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Mosquitoes

An aedes albopictus mosquito, better known as the Asian tiger mosquito. Pixabay photo

By Daniel Dunaief

Mosquitoes can be much more than a nuisance as they search for their next blood meal: they can also pass along potentially dangerous viruses.

Long considered a tropical and subtropical health threat, dengue fever has reached record levels in the Americas this year. The illness has been traveling with Aedes mosquitoes that have been moving further north amid global climate change.

As of early July, mosquitoes in Texas, Florida and California have had one of the four viruses associated with the disease. Through early July, Florida reported 10 cases from local spread, according to an American Medical Association update.

Suffolk County residents who have traveled into areas that have dengue have contracted the illness, which has symptoms that are similar to the flu, such as high fever, headaches, body aches, nausea, vomiting and a rash.

Suffolk County has reported 12 cases of travel-related dengue so far through early July, which is more than all of last year and is the highest level since 2013, when 13 cases were reported for the entire year.

“We do have a fair amount of concern with global warming,” said Dr. Sharon Nachman, Chief of the Division of Pediatric Infectious Diseases at Stony Brook Children’s Hospital. “Even if people do not believe in it, mosquitoes have changed where they’re located. There is concern that the mosquitoes” will continue their trek farther north.

Suffolk County is one of many places throughout the country and the Americas that have reported an increase in cases for a disease for which residents have generally had no exposure and, as a result, no natural immunity.

New York State Department of Health alerted medial professionals to consider dengue as a diagnosis if people who are sick have a travel history and related symptoms, Dr. Gregson Pigott, Suffolk County Health Commissioner, explained in an email.

Symptoms of dengue typically begin within two weeks of being bitten by an infected mosquito.

From January 1 through June 24, countries in the Americas reported more than 9.7 million dengue cases, twice as many as in all of 2023, according to the Centers for Disease Control and Prevention.

Indeed, in Puerto Rico, infection levels climbed so high in early April that the Puerto Rico Health Department declared a public health emergency.

While a majority of dengue infections are asymptomatic or produce mild illnesses, the virus can cause severe cases and can be fatal, according to the World Health Organization.

“Anyone who lives in or travels to an area with risk of dengue is at risk for infection,” Pigott explained. “Children and those who are elderly are at higher risk for serious illness.”

People with dengue typically receive supportive care, which includes rest, pain medications and fluids.

Protection

Health professionals urged people traveling to areas with dengue to take a number of steps to protect themselves.

EPA-registered insect repellents, coupled with loose-fitting, long-sleeved shirts and pants can keep mosquitoes away.

Additionally, people can treat their clothing and gear, including hats, shoes and socks, with permethrin.

“Don’t be around standing water, which is a wonderful place for mosquitoes to breed,” advised Nachman.

In Suffolk County, the arthropod-borne disease lab collects mosquitoes and sends them to the New York State Department of Health lab in Wadsworth, New York. Asian tiger mosquitoes, which have carried dengue, zika and chikungunya viruses, have been found in Suffolk County, Pigott added.

“No samples of Aedes albopictus mosquitoes that have been sent to the lab have tested positive for those viruses,” Pigott wrote.

While health professionals are on the lookout for potential cases of dengue among residents who have traveled, they are more concerned currently with West Nile virus, which people can contract locally.

Other local illnesses

As for illnesses in the county, Nachman has seen patients who have been battling a collection of viruses, including enteroviruses and Covid.

Residents who are staying around Long Island should continue to be careful about ticks that can carry Lyme disease. Anyone who is going hiking should consider long pants and long sleeves, as well as dirt on their clothing.

“If you take your kids out to hike, check them and you for ticks,” said Nachman.

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Tropical Storm Ida’s heavy rains may create a breeding ground for the mosquitoes that carry West Nile Virus, health officials warn.

“Following the recent heavy rainfall, we are concerned that standing water and summer temperatures will allow mosquitoes to proliferate,” Gregson Pigott, Suffolk County health commissioner, said in a statement. “While there is no cause for alarm, we ask residents to cooperate with us in our efforts to reduce exposure to West Nile virus and other mosquito-borne diseases.”

As of last week, 92 mosquito samples and four birds had tested positive for West Nile virus. From Aug. 25 to Aug. 26, 21 samples tested positive for the virus.

At least one mosquito from samples collected in Cold Spring Harbor, Huntington Station, Northport, Stony Brook, Port Jefferson Station and Rocky Point tested positive for the virus, according to the Suffolk County Health Department.

Most people infected with West Nile Virus, which was first detected in Suffolk County in 1999, have mild or no symptoms. Some, however, can develop high fever, headaches, neck stiffness, disorientation, coma, tremors, convulsions, muscle weakness, vision loss, numbness and paralysis, according to the health department.

