Item M9BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: February 16, 2011 Division: County Administrator
Bulk Item: Yes _ No x Department: County Administrator
Staff Contact Person /Phone #: Connie Cyr /292 -4441
AGENDA ITEM WORDING:
Update on Dengue Fever by Chris Tittle from the Monroe County Health Department and Coleen
Fitzsimmons from Mosquito Control.
ITEM BACKGROUND:
PREVIOUS RELEVANT BOCC ACTION:
CONTRACT /AGREEMENT CHANGES:
STAFF RECOMMENDATIONS:
TOTAL COST: N/A INDIRECT COST: BUDGETED: Yes No
DIFFERENTIAL OF LOCAL PREFERENCE:
COST TO COUNTY: SOURCE OF FUNDS:
REVENUE PRODUCING: Yes No AMOUNT PER MONTH Year
APPROVED BY: County Atty OMB/Purchasing Risk Management
DOCUMENTATION: Included Not Required_
DISPOSITION:
AGENDA ITEM #
Revised 7/09
County of Monroe
Growth Management Division
Planning & Envii ronmental Resources
Department
2798 Overseas Highway, Suite 410
Marathon, FL 33050
Voice: (305) 289 -2500
FAX: (305) 289 -2536
We strive to be caring, professional and fair
MEMORANDUM
Board of County Commissioners
Mayor Heather Carruthers, Dist. 3
Mayor Pro Tern David Rice, Dist. 4
Kim Wigington, Dist. 1
George Neugent, Dist. 2
Sylvia J. Murphy, Dist. 5
DATE: FEBRUARY 14, 2011
TO: BOARD OF COUNTY COMMISSIONERS
THROUGH: ROMAN GASTESI; COUNTY ADMINISTRATOR
FROM: CHRISTINE HURLEY, AICP; GROWTH MANAGEMENT DIVISION DIRECTOR
SUBJECT: ADDITIONAL INFORMATION RELATIVE TO FEBRUARY 16, 2011 BOARD OF COUNTY
COMMISSION AGENDA ITEM - U.S. FISH & WILDLIFE SERVICE REASONABLE & PRUDENT
ALTERNATIVES (RPA's)
This memorandum and associated, attached Table "Summary of Vacant, Privately Owned Parcels Potentially Affected by
2010 FWS -FEMA Biological Opinion" are being provided as supplemental information related to the February 16, 2011
Board of County Commission agenda item. The agenda item generally seeks direction from the Board of County Commission
on how to proceed with implementation of the U.S Fish & Wildlife Service (FWS) Biological Opinion and corresponding
Reasonable and Prudent Alternatives (RPAs) for the administration of the National Flood Insurance Program in the Florida
Keys. Since the Board discussed this issue on November 12, 2010, FWS and the Plaintiff entered into a settlement agreement
that contains amended RPA's, FWS and FEMA are requesting the County meet with them to begin implementation. The
amended RPAs identify the actions that must be taken by FEMA, FWS and Monroe County. Growth Management Division
staff and legal staff have identified four potential options for the Board to consider related to implementation. Other variations
may also be prudent. This memo and table are provided to demonstrate the magnitude of the BO.
The table below shows the total number of parcels countywide that are currently on the FEMA injunction list and the total
number of parcels within the new Focus Area Maps:
Mainland
Keys
All Count Parcels
FEMA Injunction
Public
Private
Public
Privat
13,848
88
4,133
88
M
12,108
31,128
10,979
21,38
57,172
36,588
W. (GROWTH MANAGEMEN7IBOCCIGMD Agenda Items120111February 16, 20111Bilogical Opinion ImplementationlBOCC Memo on rpa implementation
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Overall, the attached table demonstrates vacant, privately owned parcels. Those parcels are the most likely to be at risk for
eventual permit denial under the BO after the allowed impact acres are absorbed. Therefore, this analysis focuses on those
parcels.
