Prevalence Of West Nile Virus Research Articles

Serologic and Genomic Investigation of West Nile Virus in Kosovo.

The prevalence of West Nile virus (WNV) is increasing across Europe, with cases emerging in previously unaffected countries. Kosovo is situated in a WNV-endemic region where the seroepidemiological data on WNV in humans remains absent. To address this issue, we have conducted a seroepidemiological investigation of 453 randomly selected sera from a hospital in Kosovo, revealing a 1.55% anti-WNV IgG seroprevalence. Comparative and phylogeographic analyses of the WNV genomes obtained by sequencing archived samples from patients with West Nile fever indicate at least two recent and distinct introductions of WNV lineage 2 into Kosovo from neighboring countries. These findings confirm the eco-epidemiological status of WNV in southeast Europe, where long- and short-range dispersion of lineage 2 strains contributes to a wider circulation via central Europe. Our results suggest an increasing risk for WNV spreading in Kosovo, underscoring the need for an integrated national surveillance program targeting vectors and avian populations for early epidemic detection, as well as the screening of blood donors to gauge the impact of virus circulation on the human population.

First Serological Evidence of West Nile Virus among Individuals with Febrile Illness in a Tertiary Hospital in Port Harcourt, Nigeria

Aims: West Nile Virus (WNV) infection can cause severe illness. Very little is known about the seroepidemiology of WNV infection in individuals with febrile illness in Nigeria and many other developing countries. This study was carried out to determine the seroprevalence of WNV in individuals with febrile illness attending a tertiary hospital in Port Harcourt, Nigeria and to determine if there was an association between WNV infection with age and sex.
 Study Design: Cross-Sectional Study
 Place and Duration of Study: Port Harcourt in Rivers State, Nigeria from September 2019 to December 2019.
 Methods: Human sera were obtained and WNV IgG was determined using the Enzyme-Linked Immunosorbent Assay (ELISA) technique.
 Results: Of the 90 study subjects tested, WNV IgG antibodies were present in 27 (30.0%) study participants while 63 (70.0%) study participants were seronegative for WNV IgG antibody. With age, a higher prevalence of WNV occurred among 61-70-year-olds (31.3%, n= 5) compared to 41-60 (30.8%, n= 12) and 20-40 (28.6%, n= 10). A higher prevalence of WNV IgG antibodies occurred in males (34.3%, n=12) than their female counterparts (30.9%, n=17). This study indicated that there is no association between WNV infection with age and sex.
 Conclusion and Recommendations: These results show that WNV is circulating in Rivers State and has accounted for malaria-like infection in the region. It is recommended that WNV serological testing for malaria-infected individuals should be included as a routine test since they are most likely to present similar symptoms of WNV fever. Also, proper hygiene which includes eliminating mosquito breeding sites is recommended to mitigate the spread of West Nile Virus infection.

Epidemic versus endemic West Nile virus dead bird surveillance in California: Changes in sensitivity and focus.

Since 2003, the California West Nile virus (WNV) dead bird surveillance program (DBSP) has monitored publicly reported dead birds for WNV surveillance and response. In the current paper, we compared DBSP data from early epidemic years (2004-2006) with recent endemic years (2018-2020), with a focus on specimen collection criteria, county report incidence, bird species selection, WNV prevalence in dead birds, and utility of the DBSP as an early environmental indicator of WNV. Although fewer agencies collected dead birds in recent years, most vector control agencies with consistent WNV activity continued to use dead birds as a surveillance tool, with streamlined operations enhancing efficiency. The number of dead bird reports was approximately ten times greater during 2004-2006 compared to 2018-2020, with reports from the Central Valley and portions of Southern California decreasing substantially in recent years; reports from the San Francisco Bay Area decreased less dramatically. Seven of ten counties with high numbers of dead bird reports were also high human WNV case burden areas. Dead corvid, sparrow, and quail reports decreased the most compared to other bird species reports. West Nile virus positive dead birds were the most frequent first indicators of WNV activity by county in 2004-2006, followed by positive mosquitoes; in contrast, during 2018-2020 mosquitoes were the most frequent first indicators followed by dead birds, and initial environmental WNV detections occurred later in the season during 2018-2020. Evidence for WNV impacts on avian populations and susceptibility are discussed. Although patterns of dead bird reports and WNV prevalence in tested dead birds have changed, dead birds have endured as a useful element within our multi-faceted WNV surveillance program.

