Easter NE wine and sephtis is short term is Triple E uh is a virus infection carried by mosquitoes that can cause uh very rarely causes disease in humans uh and when it does cause a infection is very very severe although it's a very rare infection we have no treatment for it uh to do this and if once someone gets it it's just all we can do is provide supportive care and it can kill people well this is a virus which is present uh in the environment in uh Southern New England so there are cases in Massachusetts uh cases in Rhode Island cases in Connecticut uh tend to be areas that where there were a certain kind of mosquito lives that tends to be areas that used to be swamp land that's been converted in less swampy now but the mosquitoes still find good habitat we don't see Triple AC ity every year in Massachusetts it tends to occur in outbreak Cycles our last outbreak cycle was 2019 through 2020 um and what we have seen over sort of the last you know 10 12 years is that we're starting to see increases of triple activity outside of the historic hotspot um and we're concerned that that's due to a couple of factors including some of the the climate change likely climate change effects like a warming temperature changes in migratory bird patterns um and and changes in Pre precipitation activity as well