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. 2014 Aug;91(2):240-5.
doi: 10.4269/ajtmh.14-0072. Epub 2014 Apr 28.

Effect of aerial insecticide spraying on West Nile virus disease--north-central Texas, 2012

Duke J Ruktanonchai  1 , Shelley Stonecipher  1 , Nicole Lindsey  1 , Janet McAllister  1 , Satish K Pillai  1 , Kalanthe Horiuchi  1 , Mark Delorey  1 , Brad J Biggerstaff  1 , Tom Sidwa  1 , James Zoretic  1 , Roger Nasci  1 , Marc Fischer  1 , Susan L Hills  2
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Effect of aerial insecticide spraying on West Nile virus disease--north-central Texas, 2012

Duke J Ruktanonchai et al. Am J Trop Med Hyg. 2014 Aug.

Abstract

During 2012, four north-central Texas counties experienced high West Nile virus (WNV) disease incidence. Aerial insecticide spraying was conducted in two counties. To evaluate the effect of spraying on WNV disease, we calculated incidence rate ratios (IRRs) in treated and untreated areas by comparing incidence before and after spraying; for unsprayed areas, before and after periods were defined by using dates from a corresponding sprayed area. In treated areas, WNV neuroinvasive disease incidence before and after spraying was 7.31/100,000 persons and 0.28/100,000 persons, respectively; the IRR was 26.42 (95% confidence interval [CI]: 12.42-56.20). In untreated areas, the before and after incidence was 4.80/100,000 persons and 0.45/100,000 persons, respectively; the IRR was 10.57 (95% CI: 6.11-18.28). The ratio of IRRs was 2.50 (95% CI: 0.98-6.35). Disease incidence decreased in both areas, but the relative change was greater in aerial-sprayed areas.

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Figures

Figure 1.
Figure 1.
Location of Area 1, Area 2, and Area 3 aerial spray events in north-central Texas, 2012.
Figure 2.
Figure 2.
West Nile virus disease cases in Collin, Dallas, Denton, and Tarrant Counties, Texas, by week of illness onset and clinical syndrome, 2012.
See this image and copyright information in PMC

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