Development of multiplex PCR based NGS protocol for whole genome sequencing of West Nile virus lineage 2 directly from biological samples using Oxford Nanopore platform

West Nile virus (WNV) can affect humans, birds, horses and another mammals, causing asymptomatic infection, mild febrile disease, neurological and systematic disease and death. In order to gain insight into the prevalence of WNV, a monitoring program has been established in the Republic of Serbia. Whole genome sequencing is essential for the molecular epizootiological analysis of virus entry and transmission routes, especially in high-risk regions. This paper describes the development of a multiplex PCR based NGS protocol for whole genome sequencing of WNV lineage 2 directly from biological samples using Oxford Nanopore (ONT) platform. The results obtained using this platform, confirmed by Sanger sequencing, indicate that this protocol can be applied to obtain whole sequences of the WNV genome, even when the virus concentration in the sample is medium, Ct value is approximately 30. The use of this protocol does not require prior virus isolation on cell culture nor the depletion of host nucleic acids.

Screening of Circulation of Usutu and West Nile Viruses: A One Health Approach in Humans, Domestic Animals and Mosquitoes in Burkina Faso, West Africa.

Usutu virus (USUV) and West Nile virus (WNV) are phylogenetically closely related arboviruses. These viruses mainly follow an enzootic cycle involving mosquitoes and birds, but they occasionally infect humans and other mammals, inducing neurotropic disorders. Since the discovery of USUV, only two human cases have been reported in Africa, including one in Burkina Faso in 2004. Since then, no studies have been conducted to measure the extent of the circulation of this virus in Burkina Faso, and no study regarding the circulation of WNV has been conducted. Our study aimed to determine the seroprevalence of USUV and WNV in blood donations and in animals (horses, dogs, chickens and pigeons) and to perform molecular screening in patients with febrile fever and in Culex quinquefasciatus and Aedes aegypti mosquitoes. The prevalence of USUV and WNV was studied by serological (ELISA and microneutralization tests) and molecular analyses (RT-qPCR) of mosquito, dog, domestic bird, horse, and human samples in Burkina Faso between 2019 and 2021. We detected a very active transmission of both viruses in Burkina Faso. WNV and USUV seroprevalence is particularly high in humans (19.16% and 14.17%, respectively) and horses (17.28% and 6.17%). Molecular screening did not detect WNV or USUV in the mosquito or human samples tested. Our study shows an active spread of USUV and WNV in Burkina Faso, especially for WNV. This study highlights the value of developing surveillance programs to better prevent, detect, and alert people to USUV and WNV circulation in both primary and incidental hosts.

Effects of woody plant encroachment by eastern redcedar on mosquito communities in Oklahoma.

Woody plant encroachment into grasslands is occurring worldwide, affecting ecosystems in ways that likely influence mosquito-borne disease transmission. In the U.S. Great Plains, encroachment by eastern redcedar (Juniperus virginiana) (ERC) may be expanding conducive habitat for mosquitoes and their hosts, but few studies have evaluated associations between ERC encroachment and West Nile virus (WNV). To test the hypotheses that mosquito abundance and WNV-infected mosquitoes increase with increasing ERC cover, we collected mosquitoes in 32 sites in Oklahoma reflecting various ERC encroachment stages. We found support for our first hypothesis, as mean abundance of Aedes albopictus increased significantly with ERC cover. However, Psorophora columbiae and Anopheles quadrimaculatus abundance decreased with increasing ERC. There was no significant association with ERC for other mosquito species. We could not test our second hypothesis due to low WNV prevalence, but the only detected WNV-infected pool of mosquitoes (Cx. tarsalis) was collected in ERC. Our results suggest ERC encroachment increases abundance of at least one medically important mosquito species, but further research is needed to clarify how encroachment affects ecology of the entire WNV disease system through changes to vector and host communities, vector-host interactions, and thus disease transmission and prevalence. Understanding relationships between woody plant encroachment and the nidus of infection for mosquito-borne diseases will be crucial for targeting public health efforts, including land management activities that limit and/or eradicate woody plant encroachment, particularly in areas with high levels of disease risk.

