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Topic:Epidemiology

Epidemiology in horses involves the study of the distribution and determinants of health-related states and events in equine populations. It encompasses the investigation of patterns, causes, and effects of diseases and health conditions within horse populations. This field of study aims to identify risk factors for disease and targets for preventive healthcare. Key components of equine epidemiology include disease surveillance, outbreak investigation, and the study of disease dynamics within herds or regions. Research in this area often focuses on infectious diseases, zoonotic diseases, and the impact of environmental factors on equine health. This page compiles peer-reviewed research studies and scholarly articles that explore various aspects of epidemiology in horses, including disease prevalence, transmission pathways, and strategies for disease prevention and control.
How to Meet the Last OIE Expert Surveillance Panel Recommendations on Equine Influenza (EI) Vaccine Composition: A Review of the Process Required for the Recombinant Canarypox-Based EI Vaccine.
Pathogens (Basel, Switzerland)    November 25, 2016   Volume 5, Issue 4 64 doi: 10.3390/pathogens5040064
Paillot R, Rash NL, Garrett D, Prowse-Davis L, Montesso F, Cullinane A, Lemaitre L, Thibault JC, Wittreck S, Dancer A.Vaccination is highly effective to prevent, control, and limit the impact of equine influenza (EI), a major respiratory disease of horses. However, EI vaccines should contain relevant equine influenza virus (EIV) strains for optimal protection. The OIE expert surveillance panel annually reviews EIV evolution and, since 2010, the use of Florida clade 1 and 2 sub-lineages representative vaccine strains is recommended. This report summarises the development process of a fully- updated recombinant canarypox-based EI vaccine in order to meet the last OIE recommendations, including the vaccine mode ...
Seroprevalence and spatial distribution of Toxoplasma gondii infection in cats, dogs, pigs and equines of the Fernando de Noronha Island, Brazil.
Parasitology international    November 25, 2016   Volume 66, Issue 2 43-46 doi: 10.1016/j.parint.2016.11.014
Magalhães FJR, Ribeiro-Andrade M, Souza FM, Lima Filho CDF, Biondo AW, Vidotto O, Navarro IT, Mota RA.Little is known about toxoplasmosis in animals of the Fernando de Noronha Island, Brazil. Therefore, we investigated the prevalence of Toxoplasma gondii infection in the total population of pet cats (n=348), dogs (n=320), pigs (n=27), equines (n=101), as well as a significant portion of the population of feral cats (n=247) of the Island by Indirect Fluorescent Antibody Test. Anti-T. gondii IgG antibodies were found in 71.26%, 54.74%, 48.75%, 51.85% and 22.7%, of the pet and feral cats, dogs, pigs and equines, respectively, demonstrating a high prevalence of T. gondii infection in the wild and ...
Prevalence of Equine Hepacivirus Infections in France and Evidence for Two Viral Subtypes Circulating Worldwide.
Transboundary and emerging diseases    November 24, 2016   Volume 64, Issue 6 1884-1897 doi: 10.1111/tbed.12587
Pronost S, Hue E, Fortier C, Foursin M, Fortier G, Desbrosse F, Rey FA, Pitel PH, Richard E, Saunier B.Like hepatitis C virus (HCV) in humans, the newly identified equine hepacivirus (NPHV) displays a predominating liver tropism that may evolve into chronic infections. The genomes of the two viruses share several organizational and functional features and are phylogenetically closest amongst the Hepacivirus genus. A limited amount of data is available regarding the spread of hepacivirus infections in horses. In this study, we asked whether in a more representative sample the prevalence and distribution of NPHV infections in France would resemble that reported so far in other countries. A total ...
High Diversity of Genogroup I Picobirnaviruses in Mammals.
Frontiers in microbiology    November 23, 2016   Volume 7 1886 doi: 10.3389/fmicb.2016.01886
Woo PC, Teng JL, Bai R, Wong AY, Martelli P, Hui SW, Tsang AK, Lau CC, Ahmed SS, Yip CC, Choi GK, Li KS, Lam CS, Lau SK, Yuen KY.In a molecular epidemiology study using 791 fecal samples collected from different terrestrial and marine mammals in Hong Kong, genogroup I picobirnaviruses (PBVs) were positive by RT-PCR targeting the partial RdRp gene in specimens from five cattle, six monkeys, 17 horses, nine pigs, one rabbit, one dog, and 12 California sea lions, with 11, 9, 23, 17, 1, 1, and 15 sequence types in the positive specimens from the corresponding animals, respectively. Phylogenetic analysis showed that the PBV sequences from each kind of animal were widely distributed in the whole tree with high diversity, shar...