There are 43,236 total parcels within unincorporated Monroe County (excluding the Mainland) containing 65,191 acres. Of
these, 9,609 are privately owned, vacant parcels. For the privately owned, vacant parcels, 7,059 parcels (7876 acres) are on
the FEMA injunction list from 2005; 7243 parcels (8886 acres) are within the new Focus Area Maps (the area subject to
review under the BO). Of those parcels /acres within the Focus Area, staff further refined the parcels /acres based on the type
of habitat that exists as of 2009 (most recent data). The habitat is classified as either 1) Hammock/Pineland parcels /Acreage
or 2) Wetland Parcels /Acreage. Classifying the land into those categories is relevant to the BO and the way each species is
classified for potential habitat. The BO (table 18) allows the County to issue permits that impact a certain amount of acreage
for each type of species that are considered to be potentially jeopardized. The maximum impact acreage in the BO is far less
than the amount of acreage that exists within the Focus Area. Because the BO requires the County to deny permits after the
"impact acres" are absorbed or impacted the staff believes the remainder parcels /acreage represent the risk for takings or Bert
J. Harris claims., since the County would have to deny permits or use once exceeded.
If you look at the table labeled "Analysis of Potential Economic Liability to Monroe County" you can see that for Key Deer,
the BO (Table 18) allows the county to issue permits up to the point in which 291 acres of hammock and/or wetlands are
impacted. Based on the data provided in the table, there are 4029 privately owned vacant acres of that type of habitat in
unincorporated Monroe County. Therefore, the county would be expected to deny permits requested after the 291 acre impact
is exceeded. Based on the assessed value of the vacant privately owned parcels within Key Deer habitat, the property
appraiser's current values indicate an average value of $10,080.11 per vacant acre. If you multiply that value times the
amount of acreage the county would be expected to deny permits for, there is a potential liability for the Key Deer habitat of
$37,674,907. County staff further calculated the average values and potential impact habitat acreage for each jeopardized
species to determine the overall potential liability in total. The total potential liability for all species, based on assessed value
is estimated to be: $61,180,190. This number is considered conservative, since it does not represent market value.
Below are Growth Management and legal department responses to some of the questions that have been raised regarding the
proposed Options:What are the implications to the Community in terms of Pros and Cons in implementing vs. not
implementing the RPA's?
1. Implement the BO RPA (Option 1
Pros
• Parcels or houses constructed while on the injunction list may be able to obtain Flood Insurance after
consultation with the FWS.
• For some property owners, the permit process would be streamlined if they can meet the guidelines in
the Species Keys. Some property owners would be able to utilize their property to some degree
provided they complied with the above Keys, competed in ROGO and obtained building permits.
• Monroe County residents would continue to be eligible for insurance under the NFIP.
Cons
• Once the acreages provided in Table 18 of the BO have been reached, no further building permits could
be issued, resulting in potential takings and Bert J. Harris Act potential liability for the County. Over
the long term, potentially increasing taxes of Monroe County residents and draining Monroe County
resources. A conservative estimate of potential liability is $61,180,190.
• For certain parcels, there is no guarantee that they will be able to meet the Keys guidelines or would
receive a favorable determination from FWS, in which case Monroe County would be required to deny
the permit.
• Costs associated with permitting, enforcement and reporting are significant and will require additional
manpower and resources by Monroe County with no assistance from FWS or FEMA.
Do Not Implement RPA's
Pros:
w. (GROWTH MANAGEMENTIBOMGMD Agenda Items120111February 16, 20110ilogical Opinion Implementation WCC Memo on rpa implementation
2 -14 -11 WITH CHANGES.docx
Monroe County does not expend resources (financial and manpower) in developing rules, procedures
and increased permitting and reporting requirements
Effectively puts FWS and FEMA on notice that the RPA's are not acceptable to Monroe County
May force FWS and FEMA to consider the alternatives proposed by Monroe County as detailed at the
November 12, 2010 Workshop, specifically:
• require each private or public property owner seeking development approval to consult with
the FWS and obtain (a) necessary Section 10 or other approvals and (b) certification of ESA
compliance from FWS prior to the issuance of Monroe County building permit; and
• require FWS to directly enforce the terms and conditions of Section 10 or other approvals
granted by the agency to the property owner.
