BOARD OF SUPERVISORS

Gloria MolinaFirst District

Yvonne Brathwaite BurkeSecond District

lev Yaroslav~!kyThird Distric:t

THOMAS L. GARTHWAITE, M.D.Director and Chief Medical Officer Don Knabe

Fourth District

FRED LEAFChief Operating Officer

COUNTY OF LOS ANGELESDEPARTMENT OF HEALTH SERVICES313 N. Figueroa. Los Angeles. CA 90012(213) 240-8101

Michael D. AntonovichFifth District

August 17, 2004

TO: Each Supervisor

~FROM: Thomas L. Garthwaite, MDDirector and Chief Medical Officer

SUBJECT: STATUS OF WEST NILE VIRUS PRESENTATIONS

On July 20, 2004, the Board approved a motion by Supervisor Antonovich, instructing theDepartment of Health Services to offer the services of the Speakers Bureau for makingpresentations regarding the West Nile Virus (WNV) to City Councils, Town Councils andother community organizations in the cities; and communicate with the Mayors and CityManagers of the cities letting them know of the status of the WNV in the County and howavailable resources can be accessed by their residents.

Attached you will find a distribution list and a sample of letter which was mailed to all citymayors in Los Angeles County. This letter informed officials and provided how to accessthe Los Angeles County Department of Health Services Speakers Bureau, list of DHSservices available to residents regarding WNV in the County, an updated WNV activitysummary of all human and equine cases to date, resource phone numbers, and amosquito abatement district services map for their review.

If you have any question or need additional information, please let me know.

TLG:MT:rm2319

Attachments

c: Chief Administrative OfficerCounty CounselExecutive Officer, Board of Supervisor

THOMAS L. GARTHWAITE, M.D.Director and Chief Medical Officer

BOARD OF SUPERVISORS

Gloria MolinaFirst District

Yvonne Brathwaite BurkeSecond Distric1

Zev YaroslavskyThird District

Don KnabeFourth District

Michael D. AntonovichFifth DistrictFRED LEAF

Chief Operating Officer

COUNTY OF LOS ANGELESDEPARTMENT OF HEALTH SERVICES313 N. Figueroa Street, Los Angeles, CA 90012(213) 240-8101

August 10, 2004

Honorable Dan KuperbergMayor, City of Agoura Hills30001 Ladyface CourtAgoura Hills, CA 91301

Dear Honorable Dan Kuperberg:

SUBJECT: WEST NILE VIRUS ACTIVITY IN LOS ANGELES COUNTY IN 2004

The Board of Supervisors requested that I communicate with you to fully inform you and officials inother cities in Los Angeles County (LAC) about West Nile Virus (WNV) programs and activitiesunderway and how available resources can be accessed by your residents.

THE DISEASE:Most people who are infected with WNV are asymptomatic -only one in every five persons infectedwith WNV will experience symptoms. However, of those who become ill, symptoms can includefever, headache, nausea, body aches, mild skin rash, or swollen lymph nodes. WNV may affect thlecentral nervous system; in a few cases, the disease will progress to meningitis or encephalitis(inflammation of the brain).

WNV is spread by the bite of an infected mosquito. Mosquitoes are WNV vectors that becomeinfected when they feed on infected birds. These infected mosquitoes can then spread WNV tohumans and other animals when they bite. Specific control measures focus on controlling themosquito vector and educating individuals on safeguards to reduce the risk of mosquito bites.

WEST NILE VIRUS ACTIVITY IN LOS ANGELES COUNTY IN 2004:West Nile Virus case totals change on a daily basis. A copy of the most recent report is attached.For updated case counts, visit our website at htto://laoublichealth.ora/acd/VectorWestNile.htm.

PREVENTION AND SURVEILLANCE:Prevention activities to limit the community impact of WNV require a multidisciplinary teamapproach. Los Angeles County has worked with the independent Mosquito and Vector ControlAbatement Districts, the other local public health departments of Pasadena, Vernon, and LongBeach, and other interested public health organizations on this effort. Much of the effort for

mosquito abatement is the responsibility of the five vector control districts operating in LAC. Thisyear, the County has funded mosquito abatement activities in cities and unincorporated areas thatare uncovered or without routine mosquito control services. DHS staff is working with these citiesand mosquito control districts toward a permanent solution including the possibility of annexation ofuncovered areas into an existing district.

