Acute Encephalitis Hospitalizations, California, 1990–1999: Unrecognized Arboviral Encephalitis?

Historically, Western equine encephalomyelitis and St. Louis encephalitis caused substantial human and equine illness and death in California. This study describes the epidemiology of encephalitis with data from 13,807 patients hospitalized in California with acute encephalitis from 1990 through 199...

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Main Author: Rosalie T. Trevejo
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2004-08-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/10/8/03-0698_article
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author Rosalie T. Trevejo
author_facet Rosalie T. Trevejo
author_sort Rosalie T. Trevejo
collection DOAJ
description Historically, Western equine encephalomyelitis and St. Louis encephalitis caused substantial human and equine illness and death in California. This study describes the epidemiology of encephalitis with data from 13,807 patients hospitalized in California with acute encephalitis from 1990 through 1999. The incidence of encephalitis hospitalizations decreased over this period. The greatest proportion of case-patients was hospitalized in the winter. Encephalitis of unspecified origin was the most common diagnosis, and arboviral encephalitis was the least common. Some California counties had concurrent increases in encephalitis rates and in detected arboviral activity in sentinel chickens and mosquito vectors. However, a diagnosis of arboviral encephalitis was made for few hospitalized patients in these counties during these periods. Although some arboviral encephalitis cases may have been undiagnosed, such cases probably did not occur frequently. Active hospital-based surveillance during periods of heightened sylvatic arboviral activity could increase detection of arboviral encephalitis.
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spelling doaj.art-687e4bee84444e9ebd37a7daaeeb8aed2022-12-22T02:00:47ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592004-08-011081442144910.3201/eid1008.030698Acute Encephalitis Hospitalizations, California, 1990–1999: Unrecognized Arboviral Encephalitis?Rosalie T. TrevejoHistorically, Western equine encephalomyelitis and St. Louis encephalitis caused substantial human and equine illness and death in California. This study describes the epidemiology of encephalitis with data from 13,807 patients hospitalized in California with acute encephalitis from 1990 through 1999. The incidence of encephalitis hospitalizations decreased over this period. The greatest proportion of case-patients was hospitalized in the winter. Encephalitis of unspecified origin was the most common diagnosis, and arboviral encephalitis was the least common. Some California counties had concurrent increases in encephalitis rates and in detected arboviral activity in sentinel chickens and mosquito vectors. However, a diagnosis of arboviral encephalitis was made for few hospitalized patients in these counties during these periods. Although some arboviral encephalitis cases may have been undiagnosed, such cases probably did not occur frequently. Active hospital-based surveillance during periods of heightened sylvatic arboviral activity could increase detection of arboviral encephalitis.https://wwwnc.cdc.gov/eid/article/10/8/03-0698_articleepidemiologyencephalitisarbovirus infectionssurveillanceCaliforniaresearch
spellingShingle Rosalie T. Trevejo
Acute Encephalitis Hospitalizations, California, 1990–1999: Unrecognized Arboviral Encephalitis?
Emerging Infectious Diseases
epidemiology
encephalitis
arbovirus infections
surveillance
California
research
title Acute Encephalitis Hospitalizations, California, 1990–1999: Unrecognized Arboviral Encephalitis?
title_full Acute Encephalitis Hospitalizations, California, 1990–1999: Unrecognized Arboviral Encephalitis?
title_fullStr Acute Encephalitis Hospitalizations, California, 1990–1999: Unrecognized Arboviral Encephalitis?
title_full_unstemmed Acute Encephalitis Hospitalizations, California, 1990–1999: Unrecognized Arboviral Encephalitis?
title_short Acute Encephalitis Hospitalizations, California, 1990–1999: Unrecognized Arboviral Encephalitis?
title_sort acute encephalitis hospitalizations california 1990 1999 unrecognized arboviral encephalitis
topic epidemiology
encephalitis
arbovirus infections
surveillance
California
research
url https://wwwnc.cdc.gov/eid/article/10/8/03-0698_article
work_keys_str_mv AT rosaliettrevejo acuteencephalitishospitalizationscalifornia19901999unrecognizedarboviralencephalitis