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Geraldes MA, Cunha MV, Godinho C, de Lima RF, Giovanetti M, Lourenço J. The historical ecological background of West Nile virus in Portugal indicates One Health opportunities. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 944:173875. [PMID: 38866158 DOI: 10.1016/j.scitotenv.2024.173875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/05/2024] [Revised: 06/07/2024] [Accepted: 06/07/2024] [Indexed: 06/14/2024]
Abstract
West Nile (WNV) is a zoonotic arbovirus with an expanding geographical range and epidemic activity in Europe. Not having yet experienced a human-associated epidemic, Portugal remains an outlier in the Mediterranean basin. In this study, we apply ecological niche modelling informed by WNV historical evidence and a multitude of environmental variables from across Portugal. We identify that ecological backgrounds compatible with WNV historical circulation are mostly restricted to the south, characterized by a warmer and drier climate, high avian diversity, specific avian species and land types. We estimate WNV ecological suitability across the country, identifying overlaps with the distributions of the three relevant hosts (humans, birds, equines) for public and animal health. From this, we propose a category-based spatial framework providing first of a kind valuable insights for WNV surveillance in Portugal under the One Health nexus. We forecast that near future climate trends alone will contribute to pushing adequate WNV ecological suitability northwards, towards regions with higher human density. This unique perspective on the past, present and future ecology of WNV addresses existing national knowledge gaps, enhances our understanding of the evolving emergence of WNV, and offers opportunities to prepare and respond to the first human-associated epidemic in Portugal.
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Affiliation(s)
- Martim A Geraldes
- Centre for Ecology, Evolution and Environmental Changes (cE3c), CHANGE - Global Change and Sustainability Institute, Faculdade de Ciências, Universidade de Lisboa, Lisboa, Portugal; Biosystems & Integrative Sciences Institute (BioISI), Faculdade de Ciências, Universidade de Lisboa, Lisboa, Portugal
| | - Mónica V Cunha
- Centre for Ecology, Evolution and Environmental Changes (cE3c), CHANGE - Global Change and Sustainability Institute, Faculdade de Ciências, Universidade de Lisboa, Lisboa, Portugal; Biosystems & Integrative Sciences Institute (BioISI), Faculdade de Ciências, Universidade de Lisboa, Lisboa, Portugal
| | - Carlos Godinho
- MED - Mediterranean Institute for Agriculture, Environment and Development, LabOr - Laboratory of Ornithology, Instituto de Investigação e Formação Avançada, Universidade de Évora, Évora, Portugal
| | - Ricardo F de Lima
- Centre for Ecology, Evolution and Environmental Changes (cE3c), CHANGE - Global Change and Sustainability Institute, Faculdade de Ciências, Universidade de Lisboa, Lisboa, Portugal; Centro de Biodiversidade do Golfo da Guiné (CBGG), São Tomé, São Tomé and Príncipe
| | - Marta Giovanetti
- Laboratório de Flavivírus, Instituto Oswaldo Cruz, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil; Instituto Rene Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Minas Gerais, Brazil; Department of Science and Technology for Humans and the Environment, Università of Campus Bio-Medico di Roma, Italy; Climate amplified diseases and epidemics (CLIMADE) Americas, Brazil
| | - José Lourenço
- Biosystems & Integrative Sciences Institute (BioISI), Faculdade de Ciências, Universidade de Lisboa, Lisboa, Portugal; Universidade Católica Portuguesa, Católica Medical School, Católica Biomedical Research Centre, Portugal; Climate amplified diseases and epidemics (CLIMADE) Europe, Portugal.
