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Dear Champions of Education, </div>
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We are writing today in partnership with the Maine Center for Disease Control and Prevention (Maine CDC), and the Maine Department of Agriculture, Conservation and Forestry (DACF), to bring to your attention that Maine is currently experiencing significantly
elevated risks of mosquito-borne illness. We are strongly advising that precautions be taken to mitigate that risk. </div>
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<span style="color: rgb(0, 0, 0);"><b>Current Situation </b><br>
In recent weeks, the Maine CDC has </span><span style="color: rgb(51, 102, 153);"><u><a href="https://www.maine.gov/dhhs/mecdc/infectious-disease/epi/vector-borne/arboviral-surveillance.shtml" target="_blank" id="OWA40c3d8a6-e27c-93f9-40e5-b411c6b7adf5" class="OWAAutoLink" rel="noreferrer noopener" style="color: rgb(51, 102, 153);">reported</a></u></span><span style="color: rgb(0, 0, 0);">: </span></div>
<ul style="text-align: left;">
<li style="font-family: Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<div style="margin-top: 1em; margin-bottom: 1em;">West Nile virus (WNV) in 15 wild birds and in one human </div>
</li><li style="font-family: Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<div style="margin-top: 1em; margin-bottom: 1em;">Eastern Equine Encephalitis (EEE) virus in 4 horses, 2 emus, 1 llama, and 1 wild turkey </div>
</li><li style="font-family: Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<div style="margin-top: 1em; margin-bottom: 1em;">Jamestown Canyon Virus (JCV) in 4 mosquito pools (groups of up to 50 mosquitoes regularly tested as part of routine surveillance) </div>
</li></ul>
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Presence of these viruses in animals indicates that mosquitos in certain regions of our state do carry the viruses and therefore pose a risk to humans. </div>
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Maine CDC has identified the following counties as being high risk: Cumberland, Kennebec, Penobscot, Somerset, and Waldo counties. All other counties are at an elevated risk at this time. All three of these viruses are spread through the bite of an infected
mosquito and usually start with flu-like symptoms in humans. Severe symptoms can include brain swelling (encephalitis) and spinal cord inflammation (meningitis). </div>
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<span style="color: rgb(0, 0, 0);">EEE is a </span><span style="color: rgb(51, 102, 153);"><u><a href="https://www.cdc.gov/eastern-equine-encephalitis/about/index.html" target="_blank" id="OWAc7a41150-2d08-547f-9b00-77c82617499d" class="OWAAutoLink" rel="noreferrer noopener" style="color: rgb(51, 102, 153);">deadly
virus</a></u></span><span style="color: rgb(0, 0, 0);"> that has an approximate mortality rate of 30 percent for those who develop severe disease and, if survived, often has serious, lifelong neurological impacts. West Nile Virus causes serious, sometimes
fatal, illness in approximately </span><span style="color: rgb(51, 102, 153);"><u><a href="https://www.cdc.gov/west-nile-virus/about/index.html" target="_blank" id="OWAaaa1565f-2707-c9ed-5dd2-414cd950be8f" class="OWAAutoLink" rel="noreferrer noopener" style="color: rgb(51, 102, 153);">one
out of 150 people.</a></u></span><span style="color: rgb(0, 0, 0);"> For survivors, recovery may take several weeks to months, and some will have lifelong impacts. If you experience flu-like symptoms, severe headache, behavior changes, or serious drowsiness,
call a health care provider, especially if a COVID-19 test is negative. </span></div>
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Prevention strategies are critical to keep students, staff, and families safe when participating in outdoor activities, including recess, games, practices, spectator sports, outdoor classes and field trips. </div>
