1.

Summary
- Fishing guide in Ketchikan, AK
- Contracted fishing excursions with many cruise line passengers
who came through Ketchikan during months of May through
September
2. Geographical Range
a. Home
- Lived on Fishing Boat at the Docks in Ketchikan, AK during May
through September
- Condo in Naples, FL during Fall and Winter; worked as fishing guide
or traveled (Naples is 50 miles from Fort Lauderdale); spends lots of
time outdoors near beach
b. Travel
- Winter 2012 - Spring 2013: Panama worked as deep sea fishing
guide
- May 2013: Naples, FL brief stop at his condo, before returning to
AK
- May 2013 September 2013: Ketchikan, AK lived on fishing boat
in Ketchikan harbor, taking tourists fishing
- September 2013: Naples, FL moved back to FL (not specified how
long)
- Fall 2013 May 2014: Europe (Germany, Lithuania, Sweden)
fished famous rivers, lakes, oceans
- May 2014: Naple, FL brief stay, long enough to pack for AK
- May 22, 2014: Ketchikan, AK moved back to his fishing
boat (FIRST SYMPTOMS ON MAY 31)
3. Where Patient became infected
- Somewhere in Europe; the onset of the disease was too sudden
for him to have contracted it after he got to Alaska, and he only
spent minimal time in Florida
4. Symptoms
- Cold/flu-like symptoms started several days after May 22, 2014
return to AK; did not report to a doctor for several more days
- May 31, 2014 he became very weak and called an ambulance;
became unconscious before arriving at hospital
- Treatment: oxygen and fluids, antibiotics, IV antivirals along with
fluids and steroids
- Medical and personal history given to doctor during brief
period of consciousness (question)
- Died in Ketchikan, AK hospital on May 31, 2014
5. Patient/insect interactions
- Reported many mosquitoes and other biting insects near FL condo;
Catches many of these insects
- Often bitten by mosquitoes in the evening on his fishing
boat in Ketchikan, AK; so often that it doesnt bother him

Bitten by some flying insects in Europe; has detailed

descriptions of the insects that bit him

6. Patient Zero?
- YES!!!
7. Additional Info
- Lots of interaction with tourists in AK, FL, and Panama
- McKees winter home in Florida was 50 miles from the Landrys
home in Florida
- Spends lots of time on the beach and his porch while living in
Naples, Florida (winter months)
- Has NO pets
- Not bothered by mosquito bites or minor illnesses
- Spent several days showing symptoms of the disease before
he got treatment, allowing time for insects in Ketchikan,
Alaska to bite him and pick up the pathogen
8. Additional Questions
- Did Leland McKee take any fishing charters out of Fort Lauderdale,
FL? (it says he did charters out of resorts surrounding Naples)
- What kinds of mosquitoes and other insects did Leland McKee trap
near his home in Naples, FL?
- How did Leland McKee describe the flying insects that bit
him in Europe?
- What medical and personal history did Leland McKee give to
the doctor that revived him at the Ketchikan, AK hospital on
May 31, 2014?