Over the last 20 years, the number of mosquito samples testing positive for West Nile ranged from a low of eight in 2004 to a high of 295 in 2010, a year that also saw 25 human cases with three deaths.

Pigott urges residents to wear shoes and socks, long pants and long-sleeved shirts when mosquitoes are active. He also suggested using mosquito repellent, while reading and following directions carefully.

The Centers for Disease Control and Prevention recommends repellents containing DEET, oil of lemon eucalyptus, picaridin and IR3535, which can be used on skin and clothing. For children, lower concentrations of DEET are preferable, according to the CDC.

Insect repellents with permethrin should only be used on clothing and not directly on the skin.

Effective screens on windows and doors can keep mosquitoes out of homes and living areas.

Emptying containers that hold water, such as vases, pet water bowls, flowerpot saucers, birdbaths, trash cans and rain barrels can reduce available water sources for mosquitoes to lay their eggs. Scrubbing containers like pet water bowls can remove insect eggs that might otherwise survive.

Adrian Popp, chair of Infection Control at Huntington Hospital, explained that most disease doctors are on the lookout for West Nile infections. He tests everybody with an unexplained fever or other symptoms.

In a typical year, Huntington Hospital sees a few cases of West Nile. So far, Popp said, the hospital hasn’t reported any such illnesses.

“It is hard to say if it will be more prevalent this year since we had only a few cases in New York State so far and it is already the end” of the summer season, Popp wrote in an email.

While Popp said anyone is vulnerable to West Nile Virus if he or she is bitten by a mosquito, most cases are asymptomatic. Fewer than one percent of those who contract West Nile Virus develop more severe symptoms.

For those people who have more severe symptoms, doctors don’t have many tools at their disposal.

“There is no etiologic therapy,” Popp explained in an email. “Therapy is supportive, symptomatic care.”

The county urged residents concerned about West Nile Virus to download a copy of an informational brochure called “Get the Buzz on Mosquito Protection” on www.suffolkcountyny.gov.

Monarda

By Ellen Barcel

Lemon thyme is a very effective mosquito repellent.

Before the invention of the bug zapper and the mosquito lures, people relied on plants, such as citronella, to keep mosquitoes away. Personally, I hate bug zappers and mosquito lures not only use electricity but have to be emptied of dead bugs.

So, why not return to more natural ways of keeping mosquitoes away? Why not surround your porch, patio or deck with pots of beautiful plants that are known to repel the little buggers? Why not spread them around to keep the yard mosquito free? Many are actually plants you are growing already but need strategic placement to be the most effective. One of the interesting aspects of mosquito control is that many of the plants mosquitoes hate due to their scent are ones people just love. As a bonus, many are hardy in our area; so plant once and they return year after year.

Citronella grass

Citronella grass

Let’s start with citronella. Citronella grass (Cymbopogon nardus and C. winteriannus) is used as an herb in Asian cooking but is best known in our area as a mosquito repellent. Citronella grass forms clumps and can get quite tall, up to 6 feet tall. The plant is a perennial in U.S.D.A. zones 10 to 12 (Long Island is zone 7). So, yes, you would need to replant it each year. Make sure you give this plant sufficient water, possibly daily depending on how much rain we get. Do not confuse this with citronella-scented geraniums or other plants with a citronella scent as they have not been proven to repel mosquitoes. To be effective break off a blade of grass and rub it on your clothing.

Monarda

Monarda

Monarda (bee balm) is in the mint family and native to North America. It is sometimes grown for its flowers, which come in shades of pink, red and purple, but is also an insect repellent. The plant was used medicinally by Native Americans for a number of problems including as an antiseptic and as a seasoning for wild game. But, its scent is what repels mosquitoes. Crush the leaves to release the oil. Like so many flowering plants, it prefers a sunny location and well-drained soil. It does well in acidic soil, generally in the range of 6.0 to 7. If yours is substantially below that, you may need to add lime. It’s hardy in our area and reaches a height of 2 to 3 feet tall.

Marigolds

Marigolds

Marigold is another beautiful plant that repels mosquitoes. Marigolds traditionally come in shades of yellow and orange. When I was a kid, I remember the Burpee seed company having a contest for the first grower who could produce a true white marigold. And yes, the prize was awarded in 1975. ‘Snowdrift,’ ‘Snowman’ and ‘Snowball’ are three of the white cultivars. ‘French Vanilla Hybrid’ has flowers up to 3 inches across.