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Lu L, Zhang F, Oude Munnink BB, Munger E, Sikkema RS, Pappa S, Tsioka K, Sinigaglia A, Dal Molin E, Shih BB, Günther A, Pohlmann A, Ziegler U, Beer M, Taylor RA, Bartumeus F, Woolhouse M, Aarestrup FM, Barzon L, Papa A, Lycett S, Koopmans MPG. West Nile virus spread in Europe: Phylogeographic pattern analysis and key drivers. PLoS Pathog 2024; 20:e1011880. [PMID: 38271294 PMCID: PMC10810478 DOI: 10.1371/journal.ppat.1011880] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Accepted: 12/04/2023] [Indexed: 01/27/2024] Open
Abstract
BACKGROUND West Nile virus (WNV) outbreaks in birds, humans, and livestock have occurred in multiple areas in Europe and have had a significant impact on animal and human health. The patterns of emergence and spread of WNV in Europe are very different from those in the US and understanding these are important for guiding preparedness activities. METHODS We mapped the evolution and spread history of WNV in Europe by incorporating viral genome sequences and epidemiological data into phylodynamic models. Spatially explicit phylogeographic models were developed to explore the possible contribution of different drivers to viral dispersal direction and velocity. A "skygrid-GLM" approach was used to identify how changes in environments would predict viral genetic diversity variations over time. FINDINGS Among the six lineages found in Europe, WNV-2a (a sub-lineage of WNV-2) has been predominant (accounting for 73% of all sequences obtained in Europe that have been shared in the public domain) and has spread to at least 14 countries. In the past two decades, WNV-2a has evolved into two major co-circulating clusters, both originating from Central Europe, but with distinct dynamic history and transmission patterns. WNV-2a spreads at a high dispersal velocity (88km/yr-215 km/yr) which is correlated to bird movements. Notably, amongst multiple drivers that could affect the spread of WNV, factors related to land use were found to strongly influence the spread of WNV. Specifically, the intensity of agricultural activities (defined by factors related to crops and livestock production, such as coverage of cropland, pasture, cultivated and managed vegetation, livestock density) were positively associated with both spread direction and velocity. In addition, WNV spread direction was associated with high coverage of wetlands and migratory bird flyways. CONCLUSION Our results suggest that-in addition to ecological conditions favouring bird- and mosquito- presence-agricultural land use may be a significant driver of WNV emergence and spread. Our study also identified significant gaps in data and the need to strengthen virological surveillance in countries of Central Europe from where WNV outbreaks are likely seeded. Enhanced monitoring for early detection of further dispersal could be targeted to areas with high agricultural activities and habitats of migratory birds.
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Affiliation(s)
- Lu Lu
- Roslin Institute, University of Edinburgh, Edinburgh, United Kingdom
- Usher Institute, University of Edinburgh, Edinburgh, United Kingdom
| | - Feifei Zhang
- Usher Institute, University of Edinburgh, Edinburgh, United Kingdom
| | - Bas B. Oude Munnink
- Erasmus MC, Viroscience and Pandemic and Disaster Preparedness Centre, Rotterdam, the Netherlands
| | - Emmanuelle Munger
- Erasmus MC, Viroscience and Pandemic and Disaster Preparedness Centre, Rotterdam, the Netherlands
| | - Reina S. Sikkema
- Erasmus MC, Viroscience and Pandemic and Disaster Preparedness Centre, Rotterdam, the Netherlands
| | - Styliani Pappa
- Department of Microbiology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Katerina Tsioka
- Department of Microbiology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | | | | | - Barbara B. Shih
- Roslin Institute, University of Edinburgh, Edinburgh, United Kingdom
| | - Anne Günther
- Institute of Diagnostic Virology, Friedrich-Loeffler-Institut, Greifswald-Riems, Germany
| | - Anne Pohlmann
- Institute of Diagnostic Virology, Friedrich-Loeffler-Institut, Greifswald-Riems, Germany
| | - Ute Ziegler
- Institute of Novel and Emerging Infectious Diseases, Friedrich-Loeffler-Institut, Greifswald-Riems, Germany
| | - Martin Beer
- Institute of Diagnostic Virology, Friedrich-Loeffler-Institut, Greifswald-Riems, Germany
| | - Rachel A. Taylor
- Department of Epidemiological Sciences, Animal and Plant Health Agency, United Kingdom
| | - Frederic Bartumeus
- Centre for Advanced Studies of Blanes (CEAB-CSIC), Girona, Spain
- Centre for Research on Ecology and Forestry Applications (CREAF), Barcelona, Spain
- Catalan Institution for Research and Advanced Studies (ICREA), Barcelona, Spain
| | - Mark Woolhouse
- Usher Institute, University of Edinburgh, Edinburgh, United Kingdom
| | - Frank M. Aarestrup
- Research Group for Genomic Epidemiology, Technical University of Denmark, Kongens Lyngby, Denmark
| | - Luisa Barzon
- Department of Molecular Medicine, University of Padova, Padua, Italy
| | - Anna Papa
- Department of Microbiology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Samantha Lycett
- Roslin Institute, University of Edinburgh, Edinburgh, United Kingdom