Disease and pharmacologic risk factors for first and subsequent episodes of equine laminitis: A cohort study of free-text electronic medical records.
Preventive veterinary medicine    November 22, 2016   Volume 136 11-18 doi: 10.1016/j.prevetmed.2016.11.012
Welsh CE, Duz M, Parkin TDH, Marshall JF.Electronic medical records from first opinion equine veterinary practice may represent a unique resource for epidemiologic research. The appropriateness of this resource for risk factor analyses was explored as part of an investigation into clinical and pharmacologic risk factors for laminitis. Amalgamated medical records from seven UK practices were subjected to text mining to identify laminitis episodes, systemic or intra-synovial corticosteroid prescription, diseases known to affect laminitis risk and clinical signs or syndromes likely to lead to corticosteroid use. Cox proportional hazard ...
Multiple-locus variable-number tandem repeat analysis potentially reveals the existence of two groups of Anaplasma phagocytophilum circulating in cattle in France with different wild reservoirs.
Parasites & vectors    November 22, 2016   Volume 9, Issue 1 596 doi: 10.1186/s13071-016-1888-4
Dugat T, Zanella G, Véran L, Lesage C, Girault G, Durand B, Lagrée AC, Boulouis HJ, Haddad N.Anaplasma phagocytophilum is the causative agent of tick-borne fever, a disease with high economic impact for domestic ruminants in Europe. Epidemiological cycles of this species are complex, and involve different ecotypes circulating in various host species. To date, these epidemiological cycles are poorly understood, especially in Europe, as European reservoir hosts (i.e. vertebrate hosts enabling long-term maintenance of the bacterium in the ecosystem), of the bacterium have not yet been clearly identified. In this study, our objective was to explore the presence, the prevalence, and the ge...
Antimicrobial stewardship in the treatment of equine bacterial infections.
Veterinary journal (London, England : 1997)    November 21, 2016   Volume 219 4-5 doi: 10.1016/j.tvjl.2016.11.009
Johns I.No abstract available
Molecular evidence for Toxoplasma gondii in feeding and questing Ixodes ricinus ticks.
Ticks and tick-borne diseases    November 21, 2016   Volume 8, Issue 2 259-261 doi: 10.1016/j.ttbdis.2016.11.009
Adamska M, Skotarczak B.The aim of the present study was to detect Toxoplasma gondii in ticks collected from ponies and field vegetation and to determine the role of Shetland ponies as a potential reservoir host for T. gondii. A total of 1737 feeding Ixodes ricinus collected from 49 horses and 371 questing ticks were tested by PCR and sequencing for the presence and genotyping of T. gondii. All ticks were examined in a previous study to detect and identify pathogenic bacterial species. The aim of this study was also to detect co-infection of ticks with these bacteria and T. gondii. Genotyping of the sequenced B1 gene...
Life cycle of Spinose ear tick, Otobius megnini (Acari: Argasidae) infesting the race horses in Nuwara Eliya, Sri Lanka.
Acta tropica    November 18, 2016   Volume 166 164-176 doi: 10.1016/j.actatropica.2016.11.026
Diyes GCP, Rajakaruna RS.Otobius megnini infests mainly domesticated and wild animals and occasionally humans. It has been identified as an agent of human and horse otoacariasis in Sri Lanka. The number of nymphal stages in the life cycle of O. megnini varies from one to three in different geographic regions. The present study determined the life cycle of O. megnini infesting the racehorses in Nuwara Eliya. A tick colony was initiated from fully engorged nymphs collected from horses and maintained at 10°C, 22°C and 28°C. Immature stages were reared on New Zealand rabbits. Only the larvae weighing more than 0.9mg (8...
Non-dermatophyte Dermatoses Mimicking Dermatophytoses in Animals.