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The risk for getting a mosquito-borne disease is highest from<b> dusk to dawn</b> and when temperatures are above 50°F (especially above 60°F), since this is when mosquitoes are most active. Risk from mosquito bites is expected to continue until two hard frosts
kill the mosquitoes this fall/winter. The best way to prevent mosquito-borne diseases is to prevent mosquito bites. </div>
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<b>Schools can take and/or encourage the following actions to reduce the existing risk: </b></div>
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<div style="margin-top: 1em; margin-bottom: 1em;"><b>Use repellent. </b>Use an <span style="color: rgb(51, 102, 153);">
<u><a href="https://www.epa.gov/insect-repellents/find-repellent-right-you" target="_blank" id="OWA153bb6c9-6f77-b905-69a2-fc76c87a95fc" class="OWAAutoLink" rel="noreferrer noopener" style="color: rgb(51, 102, 153);">EPA-approved repellent</a></u></span> containing
DEET, picaridin, IR3535 (ethyl butylacetylaminopropionate), or oil of lemon eucalyptus on skin and clothing. Permethrin can also be used on clothing only and is effective through several washes. </div>
</li><ul>
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School employees and volunteers must have authorization from parents/guardians to apply repellents to minor children (<span style="color: rgb(51, 102, 153);"><u><a href="https://www.maine.gov/dacf/php/pesticides/documents2/rulemaking_2024/2024_All_Rules_BPC.pdf" target="_blank" id="OWAb641a720-a8cb-da83-5689-6e5e0190d5df" class="OWAAutoLink" rel="noreferrer noopener" style="color: rgb(51, 102, 153);">CMR
01-026, Chapter 10, Section 2.I.4.iii - PDF</a></u></span>). </li><li style="font-family: Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<div style="margin-top: 1em; margin-bottom: 1em;">Schools that schedule practices or other after-school activities at dusk/evening should encourage the use of EPA-approved repellents for all participants. This includes students, coaches, and observers. </div>
</li></ul>
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<div style="margin-top: 1em; margin-bottom: 1em;"><b>Wear protective clothing. </b>
Children and others at outdoor after-school activities, practices, or outdoor field trips should be encouraged to wear protective clothing that covers skin. This includes long sleeve shirts, pants, and socks. </div>
</li><li style="font-family: Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<div style="margin-top: 1em; margin-bottom: 1em;"><b>Identify any stagnant water sources and drain them.</b> Items such as tires, buckets, rain gutters, pools, tarps, play equipment, overturned traffic cones present opportunities for mosquito breeding habitat.
Seek out those sources around the school and any other outdoor venues used by students or staff, and dry out those potential mosquito habitats. Prevent these sources from refilling by removing items, drilling holes, etc. </div>
</li><li style="font-family: Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<div style="margin-top: 1em; margin-bottom: 1em;"><b>Check all windows for intact and tight-fitting screens.</b> Patch any holes in screens, as necessary. </div>
</li><li style="font-family: Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<div style="margin-top: 1em; margin-bottom: 1em;"><b>Consult your Integrated Pest Management (IPM) coordinator about strategies to improve safety of school grounds.
</b>Talk to your school’s IPM Coordinator to review IPM policy. Maine’s <span style="color: rgb(51, 102, 153);">
<u><a href="https://www.maine.gov/dacf/php/integrated_pest_management/school/index.shtml" target="_blank" id="OWAd1bf116f-da63-5fce-7d52-2cbef4882c1f" class="OWAAutoLink" rel="noreferrer noopener" style="color: rgb(51, 102, 153);">School IPM Program</a></u></span> is
available to help identify strategies schools can use to minimize mosquito-borne disease risk. </div>
</li></ul>
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<span style="color: rgb(0, 0, 0);"><b>Schools in counties (Cumberland, Kennebec, Penobscot, Somerset, and Waldo) with