| | - Marion P. G. Koopmans
- Erasmus MC, Viroscience and Pandemic and Disaster Preparedness Centre, Rotterdam, the Netherlands
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3
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García-Carrasco JM, Muñoz AR, Olivero J, Segura M, García-Bocanegra I, Real R. West Nile virus in the Iberian Peninsula: using equine cases to identify high-risk areas for humans. Euro Surveill 2023; 28:2200844. [PMID: 37796440 PMCID: PMC10557382 DOI: 10.2807/1560-7917.es.2023.28.40.2200844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Accepted: 03/28/2023] [Indexed: 10/06/2023] Open
Abstract
BackgroundWest Nile virus (WNV) is a flavivirus with an enzootic cycle between birds and mosquitoes; humans and horses are incidental dead-end hosts. In 2020, the largest outbreak of West Nile virus infection in the Iberian Peninsula occurred, with 141 clusters in horses and 77 human cases.AimWe analysed which drivers influence spillover from the cycle to humans and equines and identified areas at risk for WNV transmission.MethodsBased on data on WNV cases in horses and humans in 2020 in Portugal and Spain, we developed logistic regression models using environmental and anthropic variables to highlight risk areas. Models were adapted to a high-resolution risk map.ResultsCases of WNV in horses could be used as indicators of viral activity and thus predict cases in humans. The risk map of horses was able to define high-risk areas for previous cases in humans and equines in Portugal and Spain, as well as predict human and horse cases in the transmission seasons of 2021 and 2022. We found that the spatial patterns of the favourable areas for outbreaks correspond to the main hydrographic basins of the Iberian Peninsula, jointly affecting Portugal and Spain.ConclusionA risk map highlighting the risk areas for potential future cases could be cost-effective as a means of promoting preventive measures to decrease incidence of WNV infection in Europe, based on a One Health surveillance approach.
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Affiliation(s)
- José-María García-Carrasco
- Biogeography, Diversity and Conservation Lab, Department of Animal Biology, Faculty of Sciences, University of Málaga, Málaga, Spain
| | - Antonio-Román Muñoz
- Biogeography, Diversity and Conservation Lab, Department of Animal Biology, Faculty of Sciences, University of Málaga, Málaga, Spain
| | - Jesús Olivero
- Biogeography, Diversity and Conservation Lab, Department of Animal Biology, Faculty of Sciences, University of Málaga, Málaga, Spain
| | - Marina Segura
- International Vaccination Center of Malaga, Maritime Port of Malaga, Ministry of Health, Consumption and Social Welfare, Government of Spain, Málaga, Spain
| | | | - Raimundo Real
- Biogeography, Diversity and Conservation Lab, Department of Animal Biology, Faculty of Sciences, University of Málaga, Málaga, Spain
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Karega P, Mwaura DK, Mwangi KW, Wanjiku M, Landi M, Kibet CK. Building awareness and capacity of bioinformatics and open science skills in Kenya: a sensitize, train, hack, and collaborate model. Front Res Metr Anal 2023; 8:1070390. [PMID: 37324282 PMCID: PMC10267827 DOI: 10.3389/frma.2023.1070390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Accepted: 05/10/2023] [Indexed: 06/17/2023] Open
Abstract
We have applied the sensitize-train-hack-community model to build awareness of and capacity in bioinformatics in Kenya. Open science is the practice of science openly and collaboratively, with tools, techniques, and data freely shared to facilitate reuse and collaboration. Open science is not a mandatory curriculum course in schools, whereas bioinformatics is relatively new in some African regions. Open science tools can significantly enhance bioinformatics, leading to increased reproducibility. However, open science and bioinformatics skills, especially blended, are still lacking among students and researchers in resource-constrained regions. We note the need to be aware of the power of open science among the bioinformatics community and a clear strategy to learn bioinformatics and open science skills for use in research. Using the OpenScienceKE framework-Sensitize, Train, Hack, Collaborate/Community-the BOSS (Bioinformatics and Open Science Skills) virtual events built awareness and empowered researchers with the skills and tools in open science and bioinformatics. Sensitization was achieved through a symposium, training through a workshop and train-the-trainer program, hack through mini-projects, community through conferences, and continuous meet-ups. In this paper, we discuss how we applied the framework during the BOSS events and highlight lessons learnt in planning and executing the events and their impact on the outcome of each phase. We evaluate the impact of the events through anonymous surveys. We show that sensitizing and empowering researchers with the skills works best when the participants apply the skills to real-world problems: project-based learning. Furthermore, we have demonstrated how to implement virtual events in resource-constrained settings by providing Internet and equipment support to participants, thus improving accessibility and diversity.