• Recommend FEMA directly review individual requests for flood insurance and deny those
requests where the new development would adversely affect endangered species.
• Recommend that FEMA, by regulation, prohibit Federal Flood Insurance in the suitable or
known habitat of all endangered species, except the eastern indigo snake.
• Recommend expansion of Coastal Barrier Resource System to include focus areas, except the
eastern indigo snake.
• Others?
Cons:
• After 14 months (if not sooner) FEMA notifies Monroe County of non - compliance and initiates
probation and suspension procedures
• FEMA may withdraw Monroe County's eligibility in the NFIP and subsequently cancel current
policies, thereby creating substantial hardship for existing residents. This impact is illustrated in the
NFIP report fr om 2010 summarized here:
Community Number
Total
Total
Total Claims
Total Paid
Policies
City of Key West 8,419
Coverage
$1,975,456,700
Premium
$ 9,586,512
Since 1978
4,521
Since 1978
City of Layton 97
$ 23,378,400
% 96,977
19
$173,394,509
$ 270,458
Village of Islamorada 2
$ 674,255,300
$ 2,574,885
217
$ 5,156,824
City of Marathon 2,975
$ 616,549,900
$ 3,098,246
905
$34,063,716
Key Colony Beach 1,217
$ 250,140,800
$ 951,865
323
$ 3,658,505
1vlonroe County 17,936
$3,923,780,100
$17,056,489
12,393
$171,389,908
County Total 33,578
$7,463,561,200
$33,364,994
18,375
$387,933,920
New construction (and potential buyers) cannot obtain Federally subsidized insurance or Federally
backed mortgages
Mortgagors may force place insurance on property owners who are no longer covered by NFIP. Based
on the data above, as of May 6, 2010 FEMA had issued 17,936 NFIP policies to residents of
unincorporated Monroe County with annual premiums of $17,056489.00; an average of $950 annually
per policy. According to an article published in the Citizen on November 28, 2010, the cost of private
flood insurance to a resident on Big Pine Key was $17,000 annually. Assuming the cost of forced
place insurance per household who currently have flood insurance would increase to $17,000 /yr
compared to $950 /yr (NFIP), with 17,936 insured households in Monroe County, the annual cost for all
households would be $287,872,800, compared to the estimated conservative takings risk (see Option 4
below) of $61,180,190 is substantial.
What is the worst case scenario of the potential liability to the County if we do not implement the RPA's?
All property owners could lose flood insurance coverage under the NFIP. In addition, Monroe County could
lose National Disaster assistance.
3. Based on the RDA's, what is the process if the Board chooses not to implement? What happens if we do not
implement the RDA's?
W. IGROWTHMANAGEMENPBOMGMD Agenda ltems120111February 16,2011 1Bilogicaj Opinion ImplementationWCCMemo on rpa implementation
2 -14 -11 WITH CHANGES. docx
The RDA's require the participating communities to establish written procedures for implementation within 14
months of acceptance of the BO by the Court. If the RPAs are not implemented, FEMA will notify the County
in writing that substantial progress must be made to correct the program deficiencies or remedy any violation
within 60 days. The community must provide FEMA with a written response within 60 days of FEMA's notice,
of the actions being taken to correct the program deficiencies and any violation.
Staff believes that if Monroe County does not implement the RPA's, FEMA will initiate procedures for
probation and suspension of the County's eligibility for Flood Insurance. If the County does not respond to
FEMA or fails to make progress within 60 days of the initial notice, then FEMA may also initiate these
procedures.
The above considered, if we do not implement then the current injunction list remains in place. It is not clear
from the RPA's if FEMA could continue to issue Flood Insurance policies to parcels that are NOT on the
injunction list and also not in a Focus Area.
