alexa West Nile fever outbreak, Israel, 2000: epidemiologic aspects.
Infectious Diseases

Infectious Diseases

Journal of Meningitis

Author(s): Weinberger M, Pitlik SD, Gandacu D, Lang R, Nassar F,

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Abstract From August 1 to October 31, 2000, 417 cases of West Nile (WN) fever were serologically confirmed throughout Israel; 326 (78\%) were hospitalized patients. Cases were distributed throughout the country; the highest incidence was in central Israel, the most populated part. Men and women were equally affected, and their mean age was 54+/-23.8 years (range 6 months to 95 years). Incidence per 1,000 population increased from 0.01 in the 1st decade of life to 0.87 in the 9th decade. There were 35 deaths (case-fatality rate 8.4\%), all in patients >50 years of age. Age-specific case-fatality rate increased with age. Central nervous system involvement occurred in 170 (73\%) of 233 hospitalized patients. The countrywide spread, number of hospitalizations, severity of the disease, and high death rate contrast with previously reported outbreaks in Israel.
This article was published in Emerg Infect Dis and referenced in Journal of Meningitis

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