Mycopathologia    November 16, 2016   Volume 182, Issue 1-2 113-126 doi: 10.1007/s11046-016-0090-8
Pin D.Dermatophytoses in animals are fungal diseases of the skin caused by dermatophyte fungi of the genus Microsporum or Trichophyton. Because the infection is generally follicular, the most common clinical sign is one or many circular areas of alopecia with variable erythema, scaling and crusting, and the primary differential diagnoses are follicular infections, such as bacterial folliculitis and demodicosis. Although dermatophyte folliculitis or ringworm is the most commonly observed lesion of dermatophytoses in animals, other presentations may be observed according to the host species and the de...
The confidential enquiry into perioperative equine fatalities (CEPEF): mortality results of Phases 1 and 2.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 4 159-170 doi: 10.1046/j.1467-2995.2002.00106.x
Johnston GM, Eastment JK, Wood J, Taylor PM.To document the equine perioperative mortality rate and to highlight any factor associated with an increased risk of death up to 7 days after anaesthesia. Methods: A prospective observational epidemiological multicentre study. Methods: Data were recorded from all equidae undergoing general anaesthesia in 62 clinics. Power calculations indicated that 45 000 cases were required to detect the significance of important variables. Details of each horse, operation, anaesthetic agents and clinic personnel were recorded. Outcome at 7 days was recorded as: alive, put to sleep (PTS) or dead. Data were a...
Seroprevalence of West Nile virus antibodies in equids in the North-East of Algeria and detection of virus circulation in 2014.
Comparative immunology, microbiology and infectious diseases    November 15, 2016   Volume 50 8-12 doi: 10.1016/j.cimid.2016.11.005
West Nile fever (WNF) is a viral disease of wild birds transmitted by mosquitoes. Humans and equids can also be affected and suffer from meningoencephalitis. In Algeria, since the 1994 epidemic, no data on WNV circulation was available until 2012. In September 2012, a fatal human case of WNV neuro-invasive infection occurred in Jijel province. This study describes the first seroprevalence study of West Nile virus (WNV) antibodies conducted in the equine population in Algeria. During 2014, serum samples were collected from 293 equids (222 donkeys and 71 horses) asymptomatic and unvaccinated for...
The full genome sequences of 8 equine herpesvirus type 4 isolates from horses in Japan.
The Journal of veterinary medical science    November 14, 2016   Volume 79, Issue 1 206-212 doi: 10.1292/jvms.16-0506
Izume S, Kirisawa R, Ohya K, Ohnuma A, Kimura T, Omatsu T, Katayama Y, Mizutani T, Fukushi H.Equine herpesvirus type 4 (EHV-4) is one of the most important pathogens in horses. To clarify the key genes of the EHV-4 genome that cause abortion in female horses, we determined the whole genome sequences of a laboratory strain and 7 Japanese EHV-4 isolates that were isolated from 2 aborted fetuses and nasal swabs of 5 horses with respiratory disease. The full genome sequences and predicted amino acid sequences of each gene of these isolates were compared with of the reference EHV-4 strain NS80567 and Australian isolates that were reported in 2015. The EHV-4 isolates clustered in 2 groups w...
Shortened egg reappearance after ivermectin or moxidectin use in horses in the UK.
Veterinary journal (London, England : 1997)    November 14, 2016   Volume 218 36-39 doi: 10.1016/j.tvjl.2016.11.003
Daniels SP, Proudman CJ.This study reports ivermectin and moxidectin egg reappearance periods (ERP) from UK horses with persistently positive faecal egg counts (FEC), defined as positive FEC within the ERP of an anthelmintic post-treatment, or with FECs that remained positive after the normal ERP post-anthelmintic treatment. A selected population of UK pleasure horses deemed at high risk of strongyle infection was studied. The earliest ERP recorded after ivermectin or moxidectin, using first positive FEC, was 5 weeks. From 16 premises where moxidectin was used, five had ERP ≥12 weeks using two further metrics. For ...
Comparative Bioinformatics Analysis of Transcription Factor Genes Indicates Conservation of Key Regulatory Domains among Babesia bovis, Babesia microti, and Theileria equi.