W: (GROWTH MANAGEMENIIBOCCIGMD Agenda ItemsCOI PFebruary 16, 20111Bilogical Opinion Implementation WCC Memo on rpa implementation
2 -14 -11 WITHCIIANGES.docx
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MONROE COUNTY HEALTH DEPARTMENT
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} O* FLORIDA DEPARTMENT OF
TH DEPA¢�✓" �
Christopher Tittel
Public Information Officer
Marketing Director
Gato Building
1100 Simonton Street (305)809-5653( )
Room 202 (305)924-6839(c)
Key West,FL 33040 (305)809-5629(f)
christopher_tittel @ doh.state.fl.us
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Dengue Makeup
• Single-stranded RNA flavivirus
— Same family as the viruses that
cause West Nile fever, St. Louis
encephalitis and yellow fever
• Four serotypes : DEN 1 , 2, 3 , 4
— Infection provides lifelong
immunity to the specific serotype
•
Dengue Symptoms
• Sudden onset of high fever
• Severe headache
• Pain behind the eyes
• Body aches and joint pains
• Nausea or vomiting
• Rash
Note: Severity of symptoms can range from no symptoms to severe.
Dengue vs . Flu
• Fever • Fever
• Severe headache • Headache
• Body aches • Body aches
• Fatigue • Fatigue
• Nausea or vomiting • Nausea or vomiting
• Pain behind the eyes Cough
• Joint pain • Sore throat
• Rash • Runny or stuffy nose
• Chills
• Diarrhea
Dengue Treatment
• Consult a physician if you experience fever and
at least two of the other symptoms of dengue
• Rest
• Drink plenty of fluids
• Take acetaminophen (avoid pain relievers that
contain aspirin)
, .
DengueWorldwide
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Dengue Florida
What works What works
against us... for us...
• Increased dengue activity • Established mosquito
in endemic areas control program
• Increased world travel • Water/waste management
• Warm climate • Housing with screens and
• Routine rainfall air conditioning
• Abundance of mosquitoes • Awareness
• No vaccine or antidote
• Apathy
Dengue in Key West
2009 27 cases
2010 66 cases
•
DengueCycle
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Communitywide Mission
Break the cycle of the disease
Keys ABCD (Action to Break the Cycle of Dengue)
With no vaccination or antidote for dengue, the
only way to break the cycle of the disease is to
eliminate the mosquitoes that can carry the
disease, as well as potential breeding sites for
these mosquitoes.
Dengue Awareness : Keys ABCD
Aedes aegypti can be found in and around
homes and businesses . As a result, it' s
important that each of us in the community
does his/her part to help eliminate
mosquito breeding sites on our own
properties on a routine basis to help protect
ourselves and overall public health.
•
Dengue Awareness : Keys AB CD
• Dump standing water in manmade containers daily and
immediately after rain (name some manmade
containers . . . )
• Make sure there are no holes in screens on windows
and doors
• Use air conditioning whenever possible
• Apply mosquito repellents (DEET, Picaridin, oil of
lemon eucalyptus, etc.), especially on legs, ankles and
feet
• Wear long sleeves and pants
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T Standing water attracts mosquitoes,
especially those that want to lay their eggs.
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•
FLORIDA DEPARTMENT OF
i EALT:
Rick Scott
Governor
MONROE COUNTY HEALTH DEPARTMENT
KeysABCD
Action to Break the Cycle of Dengue
Agency/Organization:
Director:
Contact Person:
Telephone Number:
Mailing Address:
Email Address:
Preferred Method of Contact:
Can your organization assist with Dengue prevention in the community? Yes No
Please explain how your organization can contribute:
•
1100 Simonton Street
P.O. Box 6193
Key West, Florida 33041-6193
(305) 293.7500• FAX(305) 809-5629
FLORIDA DEPARTMENT OF
H A T
Rick Scott
Governor
MONROE COUNTY HEALTH DEPARTMENT
Dengue Quick Facts
+ Typical Dengue Fever is a severe flu-like illness with prominent aches and pains
("breakbone fever"), fevers, headache, eye pain, and sometimes a rash and GI
symptoms, i.e. nausea, vomiting, and lack of appetite.
+ Individuals may have Dengue and are unaware.
