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Castagna A, Schiavon S, Mengozzi G, Baldovin T, Nozza S, Canetti D, Cocchio S, Montuori EA, Iantomasi R, Baldo V. Tick-borne encephalitis seroprevalence in northern Italy: a cross-sectional study on a randomly selected population. IJID REGIONS 2024; 12:100404. [PMID: 39188886 PMCID: PMC11347062 DOI: 10.1016/j.ijregi.2024.100404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/07/2024] [Revised: 07/05/2024] [Accepted: 07/08/2024] [Indexed: 08/28/2024]
Abstract
Objectives Ixodes ricinus is under-recognized in Europe. This study aimed to determine the seroprevalence and spatial distribution of tick-borne encephalitis (TBE) virus (TBEV) in areas close to endemic regions in Northern Italy. Methods A multicenter study was conducted on a random sample of the general population afferent to hospitals in Veneto, Lombardy, and Piedmont with a pre-determined sample size of 1500 participants. The presence of TBEV-neutralizing antibodies was determined for sera positive to the TBE-specific immunoglobulin G test in a centralized laboratory. Results Out of 1537 samples analyzed (790 from Lombardy, 394 from Veneto, 353 from Piedmont), 39 (2.5%) were immunoglobulin G TBEV-positive. The frequency of positive cases was similar amid the regions (24-3.0% Lombardy, 10-2.5% Veneto, and 5-1.4% Piedmont; P = 0.27). The seropositivity rates were 3.6% in subjects aged over 50 years, 2.0% in those aged 30-50 years, and 1.5% in subjects aged under 30 years (P = 0.10). Two of them (one from Veneto and one from Lombardy) were confirmed by TBEV neutralization test (prevalence 130 per 100,000). One lived close to an endemic area (Treviso); the other spent time in an endemic region (Friuli) and did not remember experiencing tick bites. Conclusions The results from this study highlight the need for raising awareness among the population and health care workers to limit the risk of TBE infection.
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Affiliation(s)
- Antonella Castagna
- Clinic of Infectious Diseases, Vita-Salute San Raffaele University, San Raffaele Scientific Institute, Milan, Italy
| | - Stefania Schiavon
- Ospedale Cà Foncello di Treviso ULSS2 Marca Trevigiana, UOC Microbiologia, Treviso, Italy
| | - Giulio Mengozzi
- Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, Dipartimento di Medicina di Laboratorio, Torino, Italy
| | - Tatjana Baldovin
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Laboratory of Hygiene and Applied Microbiology, Unit of Hygiene and Public Health, University of Padua, Padua, Italy
| | - Silvia Nozza
- Clinic of Infectious Diseases, Vita-Salute San Raffaele University, San Raffaele Scientific Institute, Milan, Italy
| | - Diana Canetti
- Clinic of Infectious Diseases, Vita-Salute San Raffaele University, San Raffaele Scientific Institute, Milan, Italy
| | - Silvia Cocchio
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Unit of Hygiene and Public Health, University of Padua, Padua, Italy
| | | | | | - Vincenzo Baldo
- Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Unit of Hygiene and Public Health, University of Padua, Padua, Italy
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Grassi L, Drigo M, Zelená H, Pasotto D, Cassini R, Mondin A, Franzo G, Tucciarone CM, Ossola M, Vidorin E, Menandro ML. Wild ungulates as sentinels of flaviviruses and tick-borne zoonotic pathogen circulation: an Italian perspective. BMC Vet Res 2023; 19:155. [PMID: 37710273 PMCID: PMC10500747 DOI: 10.1186/s12917-023-03717-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Accepted: 09/01/2023] [Indexed: 09/16/2023] Open
Abstract