PLoS neglected tropical diseases    November 10, 2016   Volume 10, Issue 11 e0004983 doi: 10.1371/journal.pntd.0004983
Alzan HF, Knowles DP, Suarez CE.Apicomplexa tick-borne hemoparasites, including Babesia bovis, Babesia microti, and Theileria equi are responsible for bovine and human babesiosis and equine theileriosis, respectively. These parasites of vast medical, epidemiological, and economic impact have complex life cycles in their vertebrate and tick hosts. Large gaps in knowledge concerning the mechanisms used by these parasites for gene regulation remain. Regulatory genes coding for DNA binding proteins such as members of the Api-AP2, HMG, and Myb families are known to play crucial roles as transcription factors. Although the reperto...
Complete Genome Sequencing and Phylogenetic Analysis of a Getah Virus Strain (Genus Alphavirus, Family Togaviridae) Isolated from Culex tritaeniorhynchus Mosquitoes in Nagasaki, Japan in 2012.
Vector borne and zoonotic diseases (Larchmont, N.Y.)    November 9, 2016   Volume 16, Issue 12 769-776 doi: 10.1089/vbz.2016.2017
Kobayashi D, Isawa H, Ejiri H, Sasaki T, Sunahara T, Futami K, Tsuda Y, Katayama Y, Mizutani T, Minakawa N, Ohta N, Sawabe K.Getah virus (GETV; genus Alphavirus, family Togaviridae) is a mosquito-borne virus known to cause disease in horses and pigs. In 2014, for the first time in ∼30 years, a sudden GETV outbreak occurred among racehorses in Ibaraki, Japan. Two years before this outbreak, we obtained multiple GETV isolates from Culex tritaeniorhynchus mosquitoes collected in Nagasaki, Japan and determined the whole genome sequence of GETV isolate 12IH26. Our phylogenetic analysis of GETV strains revealed that the isolate 12IH26 forms a robust clade with the epidemic strains 14-I-605-C1 and 14-I-605-C2 isolated fr...
Subclinical ultrasonographic abnormalities of the suspensory ligament branches in National Hunt racehorses.
Equine veterinary journal    November 9, 2016   Volume 49, Issue 4 475-479 doi: 10.1111/evj.12639
Fairburn AJ, Busschers E, Barr ARS.Suspensory ligament branch (SLB) desmopathy is a common cause of lameness and an important cause of lost training in the Thoroughbred racing industry. Studies have assessed the impact of insertional injuries of the SLB on the careers of flat racehorses and established the prevalence of subclinical ultrasonographic SLB abnormalities in this population, but little work has investigated SLB injury in National Hunt (NH) racehorses. Objective: To investigate the prevalence of subclinical ultrasonographic SLB abnormalities in NH racehorses with no clinical signs or history of SLB injury and to estab...
Livestock-Associated Methicillin Resistant Staphylococcus aureus (LA-MRSA) Clonal Complex (CC) 398 Isolated from UK Animals belong to European Lineages.
Frontiers in microbiology    November 9, 2016   Volume 7 1741 doi: 10.3389/fmicb.2016.01741
Sharma M, Nunez-Garcia J, Kearns AM, Doumith M, Butaye PR, Argudín MA, Lahuerta-Marin A, Pichon B, AbuOun M, Rogers J, Ellis RJ, Teale C, Anjum MF.In recent years, there has been an increase in the number of livestock-associated methicillin resistant Staphylococcus aureus (LA-MRSA) clonal complex (CC) 398 recovered from S. aureus isolated animals in the UK. To determine possible origins of 12 LA-MRSA CC398 isolates collected after screening more than a thousand S. aureus animal isolates from the UK between 2013 and 2015, whole genome sequences (WGS) of CC398 European, including UK, and non-European isolates from diverse animal hosts were compared. Phylogenetic reconstruction applied to WGS data to assess genetic relatedness of all 89 iso...
Dynamics of Parascaris and Strongylus spp. parasites in untreated juvenile horses.
Veterinary parasitology    November 7, 2016   Volume 230 62-66 doi: 10.1016/j.vetpar.2016.11.002
Fabiani JV, Lyons ET, Nielsen MK.Parasite control in foals is of utmost importance due to the high susceptibility to parasitic infection and disease in this age group. Foals are commonly co-infected with strongyle and ascarid parasites, which complicate parasite control strategies. The present study retrospectively investigated necropsy records of foals born into a university herd kept without anthelmintic treatment since 1979. The aims were to statistically analyze the relationship between fecal egg counts, worm burdens, foal age, sex, and season with specific focus on Parascaris and Strongylus spp. A total of 83 foals born ...