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Affiliation(s)
- Pauline Karega
- International Center of Insect Physiology and Ecology, Nairobi, Kenya
- Department of Biochemistry, University of Nairobi, Nairobi, Kenya
| | | | | | - Margaret Wanjiku
- Department of Biology, San Diego State University, San Diego, CA, United States
| | - Michael Landi
- Department of Bioinformatics, Swedish University of Agricultural Sciences, Uppsala, Sweden
- International Institute of Tropical Agriculture, Nairobi, Kenya
| | - Caleb K. Kibet
- International Center of Insect Physiology and Ecology, Nairobi, Kenya
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5
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Diagnostic value of urine qRT-PCR for the diagnosis of West Nile virus neuroinvasive disease. Diagn Microbiol Infect Dis 2023. [PMID: 37390574 DOI: 10.1016/j.diagmicrobio.2023.115920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
Short and low-level viremia and virorachia, antibody cross-reactivity, IgM persistence, and inaccessibility of neutralization test, make laboratory diagnosis of West Nile virus (WNV) infection difficult. Recent investigations imply that WNV is excreted in urine longer and at higher concentrations compared to blood. The detection of WNV nucleic acid in cerebrospinal fluid (CSF), serum, and urine samples collected from 41 patients with suspected WNV neuroinvasive disease, was done by real-time RT-PCR assay. CSF and serum samples were also serologically tested using anti-WNV IgM/IgG ELISA kits. WNV infection was confirmed in 46.3% of patients by positive WNV RNA results in serum and/or CSF samples. The WNV RNA testing of urine allowed confirmation of 31.7% more cases. No association between WNV RNA urine positivity and age, gender, or the day of sample collection was found. The urine qRT-PCR can be a valuable diagnostic test for confirmation of probable cases of WNV neuroinvasive disease.
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Barzon L, Pacenti M, Montarsi F, Fornasiero D, Gobbo F, Quaranta E, Monne I, Fusaro A, Volpe A, Sinigaglia A, Riccetti S, Molin ED, Satto S, Lisi V, Gobbi F, Galante S, Feltrin G, Valeriano V, Favero L, Russo F, Mazzucato M, Bortolami A, Mulatti P, Terregino C, Capelli G. Rapid spread of a new West Nile virus lineage 1 associated with increased risk of neuroinvasive disease during a large outbreak in northern Italy, 2022: One Health analysis. J Travel Med 2022:taac125. [PMID: 36331269 DOI: 10.1093/jtm/taac125] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Revised: 10/16/2022] [Indexed: 11/06/2022]
Abstract
BACKGROUND A new strain of WNV lineage 1 (WNV - 1) emerged in the Veneto Region, northern Italy, in 2021, eight years after the last outbreak of WNV - 1 in Italy. The virus, which co-circulates with WNV-2, has become endemic in the Region, where, in 2022, most human cases of neuroinvasive disease (WNND) reported in Europe have occurred. METHODS Comparative analysis of the epidemiology and clinical presentation of WNV-1 and WNV-2 infection in humans, as well as the temporal and geographic distribution of WNV-1 and WNV-2 among wild birds and Culex pipiens mosquitoes in Veneto, from May 16th to August 21st, 2022, to determine if the high number of WNND cases was associated with WNV-1. RESULTS As of August 21st, 2022, 222 human cases of WNV infection were confirmed by molecular testing, including 103 with fever (WNF) and 119 with WNND. WNV lineage was determined in 201 (90.5%) cases, comprising 138 WNV-1 and 63 WNV-2 infections. During the same period, 35 blood donors tested positive, including 30 in whom WNV lineage was determined (13 WNV-1 and 17 WNV-2). Comparative analysis of the distribution of WNV-1 and WNV-2 infections among WNND cases, WNF cases and WNV-positive blood donors showed that patients with WNND were more likely to have WNV-1 infection than blood donors (odds ratio 3.44; 95% CI 95% 1.54 to 8.24; p = 0.0043). As observed in humans, in wild birds WNV-1 had higher infectious rate (IR) and showed a more rapid expansion than WNV-2. At variance, the distribution of the two lineages was more even in mosquitoes, but with a trend of rapid increase of WNV-1 IR over WNV-2. CONCLUSIONS Comparative analysis of WNV-1 vs WNV-2 infection in humans, wild birds, and mosquitos showed a rapid expansion of WNV-1 and suggested that WNV-1 infected patients might have an increased risk to develop severe disease.