</b></span><span style="color: rgb(51, 102, 153);"><u><a href="https://www.maine.gov/dhhs/mecdc/infectious-disease/epi/vector-borne/arboviral-surveillance.shtml" target="_blank" id="OWA7c632dac-29e2-2166-f943-90e0f2390b59" class="OWAAutoLink" rel="noreferrer noopener" style="color: rgb(51, 102, 153);">detected
mosquito-borne disease activity</a></u></span><span style="color: rgb(0, 0, 0);"><b> may also want to consider taking additional precautions around outdoor activities, such as: </b></span></div>
<ul style="text-align: left;">
<li style="font-family: Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<div style="margin-top: 1em; margin-bottom: 1em;">Limiting or rescheduling evening outdoor activities when temperatures at dusk are 50°F or greater. </div>
</li><li style="font-family: Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<div style="margin-top: 1em; margin-bottom: 1em;">Raise awareness and provide education for families in the school administrative unit about the risk, and personal protections they can take for themselves and their families. </div>
</li><li style="font-family: Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<div style="margin-top: 1em; margin-bottom: 1em;">Implementing your school administrative unit’s IPM strategy. </div>
</li></ul>
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<b>Resources Available </b><br>
There are resources available for you to share with students, staff, and parents, post on websites, or share through other means. </div>
<ul style="text-align: left;">
<li style="font-family: Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<div style="margin-top: 1em; margin-bottom: 1em;"><span style="color: rgb(51, 102, 153);"><u><a href="http://www.maine.gov/dhhs/vectorborne" target="_blank" id="OWAc63d5776-99d4-b12b-efc8-f45253f37935" class="OWAAutoLink" rel="noreferrer noopener" style="color: rgb(51, 102, 153);">Mosquito-borne
disease fact sheets</a></u></span> available under each disease. </div>
</li><li style="font-family: Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<div style="margin-top: 1em; margin-bottom: 1em;"><span style="color: rgb(51, 102, 153);"><u><a href="https://www.maine.gov/dhhs/mecdc/infectious-disease/epi/school-curriculum/index.shtml" target="_blank" id="OWA06f53aa5-400b-4459-1cde-33f4a5b97b36" class="OWAAutoLink" rel="noreferrer noopener" style="color: rgb(51, 102, 153);">Mosquito-borne
disease youth curriculum</a></u></span>. </div>
</li><li style="font-family: Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<div style="margin-top: 1em; margin-bottom: 1em;"><span style="color: rgb(51, 102, 153);"><u><a href="https://www.maine.gov/dhhs/mecdc/infectious-disease/epi/vector-borne/arboviral-surveillance.shtml" target="_blank" id="OWAb69a23cc-2f43-ed47-d0be-47d6023375c5" class="OWAAutoLink" rel="noreferrer noopener" style="color: rgb(51, 102, 153);">Weekly
arboviral (mosquito-borne) surveillance reports</a></u></span>. </div>
</li><li style="font-family: Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<div style="margin-top: 1em; margin-bottom: 1em;"><span style="color: rgb(51, 102, 153);"><u><a href="https://www.maine.gov/dhhs/mecdc/infectious-disease/epi/shm/index.shtml" target="_blank" id="OWAf8bc5ffb-93cb-318e-c36f-d53d0660ef7f" class="OWAAutoLink" rel="noreferrer noopener" style="color: rgb(51, 102, 153);">School
health manuals</a></u></span>, including mosquito-borne diseases. </div>
</li><li style="font-family: Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<div style="margin-top: 1em; margin-bottom: 1em;"><span style="color: rgb(51, 102, 153);"><u><a href="https://www.maine.gov/dacf/php/integrated_pest_management/school/index.shtml" target="_blank" id="OWAf3495026-b1fa-b627-4d51-e5f4a565d30d" class="OWAAutoLink" rel="noreferrer noopener" style="color: rgb(51, 102, 153);">School
Integrated Pest Management (IPM) Program</a></u></span> or IPM specialist at DACF,
<span style="color: rgb(51, 102, 153);"><u><a href="mailto:hillary.peterson@maine.gov" target="_blank" id="OWAe8c1d320-ea79-82ed-748d-e9097972a57d" class="OWAAutoLink" rel="noreferrer noopener" style="color: rgb(51, 102, 153);">Hillary Peterson</a></u></span>. </div>