A survey of the antimicrobial susceptibility of Escherichia coli isolated from Sable Island horses.
Canadian journal of microbiology    November 7, 2016   Volume 63, Issue 3 246-251 doi: 10.1139/cjm-2016-0504
Timonin ME, Poissant J, McLoughlin PD, Hedlin CE, Rubin JE.The feral horses of Sable Island are a geographically isolated population located ∼160 km off the east coast of Nova Scotia, Canada. Because these horses have no contact with domestic animals, have minimal contact with people, and have never received antimicrobials, they offer a unique opportunity to study the dissemination of antimicrobial resistance in unmanaged populations. As part of an ongoing multidisciplinary and individual-based monitoring program, we collected feces from 508 geolocalized horses (92% of the total population) between July and September 2014. We selectively cultured Es...
The larval development of Habronema muscae (Nematoda: Habronematidae) affects its intermediate host, Musca domestica (Diptera: Muscidae).
Parasitology research    November 5, 2016   Volume 116, Issue 2 503-509 doi: 10.1007/s00436-016-5312-y
Schuster RK, Sivakumar S.Although the life cycle of the equid stomach parasite Habronema muscae was disclosed more than 100 years ago, little is known about the effect of the developing nematode larvae in its intermediate host, Musca domestica. In a series of experiments, freshly hatched M. domestica larvae were exposed to H. muscae eggs contained in a faecal sample of a naturally infected horse. In daily intervals, 50 fly larvae were removed and transferred on a parasite-free larval rearing medium where they completed their development. Hatched flies were examined for the presence of Habronema third-stage larvae. In...
Comparison of assays for the detection of West Nile virus antibodies in equine serum after natural infection or vaccination.
Veterinary immunology and immunopathology    November 3, 2016   Volume 183 1-6 doi: 10.1016/j.vetimm.2016.10.015
Joó K, Bakonyi T, Szenci O, Sárdi S, Ferenczi E, Barna M, Malik P, Hubalek Z, Fehér O, Kutasi O.West Nile virus (WNV) mainly infects birds, horses and humans. Outcomes of the infection range from mild uncharacteristic signs to fatal neurologic disease. The main objectives of the present study were to measure serum IgG and IgM antibodies in naturally exposed and vaccinated horses and to compare results of haemagglutination inhibition test (HIT), enzyme-linked immunosorbent assay (ELISA) and plaque reduction neutralisation test (PRNT). Altogether 224 animals were tested by HIT for WNV antibodies and 41 horses were simultaneously examined by ELISA and PRNT. After primary screening for WNV a...
Equine disease surveillance: quarterly summary.
The Veterinary record    October 30, 2016   Volume 179, Issue 17 428-431 doi: 10.1136/vr.i5679
of surveillance testing, April to June 2016Continuing reports of abortion due to equine herpesvirus type 1 infectionInternational disease occurrence in the second quarter of 2016These are among matters discussed in the most recent quarterly equine disease surveillance report, prepared by Defra, the Animal Health Trust and the British Equine Veterinary Association.
Prevalence of obesity and owners’ perceptions of body condition in pleasure horses and ponies in south-eastern Australia.
Australian veterinary journal    October 28, 2016   Volume 94, Issue 11 427-432 doi: 10.1111/avj.12506
Potter SJ, Bamford NJ, Harris PA, Bailey SR.To determine the prevalence of obesity within a population of pleasure horses and ponies in Victoria, Australia, and to compare owners' perceptions of their animals' body condition with researchers' assessments. Methods: An observational study plus owner questionnaire. Methods: Ten Pony Club rallies in different regions of Victoria were attended. Information regarding 229 horses and ponies were obtained from owner questionnaires, and owners' perceptions of the current body condition of their animals were assessed using a visual analogue scale. Body condition score (BCS) was assessed by the res...
Molecular Detection and Genotyping of Coxiella-Like Endosymbionts in Ticks that Infest Horses in South Korea.