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Affiliation(s)
- Luisa Barzon
- Department of Molecular Medicine, University of Padova, via A Gabelli 63, 35121 Padova, Italy
- Microbiology and Virology Unit, Padova University Hospital, via Giustiniani 2, 35128 Padova, Italy
| | - Monia Pacenti
- Microbiology and Virology Unit, Padova University Hospital, via Giustiniani 2, 35128 Padova, Italy
| | - Fabrizio Montarsi
- Istituto Zooprofilattico Sperimentale delle Venezie, Viale dell'Università, 10 - Legnaro (PD), Italy
| | - Diletta Fornasiero
- Istituto Zooprofilattico Sperimentale delle Venezie, Viale dell'Università, 10 - Legnaro (PD), Italy
| | - Federica Gobbo
- Istituto Zooprofilattico Sperimentale delle Venezie, Viale dell'Università, 10 - Legnaro (PD), Italy
| | - Erika Quaranta
- Istituto Zooprofilattico Sperimentale delle Venezie, Viale dell'Università, 10 - Legnaro (PD), Italy
| | - Isabella Monne
- Istituto Zooprofilattico Sperimentale delle Venezie, Viale dell'Università, 10 - Legnaro (PD), Italy
| | - Alice Fusaro
- Istituto Zooprofilattico Sperimentale delle Venezie, Viale dell'Università, 10 - Legnaro (PD), Italy
| | - Andrea Volpe
- Department of Molecular Medicine, University of Padova, via A Gabelli 63, 35121 Padova, Italy
| | - Alessandro Sinigaglia
- Department of Molecular Medicine, University of Padova, via A Gabelli 63, 35121 Padova, Italy
| | - Silvia Riccetti
- Department of Molecular Medicine, University of Padova, via A Gabelli 63, 35121 Padova, Italy
| | - Emanuela Dal Molin
- Department of Molecular Medicine, University of Padova, via A Gabelli 63, 35121 Padova, Italy
| | - Sorsha Satto
- Microbiology and Virology Unit, Padova University Hospital, via Giustiniani 2, 35128 Padova, Italy
| | - Vittoria Lisi
- Microbiology and Virology Unit, Padova University Hospital, via Giustiniani 2, 35128 Padova, Italy
| | - Federico Gobbi
- Department of Infectious-Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, Italy
| | - Silvia Galante
- UOC Medicina Trasfusionale, ULSS 6 Sede di Camposampiero, Azienda ULSS6 Euganea, via Cosma, 1 - Camposampiero (PD), Italy
| | - Giuseppe Feltrin
- Regional Transplant Centre, Azienda Ospedale Università di Padova, Via Giustiniani 2, 35128 Padova, Italy
| | - Valerio Valeriano
- Dipartimento di Prevenzione - AULSS 6 Euganea; Servizio di Igiene e Sanità Pubblica, UOSD Epidemiologia e Ambiente, Via Ospedale Civile, 22, 35100 - Padova, Italy
| | - Laura Favero
- Direzione Prevenzione, Sicurezza Alimentare, Veterinaria, Regione Veneto, Dorsoduro, 3493 - Rio Novo - 30123 Venezia, Italy
| | - Francesca Russo
- Direzione Prevenzione, Sicurezza Alimentare, Veterinaria, Regione Veneto, Dorsoduro, 3493 - Rio Novo - 30123 Venezia, Italy
| | - Matteo Mazzucato
- Istituto Zooprofilattico Sperimentale delle Venezie, Viale dell'Università, 10 - Legnaro (PD), Italy
| | - Alessio Bortolami
- Istituto Zooprofilattico Sperimentale delle Venezie, Viale dell'Università, 10 - Legnaro (PD), Italy
| | - Paolo Mulatti
- Istituto Zooprofilattico Sperimentale delle Venezie, Viale dell'Università, 10 - Legnaro (PD), Italy
| | - Calogero Terregino
- Istituto Zooprofilattico Sperimentale delle Venezie, Viale dell'Università, 10 - Legnaro (PD), Italy
| | - Gioia Capelli
- Istituto Zooprofilattico Sperimentale delle Venezie, Viale dell'Università, 10 - Legnaro (PD), Italy
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García-Bocanegra I, Franco JJ, León CI, Barbero-Moyano J, García-Miña MV, Fernández-Molera V, Gómez MB, Cano-Terriza D, Gonzálvez M. High exposure of West Nile virus in equid and wild bird populations in Spain following the epidemic outbreak in 2020. Transbound Emerg Dis 2022; 69:3624-3636. [PMID: 36222172 PMCID: PMC10092718 DOI: 10.1111/tbed.14733] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 09/07/2022] [Accepted: 10/04/2022] [Indexed: 02/07/2023]
Abstract
A cross-sectional study was conducted to assess the circulation and risk factors associated with West Nile virus (WNV) exposure in equine and wild bird populations following the largest epidemic outbreak ever reported in Spain. A total of 305 equids and 171 wild birds were sampled between November 2020 and June 2021. IgG antibodies against flaviviruses were detected by blocking enzyme-linked immunosorbent assay (bELISA) in 44.9% (109/243) and 87.1% (54/62) of unvaccinated and vaccinated equids, respectively. The individual seroprevalence in unvaccinated individuals (calculated on animals seropositive by both bELISA and virus microneutralization test [VNT]) was 38.3% (95%CI: 33.1-43.4). No IgM antibodies were detected in animals tested (0/243; 0.0%; 95%CI: 0.0-1.5) by