</li><li style="font-family: Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<div style="margin-top: 1em; margin-bottom: 1em;">The Maine CDC is available 24/7 at 1-800-821-5821 or
<span style="color: rgb(51, 102, 153);"><u><a href="mailto:disease.reporting@maine.gov" target="_blank" id="OWA738adc33-91e9-d3b1-e6af-99a25f0dd8af" class="OWAAutoLink" rel="noreferrer noopener" style="color: rgb(51, 102, 153);">disease.reporting@maine.gov</a></u></span>. </div>
</li><li style="font-family: Calibri, Helvetica, sans-serif; font-size: 12pt; color: rgb(0, 0, 0);">
<div style="margin-top: 1em; margin-bottom: 1em;"><span style="color: rgb(51, 102, 153);"><u><a href="https://www.maine.gov/dacf/php/pesticides/index.shtml" target="_blank" id="OWAed212aba-ed44-ebee-b112-8c2042b1face" class="OWAAutoLink" rel="noreferrer noopener" style="color: rgb(51, 102, 153);">Board
of Pesticides Control</a></u></span>, 207-287-2731 or <span style="color: rgb(51, 102, 153);">
<u><a href="mailto:pesticides@maine.gov" target="_blank" id="OWA196d5dbc-0049-6e87-9e68-d666e5b3381e" class="OWAAutoLink" rel="noreferrer noopener" style="color: rgb(51, 102, 153);">pesticides@maine.gov</a></u></span>. </div>
</li></ul>
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The Maine DOE, the Maine CDC, and DACF will continue to monitor the situation and appreciate your help to keep the people of Maine safe. </div>
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<i>Sent September 18, 2024</i></div>
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<p style="margin-top: 0px; margin-bottom: 0px;"><span style="font-family: Calibri, sans-serif; font-size: 12pt; color: rgb(36, 36, 36);">________________________________________ </span></p>
<p style="text-align: left; text-indent: 0px; background-color: white; margin: 0px;">
<span style="font-family: Calibri, sans-serif; font-size: 12pt; color: black;"><b><br>
Emily Poland, MPH, RN, NCSN (she/her)</b></span><span style="font-family: Cambria, serif, serif, EmojiFont; font-size: 12pt; color: black;"><br>
</span><span style="font-family: Calibri, sans-serif; font-size: 12pt; color: black;">School Nurse Consultant</span><span style="font-family: Cambria, serif, serif, EmojiFont; font-size: 12pt; color: black;"><br>
</span><span style="font-family: Calibri, sans-serif; font-size: 12pt; color: black;">Coordinator – Coordinated School Health</span><span style="font-family: Cambria, serif, serif, EmojiFont; font-size: 12pt; color: black;"><br>
</span><span style="font-family: Calibri, sans-serif; font-size: 12pt; color: black;">Office of School and Student Supports</span><span style="font-family: Cambria, serif, serif, EmojiFont; font-size: 12pt; color: black;"><br>
</span><span style="font-family: Calibri, sans-serif; font-size: 12pt; color: black;">Maine Department of Education</span><span style="font-family: Cambria, serif, serif, EmojiFont; font-size: 12pt; color: black;"><br>
</span><span style="font-family: Calibri, sans-serif; font-size: 12pt; color: black;">23 State House Station</span><span style="font-family: Cambria, serif, serif, EmojiFont; font-size: 12pt; color: black;"><br>
</span><span style="font-family: Calibri, sans-serif; font-size: 12pt; color: black;">Augusta, Maine 04333-0023</span><span style="font-family: Cambria, serif, serif, EmojiFont; font-size: 12pt; color: black;"><br>
</span><span style="font-family: Calibri, sans-serif; font-size: 12pt; color: black;"><b>Email</b>:
</span><span style="font-family: Calibri, sans-serif, serif, EmojiFont; font-size: 12pt; color: rgb(12, 100, 192);"><a href="mailto:emily.poland@maine.gov" id="OWA8cf3160e-745e-2e20-1109-cc0eeb2550d3" data-linkindex="0" style="color: rgb(12, 100, 192); margin: 0px;">emily.poland@maine.gov</a></span><span style="font-family: Cambria, serif, serif, EmojiFont; font-size: 12pt; color: black;"><br>
</span><span style="font-family: Calibri, sans-serif; font-size: 12pt; color: black;"><b>Phone</b>: 207-592-0387</span><span style="font-family: Cambria, serif, serif, EmojiFont; font-size: 12pt; color: black;"><br>
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