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The Boston Globe

Health & wellness

Amesbury woman dies from EEE

Charlene Manseau of Amesbury died of Eastern equine encephalitis Saturday, and her family wants other cancer survivors to take extra precautions against the mosquito-borne illness.

Manseau, 63, is the second person to die of EEE in Massachusetts this year. State health officials reported earlier this month that a Westborough man in his 70s had died from the disease.

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Becky Manseau Barnett said her mother’s cancer treatments may have weakened her immune system, making her more susceptible to the virus.

“Immunosuprression could have contributed to her having severe symptoms with the EEE,” Manseau Barnett, 33, said

State health officials said Monday there had been a second EEE death, though for confidentiality reasons did not confirm the victim’s identity. The Massachusetts Department of Public Health confirmed Thursday that an Amesbury woman in her 60s had been hospitalized with the disease.

The agency also announced Monday that a Plymouth County resident, described as a male under age 18, has been diagnosed with EEE — the seventh human case reported in Massachusetts this year. Last year, just two cases and one death were reported in the state.The Plymouth patient was not hospitalized and is recovering, the state said.

Based on the new case, the state raised the threat level for EEE to “critical” in Marshfield and “high” in Scituate — meaning the state is urging those communities to cancel all outdoor events in the evening, when mosquitoes are active, until the first hard frost.

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Benjamin Duce, 79, of Westborough, a former research scientist and Army veteran died in August from EEE, his family said. Duce was in a coma the last four days of his life, and an autopsy confirmed the cause of his illness was EEE.

Health officials also disclosed two additional human cases of West Nile virus, another mosquito-borne illness that is less severe than EEE. The new cases were reported in a Boston resident in his 50s, who has been hospitalized, and a Hampden Country resident in his 50s, who was hospitalized but has since been discharged.

There have now been 19 human cases of West Nile in Massachusetts this year, and one death. Last year, there were six human cases.

“Summer may be over but the threat of mosquito-borne illness is not — we can expect to continue seeing mosquito activity until the first hard overnight frost,” state epidemiologist Dr. Al DeMaria said in a statement. “People need to continue to use insect repellent, cover up exposed skin, and avoid being outdoors at dusk and after nightfall when mosquitoes are at their most active.”

Manseau Barnett said her mother started experiencing headaches, fever, nausea, and vomiting early last week. Manseau was disoriented Wednesday, and her husband took her to the emergency room at Anna Jaques Hospital in Newburyport. She was transported to Brigham and Women’s Hospital thet same day.

“It wasn’t confirmed it was EEE until Wednesday,” she said. “The initial test for EEE came back negative.”

Manseau Barnett said the doctors told her that the false negative could have been a result of her mother’s history with cancer.

Manseau had uterine cancer five years ago and recently was diagnosed with lymphoma. She had been in remission for a year and was receiving Rituxan infusions to extend the length of her remission.

Amesbury Regional Health Director John Morris said efforts to eradicate mosquitoes began quickly last week. “When we were notified that we had a human case of EEE we immediately ordered a spray of the whole city,” he said.

Northeast Mosquito Control has since sprayed Amesbury for mosquitoes

Amesbury Mayor Thatcher W. Kezer III issued an order to ban all outdoor activities on city property between the hours of 5 p.m. and 9 a.m. until further notice, Morris said. “Most people seem to be compliant with that and seem to be able to work that into their schedules,” Morris said.

Mosquito control officials will conduct another round of mosquito tests of mosquitoes throughout in Amesbury this week. Morris said his office should receive the results of those tests by Friday afternoon and will then reevaluate its EEE prevention measures.

EEE is transmitted to humans via the bite of an infected mosquito.The US Centers for Disease Control and Prevention says EEE has a 33 percent mortality rate and many survivors suffer brain damage.

Manseau Barnett said hermother was a nurse at Anna Jaques for 40 years and had retired last year.

Her parents planned to celebrate their 41st wedding anniversary next week, she said. “She and my father were very devoted to each other,” Manseau Barnett said.

Melissa Werthmann can be reached at melissa.werthmann@globe.com.

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