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Ross River Fever

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Australia: For Specific Travellers

Ross River Fever

Outbreak

Ross River Fever cases have been reported in Victoria. 

Source: ProMED-mail. 
Last updated: February 17, 2021.

Description

Ross River Fever, also known as Epidemic Polyarthritis, is a viral infection caused by the Ross River Virus belonging to the family. It is a zoonosis – an animal disease that can spread to humans – that affects kangaroos and wallabies. The illness is transmitted to humans through the bite of infected daytime biting female mosquitoes, primarily Aëdes vigilax, Aëdes camptorhynchus, and Culex annulorostris.

Risk

Ross River Fever is endemic in Australia and Papua New Guinea. Large outbreaks have also occurred on islands in the South Pacific. Travellers such as campers, hikers, hunter, and persons involved in outdoor professions or visiting farms near irrigation systems are at risk. Infections in urban areas are uncommon. Peak transmission occurs from January to March during the wet season.

Symptoms

In some cases, infection is asymptomatic – persons do not exhibit symptoms. Flu-like symptoms develop 7 to 10 days (up to 21 days) after exposure to the virus and include fever, chills, headache, fatigue, muscle pain. Almost all patients develop joint swelling (arthritis) affecting fingers, wrists, and knees. Some patients get a rash on their body, legs, and arms which disappears after 7 to 10 days. Joint pain, depression, and fatigue can persist for months after becoming ill. Treatment includes supportive care of symptoms. Note that Ross River Fever can be misdiagnosed as Dengue, Chikungunya or other similar viral infections.

Prevention

Travellers should take measures to prevent mosquito bites both indoors and outdoors. There is no preventive vaccine or medication against Ross River Fever.

  • Use a repellent containing 20%-30% DEET or 20% Picaridin on exposed skin. Re-apply according to manufacturer's directions.
  • Wear neutral-coloured (beige, light grey) clothing. If possible, wear long-sleeved, breathable garments.
  • If available, pre-soak or spray outer layer clothing and gear with permethrin.
  • Get rid of water containers around dwellings and ensure that door and window screens work properly.
  • Apply sunscreen first followed by the repellent (preferably 20 minutes later).
  • For more details, see IAMAT's insect bite prevention.

Information last updated: February 23, 2021. 

  • Harley D, Suhrbier A. Ross River Virus Disease. In: McGill, A; Ryan, E; Hill, D; Solomon, T, eds. Hunter's Tropical Medicine and Emerging Infectious Diseases. 9th ed. New York: Saunders Elsevier; 2013: 315-317.
  • Tsai T. Arboviruses of Medical Importance. In: Jong, E; Stevens, D, eds. Netter’s Infectious Diseases. New York: Saunders Elsevier; 2012: 419-424.
  • Weaver S, Smith DW. Alphavirus Infections. In: Guerrant, R; Walker D; Weller P, eds. Tropical Infectious Diseases. 3rd ed. New York: Saunders Elsevier; 2011: 519-524.
  • NSW Government | Health: Ross River Fever Fact Sheet


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