Patient discussions
People living and/or working in endemic areas (e.g., eastern seaboard and Gulf Coast of US) should be aware of the signs and symptoms of EEEV infection, and advice from an infectious disease specialist should be sought if any signs or symptoms appear, or if EEEV infection is suspected.
Appropriate actions should be taken to avoid being bitten by mosquitoes;[32] for example:
Wearing protective clothing (e.g., long-sleeved shirts and long trousers); clothes may be treated with permethrin, but directions on the package insert must be followed
Using mosquito repellent (e.g., repellent containing DEET [N,N-diethyl-3-methylbenzamide], picaridin, IR3535, or oil of lemon eucalyptus) on exposed skin and/or clothing
Using mosquito nets (possibly impregnated with insecticide)
Using secure and intact screens on windows and doors in the house to keep mosquitoes out, particularly at night
Emptying, cleaning, or covering containers that can hold water to reduce areas where mosquitoes can breed, including in and around households
Avoiding outside activities during times of the day when mosquitoes are active.
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