Detection of Japanese Encephalitis Virus & West Nile Virus in Suspected Population in Pakistan

Objectives: To investigate the presence of IgM and IgG in the sera of patients screened for Dengue and Chikungunya during Dengue outbreak 2015-2019 in Karachi, Pakistan. 
 Methods: Japanese encephalitis virus (JEV) and West Nile virus (WNV) are two neglected viral infections in Pakistan. A sero-survey was conducted to assess the exposure of the population to JEV and WNV in Pakistan. The patients screened negative for Dengue and Chikungunya but had acute undifferentiated febrile illness during Dengue outbreak 2015-19 in Karachi, Pakistan were included in the study. Total 115 human sera were subjected to ELISA for detection of IgM and IgG antibodies produced in response to West Nile virus and Japanese Encephalitis virus. 
 Results: Our results highlighted that the overall prevalence of Japanese Encephalitis and West Nile Virus in screened population was 76.52%. The sero-positivity for Japanese encephalitis virus was found in 50 samples whereas; the prevalence of West Nile virus (WNV) was detected in 38 samples. However, 21 samples with co-circulation were indicated in our results. 
 Conclusion: In conclusion, this is an alert for physicians to suspect WNV and JEV infection in patients with a dengue-like illness especially those patients who are dwelling or traveling to and from Pakistan. Therefore, there is a need of standardized diagnostic facilities and surveillance system at national level to avoid misdiagnosis and rule out the actual prevalence rate in Pakistan.

Association des manifestations neurologiques rares à West Nile virus chez un patient immunocompétent

BackgroundNeuro-invasive disease is the most dreaded complication of West Nile virus infection. We report the case of an immunocompetent patient who developed a meningeal syndrome associated with cerebellar ataxia, facial diplegia and hemiparesis caused by West Nile virus infection with a favourable outcome. ObservationA 42-year-old man was admitted for a febrile meningeal syndrome and confusion associated with cerebellar ataxia. The patient had developed facial diplegia, left hemiparesis with worsening cerebellar syndrome. He was diagnosed with neuro-invasive West Nile virus infection given the positive West Nile virus serologies in serum and cerebrospinal fluid as well as West Nile virus polymerase chain reaction in serum and urine. The outcome was favourable. ConclusionBecause of the increasing prevalence of West Nile virus, this infection should be suspected in the event of atypical neurological manifestations even in immunocompetent patients.

Serological Evidence of Arboviruses in Horses During West Nile Fever Monitoring Surveillance in Southeastern Brazil

Many human arboviruses are also pathogenic for horses, and some of these have emerged recently. A descriptive cross-sectional observational study was conducted to assess the prevalence of West Nile virus (WNV) and other arboviruses among 77 horses on the rural properties of the Espirito Santo state, Brazil. Serum samples were screened for arbovirus-reactive antibodies using the hemagglutination inhibition technique and subsequently a plaque reduction neutralization test for the confirmation of exposure from sera was used to detect heterotypic immune reactions. Overall, the total antibodies against at least one arbovirus of Alphavirus, Flavivirus, and Orthobunyavirus genera were detected in 39 (50.6%) animals. The antibodies to Phlebovirus were not detected in any sample. When the 24 WNV hemagglutination inhibition (HI)-positive samples were tested by the plaque-reduction neutralization test 90%, 9 (32.1%) were positive for WNV antibodies and 14 (50%) for Saint Louis encephalitis virus. Our findings indicate that the region provides ideal conditions for the emergence of arboviruses, reinforcing the need for further surveillance of mosquito-transmitted diseases in domestic animals.