West Nile virus surveillance in Los Angeles County includes the reporting of human and animalcases of this disease. To enhance timely human disease identification and enacting localizedprevention efforts to limit additional cases, laboratory documented West Nile Virus (WNV) infectiorlhas been added to the list of mandated reportable diseases and conditions in Los Angeles County(California Code of Regulations, Title 17, Sections 2503 and 2505). Physicians and laboratoriesmust report patients with a positive WNV test to DHS within one (1) working day using a standardConfidential Morbidity Report (CMR).

EDUCATIONAL EFFORTS:In anticipation of human WNV cases, DHS recently mailed out over 34,000 WNV information CD-ROMs to healthcare professionals throughout Los Angeles County. Department staff hasconducted training on West Nile virus for various agencies including County Parks and Recreation,Agricultural Commissioners/Weights and Measures, Public Works, the United States ForestService, and the Los Angeles City Department of Recreation and Parks. We have trained over 100DHS staff in a comprehensive WNV presentation curriculum. These staff are available to makepresentations to your City Council, to your staff, or to community agencies in your city.Presentations may be arranged through the Area Health Officer serving your area (see attached

list).

For public use, DHS established a toll free telephone number with information in five languages (1..800-975-4448). A website (http://lapublichealth.ora/acdNectorWestNile.htm) is maintained withupdated WNV information, resources, and downloadable materials such as: a one page low literac:yflyer in English and Spanish; a 16-page Mosquito Control booklet in English and Spanish; periodicWNV Activity Summaries which reflect current statistics; and links to various other resources, suchas the Mosquito and Vector Control Abatement Districts and the Centers for Disease Control andPrevention (CDC).

CONCLUSION:With the identification of human cases and strong environmental indicators indicating the presenceof WNV, we are certain to have more human cases. Accordingly, surveillance, containment, andpublic education activities continue to be a public health priority to meet the increased public healthneed.

Very truly yours,

n

~Thomas L. Garthwaite, M.D.Director and Chief Medical Officer

TLG:MT:rmA:\WNV Assignment#2319(AO29LM2004)

Attachments

c: Executive Officer, Board of SupervisorsEach Supervisor

To request a speaker from the Los Angeles County Department of Health ServicesSpeakers Bureau on West Nile virus, please contact your Area Health Officer. 1

Area Health Officer for SPA 1 and 2 (Antelope Valley and San Fernando Areas):Deborah Davenport, RN, MS818487-0148818487 -0110 fax5300 Tujunga AvenueNorth Hollywood, CA 91601

Area Health Officer for SPA 3 and 4 (San Gabriel and Metro Areas):M. Ricardo Calderon, MPH213 240-8043213202-6096 Fax241 N. Figueroa Street #312ALos Angeles, CA 90012

Area Health Officer for SPA 5 and 6 (West and South Areas):Martina Travis, RN323 563-4093323249-15911522 E. 102nd StreetLos Angeles, CA 90002

Area Health Officer for SPA 7 and 8 (East and South Bay/Long Beach Areas):Erica Watson, MD, MPH562 464-5408562-698-8857 Fax7643 S. Painter AvenueWhittier, CA 90602

To detennine the Area Health Officer for your city please visit http://lapublichealth.org/spa/spamap.htm

Acute Communicable Disease ControlLos Angeles County, Department of Health Services, Public Health

WEST NILE VIRUSACTIVITY SUMMARY #11

(Au~ust 6. 2004)

POSITIVE WNV TESTS, YEAR- TO-DATE, 2004*

California" As of 8/6/04-<lata are provisional and subject to change."" Excludes cases in Long Beach and Pasadena.

"""As noted below, bird collection has been discontinued in many Los Angeles areas; as such, this frequencyunderestimates the number of WNV-infected dead birds occurring in our county.

West Nile virus-infected dead birds:WNV-infected dead birds have beenrecovered from nearly all areas of LosAngeles County. Statewide, more than halfof the WNV-infected dead birds have beenrecovered from our county, and most ofthose from eastern cities.

