THEY PRESENT. ALL RIGHT. NOW, AT 446, IN THE AFTERNOON, WE TURN TO FIVE ON YOUR HEALTH, AND LET'S TALK ABOUT MOSQUITOES, BECAUSE AS WE HAVE BEEN REPORTING, AN ADULT IN NEW HAMPSHIRE IS DEAD TONIGHT AFTER TESTING POSITIVE FOR TRIPLE E, IT'S THAT STATE'S FIRST HUMAN CASE OF THE MOSQUITO BORNE ILLNESS SINCE 2014. HERE TO ANSWER QUESTIONS IS DOCTOR TODD ELLERIN, THE CHIEF OF INFECTIOUS DISEASES AT SUTTER HEALTH. IT'S ALWAYS GREAT TO SEE YOU AND GREAT TO SEE YOU. WHAT BECAUSE OF TIME OF YEAR. THIS IS WHEN WE START TALKING ABOUT IT, RIGHT? THAT'S EXACTLY RIGHT. OKAY. SO SO LET'S DIG INTO IT. AS YOU KNOW, MOSQUITOES AREN'T JUST IN NEW HAMPSHIRE OR MASSACHUSETTS. MOSQUITOES ARE EVERYWHERE. CASES OF TRIPLE E, THOUGH, ARE VERY FEW. UNFORTUNATELY, MASSACHUSETTS IS ONE OF THE STATES THAT HAS THEM. YOU REMEMBER A MAN IN HIS 80S TESTED POSITIVE, A COUPLE WEEKS AGO IN WORCESTER COUNTY. THEY'RE ALSO LET'S SHOW YOU A MAP. THEY'RE ALSO IN WISCONSIN, VERMONT, NEW JERSEY, AND NOW NEW HAMPSHIRE WITH A CASE EACH. WHY IS TRIPLE E A THREAT HERE? AND, YOU KNOW, WHATEVER, TWO THIRDS OF NEW ENGLAND, BUT NOT EVERYWHERE, RIGHT? SO THE ISSUE IS WE HAVE THE RIGHT OR IN THIS CASE, THE WRONG TYPE OF MOSQUITO. AND BIRDS. YOU NEED A MOSQUITOES AND BIRDS TO, TO GET THE VIRUS AND THEN INFECT HUMANS. SO IT'S ALL ABOUT HAVING THE MOSQUITOES, THE BIRDS AND THE VIRUS IN THE SAME PLACE. AND WE'RE ONE OF THOSE STATES THAT LEAD THE COUNTRY. IT'S RATHER ODD TO SEE THE CLUSTER IN PARTS OF NEW ENGLAND AND THEN WAY OVER IN WISCONSIN. THAT'S RATHER ODD TO SEE, BUT BUT REMEMBER THAT GEOGRAPHY IS GOING TO BE SPREADING AS WE SEE MORE, AS WE SEE MORE. MASSACHUSETTS, BY THE WAY, HASN'T SEEN A CASE IN FOUR YEARS. AND UNTIL TODAY, NEW HAMPSHIRE HADN'T SEEN THAT CASE IN TEN YEARS. SO ARE THEY SUDDENLY POPPING UP? BUT WHY ARE THEY SUDDENLY POPPING UP? NOW? REMEMBER, WE ONLY HAVE ONE CASE IN MASSACHUSETTS RIGHT NOW, RIGHT? BUT THE CONCERN IS TRIPLE E IS CYCLICAL. OKAY. AND ONE OF THE THINGS THAT IT HAS TO DO IS THE MOSQUITOES HAVE TO BITE THOSE BIRDS. OKAY. AND THOSE BIRDS, WHEN THEY GET INFECTED, ULTIMATELY DO DEVELOP SOME IMMUNITY. SO WHEN THEY HAVE IMMUNITY THERE'S LESS VIRUS THEN BIRD IMMUNITY WANES. IT'S LESS. AND THEN IT CAN AMPLIFY. IT CAN HAVE MORE VIRUS IN THERE. THE MOSQUITOES CAN BITE THOSE BIRDS AND THEN INFECT HUMANS. GOTCHA. SO IT WAXES AND WANES. THAT AND THAT'S WHAT DRIVES THE CYCLE. AND REMEMBER THERE WERE 17 CASES BETWEEN 2019 AND 2020. AND SEVEN DEATHS. SO RARE BUT DEADLY AND DEADLY AS WE AS WE HAVE REPORTED. ALL RIGHT. SO WE'VE SEEN THE CYCLE DO THIS WITH. WHAT ABOUT THIS YEAR? IS THIS YEAR GOING IN THIS DIRECTION OR IS THIS YEAR GOING DOWN? BIG QUESTION. BIG QUESTION. WE DON'T KNOW. I WISH I HAD A CRYSTAL BALL. BUT REMEMBER THERE'S THINGS THAT WE CAN DO ABOUT IT. IT'S ALL ABOUT THE MOSQUITO BITE. IF YOU PROTECT THE MOSQUITO BITE IF YOU STAY OUT, IF YOU AVOID BETWEEN DUSK AND DAWN, LONG CLOTHES AND OF COURSE, THAT MOSQUITO REPELLENT THAT DEET VERY IMPORTANT THAT WILL PROTECT YOU AGAINST MOSQUITO BITES. IF YOU PROTECT AGAINST MOSQUITO BITES, YOU'RE NOT GOING TO GET TRIPLE T. WE'VE TALKED ABOUT THIS A MILLION TIMES. WHEN IT'S A BEAUTIFUL NIGHT OUTSIDE IN THE SUMMEMER AND IT'S 80 DEGREES. YOU DON'T WANT TO BE WRAPPED UP THROUGH YOUR FINGERS. YOU DON'T WANT TO WEAR A NET OVER YOUR HAIR. YOU DON'T WANT TO COVER YOUR LEGS. YOU WANT TO BE OUTSIDE AND ENJOY THE THE WEATHER. AND IN THOSE CASES, IF YOU'RE GOING TO DO THAT, MAKE SURE YOU WEAR THAT MOSQUITO REPELLENT. THAT IS KEY. KEY. IT CAN BE LIFE THREATENING. REMEMBER THIS IS RARE, BUT BECAUSE IT'S DEADLY, WE TAKE IT SERIOUSLY. THAT'S WHY YOU HEARD IN PLYMOUTH THEY BASICALLY SAID NO OUTDOOR ACTIVITIES. THEY'RE CLOSING. THEY'RE STOPPING ALL SPORTS BETWEEN DAWN AND DOES IT MAY 6TH, MAY SEEM EXTREME. I KNOW IT IS. BUT WHEN YOU'RE WEARING A PUBLIC HEALTH HAT AND YOU SEE HOW SEVERE THIS CAN BE, YOU KNOW, YOU'VE GOT TO, YOU KNOW, WE'VE GOT TO TRY TO ABIDE AS BEST WE