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Experiments were done to determine the effect, if any, of larval and adult Culiseta melanura (Coquillett) suspensions on the recovery of eastern equine encephalomyelitis (EEE) virus in baby hamster kidney (BHK) and Vero cell cultures. Although triturated pools of this mosquito reduced the titer of EEE virus added to suspensions, suspensions prepared from as many as 100 Cs. melanura larvae or adults did not reduce titers of virus to undetectable levels. Similarly, the titer of EEE virus in orally infected female Cs. melanura remained detectable when a single infected mosquito was triturated in a pool with 99 uninfected mosquitoes. These results show that in BHK or Vero cell culture assay systems, triturated Cs. melanura do not completely prevent the detection of EEE virus. The results therefore indicate that mosquito suspensions would not interfere with the isolation of virus from field-collected mosquitoes. This conclusion suggests that mosquito suspensions were not a factor in previous studies that were unsuccessful at detecting transovarial transmission of EEE virus by Cs. melanura.

Research leading to the current state of knowledge on the epidemiology of La Crosse virus (LACV), Jamestown Canyon virus (JCV) and dengue (DEN) viruses is summarized in relation to the generally recognized criteria for incriminating vectors. The importance of vector biology and local ecological conditions is emphasized as is the necessity of a good balance between laboratory and field-based studies. The influence of human activity in shaping the epidemiological patterns of all three of these arboviruses is readily apparent.

Pleural mesothelioma is a rare neoplasm that is usually highly malignant, but benign mesotheliomas do occur; approximately 400 cases are described in the literature. We report the case of a young woman with a massive benign mesothelioma that filled the entire left hemithorax but was successfully resected with full reexpansion of the lung.

Epidemics of a malaria-like illness affected several thousand residents of the Dam Camp, a refugee camp near Hargeysa in Somalia, during 1985, 1986, and 1987. The disease was characterized by fever, chills, sweats, headache, back and joint pains for as long as 10 days in some patients. Blood smears from acutely ill patients were negative for malaria. Of 28 acute and 10 convalescent sera tested by the indirect fluorescent antibody (IFA) and by the hemagglutination inhibition (HI) tests, all were negative for antibody to Rift Valley fever, Crimean-Congo hemorrhagic fever, Sindbis, Chikungunya, yellow fever, and Zika viruses. However, antibody reactive to dengue 2 virus was detected by the IFA test in 39% (15/38), and 11 of 29 (38%) of the same sera were antibody positive by the HI test. Also, IgG antibody reactive to dengue 2 was demonstrated in 60% (17/28) of the same sera by the enzyme immunoassay (EIA), and 14% (4/28) were positive for IgM antibody. Of ten patients for which acute and convalescent sera were available, two developed four fold or greater rises in antibody titer evidencing infection. These data suggested that dengue virus may have been the cause of the epidemic among the Dam Camp refugees.