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By American Public Health Association

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4. Reservoir and source of infection True reservoir or means of winter carry-over unknown, possibly bird or surviving adult mosquito. Source — of infection for 5. Mode man is an infective mosquito. — of transmission By the bite of mosquitoes. Mosquitoes usually acquire the infection from wild birds but pigs are of some importance 30 Arthropod-Borne Viral Encephalitides 31 for Japanese B; for others occasionally a mammal, such as the horse. Virus is not demonstrable in the blood of man after onset of disease in sufficient amount to infect a mosquito.

Occurrence —An infrequent disease of man, occurring sporadically all over All races, both sexes, and all age groups (highest frequency 15 to 35 years of age) may be affected; the ratio of males to females is approximately two to one. Occurs also in cattle, swine, horses and other the world. There animals. 3. Infectious agent no evidence of spread from animals is —Actinomyces israelii and A. to man. bovis, gram-positive non- acid-fast, anaerobic fungi. 4. —The natural reservoir grows as a saprophyte in Reservoir and source of infection the normal oral cavity Actinomyces man.

Report to local health authority: In selected endemic areas; in countries not a reportable disease. Class 3B (p. 5). many None. 2. Isolation: 3. Concurrent disinfection: None. 4. Terminal disinfection: None. 5. Quarantine: None. 6. Immunization of 7. Investigation of contacts None. contacts: and source of infection: Pest control measures against ticks infesting households and dogs. 8. Specific treatment: One of the tetracycline antibiotics, or icol orally until afebrile (about 2 days) and for 1 chloramphen- additional day.

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Control of communicable diseases in man; an official report by American Public Health Association

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