MicroRNA Profiling in West Nile Virus Carrying Mosquito, Culex tarsalis

West Nile virus (WNV), is a serious mosquito‐borne zoonotic disease. There is currently no vaccine or treatment. The prevalence of WNV is particularly high in South Dakota with the primary species of carrier being Culex tarsalis. MiRNAs are a class of non‐coding RNAs that modulate a wide range of cellular processes (Chugh PE, Damania 2014). In particular, miRNAs have been shown to actively participate in an antiviral defense mechanism in mosquitoes, however, they appear to differ per virus‐vector combination (Göertz GP et al., 2019). Research surrounding the production of miRNAs in response to viral infections has discovered >70 different miRNAs depending upon genus/species of mosquito vectors are produced (Göertz GP et al., 2019). A critical question then becomes “why do some mosquito species produce certain miRNAs in response to WNV infection while other species do not?”. In order to begin understanding this phenomenon, it is important to examine what specific miRNAs are produced in vivo following WNV infection. The following research describes the utilization of total RNA isolated from Cx. tarsalis (+/‐ WNV determined via envelope/probe‐specific qRT‐PCR). Viral load/mosquito pool was determined following TaqMan™ miRNA profiling. Amplified miRNA products were arrayed into libraries, sequenced, and analyzed through NCBI analysis tools (BLAST™, BowTie2™). Results presented detected different viral infections (viral load within pools of Cx. tarsalis) corresponding to specific miRNAs. This knowledge could be key to understanding why certain species of mosquitoes transmit WNV compared to others and hopefully aid health care procedures surrounding WNV infections in both animals and humans.

The Impact of Adulticide on Culex Abundance and Infection Rate in North Shore of Cook County, Illinois.

Mosquito surveillance is critical to reduce the risk of West Nile virus (WNV) transmission to humans. In response to surveillance indicators such as elevated mosquito abundance or increased WNV levels, many mosquito control programs will perform truck-mounted ultra-low volume (ULV) adulticide application to reduce the number of mosquitoes and associated virus transmission. Despite the common use of truck-based ULV adulticiding as a public health measure to reduce WNV prevalence, limited evidence exists to support a role in reducing viral transmission to humans. We use a generalized additive and fused ridge regression model to quantify the location-specific impact of truck-mounted ULV adulticide spray efforts from 2010 to 2018 in the North Shore Mosquito Abatement District (NSMAD) in metropolitan Chicago, IL, on commonly assessed risk factors from NSMAD surveillance gravid traps: Culex abundance, infection rate, and vector index. Our model also takes into account environmental variables commonly associated with WNV, including temperature, precipitation, wind speed, location, and week of year. Since it is unlikely ULV adulticide spraying will have the same impact at each trap location, we use a spatially varying spray effect with a fused ridge penalty to determine how the effect varies by trap location. We found that ULV adulticide spraying has an immediate temporary reduction in abundance followed by an increase after 5 days. It is estimated that mosquito abundance increased more in sprayed areas than if left unsprayed in all but 3 trap locations. The impact on infection rate and vector index were inconclusive due to the large error associated with estimating trap-specific infection rates.