+ Children are usually without symptoms with their first exposure to the Dengue Virus.
+ Dengue is the second more important insect-transmitted disease in the world, after
Malaria. It is found throughout the tropical world, from the Caribbean to Latin America
to Africa and Asia.
+Over 120 countries have Dengue Fever. About one-third of the world's population
(2.5 billion people) lives in Dengue regions.
+ There are approximately 50 million cases of Dengue worldwide each year. There are
500,000 severe cases of Dengue (i.e. Dengue Hemorrhagic Fever) each year with a
2%-5% mortality rate or 25,000 deaths per year. Dengue Hemorrhagic Fever(DHF) is
a major cause of disease and death among children in Southeast Asia.
+ During the 1950's and 1960's there was a widespread effort in the Americas to
reduce Aedes aegypti, the mosquito that transmits the Dengue virus. These efforts
were ultimately unsuccessful, and Dengue has spread throughout Latin America and
the Caribbean since the 1980's, with numbers doubling every 10 years. We now have
all four subtypes of Dengue in this hemisphere. DHF cases are increasing at a
disconcerting rate.
+ The only other place in the continental U.S. where the Dengue virus has been
transmitted in recent years has been in southern Texas (with no cases of DHF).
1100 Simonton Street
P.O. Box 6193
Key West, Florida 33041-6193
(305) 293.7500• FAX(305) 809-5629
FLORIDA DEPARTMENT OF
HEALT
Rick Scott
Governor
MONROE COUNTY HEALTH DEPARTMENT
Dengue & Key West
+ Dengue was recognized in Key West in 2009. There were 22 cases of confirmed Dengue in
between July and October of 2009, the first in Florida since the 1930's.
+ A CDC/State of Florida survey of the health of 240 residents in Old Town Key West in 2009,
showed a significant percentage of persons with recent (IgM — 3%) or remote (IgG.—38%)
exposure to Dengue viruses.
+ There have been 63 confirmed cases of Dengue in Key West from April to November 2010.
Several individuals were sick enough to be hospitalized, but fortunately all persons fully
recovered.
+ Despite much effort to educate the community and various strategies to reduce breeding of
the Aedes aegypti , the percentage of homes and residences harboring this mosquito was 18%
(or about 1 in 5) in a survey conducted on July 2010.
+ The problem with Dengue is that there are four separate Dengue viruses. Infection with one
Dengue subtype results in immunity, but after a period of cross-protection to other Dengue
subtypes, a person becomes susceptible to worse disease with the exposure to another
subtype of Dengue. DHF reflects exposure to more than one Dengue subtype over time.
Dengue type 1 was the subtype of Dengue identified in Key West in 2009 and 2010.
Vector Control
Vector Control (without vaccine) is the only method available to control and prevent Dengue.
Two types of control with historical success:
1.) VERTICAL (top-down)— using government agencies /personnel to go out into the
communities to ensure that there are no containers with standing water
2.) Program of communitywide education and mobilization
The best approach is to employ a combination of both using #1 for more immediate results and
#2 for sustainability.
Key Components for a successful program are:
1.) Knowledge
2.) Behavior Changes
3.) Enabling Environment
1100 Simonton Street
P.O. Box 6193
Key West, Florida 33041-6193
(305) 293.7500• FAX(305) 809-5629
FLORIDA DEPARTMENT OFF
HEALT
Rick Scott
Governor
MONROE COUNTY HEALTH DEPARTMENT
Essential Players in the Florida Keys:
1.) The Public— most important!
2.) Community Partners and Leaders— public, private, media, etc.
3.) Mosquito Control —the "troops" on the ground —vector control and education
4.) Monroe County Health Department— medical issues, personal protection and
prevention,education, coordination of programs and mobilization of resources
Planning for 2011
Status Quo—approximately 15% - 20% of homes and residences in the Florida Keys were
growing Aedes aegypti on premises in 2009 and 2010.