July 2004

Honorable Dan KuperbergMayor, City of Agoura Hills30001 Ladyface CourtAgoura Hills, CA 91301

Honorable Paul L. TalbotMayor, City of Alhambra111 South First StreetAlhambra, CA 91801

Honorable Gary A. KovacicMayor, City of ArcadiaP.O. Box 60021Arcadia, CA 91066-6021

Honorable Sally FlowersMayor, City of Artesia18747 Clarkdale AvenueArtesia, CA 90701

Honorable Ralph Morrow, Jr.Mayor, City of AvalonP.O. Box 707Avalon, CA 90704

Honorable Cristina Cruz-MadridMayor, City of Azusa213 East Foothill BoulevardAzusa, CA 91702

Honorable Manuel LozanoMayor, City of Baldwin Park14403 East Pacific AvenueBaldwin Park, CA 91706

Honorable George ColeMayor, City of Bell6330 Pine AvenueBell, CA 90201-1291

Honorable Dorothy KingMayor, City of Bellflower16600 Civic Center DriveBellflower, CA 90706

Honorable Pedro AceitunoMayor, City of Bell Gardens7100 South Garfield AvenueBell Gardens, CA 90201

Honorable Mark EgermanMayor, City of Beverly Hills455 North RexfordBeverly Hills, CA 90210

Honorable Beatrice LaPisto-KirtleyMayor, City of Bradbury600 Winston AvenueBradbury, CA 91010

Honorable Stacey MurphyMayor, City of Burbank275 East Olive AvenueBurbank, CA 91502

Honorable Michael HarrisonMayor, City of Calabasas26135 Mureau Road, Suite 200Calabasas, CA 91302-3172

Honorable James L. DearMayor, City of Carson701 East Carson StreetCarson, CA 90745

Honorable Robert HughlettMayor, City of CerritosP.O. Box 3130Cerritos, CA 90703

Honorable Sandra BaldonadoMayor, City of ClaremontP.o. Box 880Claremont, CA 91711

Honorable Ray "Gordy" Ci:;nerosMayor, City of Commerce2535 Commerce WayCommerce, CA 90040

Honorable Eric PerrodinMayor, City of Compton205 South Willowbrook AvenueCompton, CA 90220

Honorable Kevin StapletonMayor, City of Covina125 East College StreetCovina, CA 91723

Honorable Frank GuruleMayor, City of CudahyP.O. Box 1007Cudahy, CA 90201

Honorable Steven J. RoseMayor. City of Culver City9770 Culver BoulevardCulver City, CA 90232

Honorable Robert ZirbesMayor, City of Diamond Bar21825 East Copley DriveDiamond Bar, CA 91765-4178

Honorable Kirk CartozianMayor, City of Downey11111 Brookshire AvenueDowney, CA 90241

Honorable John R. FasanaMayor. City of Duarte1600 Huntington DriveDuarte, CA 91010

Honorable Ernest G. GutierrezMayor, City of EI Monte11333 Valley BoulevardEI Monte, CA 91731

Honorable Kelly McDowellMayor, City of EI Segundo350 Main StreetEI Segundo, CA 90245

Honorable Terrence S. TerauchiMayor, City of Gardena1700 West 162nd StreetGardena, CA 90247

Honorable Bob YousefianMayor, City of Glendale613 East Broadway, Room 200Glendale, CA 91206

Honorable Cliff HamlowMayor, City of Glendora116 East Foothill BoulevarldGlendora, CA 91741

Honorable Betty J. SchultzeMayor, City of Hawaiian Gardens21815 Pioneer BoulevardHawaiian Gardens, CA 90716

Honorable Larry GuidiMayor, City of Hawthorne4455 West 126th StreetHawthorne, CA 90250

Honorable Art YoonMayor, City of Hermosa BE~ach1315 Valley DriveHermosa Beach, CA 9025'~

Honorable Steve FreedlandMayor. City of Hidden Hills6165 Spring Valley RoadHidden Hills, CA 91302

Honorable Juan R. NoguezMayor, City of Huntington Park6550 Miles Avenue, Room 148Huntington Park, CA 90255

Honorable David PerezMayor, City of Industry15651 East Stafford StreetIndustry, CA 91744

Honorable Roosevelt F. DornMayor, City of InglewoodOne Manchester BoulevardInglewood, CA 90306

Honorable Mark A. BrecedaMayor, City of Irwindale5050 North Irwindale AvenueIrwindale, CA 91706

Honorable Laura OlhassoMayor, City of La Canada-Flintridge1327 Foothill BoulevardLa Canada-Flintridge. CA 91011

Honorable Ed BorroweMayor, City of La Habra Heights1245 North Hacienda BoulevardLa Habra Heights, CA 90631

Honorable Louis R. PerezMayor, City of La Puente15900 East Main StreetLa Puente, CA 91744

Honorable Susan TrippMayor, City of La Mirada13700 La Mirada BoulevardLa Mirada, CA 90638