BACKGROUND Vector-borne zoonotic diseases are a concerning issue in Europe. Lyme disease and tick-borne encephalitis virus (TBEV) have been reported in several countries with a large impact on public health; other emerging pathogens, such as Rickettsiales, and mosquito-borne flaviviruses have been increasingly reported. All these pathogens are linked to wild ungulates playing roles as tick feeders, spreaders, and sentinels for pathogen circulation. This study evaluated the prevalence of TBEV, Borrelia burgdorferi sensu lato, Rickettsia spp., Ehrlichia spp., and Coxiella spp. by biomolecular screening of blood samples and ticks collected from wild ungulates. Ungulates were also screened by ELISA and virus neutralization tests for flaviviral antibody detection. RESULTS A total of 274 blood samples were collected from several wild ungulate species, as well as 406 Ixodes ricinus, which were feeding on them. Blood samples tested positive for B. burgdorferi s.l. (1.1%; 0-2.3%) and Rickettsia spp. (1.1%; 0-2.3%) and showed an overall flaviviral seroprevalence of 30.6% (22.1-39.2%): 26.1% (17.9-34.3%) for TBEV, 3.6% (0.1-7.1%) for Usutu virus and 0.9% (0-2.7%) for West Nile virus. Ticks were pooled when possible and yielded 331 tick samples that tested positive for B. burgdorferi s.l. (8.8%; 5.8-11.8%), Rickettsia spp. (26.6%; 21.8-31.2%) and Neoehrlichia mikurensis (1.2%; 0-2.4%). TBEV and Coxiella spp. were not detected in either blood or tick samples. CONCLUSIONS This research highlighted a high prevalence of several tick-borne zoonotic pathogens and high seroprevalence for flaviviruses in both hilly and alpine areas. For the first time, an alpine chamois tested positive for anti-TBEV antibodies. Ungulate species are of particular interest due to their sentinel role in flavivirus circulation and their indirect role in tick-borne diseases and maintenance as Ixodes feeders and spreaders.
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Affiliation(s)
- Laura Grassi
- Department of Animal Medicine, Production and Health (MAPS), University of Padua, Viale dell’Università, 16, Legnaro, PD 35020 Italy
| | - Michele Drigo
- Department of Animal Medicine, Production and Health (MAPS), University of Padua, Viale dell’Università, 16, Legnaro, PD 35020 Italy
| | - Hana Zelená
- Department of Virology, Institute of Public Health, Ostrava, Czech Republic
| | - Daniela Pasotto
- Department of Animal Medicine, Production and Health (MAPS), University of Padua, Viale dell’Università, 16, Legnaro, PD 35020 Italy
| | - Rudi Cassini
- Department of Animal Medicine, Production and Health (MAPS), University of Padua, Viale dell’Università, 16, Legnaro, PD 35020 Italy
| | - Alessandra Mondin
- Department of Animal Medicine, Production and Health (MAPS), University of Padua, Viale dell’Università, 16, Legnaro, PD 35020 Italy
| | - Giovanni Franzo
- Department of Animal Medicine, Production and Health (MAPS), University of Padua, Viale dell’Università, 16, Legnaro, PD 35020 Italy
| | - Claudia Maria Tucciarone
- Department of Animal Medicine, Production and Health (MAPS), University of Padua, Viale dell’Università, 16, Legnaro, PD 35020 Italy
| | - Martina Ossola
- Department of Animal Medicine, Production and Health (MAPS), University of Padua, Viale dell’Università, 16, Legnaro, PD 35020 Italy
| | - Elena Vidorin
- Department of Animal Medicine, Production and Health (MAPS), University of Padua, Viale dell’Università, 16, Legnaro, PD 35020 Italy
| | - Maria Luisa Menandro
- Department of Animal Medicine, Production and Health (MAPS), University of Padua, Viale dell’Università, 16, Legnaro, PD 35020 Italy
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Garcia-Vozmediano A, Bellato A, Rossi L, Hoogerwerf MN, Sprong H, Tomassone L. Use of Wild Ungulates as Sentinels of TBEV Circulation in a Naïve Area of the Northwestern Alps, Italy. Life (Basel) 2022; 12:1888. [PMID: 36431023 PMCID: PMC9699112 DOI: 10.3390/life12111888] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Revised: 10/31/2022] [Accepted: 11/12/2022] [Indexed: 11/16/2022] Open
Abstract