Goal — Break the cycle of disease by mobilizing the community to reduce the breeding of Aedes
aegypti by removing or emptying containers that have standing water or may collect water after
rain. We need to reduce the breeding index to the lowest level possible (less than 5%).
Benefits:
1.) Develop an effective program that will reassure residents and visitors alike.
2.) Be a model for everyone else( Dengue has already been reported elsewhere in South
Florida).
The Ultimate Challenge—Aedes aegypti are more widespread and abundant than at any time
in history. We should have the best chance for control(on a 2 by 4 island).
2011 Campaign :
1.) Start early (Winter/Spring)!
2.) Mobilize the community and resources so that everyone takes part in prevention.
3.) Send out frequent reminders to the press.
4.) Plan a community cleanup and all-out larval reduction measures before "Dengue
season" (May— November)
1 100 Simonton Street
P.O. Box 6193
Key West, Florida 33041-6193
(305) 293.7500• FAX(305) 809-5629
You can FIGHTTHE BITE ,-*- _ , -
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• The Fight the Bite Poster Contest encourages students to ;
illustrate ways to help pro themselves and their families T®.BITE. 14
from mosquito- and tick-borne diseases. POSTER
• All 5th and 6th grade students in the U.S are eligible to enter. CONTEST
• Two Grand Prize winners receive $1,000.
• State winners receive $50.
• 5th and 6th grade winners in Monroe County will each ,.
receive $100.
• Monroe County schools will receive $350 for a national winner 1.
and $100 for a state winner.
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• For rules and ideas visit www.fightthebitecontest.org.For more ,
info call 800-789-3300,or email alison@kroegerprcom. ,
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See other winners at Co-sponsored by the Centers for Disease Control
www.fightthebitecontest.org and Prevention and the DEET Education Program
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The keyto infection ispreventronL
avoiding
Dengue (den • gee) is a disease caused by any of four closely related dengue viruses transmitted to humans
through certain species of mosquitoes that live in tropical and subtropical regions, including the southeastern
United States. The disease is not transmitted from person to person. There is no specific medication for treatment
of a dengue infection. Ifyou are experiencing symptoms common to dengue, please see a health care provider.
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High fever
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What is dengue?
Dengue(pronounced den.gee)is a disease transmitted to humans by the bite of an infected mosquito.In the Western Hemisphere,
the Aedes aegypti mosquito is the most important transmitter or vector of dengue viruses.It is estimated that there are over 100
million cases of dengue worldwide each year.
What is dengue hemorrhagic fever(DHF)?
DHF is a more severe form of dengue infection.It can be fatal if unrecognized and not properly treated in a timely manner.DHF is
caused by infection with the same viruses that cause dengue fever.With good medical management,mortality due to DHF can be
less than 1 percent.
How is dengue spread? .
Dengue is transmitted to people by the bite of an Aedes mosquito that is infected with a dengue virus.The mosquito becomes
infected with dengue virus when it bites a person who;has dengue virus in their blood The person can either have symptoms of
dengue fever or DHF,or they may have no symptoms.After' about-one week,the mosquito can then transmit the virus while biting a
healthy person.Dengue cannot be spread directly from person to person.:- - - - . '
What are the symptoms of dengue?
The principal symptoms of dengue are high fever,severe headache,severe pain behind the eyes,joint pain,muscle and bone pain,
rash and mild bleeding(e:g:,nose or gums bleed;easy bruising).Generally,younger children and those with their first dengue
infection have a milder illness than older children and adults = ,- ,
What is the treatment for dengue?;
There is no specific medication,for treatment of a dengue infection.Persons who think.they have dengue should use analgesics(pain
relievers)with acetaminophen and avoid:those containing aspirin They should also rest,drink'.plenty of fluids and consult a
physician.If they feel worse(e.g,develop vomiting and severe abdominal pain)in the first 24 hours after the fever declines,they
should go immediately to the hospital for evaluation.
Where can outbreaks,of dengue occur? -
Outbreaks of dengue.occur primarily in areas where Ae. aegypti(sometimes also Ae. albopictus)mosquitoes live.This includes most
tropical urban areas of the world.Dengue viruses may be introduced into areas by travelers who become-infected while visiting other
areas of the tropics where dengue commonly exists. ,
What can be done to reduce the risk of acquiring dengue?
