ohio where cases occur each year and seasonal epidemics can flare up under certain conditions in the summer and continue into the fall.

The best way to prevent West Nile virus disease is to prevent mosquito bites.


What are the signs and symptoms of West Nile virus disease?

Approximately 80 percent of people who are infected with West Nile virus will not show any symptoms at all, but there is no way to know in advance if you will develop an illness or not.  Those who do develop symptoms usually do so between two to 14 days after they are bitten by the infected mosquito.

Up to 20 percent of people who become infected will have symptoms that can last for a few days to as long as several weeks and include:

  • Fever
  • Headache
  • Body aches
  • Nausea
  • Vomiting
  • Swollen lymph glands
  • Rash on chest, stomach or back

About one in 150 people infected with West Nile virus will develop severe illness.  The severe symptoms may last several weeks, and neurologic effects may be permanent.  Symptoms of severe illness can include:

  • High fever
  • Headache
  • Neck stiffness
  • Stupor
  • Disorientation
  • Coma
  • Tremors
  • Convulsions
  • Muscle weakness
  • Vision loss
  • Numbness
  • Paralysis

Death from infection with West Nile virus is 10 percent for those diagnosed with severe illness, but is much higher for patients diagnosed with West Nile virus encephalitis and acute flaccid paralysis.

For more information, see the Centers for Disease Control and Prevention (CDC)'s website for West Nile virus disease symptoms.


How is West Nile virus disease diagnosed?

West Nile virus infection can only be diagnosed by a healthcare provider.  A blood or cerebrospinal fluid sample may be collected for laboratory testing.  Please visit the CDC's website for information on diagnosis and testing.


What is the treatment for West Nile virus disease?

There is no specific treatment for West Nile virus infection, and care is based on symptoms.


Who is at risk in Ohio?

Anyone who spends time outdoors can be at risk for West Nile virus infection.  The mosquito that transmits West Nile virus, the northern house mosquito, is found in catch basins, stagnant water in ditches and containers of water with high organic matter (e.g., flowerpot saucers, clogged rain gutters) so people who live or recreate near these habitats are at increased risk.

Ohioans of all ages can get sick with West Nile virus, but adults greater than 50 years of age are more at risk for severe disease.  Most cases of West Nile virus reported in Ohio are in adults aged 70-79 years, particularly men.

Graph: West Nile virus disease in Ohio by age and sex


What time of year are Ohioans at risk for contracting West Nile virus disease?

In Ohio, West Nile virus infection can occur anytime during mosquito season, which typically runs from May through October.  Most human cases are reported in July through October.

It can take anywhere from two to 14 days from when the mosquito bite occurs to when symptoms of West Nile virus disease appear.  Since most human cases become ill in late July through October, that means most are bitten by an infected northern house mosquito between early July and mid-September.  Therefore, summer through early fall is the time of year when Ohioans are most at risk for contracting West Nile virus disease.

Graph: West Nile virus in Ohio by week of illness onset


Where in Ohio are people at risk?

Northern house mosquitoes that can carry West Nile virus are found throughout Ohio wherever suitable habitats for breeding are found.  However, the majority of West Nile virus disease human cases reported in Ohio are in the northern and western parts of the state.

Map: West Nile virus in Ohio


What are the trends over time?

Ohio has tracked human, mosquito and veterinary cases of West Nile virus infection since 2001 when it was first detected here.  An average of 58 human cases are reported each year in Ohio.  However, epidemics can flare up under certain environmental conditions in the summer and continue into the fall as was seen in Ohio during 2002 and again in 2012.

Ohio West Nile virus human case statistics

Ohio West Nile virus mosquito, bird and veterinary case statistics


How can I reduce my risk of West Nile virus infection?

Steps to prevent West Nile virus infection include avoiding mosquitoes and mosquito bites, planning ahead when traveling to areas at risk for West Nile virus infection and stopping mosquitoes from breeding in and around your home.



Additional resources

Websites:

Plans:

Educational material:


Contact information

Ohio Department of Health
Bureau of Infectious Diseases
Zoonotic Disease Program
246 N. High St.
Columbus, OH  43215
Phone: (614) 752-1029
Fax: (614) 564-2437
E-mail:

 

Page Updated:  06/28/2018

The Ohio Department of Health (ODH) and affected local health departments are investigating an increased number of hepatitis A cases in Ohio. ODH has declared a statewide community outbreak of hepatitis A after observing an increase in cases linked to certain risk factors since the beginning of 2018. Outbreaks of hepatitis A are occurring in several states across the U.S., including neighboring states of Indiana, Kentucky, Michigan and West Virginia.

Hepatitis A is a vaccine-preventable liver disease that usually spreads when a person ingests fecal matter - even in microscopic amounts - from contact with objects, food or drinks contaminated by the stool of an infected person. Hepatitis A can also be spread from close personal contact with an infected person, such as through sex.

People at increased risk for hepatitis A in this outbreak include:

  • People with direct contact with individuals infected with the virus
  • Men who have sex with men
  • People who use street drugs whether they are injected or not
  • People who are incarcerated
  • People experiencing homelessness
  • People who have traveled to other areas of the U.S. currently experiencing outbreaks

Symptoms of hepatitis A include fatigue, low appetite, stomach pain, nausea, clay-colored stools and jaundice.  People with hepatitis A can experience mild illness lasting a few weeks to severe illness lasting several months.

People who believe that they are at high risk for hepatitis A infection should contact their healthcare provider or local health department for information about vaccination.  People who know that they have been exposed to someone with hepatitis A should contact their healthcare provider or local health department to discuss post-exposure vaccination options.  Individuals who experience symptoms of hepatitis A should contact their healthcare provider.

 

Protect Yourself from Hepatitis A

Outbreak Case Statistics


View Hepatitis A Outbreak Case Statistics per County

 

What Vaccines Do I Need?

For more information, please call the Ohio Department of Health Bureau of Infectious Diseases at (614) 995-5599.

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