Abstract

The introduction and rapidly expanding range of Aedes albopictus in Europe is an iconic example of the growing risk of the globalization of vectors and vector-borne diseases. The history of yellow fever and dengue in temperate regions confirms that transmission of both diseases could recur, particularly if Ae. aegypti, a more effective vector, were to be re-introduced. The article is a broad overview of the natural history and epidemiology of both diseases in the context of these risks.

Highlights

  • Both owe their importance as human pathogens to two forest mosquitoes that have become closely associated with the peridomestic environment. The viruses and their urban vectors owe their worldwide distribution to transportation of goods and people. Both diseases have a history of transmission in temperate regions, including Europe

  • There is little doubt that the yellow fever virus (YFV) originated in Africa, and that viruses circulating in the New World are of African origin

  • Infected humans returning from an enzootic area may initiate transmission to humans in human settlements if either of these species is present

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Summary

Review articles

Citation style for this article: Citation style for this article: Reiter P. Yellow fever and dengue: a threat to Europe?. The introduction and rapidly expanding range of Aedes albopictus in Europe is an iconic example of the growing risk of the globalisation of vectors and vectorborne diseases. The history of yellow fever and dengue in temperate regions confirms that transmission of both diseases could recur, if Ae. aegypti, a more effective vector, were to be re-introduced. The article is a broad overview of the natural history and epidemiology of both diseases in the context of these risks

Background
Origin of the viruses
Zoonotic vectors and hosts
Sylvatic transmission to humans
Peridomestic transmission
Globalisation of vectors and viruses
Clinical features
Prevention Vaccination
Vector control
Findings
The future in Europe

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