Abstract

West Nile virus (WNV) was first isolated in mainland China from mosquitoes in Jiashi County, Kashgar Region, Xinjiang in 2011, following local outbreaks of viral meningitis and encephalitis caused by WNV. To elaborate the epidemiological characteristics of the WNV, surveillance of WNV infection in Kashgar Region, Xinjiang from 2013 to 2016 were carried out. Blood and CSF samples from surveillance human cases, blood of domestic chicken, cattle, sheep and mosquitoes in Kashgar Region were collected and detected. There were human 65 WNV Immunoglobulin M (IgM) antibody positive cases by ELISA screening, 6 confirmed WNV cases by the plaque reduction neutralization test (PRNT) screening. These cases occurred mainly concentrated in August to September of each year, and most of them were males. WNV-neutralizing antibodies were detected in both chickens and sheep, and the positive rates of neutralizing antibodies were 15.5% and 1.78%, respectively. A total of 15,637 mosquitoes were collected in 2013–2016, with Culex pipiens as the dominant mosquito species. Four and 1 WNV-positive mosquito pools were detected by RT-qPCR in 2013 and 2016 respectively. From these data, we can confirm that Jiashi County may be a natural epidemic foci of WNV disease, the trend highlights the routine virology surveillance in WNV surveillance cases, mosquitoes and avian should be maintained and enhanced to provide to prediction and early warning of outbreak an epidemic of WNV in China.

Highlights

  • IntroductionWest Nile virus (WNV) (family Flaviviridae, genus Flavivirus) is a zoonotic mosquito-borne flavivirus that causes severe illness and death in horses, humans, and birds

  • West Nile virus (WNV) is a zoonotic mosquito-borne flavivirus that causes severe illness and death in horses, humans, and birds

  • The first virologically confirmed WNV infections and first isolation from mosquito specimens collected in Jiashi County, Kashgar Region, Xinjiang of western China were reported for 2­ 0119

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Summary

Introduction

West Nile virus (WNV) (family Flaviviridae, genus Flavivirus) is a zoonotic mosquito-borne flavivirus that causes severe illness and death in horses, humans, and birds. It has a complex life cycle involving several bird species as the primary host, mosquitoes as the primary vector and humans, and horses as incidental or dead-end ­hosts[1,2]. Approximately 80% of WNV infections are asymptomatic, while 20% cause mild hyperpyrexia, known as West Nile fever (WNF). Outbreaks of viral encephalitis caused by WNV infection has been recorded at a local ­scale[10,11,12], demonstrating the circulation of WNV and its prevalence in Xinjiang, China. We present the comprehensive results of human–animal–vector surveillance of WNV infection in Xinjiang from 2013 to 2016

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