Mosquito Distribution and West Nile Virus Surveillance Results on the Nevada National Security Site in South-Central Nevada

A 10-year study (2004–2013) was conducted to determine mosquito distribution and the prevalence of West Nile virus (WNV) on the Nevada National Security Site (NNSS) in south-central Nevada. Mosquito traps baited with dry ice were set overnight at sites where standing water provided potential breeding sites for mosquitoes. Captured mosquitoes were identified to species and tested for WNV. A total of 556 mosquitoes representing 6 species were captured and identified at 20 sites around the NNSS during 124 surveys. A vast majority (89%) of mosquitoes were Culex tarsalis. Two samples, both Culiseta inornata, tested positive for WNV in 2005 and 2006, both from Well 3 Pond, Yucca Flat, Nye County. Additionally, 24 birds representing 5 species were opportunistically collected and tested for WNV with no positive results. Results from this study reveal patterns of mosquito distribution across the NNSS and suggest that NNSS workers are at low risk of being exposed to WNV.

The rise of West Nile Virus in Southern and Southeastern Europe: A spatial–temporal analysis investigating the combined effects of climate, land use and economic changes

West Nile Virus (WNV) has recently emerged as a major public health concern in Europe; its recent expansion also coincided with some remarkable socio-economic and environmental changes, including an economic crisis and some of the warmest temperatures on record. Here we empirically investigate the drivers of this phenomenon at a European wide scale by constructing and analyzing a unique spatial–temporal data-set, that includes data on climate, land-use, the economy, and government spending on environmental related sectors. Drivers and risk factors of WNV were identified by building a conceptual framework, and relationships were tested using a Generalized Additive Model (GAM), which could capture complex non-linear relationships and also account for spatial and temporal auto-correlation. Some of the key risk factors identified in our conceptual framework, such as a higher percentage of wetlands and arable land, climate factors (higher summer rainfall and higher summer temperatures) were positive predictors of WNV infections. Interestingly, winter temperatures of between 2°C and 6°C were among some of the strongest predictors of annual WNV infections; one possible explanation for this result is that successful overwintering of infected adult mosquitoes (likely Culex pipiens) is key to the intensity of outbreaks for a given year. Furthermore, lower surface water extent over the summer is also associated with more intense outbreaks, suggesting that drought, which is known to induce positive changes in WNV prevalence in mosquitoes, is also contributing to the upward trend in WNV cases in affected regions. Our indicators representing the economic crisis were also strong predictors of WNV infections, suggesting there is an association between austerity and cuts to key sectors, which could have benefited vector species and the virus during this crucial period. These results, taken in the context of recent winter warming due to climate change, and more frequent droughts, may offer an explanation of why the virus has become so prevalent in Europe.

Optimal pooled testing design for prevalence estimation under resource constraints

Accurate estimation of disease prevalence is essential for mitigation efforts. Due to limited testing resources, prevalence estimation is often conducted via pooled testing, in which multiple specimens are combined and tested via a single test. The pool design, i.e., the number and sizes of testing pools, has a substantial impact on estimation accuracy. Determining an optimal pool design is challenging, especially for emerging or seasonal diseases for which information on the status of the disease is unreliable or unavailable prior to testing. We develop novel optimization models for testing pool design under uncertainty and limited resources, and characterize structural properties of optimal pool designs. We apply our models to estimate the prevalence of West Nile virus in mosquitoes (the main vector of transmission to humans). Our findings suggest that estimation accuracy can be substantially improved over the status quo through the proposed optimal pool designs.

A field test of the dilution effect hypothesis in four avian multi-host pathogens.