Honorable Jon BlickenstaffMayor, City of La Verne3660 0 StreetLa Verne, CA 91750

Honorable Todd RogersMayor I City of Lakewood5050 North Clark Avenue

Lakewood, CA 90712

Honorable Frank C. RobertsMayor, City of Lancaster44933 North Fern AvenueLancaster, CA 93534

Honorable Harold E. HofmannMayor, City of Lawndale14717 Burin AvenueLawndale, CA 90260

Honorable Susan DeverMayor, City of LomitaP.O. Box 339Lomita, CA 90717

Honorable Beverly O'NeillMayor, City of Long Beach333 West Ocean Boulevard, 14th FloorLong Beach, CA 90802

Honorable Fernando PedrosaMayor, City of Lynwood11330 Bullis RoadLynwood, CA 90262

Honorable James HahnMayor, City of Los Angeles200 North Spring Street, Room 1500Los Angeles, CA 90012

Honorable Sharon Barovsk~fMayor, City of Malibu23815 Stuart Ranch RoadMalibu, CA 90265

Honorable George MartinezMayor. City of Maywood4319 East Slauson AvenueMaywood, CA 90270

Honorable Rob H. HammondMayor, City of Monrovia415 South Ivy AvenueMonrovia, CA 91016

Honorable Jim AldingerMayor, City of Manhattan Beach1400 Highland AVenueManhattan Beach, CA 90266

Honorable Sharon MartinezMayor, City of Monterey Park320 West Newmark AvenueMonterey Park, CA 91754

Honorable Norma A. Lopez-ReidMayor, City of Montebello1600 West Beverly BoulevardMontebello, CA 90640

Honorable Cheri KelleyMayor, City of Norwalk12700 Norwalk BoulevardNorwalk. CA 90651

Honorable James C. Ledford, Jr.Mayor, City of Palmdale38300 North Sierra HighwayPalmdale, CA 93550

Honorable Manuel E. GuillenMayor, City of Paramount16400 Colorado AvenueParamount, CA 90723

Honorable Joe SherwoodMayor, City of Palos Verdes Estates340 Palos Verdes Drive WestPalos Verdes Estates, CA 90274

Honorable Bill BogaardMayor, City of Pasadena100 North Garfield AvenuePasadena, CA 91109

Honorable Carlos GarciaMayor, City of Pico RiveraP.O. Box 1016Pico Rivera, CA 90660

Honorable Edward S. CortezMayor, City of Pomona505 South Garey AvenuePomona, CA 91766

Honorable Thomas F. HeinsheimerMayor, City of Rolling Hill~iNo.2 Portugese Bend Ro;adRolling Hills, CA 90274

Honorable Peter C. GardinerMayor, City of Rancho Palos Verdes30940 Hawthorne BoulevardRancho Palos Verdes, CA 90275

Honorable Gregory C. HillMayor, City of Redondo BeachP.O. Box 270Redondo Beach, CA 90277

Honorable Judith M. MitchellMayor, City of Rolling Hills Estates4045 Palos Verdes Drive NorthRolling Hills Estates, CA 90274

Honorable Margaret ClarkMayor, City of RosemeadP.O. Box 399Rosemead, CA 91770

Honorable Curtis MorrisMayor, City of San Dimas245 E. Bonita AvenueSan Dimas, CA 91773

Honorable Maribel De La TorreMayor, City of San Fernando117 Macneil StreetSan Fernando, CA 91340

Honorable Harry L. BaldwinMayor, City of San GabrielP.O. Box 130San Gabriel, CA 91778-0130

Honorable Robert G. TwistMayor, City of San Marino2200 Huntington DriveSan Marino, CA 91108

Honorable Richard BloomMayor, City of Santa Monil:;a1685 Main StreetSanta Monica, CA 90401

Honorable Robert C. KellarMayor, City of Santa Clarita23920 West Valencia Boulevard, #300Santa Clarita, CA 91355

Honorable Betty PutnamMayor, City of Santa Fe SpringsP.o. Box 2120Santa Fe Springs, CA 90670

Honorable Ellen WardMayor, City of Signal Hill2175 Cherry AvenueSignal Hill, CA 90806

Honorable Blanca FigueroaMayor, City of South EI Monte1415 North Santa Anita AvenueSouth EI Monte, CA 9173::~

Honorable Robert StockleyMayor, City of Sierra Madre232 West Sierra Madre BoulevardSierra Madre, CA 91024