There is no vaccine for preventing dengue.The best preventive measure for residents living in areas infested with Ae. aegypti is to
eliminate the places where the mosquito lays her eggs,primarily artificial containers that hold water.Items that collect rainwater or
to store water(for example,plastic containers,55-gallon drums;buckets,or used automobile tires)should be covered or properly
discarded.Pet and animal watering containers and vases with fresh flowers should be emptied and cleaned(to remove eggs)at least
once a week:This will eliminate the mosquito eggs and larvae and reduce the number of mosquitoes present in these areas.Using air
conditioning or window and door screens reduces the risk of mosquitoes coming indoors.Proper application of mosquito repellents
containing 20-30 percent DEET as the active ingredient on exposed skin and clothing decreases the risk of being bitten by
mosquitoes.The risk of dengue infection for international travelers appears to be small.There is increased risk if an epidemic is in
progress or visitors are in housing without air conditioning or screened windows and doors..
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Action
to Break the Cycle of Dengue
February 2011
Keys ABCD It Takes a Village
Presentations Calendar Community chiefs join dengue campaign
January On January 25,the Monroe County. - - :
Health Department invited public �.• ;' :i�
25 Public Officials, 7 .m. Gato S
P � _ � officials to the Gato building to help �� �,'
Key West launch the Keys ABCD project. >Yr �,-+' .,,'��< � ,,,, - � `>
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February Action to Break the Cy of Dengue L" ' ; ,,,r„,N` I,,d,, y w `� ,
4 xryl.t t3 t .� ...-
is the department's renewed effort to ,'' 4_';� .; `
8 - CommunityGroups,-5:30 ,m �" `, ,, �F - I
P , P draw more members of the public into ,h: ,�t",,,,,&* r r fr
Harvey Governor en t Center, the fight against this mosquito-borne ;. L ,a , ;,G„ ``I , , : ,
Key West illness.Dengue has infected more than a ,r�+7 i , ,
90 residents of and visitors to Key West ; '; *``'
16 Monroe Board.of County _� :' '4-'' . ,,
since it was first discovered in the
Commissioners, 11 a.m., Southernmost City in August 2009. Emily Zielinski-Gutierrez,a scientist and social
Nelson GOVerIllllent Center, marketing consultant with the Centers for Disease
Officials representing county and city Control and Prevention,helped launch the Keys
Key Largo government-law enforcement,fire ABCD project with Monroe County Health
rescue,code enforcement,cemetery Department Medical Director Dr.Mark Whiteside.
18. Monroe County Schools, and others—Monroe County schools,
Principals, 9 a.m.; Marathon waste management services,utilities, importantly,encourage more people to
High School,Marathon the U.S.Coast Guard,Naval Air join the campaign.
Station Key West,the Naval Branch
March Health Clinic and Florida Keys Specifically,officials were asked to
Mosquito pitch their respective audiences the
15 Key West City Commission, Control were briefed onon, message that standing water in and
dengue's symptoms and modes of
6 p.m., Old City Hall,Key West around homes and businesses must be
transmission.
eliminated routinely so as to deny
Monroe CHD Administrator Bob mosquitoes the chance to breed and
To book a presentation for your q
Eadie and Medical Director Dr.Mark spread the disease.
business, community organization, Whiteside encouraged each official to
faith=based group, school, etc., come up with at least one way in which During a breakout session,officials
lease call 305 809-5653. he/she couldpromote the dengue
were shown photos of standing water in
p.".._ pas) g
prevention message and,more See CHIEFS,page 2
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Public officials met on January 25 to launch the Keys ABCD project.Representatives from Monroe County government,Key West City government,schools,the military,
Florida Keys Mosquito Control and other agencies considered how they might reach more audiences with the dengue prevention message.