The Dilution Effect Hypothesis (DEH) argues that greater biodiversity lowers the risk of disease and reduces the rates of pathogen transmission since more diverse communities harbour fewer competent hosts for any given pathogen, thereby reducing host exposure to the pathogen. DEH is expected to operate most intensely in vector-borne pathogens and when species-rich communities are not associated with increased host density. Overall, dilution will occur if greater species diversity leads to a lower contact rate between infected vectors and susceptible hosts, and between infected hosts and susceptible vectors. Field-based tests simultaneously analysing the prevalence of several multi-host pathogens in relation to host and vector diversity are required to validate DEH. We tested the relationship between the prevalence in house sparrows (Passer domesticus) of four vector-borne pathogens-three avian haemosporidians (including the avian malaria parasite Plasmodium and the malaria-like parasites Haemoproteus and Leucocytozoon) and West Nile virus (WNV)-and vertebrate diversity. Birds were sampled at 45 localities in SW Spain for which extensive data on vector (mosquitoes) and vertebrate communities exist. Vertebrate censuses were conducted to quantify avian and mammal density, species richness and evenness. Contrary to the predictions of DEH, WNV seroprevalence and haemosporidian prevalence were not negatively associated with either vertebrate species richness or evenness. Indeed, the opposite pattern was found, with positive relationships between avian species richness and WNV seroprevalence, and Leucocytozoon prevalence being detected. When vector (mosquito) richness and evenness were incorporated into the models, all the previous associations between WNV prevalence and the vertebrate community variables remained unchanged. No significant association was found for Plasmodium prevalence and vertebrate community variables in any of the models tested. Despite the studied system having several characteristics that should favour the dilution effect (i.e., vector-borne pathogens, an area where vector and host densities are unrelated, and where host richness is not associated with an increase in host density), none of the relationships between host species diversity and species richness, and pathogen prevalence supported DEH and, in fact, amplification was found for three of the four pathogens tested. Consequently, the range of pathogens and communities studied needs to be broadened if we are to understand the ecological factors that favour dilution and how often these conditions occur in nature.

Molecular genetic analysis of West Nile virus variants circulating in European Russia between 2010 and 2019

Aim. A study of the prevalence of West Nile virus (WNV) genetic lineages and genovariants in the south of European Russia between 2010 and 2019.Materials and methods. The study was carried out on 311 WNV containing biological samples from patients, vectors and reservoirs of infection. WNV typing was carried out using reverse transcription and real-time polymerase chain reaction with designed three pairs of primers and three probes and by the sequencing of the 277 bp WNV genome region corresponding to the 5'-untranslated region and locus of the polyprotein gene encoding the capsid protein C. Sequencing results were analyzed using the Nucleotide BLAST software (NCBI).Results. As a result of typing, out of 311 WNV RNA isolates taken for the study, 15 (4.82%) were assigned to lineage 1 (from Astrakhan and Volgograd regions, Krasnodar and Stavropol Territories, Republic of Tatarstan), 285 (91.64%) to lineage 2 (from Astrakhan, Volgograd, Voronezh, Kursk, Lipetsk, Penza, Rostov and Saratov regions, Krasnodar and Stavropol Territories, Republics of Kalmykia and Crimea), and 11 (3.54%) to lineage 4 (from the Volgograd region, Republics of Kalmykia and Crimea). The predominance of viral lineage 2 was demonstrated. The identified isolates of the viral lineage 1 belonged to the «Astrakhan» variant, isolates of lineage 2 belonged to «Russian» and «European» variants. Previously uncommon WNV variants of lineages 1 and 4 were also found.Conclusion. Lineage 2 of WNV prevailed in the south of European Russia in the last decade. The «Russian» variant is most common and its area is expanding. The circulation of various WNV genetic lineages in Russia indicates the need for further study of their spread and improving diagnostic methods and test systems for identifying and differentiating pathogen strains.