Honorable Henry C. GonzalezMayor, City of South Gate8650 California AvenueSouth Gate, CA 90280

Honorable Peter ZovakMayor, City of Temple City9701 Las Tunas DriveTemple City, CA 91780

Honorable Michael TenMayor, City of South Pasadena1414 Mission Street, Room 203South Pasadena, CA 91030

Honorable Dan WalkerMayor, City of Torrance3031 Torrance BoulevardTorrance, CA 90503

Honorable Leonis C. MalburgMayor, City of Vernon4305 Santa Fe AvenueVernon, CA 90058

Honorable Joaquin A. UrnMayor, City of WalnutP.O. Box 682Walnut, CA 91788-0682

Honorable Michael L. MillerMayor, City of West CovinaP.O. Box 1440West Covina, CA 91793

Honorable Robert SlavinMayor, City of Westlake Village31200 Oak Crest DriveWestlake Village, CA 913Ei1

Honorable John DuranMayor, City of West Hollywood8300 Santa Monica BoulevardWest Hollywood, CA 90069

Honorable Owen NewcomerMayor, City of Whittier13230 East Penn StreetWhittier, CA 90602

Violet Varona-LukensExecutive Officer, Board of Supervisor821 Kenneth Hahn Hall ofAdministration500 West Temple Street, F~oom #383Los Angeles, Ca 90012

Sup. Zev YaroslavskyExecutive Officer I Board of Supervisor821 Kenneth Hahn Hall ofAdministration500West Temple Street

Sup. Gloria MolinaExecutive Officer, Board of Supervisor856 Kenneth Hahn Hall ofAdministration500 West Temple StreetLos Angeles, Ca 90012

Sup. Don KnabeExecutive Officer, Board of Supervisor822 Kenneth Hahn Hall ofAdministration500 West Temple StreetLos Angeles, Ca 90012

Sup. Yvonne B. BurkeExecutive Officer, Board of Supervisor866 Kenneth Hahn Hall ofAdministration500 West Temple StreetLos Angeles, Ca 90012

Sup. Michael AntonovichExecutive Officer, Board of Supervisor869 Kenneth Hahn of Administration500 West Temple StreetLos Angeles, Ca 90012

Mosquito and / or Vector Control Districts

Incorporated and Unincorporated Areas of Los Angeles County

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Las Angeles CountyPublic HealthDepartment at Health Services

Acute CommunicabieDisease Control Program313 N. Figueroa StLos Angeles. CA 90012(213) 240-7941www.lepublichealthorgiacdlindexhtm

Environmental HeaithVector Managament5050 Commarce DrBaldwin Park. CA 91706(626) 43()-S200www.lapublichealthorgiehiindax.htm

Ve'erinary Public Health3834 S Westem Ave.. Suite 238Los Angeles. CA 90062(323) 730-3723wwwlapublichealthorgiveVindexhtm

State at California Departmentat Health Services

Communicable Disease ControlTail Free Telephone 877-968-2473E.mail: arbavirus@dhs.ca.gavwwwwastnileca.gov

-Antelope Valley !I:J Non-District MosquitoMosquito and Vector Control District and I or Vector ControlPO. Box 1192Lancaster. CA 93584(661) 942-2917wwwavmosquito.org

-Compton CreekMosquito Abatement District1224 S. Santa Fe AveCompton.CA90221(310) 639-7375

-Greater Los Angeles CoontyVector Control District12545 Florence Ave.Santa Fe Springs. CA 90670(562) 944-9656wwwglacvcd.org

-San Gabriel ValleyMosquito & Vector Control District1145 N. Azusa Canyon Rd.West Covino. CA 91790(626) 614-9466wwwsgvmosquitoorg

-Los Angles County WestVector Control District6750 Centlnela Ave.Culver City. CA 90230(310) 915-7370wwwlawesivectororg -

City of Long Bead1Hea~ and Human Servicea2525 Grand Ave Rm. 220Long Beach. CA 90815(562)570-4132wwwlongbeach.gov

City of PasadenaPublic Health Department1845 N Fair Oaks AvePasadena. CA 911 03(626) 744-6005wwwcipasadenaca.us!publichealth/

City of LaCai\ada-Flintridge City Hall1327 Foothill BlvdLa Cai\ada Fllntridge, CA 91011(818) 790-8880www.iacanadallintridge/citylindex.hlm

City of Vemon4305 South Santa Fe AveVernon, CA 90058(326) 826-1420wwwcityotvernonorg/index1hlm 030104