Abstract

BackgroundWest Nile Virus (WNV) transmission in Italy was first reported in 1998 as an equine outbreak near the swamps of Padule di Fucecchio, Tuscany. No other cases were identified during the following decade until 2008, when horse and human outbreaks were reported in Emilia Romagna, North Italy. Since then, WNV outbreaks have occurred annually, spreading from their initial northern foci throughout the country. Following the outbreak in 1998 the Italian public health authority defined a surveillance plan to detect WNV circulation in birds, horses and mosquitoes. By applying spatial statistical analysis (spatial point pattern analysis) and models (Bayesian GLMM models) to a longitudinal dataset on the abundance of the three putative WNV vectors [Ochlerotatus caspius (Pallas 1771), Culex pipiens (Linnaeus 1758) and Culex modestus (Ficalbi 1890)] in eastern Piedmont, we quantified their abundance and distribution in space and time and generated prediction maps outlining the areas with the highest vector productivity and potential for WNV introduction and amplification.ResultsThe highest abundance and significant spatial clusters of Oc. caspius and Cx. modestus were in proximity to rice fields, and for Cx. pipiens, in proximity to highly populated urban areas. The GLMM model showed the importance of weather conditions and environmental factors in predicting mosquito abundance. Distance from the preferential breeding sites and elevation were negatively associated with the number of collected mosquitoes. The Normalized Difference Vegetation Index (NDVI) was positively correlated with mosquito abundance in rice fields (Oc. caspius and Cx. modestus). Based on the best models, we developed prediction maps for the year 2010 outlining the areas where high abundance of vectors could favour the introduction and amplification of WNV.ConclusionsOur findings provide useful information for surveillance activities aiming to identify locations where the potential for WNV introduction and local transmission are highest. Such information can be used by vector control offices to stratify control interventions in areas prone to the invasion of WNV and other mosquito-transmitted pathogens.

Highlights

  • West Nile Virus (WNV) transmission in Italy was first reported in 1998 as an equine outbreak near the swamps of Padule di Fucecchio, Tuscany

  • Mosquito collections A total of 1, 223, 974 female mosquitoes belonging to eleven species were trapped from 2000 to 2006 (Table 1), employing a total trapping effort of 6, 200 trapnights

  • By analyzing a highly detailed longitudinal dataset of the abundance and spatial distribution of the three putative WNV vectors in the eastern Piedmont Region of Italy (i. e., Oc. caspius, Cx. pipiens, and Cx. modestus) we identified a set of environmental and ecological conditions that are favourable for their development, predicted their spatial occurrence, and identified potential areas that, due to their environmental conditions, would be suitable for the introduction and amplification of WNV

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Summary

Introduction

West Nile Virus (WNV) transmission in Italy was first reported in 1998 as an equine outbreak near the swamps of Padule di Fucecchio, Tuscany. No other cases were identified during the following decade until 2008, when horse and human outbreaks were reported in Emilia Romagna, North Italy. West Nile virus (WNV) is a mosquito-borne virus (family Flaviviridae) and a neuropathogen for humans, horses, and birds [1]. Reports of WNV human infections date from the late 1930’s in Africa [4]. A dramatic expansion of the virus was registered in recent decades, with infections reported in Asia, Europe, and, since 1999, in the New World [5,6]. Reports of human and equine WNV infection in Europe date from 1964 in the Camargue region, France [7]. Since the virus has spread throughout Europe, showing an erratic temporal and spatial pattern [8]

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