29791 Bird-delivered ivermectin as a novel urban West Nile virus prevention strategy

ABSTRACT IMPACT: Successful implementation of this control strategy will result in a commercially available ivermectin-treated birdfeed that the public can use to protect themselves from infection with West Nile virus (WNV) by reducing mosquito survival and thereby suppressing WNV transmission around their homes. OBJECTIVES/GOALS: We assessed the efficacy and feasibility of ivermectin (IVM)-treated birds as a mosquito control strategy for local reduction of West Nile virus (WNV) transmission. We conducted a randomized field trial in backyard chickens and developed a mathematical model informed by field data to predict the impact of treated wild birds on transmission. METHODS/STUDY POPULATION: We placed 48 chickens in four treated and four untreated control flocks in backyards coops across Davis, CA and administered IVM daily in feed to treated flocks (Jul-Sep 2019). We assessed entomological indices weekly (i.e. Culex mosquito abundance, WNV infection prevalence, and parity rate) around each coop, monitored serum IVM levels in treated chickens, and tested for WNV antibodies in all chickens. Shifting our focus to wild birds, we developed a spatially-implicit mathematical model of WNV transmission near IVM-treated birdfeeders. Model parameters for bird movement were based on our telemetry of 27 birds in Fort Collins, CO (Aug-Sep 2020). Using the model, we predicted optimal deployment of treated feeders to provide local WNV control. RESULTS/ANTICIPATED RESULTS: WNV seroconversions were reduced in treated vs. untreated flocks, indicating a reduction in WNV transmission intensity at treated coops (P = 0.03). A sustained, but insignificant reduction in number of infected mosquitoes was observed near treated coops (P = 0.59); small sample sizes and below normal WNV prevalence in the study area limited our power. We anticipate that optimal spacing and number of IVM-treated birdfeeders required for effective WNV control in neighborhoods will depend on feeder usage rates by common bird species irrespective of WNV competence; broad availability of IVM-treated bloodmeals to mosquitoes will be more effective in reducing transmission than targeting the few species responsible for viral amplification. DISCUSSION/SIGNIFICANCE OF FINDINGS: IVM is a novel method for controlling zoonotic pathogens in the US and has the potential for targeted mosquito control to reduce pesticide usage. Evaluating spatial deployment of IVM-treated bird feed for local reduction in WNV transmission is a stepping stone to commercial deployment of this WNV control strategy.

Evidence of West Nile virus infection in migratory and resident wild birds in west coast of peninsular Malaysia

West Nile virus (WNV) is a zoonotic mosquito-borne flavivirus that is harbored and amplified by wild birds via the enzootic transmission cycle. Wide range of hosts are found to be susceptible to WNV infection including mammals, amphibians and reptiles across the world. Several studies have demonstrated that WNV was present in the Malaysian Orang Asli and captive birds. However, no data are available on the WNV prevalence in wild birds found in Malaysia. Therefore this study was conducted to determine the serological and molecular prevalence of WNV in wild birds in selected areas in the West Coast of Peninsular Malaysia. Two types of wild birds were screened, namely migratory and resident birds in order to explore any possibility of WNV transmission from the migratory birds to the resident birds. Thus, a cross-sectional study was conducted at the migratory birds sanctuary located in Kuala Gula, Perak and Kapar, Selangor by catching 163 migratory birds, and 97 resident birds from Kuala Gula and Parit Buntar, Perak at different time between 2016 and 2017 (Total, n = 260). Blood and oropharyngeal swabs were collected for serological and molecular analysis, respectively. Serum were screened for WNV antibodies using a commercial competitive ELISA (c-ELISA) (ID Screen® West Nile Competition Multi-species ELISA, ID VET, Montpellier, France) and cross-reactivity towards Japanese Encephalitis virus (JEV) was also carried out using the JEV-double antigen sandwich (DAS) ELISA. Oropharyngeal swabs were subjected to one-step RT-PCR to detect WNV RNA, in which positive reactions were subsequently sequenced. WNV seropositive rate of 18.71% (29/155) at 95% CI (0.131 to 0.260) and molecular prevalence of 15.2% (16/105) at 95% CI (0.092 to 0.239) were demonstrated in migratory and resident wild birds found in West Coast Malaysia. Phylogenetic analyses of the 16 WNV isolates found in this study revealed that the local strains have 99% similarity to the strains from South Africa and were clustered under lineage 2. Evidence of WNV infection in resident and migratory birds were demonstrated in this study. As a summary, intervention between migratory birds, resident birds and mosquitoes might cause the introduction and maintenance of WNV in Malaysia, however the assumption could be further proven by studying the infection dynamics in the mosquitoes present in the studied areas.

