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Alert Level
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Description
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No risk of human outbreak
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Winter season; little or no mosquito activity.
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Remote risk of human outbreak
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No West Nile virus positive birds or mosquitoes and no cases in horses or people in King County in the current calendar year.
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Low risk of human outbreak
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Areas of King County with limited West Nile virus activity in birds and/or mosquitoes but no positives prior to August 1.
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Moderate risk of human outbreak
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First West Nile virus positive birds or mosquitoes found before August 1
OR a confirmed horse or human case
OR sustained West Nile virus activity in birds or mosquitoes in the absence of horse or human cases.
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High risk of human outbreak
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Combinations of the following indicators:
| a) |
high dead bird densities starting in early summer; |
| b) |
sustained high mosquito infection rates and/or multiple positive mosquito species; |
| c) |
increasing number of infected horses or other mammals; |
| e) |
a human case with high levels of bird, mosquito or horse infections; |
| f) |
areas with early West Nile virus activity that experienced epidemic conditions in past years. |
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Human outbreak in progress
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Multiple confirmed human cases with conditions favoring continued transmission to people (e.g., persistent high infection rates in mosquitoes, continued bird deaths due to West Nile virus)
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