Wild and domestic animals can be usefully employed as sentinels for the surveillance of diseases with an impact on public health. In the case of tick-borne encephalitis virus (TBEV), the detection of antibodies in animals can be more effective than screening ticks for detecting TBEV foci, due to the patchy distribution of the virus. In the Piedmont region, northwestern Italy, TBEV is considered absent, but an increase in tick densities, of Ixodes ricinus in particular, has been observed, and TBEV is spreading in bordering countries, e.g., Switzerland. Therefore, we collected sera from wild ungulates during the hunting season (October-December) from 2017 to 2019 in the Susa Valley, Italian western Alps, and screened them for TBEV antibodies by a commercial competitive ELISA test. We collected 267 serum samples by endocranial venous sinuses puncture from red deer, roe deer and northern chamois carcasses. The animals were hunted in 13 different municipalities, at altitudes ranging between 750 and 2800 m a.s.l. The serological survey for TBEV yielded negative results. Borderline results for five serum samples were further confirmed as negative for TBEV by a plaque reduction neutralisation test. To date, our results indicate that TBEV is not circulating in western Piedmont. However, monitoring of TBEV should continue since TBEV and its vector are spreading in Europe. The wide-range distribution of wild ungulates and their role as feeding hosts, make them useful indicators of the health threats posed by Ixodid ticks.
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Affiliation(s)
- Aitor Garcia-Vozmediano
- Department of Veterinary Sciences, University of Turin, L.go Braccini, 2, 10095 Grugliasco, TO, Italy
| | - Alessandro Bellato
- Department of Veterinary Sciences, University of Turin, L.go Braccini, 2, 10095 Grugliasco, TO, Italy
| | - Luca Rossi
- Department of Veterinary Sciences, University of Turin, L.go Braccini, 2, 10095 Grugliasco, TO, Italy
| | - Marieke N. Hoogerwerf
- Centre for Infectious Disease Control, National Institute for Public Health and the Environment, Antonie van Leeuwenhoeklaan 9, 3720 MA Bilthoven, The Netherlands
| | - Hein Sprong
- Centre for Infectious Disease Control, National Institute for Public Health and the Environment, Antonie van Leeuwenhoeklaan 9, 3720 MA Bilthoven, The Netherlands
| | - Laura Tomassone
- Department of Veterinary Sciences, University of Turin, L.go Braccini, 2, 10095 Grugliasco, TO, Italy
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Mencattelli G, Iapaolo F, Polci A, Marcacci M, Di Gennaro A, Teodori L, Curini V, Di Lollo V, Secondini B, Scialabba S, Gobbi M, Manuali E, Cammà C, Rosà R, Rizzoli A, Monaco F, Savini G. West Nile Virus Lineage 2 Overwintering in Italy. Trop Med Infect Dis 2022; 7:160. [PMID: 36006252 PMCID: PMC9414329 DOI: 10.3390/tropicalmed7080160] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 07/27/2022] [Accepted: 07/29/2022] [Indexed: 12/24/2022] Open
Abstract
In January 2022, West Nile virus (WNV) lineage 2 (L2) was detected in an adult female goshawk rescued near Perugia in the region of Umbria (Italy). The animal showed neurological symptoms and died 15 days after its recovery in a wildlife rescue center. This was the second case of WNV infection recorded in birds in the Umbria region during the cold season, when mosquitoes, the main WNV vectors, are usually not active. According to the National Surveillance Plan, the Umbria region is included amongst the WNV low-risk areas. The necropsy evidenced generalized pallor of the mucous membranes, mild splenomegaly, and cerebral edema. WNV L2 was detected in the brain, heart, kidney, and spleen homogenate using specific RT-PCR. Subsequently, the extracted viral RNA was sequenced. A Bayesian phylogenetic analysis performed through a maximum-likelihood tree showed that the genome sequence clustered with the Italian strains within the European WNV strains among the central-southern European WNV L2 clade. These results, on the one hand, confirmed that the WNV L2 strains circulating in Italy are genetically stable and, on the other hand, evidenced a continuous WNV circulation in Italy throughout the year. In this report case, a bird-to-bird WNV transmission was suggested to support the virus overwintering. The potential transmission through the oral route in a predatory bird may explain the relatively rapid spread of WNV, as well as other flaviviruses characterized by similar transmission patterns. However, rodent-to-bird transmission or mosquito-to-bird transmission cannot be excluded, and further research is needed to better understand WNV transmission routes during the winter season in Italy.
