Emerging Travel Risk: Australia’s mosquito-borne Ross River virus could become global epidemic

What is Ross River virus?

  • Most common mosquito-borne disease in Australia
  • Previously thought to be endemic to Australia and Papua New Guinea
  • Last breakout outside Australia/PNG was in 1979-1980 in American Samoa
  • Symptoms include swollen joints, fever/chills, rashes, debilitating pain
  • 3,552 people infected Australia-wide in 2016
  • Previously understood to sustain itself only through marsupials
University researchers warn that the virus now seems to be able to sustain itself outside marsupials.
Australia’s Ross River virus has the potential to become a global epidemic, similar to the Zika virus, researchers say.
It was previously thought that the mosquito-borne virus could only sustain itself among marsupials, which kept the disease endemic to Australia and Papua New Guinea.
But research fellow at the University of Adelaide Professor Philip Weinstein said he and his partners at the Australian National University (ANU) found the disease silently planting roots in the South Pacific.
“It’s really only in the last few years [it became apparent] when tourists returning to their home countries … were diagnosed with Ross River virus after travelling in the Pacific,” Professor Weinstein said.
“They’d never been to Australia or New Guinea. That’s when the little alarm bells started ringing that this was perhaps circulating outside Australia.”
Professor Weinstein said the new finding meant that even though there were no marsupials in the Pacific Islands, the virus was seemingly able to maintain itself there anyway.
He warned that if the virus could sustain itself in areas where there were no marsupials, “then it could sustain itself anywhere in the world”.
“That certainly means that it could be another global outbreak like Zika or Chikungunya a few years before that, another mosquito-borne virus that suddenly went global,” he said.
Professor Weinstein said all it could take was a “perfect storm” of a tourist carrying the virus, a set of animals who could harbour the virus, and the right conditions for mosquitos to bite those animals for an epidemic to take off.
In fact, he said, it was possible that was already happening.
“This has probably been chugging along quietly on different Pacific islands for a number of years, but because the symptoms are so general it’s not been identified as a Ross River Virus problem,” Professor Weinstein said.
In January alone 1,174 people were infected nationwide in Australia.
Source: ABC News reported 22 February 2017

Australia’s Ross River virus spike prompts mosquito warning across NSW Riverina

Mosquito biting human skin.

New South Wales Health authorities renew warnings for residents and holiday makers in the state’s Riverina region to protect themselves against mosquitoes after a fivefold increase in the number of Ross River virus infections compared to the average in previous years.

NSW Public Health Director Tracey Oakman said there were 34 cases of the virus in the Murrumbidgee Local Health District in December, five times the average for this time of year.

“The highest number of notifications have been in the 45- to 65-year-old age group and then the next age group most commonly notified is the 25- to 44-year-old age group,” she said.

The city of Griffith has been flagged as a hotspot for the virus, with seven cases reported in the region last month.

Ms Oakman also said a number of holiday makers in the Riverina who contracted the disease were unlikely to have been picked up in the latest figures.

“If we’ve got holiday makers that have been bitten and gone home, they’ll be recorded as having the virus from the postcode that they’re living in,” she said.

Ms Oakman said the numbers were concerning and she urged people to be vigilant, use quality mosquito repellents and wear long clothing.

How is the virus spread?

Ross River virus is spread among humans by the bite of certain types of infected female mosquitoes, which generally pick up the virus when feeding on the blood of infected animals.

Outbreaks can occur when local conditions of rainfall, tides and temperature promote mosquito breeding.

Tips to beat bites

  • Wear long, loose-fitting clothing
  • Use effective mosquito repellents containing DEET or picaridin
  • Control mosquitos with sprays or vaporising devices for inside use, including caravans
  • Install fly screens
  • Make sure mosquitos can’t breed by removing stagnant water every week
  • Empty children’s wading pools when not being used
  • Limit outdoor activity at dusk and dawn

Source: Department of Health 

 

Ms Oakman said mosquito numbers had flourished after months of wet weather.

“That’s really concerning because we don’t normally see such a high level of Ross River virus in December.

“We normally get higher cases in February, March and April, the tail end of summer.

“Seeing them this early is a real concern,” she said.

Ms Oakman warned that wet conditions were likely to lead to even more people contracting the virus across the region in the coming months. She called on people who became infected to visit the doctor.

“The symptoms … joint aches and pains, headaches, fever, a chill and sometimes a rash,” she said.

“Sometimes the symptoms persist for weeks and even months.

“It’s quite a miserable time for someone who contracts it.”

Reported by ABC News on 6 January 2017.

25% of Americans Will Cancel, Delay, Relocate, Change or Reconsider Travel Plans Before Taking a Vacation

American Travelers are Taking Terror Risk into account in Vacation Planning

Allianz Travel Insurance Vacation Confidence Index Reveals almost a Quarter of Americans Will Cancel, Delay, Relocate, Change or Reconsider Travel Plans Before Taking a Vacation

RICHMOND, VA, 7.25.2016 — The majority of Americans (86 percent) are concerned about terrorist attacks occurring while on vacation in various regions of the world in the future, prompting many to make major changes to their travel plans, according to the annual Vacation Confidence Index released by Allianz Global Assistance.

The region Americans are most concerned will be the site of an attack is the Middle East (75 percent), followed by Europe (66 per cent) and Africa (63 percent).

With recent attacks in Istanbul, Israel, Paris, Brussels, and Nice, almost a quarter of Americans (22 percent) say that the fear of further violence has influenced their vacation planning in some way; whether that be cancelling (6 percent); changing locations (5 percent), travel dates (4 percent), mode of transportation (4 percent), local tours (4 percent) or accommodations (3 percent); or by purchasing travel insurance (3 percent).

As Americans age, the fear of terror attacks happening while traveling to different regions of the world increases significantly. That trend, however, is reversed for travel within the U.S. and Canada, where millennials aged 18 to 34 have the greatest fear of an attack happening on home soil (57 percent) compared to generation X (51 percent) and baby boomers (48 percent).

Those Americans influenced by an act of terrorism are more likely to be traveling within the U.S. or Canada (50 percent), likely due to the higher number of domestic vs. international vacations planned. Internationally, Americans who have changed their plans were most likely to be visiting Europe (42 percent), followed by Asia (29 percent), Latin America (26 percent), Australia and the South Pacific (26 percent), the Middle East (22 percent) or Africa (21 percent).

An analysis of flight bookings showed a 10 percent overall increase in travel to Europe during the summer, despite recent acts of terror in Brussels, Istanbul and France. While these targeted destinations saw a significant decrease or virtually no change in U.S. travelers visiting during the upcoming summer, Europe as a whole recorded an overall increase to 515,676 travelers in 2016 compared to 471,823 in 2015.

“What we’re seeing is that the American traveler is a complex demographic that shares common fears and concerns, but deviate greatly on where they find those fears and how they face them,” said Daniel Durazo, director of communications at Allianz Global Assistance USA. “But we’re pleased to see that whatever those differences are, one thing that remains consistent is that they are finding ways to follow their passion of seeing the world despite the challenges that come with traveling in a time of terror.”

VCI Terror Risk

 

Methodology: These are some of the findings of an Ipsos poll conducted on behalf of Allianz from May 3 to 10, 2016. For the survey, a sample of n=2,007 Americans were interviewed online via Ipsos’s American online panel. The precision of Ipsos online surveys is measured using a Bayesian credibility interval. In this case, with a sample of this size, the results are considered accurate to within ± 2.5 percentage points, 19 times out of 20, of what they would have been had all Americans been polled. The margin of error will be larger within sub-groupings of the survey population.

Source: Allianz Travel Insurance Vacation Confidence Index