A quantitative comparison of West Nile virus incidence from 2013 to 2018 in Emilia-Romagna, Italy.

BackgroundWest Nile virus (WNV) transmission was much greater in 2018 than in previous seasons in Europe. Focusing on Emilia-Romagna region (northern Italy), we analyzed detailed entomological and epidemiological data collected in 2013–2018 to quantitatively assess environmental drivers of transmission and explore hypotheses to better understand why the 2018 epidemiological season was substantially different than the previous seasons. In particular, in 2018 WNV was detected at least two weeks before the observed circulation in 2013–2017 and in a larger number of mosquito pools. Transmission resulted in 100 neuroinvasive human cases in the region, more than the total number of cases recorded between 2013 and 2017.MethodologyWe used temperature-driven mathematical models calibrated through a Bayesian approach to simulate mosquito population dynamics and WNV infection rates in the avian population. We then estimated the human transmission risk as the probability, for a person living in the study area, of being bitten by an infectious mosquito in a given week. Finally, we translated such risk into reported WNV human infections.Principal findingsThe estimated prevalence of WNV in the mosquito and avian populations were significantly higher in 2018 with respect to 2013–2017 seasons, especially in the eastern part of the region. Furthermore, peak avian prevalence was estimated to have occurred earlier, corresponding to a steeper decline towards the end of summer. The high mosquito prevalence resulted in a much greater predicted risk for human transmission in 2018, which was estimated to be up to eight times higher than previous seasons. We hypothesized, on the basis of our modelling results, that such greater WNV circulation might be partially explained by exceptionally high spring temperatures, which have likely helped to amplify WNV transmission at the beginning of the 2018 season.

Serological evidence of Flavivirus circulation in human populations in Northern Kenya: an assessment of disease risk 2016\u20132017

BackgroundYellow fever, Dengue, West Nile and Zika viruses are re-emerging mosquito-borne Flaviviruses of public health concern. However, the extent of human exposure to these viruses and associated disease burden in Kenya and Africa at large remains unknown. We assessed the seroprevalence of Yellow fever and other Flaviviruses in human populations in West Pokot and Turkana Counties of Kenya. These areas border Uganda, South Sudan and Ethiopia where recent outbreaks of Yellow fever and Dengue have been reported, with possibility of spillover to Kenya.MethodologyHuman serum samples collected through a cross-sectional survey in West Pokot and Turkana Counties were screened for neutralizing antibodies to Yellow fever, Dengue-2, West Nile and Zika virus using the Plaque Reduction Neutralization Test (PRNT). Seroprevalence was compared by county, site and important human demographic characteristics. Adjusted odds ratios (aOR) were estimated using Firth logistic regression model.ResultsOf 877 samples tested, 127 neutralized with at least one of the four flaviviruses (14.5, 95% CI 12.3–17.0%), with a higher proportion in Turkana (21.1%, n = 87/413) than in West Pokot (8.6%, n = 40/464). Zika virus seroprevalence was significantly higher in West Pokot (7.11%) than in Turkana County (0.24%; χ2P < 0.0001). A significantly higher Yellow fever virus seroprevalence was also observed in Turkana (10.7%) compared to West Pokot (1.29%; χ2 P < 0.0001). A high prevalence of West Nile virus was detected in Turkana County only (10.2%) while Dengue was only detected in one sample, from West Pokot. The odds of infection with West Nile virus was significantly higher in males than in females (aOR = 2.55, 95% CI 1.22–5.34). Similarly, the risk of Zika virus infection in West Pokot was twice higher in males than females (aOR = 2.01, 95% CI 0.91–4.41).ConclusionEvidence of neutralizing antibodies to West Nile and Zika viruses indicates that they have been circulating undetected in human populations in these areas. While the observed Yellow Fever prevalence in Turkana and West Pokot Counties may imply virus activity, we speculate that this could also be as a result of vaccination following the Yellow Fever outbreak in the Omo river valley, South Sudan and Uganda across the border.