Cases of the potentially-fatal Powassan virus are on the rise in the U.S. A person in Maine has died from an infection with a rare tick-borne virus, according to health officials. On Wednesday (April 20), the Maine Center for Disease Control and Prevention (Maine CDC) announced that a resident of Waldo County, in south-central Maine, had died from Powassan virus. The virus is spread through the bite of an infected deer tick (Ixodes scapularis), groundhog tick (Ixodes cookei) or squirrel tick (Ixodes marxi), according to the U.S. Centers for Disease Control and Prevention (CDC). Powassan virus is rare in the U.S., with only about 25 cases reported in the country per year since 2015, the Maine CDC said. (Prior to 2015, the virus was even less common, with only about 10 cases per year between 2011 and 2014, according to data from the CDC.) Maine has reported 14 total cases since 2010. Cases usually occur in the northeastern and Great Lakes regions of the United States during the late spring through mid-fall, according to the CDC. "Ticks are active and looking for a host to bite right now," Nirav D. Shah, director of the Maine CDC, said in the statement. "I urge Maine people and visitors to take steps that prevent tick bites." Many people infected with Powassan virus don't experience symptoms, but for those who do, the disease can be serious, according to the CDC. Initial symptoms can include fever, headache, vomiting and weakness. Some people with Powassan virus can develop an infection of the brain (encephalitis), or of the membranes surrounding the brain and spinal cord (meningitis). Symptoms of these potentially serious conditions can include confusion, loss of coordination, difficulty speaking and seizures. About 10% of people with severe disease die from the infection, according to the CDC. In the Maine case, the patient developed neurologic symptoms and died while in the hospital, the statement said. There is no specific treatment for the infection. People with severe disease usually need to be hospitalized and receive supportive care, including breathing support, hydration and anti-inflammatory medicines to reduce swelling in the brain, according to the CDC. The best way to prevent infection with Powassan virus is to prevent tick bites. According to Maine CDC, strategies to prevent tick bites include: avoiding wooded and bushy areas with tall grass (tick habitats) and staying on the middle of trails whenever possible, using insect repellent and treating clothing with the repellent permethrin, as well as performing tick checks, especially after visiting tick habits. The increase in Powassan virus cases in the U.S. in recent years are likely due to the expansion of the range for deer ticks (also called black-legged ticks). Factors such as increased temperatures and humidity, as well as a rise in deer and mice populations, have contributed to the expansion of the tick population, Live Science previously reported. Source