Marigolds (Tagetes) are in the sunflower family. While native to the Americas, they have become naturalized in many other areas of the world. African and French marigolds are cultivars of the American ones. They don’t have the best scent to humans, but, since mosquitoes hate them and they bloom late spring, summer and into fall, they are well worth planting. They come in a variety of blossom shapes and sizes. Since they bloom about six weeks after germinating, it’s best to start them indoors or buy plants from the nursery. Some gardeners who use companion planting will put marigolds among their veggies to keep insects away.

Lavender

Lavendar

Another beautiful mosquito repellent is lavender. There are approximately four dozen species of flowering plants known as lavender, which are in the mint family — check out the square stems. While used extensively as an ornamental for its beautiful purple flowers, it is also grown for its oils, which are used in a wide variety of scented products, such as soaps, hand creams, perfumes and other cosmetics. One of the nice things about lavender is that it prefers dry, sandy soil. So, for many Long Island gardeners that’s a big plus. Like most herbs, it prefers a sunny location. Besides being a natural mosquito repellent, it can also be used in salad dressings and even baked goods. This one is a definite plus in the garden for many reasons.

Lemon-scented plants

Lemon balm

Lemon-scented plants such as lemon geraniums (Pelargonium crispum), lemon balm (Melissa officinalis), lemon grass (Cymbopogon citratus), lemon thyme (Thymus vulgaris × citriodus) and lemon verbena (Aloysia triphylla) are very effective as mosquito repellents as well. Other plants that seem to repel mosquitoes include artemesia, ageratum, cedars, rosemary, catnip (but it does attract cats), garlic, most mints in general, woodruff and basil.

Ellen Barcel is a freelance writer and master gardener. To reach Cornell Cooperative Extension and its Master Gardener program, call 631-727-7850.

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Nineteen more mosquitoes and two birds have tested positive for West Nile virus in various neighborhoods across Suffolk County, Health Commissioner Dr. James L. Tomarken announced on Monday.

The mosquito samples, collected from Aug. 17 to 19, hailed from: Lindenhurst, West Babylon, Northport, Huntington Station, South Huntington, Greenlawn, Commack, Nesconset, Smithtown, Saltaire on Fire Island, Port Jefferson, Farmingville, Holtsville, Yaphand, Southold and East Hampton. Two blue jays collected on Aug. 14 from Stony Brook and a blue jay collected on Aug. 24 and Aug. 25 from Smithtown, also tested positive for the virus.

“The confirmation of West Nile virus in mosquito samples or birds indicates the presence of West Nile virus in the area,” Tomarken said. “While there is no cause for alarm, we urge residents to cooperate with us in our efforts to reduce the exposure to the virus, which can be debilitating to humans.”

To date, this year Suffolk’s total West Nile count comes to 99 mosquitoes and seven birds. No humans or horses have tested positive for the virus in Suffolk this year.

First detected in birds and mosquito samples in Suffolk in 1999, and again each year thereafter, the virus is transmitted to humans by the bite of an infected mosquito.

While Dr. Tomarken said there’s no cause for alarm, the county is urging residents to reduce exposure to the virus, which “can be debilitating to humans.”

“The breed of mosquito known as culex pipiens/restuans lay their eggs in fresh water-filled containers, so dumping rainwater that collects in containers around your house is important,” he said.

Residents should try to eliminate stagnant water where mosquitoes breed, in order to reduce the mosquito population around homes. That includes: disposing of tin cans, plastic containers, ceramic pots or similar water-holding containers; removing discarded tires; cleaning clogged gutters; turning over plastic wading pools and wheelbarrows when they’re not being used; changing the water in bird baths; and draining water from pool covers

Most people infected with West Nile will experience mild or no symptoms, but some can develop severe symptoms, including high fever, headache, neck stiffness, stupor, disorientation, coma, tremors, convulsions, muscle weakness, vision loss, numbness and paralysis. The symptoms may last several weeks and neurological effects may be permanent. Individuals, especially those 50 years of age or older or those with compromised immune systems, who are most at risk, are urged to take precautions to avoid being bitten by mosquitoes.

Residents are advised to avoid mosquito bites by: minimizing outdoor activities between dusk and dawn; wearing shoes and socks, long pants and long-sleeved shirts when outdoors for long periods of time or when mosquitoes are more active; using mosquito repellent when outdoors, following label directions carefully; and making sure all windows and doors have screens and that all screens are in good condition.

To report dead birds, call the West Nile virus hot line in Suffolk County at 631-787-2200 from 9 a.m. to 4 p.m., Monday through Friday. Residents are encouraged to take a photograph of any bird in question.

To report mosquito problems or stagnant pools of water, call the Department of Public Works’ Vector Control Division at 631-852-4270.