CHIEFS Gutierrez,the Caribbean island experienced more than 21,000
Continued from page 1 cases of dengue in 2010..
and around homes and businesses in Key West and asked to Local media have picked up on the launch of Keys ABCD,with
consider which agencies might help ensure water is dumped in The Key West Citizen capturing the essence of the campaign in
each case.Water was shown collecting in and on residential one headline:It takes a village to control dengue(1/31/11).In
garbage cans,dumpsters and recycling bins;buckets on addition to coverage in The
construction sites;fountains; Citizen an article appeared in
boats;children's toys;tarps and The Key West Weekly(2/12/11)
garbage bags with deep creases; Dengue and US 1 Radio interviewed
and other places. Background:Dengue is a virus that can be transmitted from an infected ' Eadie(2/10/11).
Officials were also asked to individual to others through the bite of a female Aedes aegypti mosquito.
Although the disease has been endemic to much of the tropics and Chris Tittel,Monroe CHD
consider how agencies might subtropics,dengue first appeared in Key West in late 2009.A total of 66 , public information officer and
reach their audiences— people in Key West were infected in 2010.The Keys ABCD project aims to : marketing director;will work
brochures,presentations,flyers, break the cycle of the disease so that we see no more cases in Key West: with agencies and media to
cleanup days,public service Symptoms:high fever,severe pain behind the eyes,joint pain,rash , develop messaging that targets
announcements and more.
Treatment There is no vaccination or remedy for dengue.Sufferers should specific audiences.Tittel worked
A similar meeting with drink plenty of fluids,take pain relievers and rest.The virus will pass through with Zielinski-Gutierrez and
a person's system in about a week.During that time,the person should be
businesses,community and faith- others to develop the Keys
particularly careful about coming in contact with mosquitoes that could bite
based groups and the media was and transmit the disease to others: , ABCD logo and continues to
held on February 8 at the Harvey Prevention:eliminate standing water in and around homes and businesses work with an artist to develop a
Government Center.The session where mosquitoes can breed;wear repellents containing_DEET,Picaridin or dengue prevention cartoon series.
was taped and aired on Monroe oil of lemon eucalyptus;ensure screens on doors and windows do not have He is also working with Coleen
County TV Channel 76 and holes where mosquitoes can gain access;use air conditioning Fitzsimmons,a scientist and
posted to the Monroe County TV , spokesperson for the Florida
Web site. Keys Mosquito Control District,
Emily Zielinski-Gutierrez,a scientist and social marketing to ensure messaging throughout the community is unique,
consultant with the Centers for Disease Control and Prevention, accurate and timely.Tittel has also developed several dengue
offered participants in the February 8 meeting some insight into presentations that he can deliver on request to community and
how dengue is impacting Puerto Rico.According to Zielinski- faith-based groups,schools,businesses,associations and others.
IN THE WORKS
Following are projects that Keys ABCD_partners students to develop artwork for the Fight the Bite workers to the issue.
are currently developing.For more information poster contest.Posters will be judged at the Monroe County Sheriffs Office:Public
and assistance in developing a Keys ABCD county,state and national levels,with monetary Information Officer Becky Herrin will post in the
initiative,please call(305)809-5653. awards going to top artists and sponsoring schools. MCSO's weekly newsletter details on Keys
Key West City Cemetery:Sexton Russell Key West Fire Rescue:Workers have ABCD and notes that Lt.Bruce Winegarden took
' Brittain is developing a flyer,asking visitors to volunteered to pass out flyers and post door at the January 25 meeting.
dump standing water wherever they see it in the hangers on properties that are inspected by the fire Monroe County Health Department:Officials
graveyard and encouraging them to bring plastic department if there is evidence of standing water will promote among Keys ABCD partners
flower bowls and vases with drainage holes. or signs of mosquito issues.Craig Marston has neighborhood cleanups to mark Earth Day(April
also recommended that a Keys ABCD training be
Monroe County Schools:Science teachers are 22).Cleanups will focus on identifying and
encouraged.to work with 5th-and 6th-grade developed to raise awareness among fire rescue dumping standing water around the community.