capture-ELISA. The main risk factors associated with WNV exposure in equids were age (adult and geriatric), breed (crossbred) and the absence of a disinsection programme on the facilities. In wild birds, IgG antibodies against flaviviruses were found in 32.7% (56/171; 95%CI: 26.8-38.6) using bELISA, giving an individual WNV seroprevalence of 19.3% (95%CI: 14.3-24.3) after VNT. Seropositivity was found in 37.8% of the 37 species analysed. Species group (raptors), age (>1-year old) and size (large) were the main risk factors related to WNV seropositivity in wild birds. Our results indicate high exposure and widespread distribution of WNV in equid and wild bird populations in Spain after the epidemic outbreak in 2020. The present study highlights the need to continue and improve active surveillance programmes for the detection of WNV in Spain, particularly in those areas at greatest risk of virus circulation.
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Affiliation(s)
- Ignacio García-Bocanegra
- Department of Animal Health, Animal Health and Zoonosis Research Group (GISAZ), UIC Zoonosis and Emerging Diseases (ENZOEM), University of Cordoba, Cordoba, Spain.,CIBERINFEC, ISCIII - CIBER de Enfermedades Infecciosas, Instituto de Salud Carlos III, Madrid, Spain
| | - Juan J Franco
- Immunology and Applied Genetics, S.A. (Eurofins-Ingenasa), Madrid, Spain
| | - Clara I León
- Agencia de Medio Ambiente y Agua de Andalucía (AMAYA), Junta de Andalucía, Sevilla, Spain
| | - Jesús Barbero-Moyano
- Department of Animal Health, Animal Health and Zoonosis Research Group (GISAZ), UIC Zoonosis and Emerging Diseases (ENZOEM), University of Cordoba, Cordoba, Spain
| | - María V García-Miña
- Consejería de Agricultura, Pesca, Agua y Desarrollo Rural, Junta de Andalucía, Sevilla, Spain
| | | | - María B Gómez
- Laboratorio Central de Veterinaria (LCV), Ministerio de Agricultura, Pesca y Alimentación, Algete, Madrid, Spain
| | - David Cano-Terriza
- Department of Animal Health, Animal Health and Zoonosis Research Group (GISAZ), UIC Zoonosis and Emerging Diseases (ENZOEM), University of Cordoba, Cordoba, Spain.,CIBERINFEC, ISCIII - CIBER de Enfermedades Infecciosas, Instituto de Salud Carlos III, Madrid, Spain
| | - Moisés Gonzálvez
- Department of Animal Health, Animal Health and Zoonosis Research Group (GISAZ), UIC Zoonosis and Emerging Diseases (ENZOEM), University of Cordoba, Cordoba, Spain.,Department of Animal Health, Faculty of Veterinary Sciences, Regional Campus of International Excellence "Campus Mare Nostrum", University of Murcia, Murcia, Spain
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8
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Figuerola J, Jiménez-Clavero MÁ, Ruíz-López MJ, Llorente F, Ruiz S, Hoefer A, Aguilera-Sepúlveda P, Peñuela JJ, García-Ruiz O, Herrero L, Soriguer RC, Delgado RF, Sánchez-Seco MP, la Puente JMD, Vázquez A. A One Health view of the West Nile virus outbreak in Andalusia (Spain) in 2020. Emerg Microbes Infect 2022; 11:2570-2578. [PMID: 36214518 PMCID: PMC9621199 DOI: 10.1080/22221751.2022.2134055] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Reports of West Nile virus (WNV) associated disease in humans were scarce in Spain until summer 2020, when 77 cases were reported, eight fatal. Most cases occurred next to the Guadalquivir River in the Sevillian villages of Puebla del Río and Coria del Río. Detection of WNV disease in humans was preceded by a large increase in the abundance of Culex perexiguus in the neighbourhood of the villages where most human cases occurred. The first WNV infected mosquitoes were captured approximately one month before the detection of the first human cases. Overall, 33 positive pools of Cx. perexiguus and one pool of Culex pipiens were found. Serology of wild birds confirmed WNV circulation inside the affected villages, that transmission to humans also occurred in urban settings and suggests that virus circulation was geographically more widespread than disease cases in humans or horses may indicate. A high prevalence of antibodies was detected in blackbirds (Turdus merula) suggesting that this species played an important role in the amplification of WNV in urban areas. Culex perexiguus was the main vector of WNV among birds in natural and agricultural areas, while its role in urban areas needs to be investigated in more detail. Culex pipiens may have played some role as bridge vector of WNV between birds and humans once the enzootic transmission cycle driven by Cx. perexiguus occurred inside the villages. Surveillance of virus in mosquitoes has the potential to detect WNV well in advance of the first human cases.