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Affiliation(s)
- Giulia Mencattelli
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise, 64100 Teramo, Italy; (F.I.); (A.P.); (M.M.); (A.D.G.); (L.T.); (V.C.); (V.D.L.); (B.S.); (S.S.); (C.C.); (F.M.); (G.S.)
- Center Agriculture Food Environment, University of Trento, 38098 Trento, Italy;
- Fondazione Edmund Mach, Research and Innovation Centre, San Michele all’Adige, 38098 Trento, Italy;
| | - Federica Iapaolo
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise, 64100 Teramo, Italy; (F.I.); (A.P.); (M.M.); (A.D.G.); (L.T.); (V.C.); (V.D.L.); (B.S.); (S.S.); (C.C.); (F.M.); (G.S.)
| | - Andrea Polci
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise, 64100 Teramo, Italy; (F.I.); (A.P.); (M.M.); (A.D.G.); (L.T.); (V.C.); (V.D.L.); (B.S.); (S.S.); (C.C.); (F.M.); (G.S.)
| | - Maurilia Marcacci
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise, 64100 Teramo, Italy; (F.I.); (A.P.); (M.M.); (A.D.G.); (L.T.); (V.C.); (V.D.L.); (B.S.); (S.S.); (C.C.); (F.M.); (G.S.)
| | - Annapia Di Gennaro
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise, 64100 Teramo, Italy; (F.I.); (A.P.); (M.M.); (A.D.G.); (L.T.); (V.C.); (V.D.L.); (B.S.); (S.S.); (C.C.); (F.M.); (G.S.)
| | - Liana Teodori
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise, 64100 Teramo, Italy; (F.I.); (A.P.); (M.M.); (A.D.G.); (L.T.); (V.C.); (V.D.L.); (B.S.); (S.S.); (C.C.); (F.M.); (G.S.)
| | - Valentina Curini
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise, 64100 Teramo, Italy; (F.I.); (A.P.); (M.M.); (A.D.G.); (L.T.); (V.C.); (V.D.L.); (B.S.); (S.S.); (C.C.); (F.M.); (G.S.)
| | - Valeria Di Lollo
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise, 64100 Teramo, Italy; (F.I.); (A.P.); (M.M.); (A.D.G.); (L.T.); (V.C.); (V.D.L.); (B.S.); (S.S.); (C.C.); (F.M.); (G.S.)
| | - Barbara Secondini
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise, 64100 Teramo, Italy; (F.I.); (A.P.); (M.M.); (A.D.G.); (L.T.); (V.C.); (V.D.L.); (B.S.); (S.S.); (C.C.); (F.M.); (G.S.)
| | - Silvia Scialabba
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise, 64100 Teramo, Italy; (F.I.); (A.P.); (M.M.); (A.D.G.); (L.T.); (V.C.); (V.D.L.); (B.S.); (S.S.); (C.C.); (F.M.); (G.S.)
| | - Marco Gobbi
- Istituto Zooprofilattico Sperimentale dell’Umbria e delle Marche “Togo Rosati”, 06126 Perugia, Italy; (M.G.); (E.M.)
| | - Elisabetta Manuali
- Istituto Zooprofilattico Sperimentale dell’Umbria e delle Marche “Togo Rosati”, 06126 Perugia, Italy; (M.G.); (E.M.)
| | - Cesare Cammà
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise, 64100 Teramo, Italy; (F.I.); (A.P.); (M.M.); (A.D.G.); (L.T.); (V.C.); (V.D.L.); (B.S.); (S.S.); (C.C.); (F.M.); (G.S.)
