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West Nile Case Projections Based
On Infections Of
Colorado Blood Donors

By Bill Scanlon
Rocky Mountain News
9-3-3

More than 150 Colorado blood donors initially tested positive for West Nile, an indication that more than 35,000 people statewide might be infected with the mosquito-borne virus.
 
Since July 1, 152 donors at Bonfils Blood Center tested positive for West Nile, said spokeswoman Paige Van Riper.
 
Follow-up tests confirmed 88 percent had the virus.
 
The rate of positive tests accelerated sharply in August - 111 positives out of 16,000 donors. Assuming 88 percent of them are confirmed positive, slightly less than 1 percent of August donors had West Nile.
 
Extrapolated to Colorado's population of 4.3 million, that means about 35,000 people statewide may have the virus in their bodies.
 
Not that they all get sick.
 
An estimated 70 percent to 80 percent of infected people do not display any symptoms, health officials say.
 
"I can believe, based on what we've seen, that it could be 35,000," said Dr. William Dickey, president of the Bonfils Blood Center. "Our donors probably do represent a cross-section of Coloradans."
 
That wouldn't surprise all the people who say they know at least one person who believes he or she has West Nile. Colorado leads the nation in cases and deaths this year.
 
But John Pape, epidemiologist with Colorado Department of Public Health and Environment, cautions there are too many unknowns to make assumptions.
 
He disagrees, for example, that blood donors are a random sampling of Coloradans, saying donors tend to be older and predominantly male.
 
Still, other comparisons indicate that there may be even more than 35,000 Coloradans infected, and that by the end of the year it could exceed 100,000.
 
For example, Ohio's Cuyahoga County, which has about one-third the population of Colorado, had 219 cases and 10 deaths from West Nile last year.
 
At the end of the year, Cuyahoga County tested 1,200 randomly selected residents and found an infection rate of 5 percent, said John Romano, member of the Cuyahoga County Board of Health.
 
Health officials do not have a good handle on how many Americans are infected.
 
But if Colorado's infection rate is 5 percent at the end of the year, that would mean more than 200,000 state residents will have been infected.
 
Pape said the comparisons are tenuous, because northern Ohio has different species of mosquitoes that carry West Nile than does Colorado.
 
Still, he said, "I think there are infection rates of 5 percent in some towns on the Eastern Plains. And there probably are areas of the northern Front Range where they have infection rates that are that high."
 
Health officials estimate that one in five infected people will feel some symptoms of West Nile, although interviews with Bonfils donors whose blood had tested positive found that some 35 percent of them felt ill shortly after giving.
 
- scanlon@RockyMountainNews.com or 303-892-2897
 
2003 © The E.W. Scripps Co.
 
http://www.insidedenver.com/drmn/local/article/0,1299,DRMN_15_2221391,00.html

 

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