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Affiliation(s)
- Jordi Figuerola
- Estación Biológica de Doñana - CSIC, Avda. Américo Vespucio 26, 41092 Sevilla, Spain.,CIBER de Epidemiología y Salud Publica (CIBERESP), Spain
| | - Miguel Ángel Jiménez-Clavero
- Centro de Investigación en Sanidad Animal (CISA), Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria (INIA-CSIC), 28130, Valdeolmos, Spain.,CIBER de Epidemiología y Salud Publica (CIBERESP), Spain
| | - María José Ruíz-López
- Estación Biológica de Doñana - CSIC, Avda. Américo Vespucio 26, 41092 Sevilla, Spain.,CIBER de Epidemiología y Salud Publica (CIBERESP), Spain
| | - Francisco Llorente
- Centro de Investigación en Sanidad Animal (CISA), Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria (INIA-CSIC), 28130, Valdeolmos, Spain
| | - Santiago Ruiz
- Servicio de Control de Mosquitos de la Diputación Provincial de Huelva, Ctra. Hospital Infanta Elena s/n, 21007 Huelva, Spain.,CIBER de Epidemiología y Salud Publica (CIBERESP), Spain
| | - Andreas Hoefer
- Centro Nacional de Microbiología, Instituto de Salud Carlos III, 28222 Majadahonda, Spain.,European Public Health Microbiology Training Programme (EUPHEM), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
| | - Pilar Aguilera-Sepúlveda
- Centro de Investigación en Sanidad Animal (CISA), Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria (INIA-CSIC), 28130, Valdeolmos, Spain
| | | | - Olaya García-Ruiz
- Estación Biológica de Doñana - CSIC, Avda. Américo Vespucio 26, 41092 Sevilla, Spain.,CIBER de Epidemiología y Salud Publica (CIBERESP), Spain
| | - Laura Herrero
- Centro Nacional de Microbiología, Instituto de Salud Carlos III, 28222 Majadahonda, Spain
| | - Ramón C Soriguer
- Estación Biológica de Doñana - CSIC, Avda. Américo Vespucio 26, 41092 Sevilla, Spain.,CIBER de Epidemiología y Salud Publica (CIBERESP), Spain
| | - Raúl Fernández Delgado
- Centro de Investigación en Sanidad Animal (CISA), Instituto Nacional de Investigación y Tecnología Agraria y Alimentaria (INIA-CSIC), 28130, Valdeolmos, Spain
| | - Mari Paz Sánchez-Seco
- Centro Nacional de Microbiología, Instituto de Salud Carlos III, 28222 Majadahonda, Spain.,CIBER de Enfermedades Infecciosas (CIBERINFEC), Spain
| | - Josué Martínez-de la Puente
- Departamento de Parasitología, Universidad de Granada, 18071 Granada, Spain.,CIBER de Epidemiología y Salud Publica (CIBERESP), Spain
| | - Ana Vázquez
- Centro Nacional de Microbiología, Instituto de Salud Carlos III, 28222 Majadahonda, Spain.,CIBER de Epidemiología y Salud Publica (CIBERESP), Spain
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9
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Gómez-Vicente E, Garcia R, Calatrava E, Olivares Duran MJ, Gutiérrez-Bautista JF, Rodriguez-Granger J, Cobo F, Navarro Mari JM, Sampedro-Martinez A. Comparative evaluation of chemiluminescent immunoassay and enzyme-linked immunosorbent assays for the diagnosis of West Nile virus infections. APMIS 2022; 130:215-220. [PMID: 35060204 DOI: 10.1111/apm.13207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
In August 2020, anew West Nile virus (WNV) outbreak affected 71 people with meningoencephalitis in Andalusia (Spain). Samples from these individuals were received in our laboratory, a regional Virus Referral Centre. The aim of this study was to compare the agreement, sensitivity and specificity of findings between the WNV VIRCLIA IgG and IgM assay (Vircell, Spain) and the WNV ELISA IgM and IgG assay (Euroimmun, Germany) and to compare the performance of WNV VIRCLIA IgM and Euroimmun ELISA for cerebrospinal fluid (CSF) diagnosis. The study included 24 CSF samples (paired with serum samples) and 247 serum samples from 217 patients with suspected WNV infection (1 or 2 per patient). The agreement between ELISA and CLIA tests for IgM and Ig G detection in serum was 93% (kappa index = 0.85) and 96% (kappa index = 0.89) respectively. Sensitivity values of ELISA and CLIA tests for IgM in serum samples were 96.7% and 98.9%, respectively, and specificity values were 96.4% and 95.4% respectively. Sensitivity values of ELISA and CLIA test for IgG in serum samples were 91.1% and 97%, respectively, and specificity values were 100% and 98.8% respectively. Results obtained with ELISA and CLIA tests in CSF samples showed 75% agreement between them (kappa index = 0.51). According to these findings, the WNV VIRCLIA IgM and IgG monotest offers an accurate qualitative detection of WNV in serum and CSF specimens.
