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This isn’t intended to scare you in any way, but rather to inform you so that you are more cautious and prepared when you might be around mosquitoes or ticks AND so that you and your physicians are aware of the need to use PCR tests for diagnosis if you show up in their office with symptoms that could be an arbovirus such West Nile Virus) or Eastern Equine Encephalitis.

CDC warns 40% mortality in arbovirus cases tied to B cell therapies
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By: Ella Jeffries
yesterday
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August 14
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Thank you for sharing this — this is genuinely important information for anyone with MS who is on a B-cell depleting therapy like Ocrevus (ocrelizumab), Kesimpta (ofatumumab), Briumvi (ublituximab), or rituximab.

Here's what makes this particularly relevant: B-cell depleting therapies work by reducing certain immune cells Show Full Answer

Thank you for sharing this — this is genuinely important information for anyone with MS who is on a B-cell depleting therapy like Ocrevus (ocrelizumab), Kesimpta (ofatumumab), Briumvi (ublituximab), or rituximab.

Here's what makes this particularly relevant: B-cell depleting therapies work by reducing certain immune cells in your body. While this is great for controlling MS, it also means your body may struggle to produce antibodies against a new infection — including mosquito- or tick-borne viruses. What the CDC advisory means for you practically:

- Prevent bites — Use EPA-registered insect repellent, wear long sleeves and pants outdoors, and avoid peak mosquito hours (dusk and dawn)
- Tell your doctor you're on a B-cell depleting therapy if you develop symptoms like fever, headache, confusion, or neurological changes after possible mosquito or tick exposure
- Ask specifically for PCR/molecular testing — standard antibody-based tests may give false negatives because your body may not be producing antibodies normally while on these medications
- Don't wait — if symptoms appear, seek medical attention promptly

This is not a reason to stop your MS treatment, but it is a very good reason to be proactive about bite prevention and to make sure your care team is informed.

August 14

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