| | - Roberto Rosà
- Center Agriculture Food Environment, University of Trento, 38098 Trento, Italy;
| | - Annapaola Rizzoli
- Fondazione Edmund Mach, Research and Innovation Centre, San Michele all’Adige, 38098 Trento, Italy;
| | - Federica Monaco
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise, 64100 Teramo, Italy; (F.I.); (A.P.); (M.M.); (A.D.G.); (L.T.); (V.C.); (V.D.L.); (B.S.); (S.S.); (C.C.); (F.M.); (G.S.)
| | - Giovanni Savini
- Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise, 64100 Teramo, Italy; (F.I.); (A.P.); (M.M.); (A.D.G.); (L.T.); (V.C.); (V.D.L.); (B.S.); (S.S.); (C.C.); (F.M.); (G.S.)
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Riccò M, Peruzzi S, Balzarini F. Public Perceptions on Non-Pharmaceutical Interventions for West Nile Virus Infections: A Survey from an Endemic Area in Northern Italy. Trop Med Infect Dis 2021; 6:116. [PMID: 34209481 PMCID: PMC8293337 DOI: 10.3390/tropicalmed6030116] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 06/18/2021] [Accepted: 06/25/2021] [Indexed: 12/20/2022] Open
Abstract
During the last decade, cases of West Nile Virus (WNV) have occurred in the Emilia Romagna Region (ERR). Even though the notification rates remain relatively low, ranging from 0.06 to 1.83 cases/100,000 inhabitants, the persistent pathogen's circulation in settings characterized by favorable environmental characteristics suggests that WNV is becoming endemic to the Po River Valley. This study assesses knowledge, attitudes, and preventive practices toward WNV prevention among residents from 10 high-risk municipalities from the provinces of Parma and Reggio Emilia (total population: 82,317 inhabitants, census 2020). A web-based survey, based on the health belief model, was performed during the month of January 2021, with a convenience sampling of 469 participants from a series of closed discussion groups on social media (i.e., 2.1% of the potential responders). A total of 243 participants knew the meaning of WNV: Of them, 61.3% were aware of previous WNV infections in ERR, 76.5% acknowledged WNV infection as a severe one, but only 31.3% expressed any worry about WNV. Our results irregularly report preventive practices, either collective (e.g., draining standing water from items and the environment, 50.7%; spraying pesticides around the home, 33.0%) or individual (e.g., use of skin repellants when going outdoors, 42.6%). In a multivariate analysis, performed through binary logistic regression, participants reporting any worry towards WNV were more likely to characterize WNV as a severe disease (adjusted odds ratio [aOR] = 20.288, 95% confidence interval [CI] = 5.083-80.972). On the contrary, respondents supporting community mosquito control programs were more likely among people working with animals/livestock (aOR = 13.948, 95%CI = 2.793-69.653), and supporting tax exemptions for mosquito control programs (aOR = 4.069, 95%CI 2.098-7.893). In conclusion, our results suggest that future interventions promoting WNV prevention among residents in ERR should focus on perceptions of vulnerability to WNV, emphasizing the benefits of personal protective behaviors.
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Affiliation(s)
- Matteo Riccò
- Servizio di Prevenzione e Sicurezza Negli Ambienti di Lavoro (SPSAL), AUSL-IRCCS di Reggio Emilia, Via Amendola n.2, I-42122 Reggio Emilia, RE, Italy
| | - Simona Peruzzi
- Laboratorio Analisi Chimico Cliniche e Microbiologiche, Ospedale Civile di Guastalla, AUSL-IRCCS di Reggio Emilia, I-42016 Guastalla, RE, Italy;
| | - Federica Balzarini
- Dipartimento per la Programmazione, Accreditamento, Acquisto delle Prestazioni Sanitarie e Sociosanitarie (P.A.A.P.S.S.), Servizio Autorizzazione e Accreditamento, Agenzia di Tutela della Salute (ATS) di Bergamo, Via Galliccioli, 4, I-24121 Bergamo, BG, Italy;
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