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Affiliation(s)
- Esther Gómez-Vicente
- Servicio de Microbiología, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | | | - Elizabeth Calatrava
- Servicio de Microbiología, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | - María Jose Olivares Duran
- Servicio de Análisis Clínicos e Inmunología, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | | | | | - Fernando Cobo
- Servicio de Microbiología, Hospital Universitario Virgen de las Nieves, Granada, Spain
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10
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Sanbonmatsu-Gámez S, Pedrosa-Corral I, Navarro-Marí JM, Pérez-Ruiz M. Update in Diagnostics of Toscana Virus Infection in a Hyperendemic Region (Southern Spain). Viruses 2021; 13:v13081438. [PMID: 34452304 PMCID: PMC8402649 DOI: 10.3390/v13081438] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Revised: 07/10/2021] [Accepted: 07/19/2021] [Indexed: 12/23/2022] Open
Abstract
The sandfly fever Toscana virus (TOSV, genus Phlebovirus, family Phenuiviridae) is endemic in Mediterranean countries. In Spain, phylogenetic studies of TOSV strains demonstrated that a genotype, different from the Italian, was circulating. This update reports 107 cases of TOSV neurological infection detected in Andalusia from 1988 to 2020, by viral culture, serology and/or RT-PCR. Most cases were located in Granada province, a hyperendemic region. TOSV neurological infection may be underdiagnosed since few laboratories include this virus in their portfolio. This work presents a reliable automated method, validated for the detection of the main viruses involved in acute meningitis and encephalitis, including the arboviruses TOSV and West Nile virus. This assay solves the need for multiple molecular platforms for different viruses and thus, improves the time to results for these syndromes, which require a rapid and efficient diagnostic approach.
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Affiliation(s)
- Sara Sanbonmatsu-Gámez
- Laboratorio de Referencia de Virus de Andalucía, Servicio de Microbiología, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain; (S.S.-G.); (I.P.-C.); (J.M.N.-M.)
- Instituto de Investigación Biosanitaria ibs.Granada, 18012 Granada, Spain
- Red de Investigación Cooperativa en Enfermedades Tropicales (RICET), 28029 Madrid, Spain
| | - Irene Pedrosa-Corral
- Laboratorio de Referencia de Virus de Andalucía, Servicio de Microbiología, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain; (S.S.-G.); (I.P.-C.); (J.M.N.-M.)
- Instituto de Investigación Biosanitaria ibs.Granada, 18012 Granada, Spain
| | - José María Navarro-Marí
- Laboratorio de Referencia de Virus de Andalucía, Servicio de Microbiología, Hospital Universitario Virgen de las Nieves, 18014 Granada, Spain; (S.S.-G.); (I.P.-C.); (J.M.N.-M.)
- Instituto de Investigación Biosanitaria ibs.Granada, 18012 Granada, Spain
- Red de Investigación Cooperativa en Enfermedades Tropicales (RICET), 28029 Madrid, Spain
| | - Mercedes Pérez-Ruiz
- Instituto de Investigación Biosanitaria ibs.Granada, 18012 Granada, Spain
- Red de Investigación Cooperativa en Enfermedades Tropicales (RICET), 28029 Madrid, Spain
- Servicio de Microbiología, Hospital Regional Universitario de Málaga, 29010 Málaga, Spain
- Correspondence:
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