For medical questions related to West Nile virus, call 631-854-0333.

To date, 80 mosquitoes and seven birds test positive for virus in Suffolk

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Nine more mosquitos and two birds have tested positive for West Nile virus in various neighborhoods across Suffolk County, Health Commissioner Dr. James L. Tomarken announced on Monday.

The mosquito samples, collected from Aug. 11 to 14, hailed from Huntington, Selden, West Babylon, Bay Shore, Holbrook, Farmingville and Watch Hill on Fire Island. A crow collected on Aug. 14 from Stony Brook and a blue jay, collected on Aug. 18 from Smithtown, also tested positive for the virus.

To date, this year Suffolk’s total West Nile count comes to 80 mosquitos and seven birds. No humans or horses have tested positive for the virus in Suffolk this year.

First detected in birds and mosquito samples in Suffolk in 1999, and again each year thereafter, the virus is transmitted to humans by the bite of an infected mosquito.

While Dr. Tomarken said there’s no cause for alarm, the county is urging residents to reduce exposure to he virus, which “can be debilitating to humans.”

“The breed of mosquito known as Culex pipiens-restuans lay their eggs in fresh water-filled containers, so dumping rainwater that collects in containers around your house is important,” he said.

Residents should try to eliminate stagnant water where mosquitos breed, in order to reduce the mosquito population around homes. That includes: disposing of tin cans, plastic containers, ceramic pots or similar water-holding containers; removing discarded tires; cleaning clogged gutters; turning over plastic wading pools and wheelbarrows when they’re not being used; changing the water in bird baths; and draining water from pool covers.

Most people infected with West Nile will experience mild or no symptoms, but some can develop sever symptoms including high fever, headache, neck stiffness, stupor, disorientation, coma, tremors, convulsions, muscle weakness, vision loss, numbness and paralysis. The symptoms may last several weeks, and neurological effects may be permanent. Individuals — especially those 50 years of age or older or those with compromised immune systems, who are most at risk — are urged to take precautions to avoid being bitten by mosquitoes.

Residents are advised to avoid mosquito bites by minimizing outdoor activities between dusk and dawn; wearing shoes and socks, long pants and long-sleeved shirts when outdoors for long periods of time, or when mosquitos are more active; using mosquito repellant when outdoors and following label directions carefully; making sure all windows and doors have screens and that all screens are in good condition.

To report dead birds, call the West Nile virus hotline in Suffolk County at 631-787-2200 from 9 a.m. to 4 p.m., Monday through Friday.  Residents are encouraged to take a photograph of any bird in question.

To report mosquito problems or stagnant pools of water, call the Department of Public Works’ Vector Control Division at 631-852-4270.

For medical questions related to West Nile virus, call 631-854-0333.

County: 26 samples collected last month bring total up to 46 this year

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Twenty-six mosquito samples and one bird have tested positive for the West Nile virus in various parts of Suffolk County, Dr. James L. Tomarken, the county’s health commissioner, announced on Friday.

The bird, an American crow, was collected on July 31 from Port Jefferson. All the mosquito samples that came back positive were collected on July 29, according to the county. Five of them were from West Babylon, four were from Farmingville and three were from Lindenhurst; as well as two samples each from Northport, East Northport, Huntington Station, Nesconset and Port Jefferson; and one sample each from Greenlawn, Selden, North Babylon and West Islip.

To date this year, 46 mosquito samples and four birds have tested positive for West Nile virus.

The virus was first detected in birds and mosquitoes in Suffolk County in 1999. It is transmitted to humans by the bite of an infected mosquito. No humans or horses have tested positive for West Nile virus in Suffolk this year.

While Dr. Tomarken said there’s no cause for alarm, he urged residents to take steps to reduce exposure to the virus.

Residents should eliminate stagnant water, where mosquitos breed. Popular breeding grounds include tin cans, plastic containers, ceramic pots, discarded tires, wading pools, wheelbarrows and birdbaths. In addition, residents can make sure their roof gutters are draining properly, clean debris from the edges of ponds and drain water from pool covers.

Minimize outdoor activities between dusk and dawn to avoid mosquito bites, make sure windows and doors have screens and wear clothing that covers you when outdoors for long periods of time, or when mosquitos are more active.

To report dead birds, which may indicate the presence of the virus, residents should call the county’s West Nile virus hotline at 631-787-2200 from 9 a.m. to 4 p.m., Monday through Friday. Residents are encouraged to take a photograph of any bird in question.

To report mosquito problems or stagnant pools of water, call the vector control division at 631-852-4270.

For medical questions, call 631-854-0333.