PloS one    October 28, 2016   Volume 11, Issue 10 e0165784 doi: 10.1371/journal.pone.0165784
Seo MG, Lee SH, Ouh IO, Lee GH, Goo YK, Kim S, Kwon OD, Kwak D.Members of the genus Coxiella can be transmitted from ticks to humans during contact with animals; Coxiella may thus spread from the infected horses or ticks to humans. In this study, the presence of Coxiella burnetii and Coxiella-like endosymbionts (CLE) in ticks found on infested horses was determined using PCR and genotyping. A total of 213 ticks were randomly collected from 51 horses (4-5 ticks per horse) raised on Jeju Island, Korea, between 2009 and 2013. All ticks were morphologically identified as adult Haemaphysalis longicornis, a predominant tick species widespread in Korea. Based on...
Horse Injury during Non-Commercial Transport: Findings from Researcher-Assisted Intercept Surveys at Southeastern Australian Equestrian Events.
Animals : an open access journal from MDPI    October 25, 2016   Volume 6, Issue 11 65 doi: 10.3390/ani6110065
Riley CB, Noble BR, Bridges J, Hazel SJ, Thompson K.Equine transportation research has largely focused on the commercial land movement of horses. Data on the incidence and factors associated with horse injuries during non-commercial transportation (privately owned horse trucks and trailers) is scant. This study surveyed 223 drivers transporting horses to 12 equestrian events in southeastern Australia. Data collected encompassed driver demographics, travel practice, vehicle characteristics, and incidents involving horse injury. Approximately 25% (55/223) of participants reported that their horses were injured during transportation. Of these 72% ...
Molecular characterization and multilocus genotypes of Enterocytozoon bieneusi among horses in southwestern China.
Parasites & vectors    October 25, 2016   Volume 9, Issue 1 561 doi: 10.1186/s13071-016-1844-3
Deng L, Li W, Zhong Z, Gong C, Liu X, Huang X, Xiao L, Zhao R, Wang W, Feng F, Zhang Y, Hu Y, Fu H, He M, Zhang Y, Wu K, Peng G.Enterocytozoon bieneusi is one of the most prevalent causative species of diarrhea and enteric diseases in various hosts. E. bieneusi has been identified in humans, mammals, birds, rodents and reptiles in China, but few studies have reported E. bieneusi in horses. Therefore, the present study was conducted to assess the prevalence, molecular characteristics and zoonotic potential of E. bieneusi among horses in southwestern China. Three hundred and thirty-three fecal specimens were collected from horses on five farms in the Sichuan and Yunnan provinces of southwestern China. The prevalence of E...
Periparturient characteristics of mares and their foals on a New Zealand Thoroughbred stud farm.
New Zealand veterinary journal    October 24, 2016   Volume 65, Issue 1 24-29 doi: 10.1080/00480169.2016.1244021
Rosales C, Krekeler N, Tennent-Brown B, Stevenson MA, Hanlon D.To describe selected periparturient variables in a sample of Thoroughbred mares and their foals on a commercial stud farm in New Zealand. Methods: Data were collected for 969 foaling records, from 592 mares, by foaling attendants from one Thoroughbred stud farm in the Waikato region of New Zealand for the breeding seasons 2008-2013, inclusive, and collated retrospectively. The associations between mare- and foal-level variables and gestation length, time of birth (expressed as the number of hours after midday), fetal membrane retention time, time for the foal to stand and suckle after birth, a...
Pulmonary function among Latino thoroughbred horse farmworkers.
American journal of industrial medicine    October 24, 2016   Volume 60, Issue 1 35-44 doi: 10.1002/ajim.22667
Flunker JC, Clouser JM, Mannino D, Swanberg J.Latino thoroughbred workers may be at risk for developing abnormal pulmonary function related to occupational exposures. Methods: Eighty worker participants were recruited via community-based purposive sampling. Questionnaires and spirometry tests were administered by trained lay health promoters. Demographic and occupational factors were assessed for associations with respiratory outcomes via multivariable logistic regression. Results: Twenty-seven percent of participants exhibited abnormal pulmonary function (primarily restrictive), 79% reported any respiratory symptoms, and 94% infrequently...
West Nile virus ‘circulation’ in Vojvodina, Serbia: Mosquito, bird, horse and human surveillance.
Molecular and cellular probes    October 21, 2016   Volume 31 28-36 doi: 10.1016/j.mcp.2016.10.011
Efforts to detect West Nile virus (WNV) in the Vojvodina province, northern Serbia, commenced with human and mosquito surveillance in 2005, followed by horse (2009) and wild bird (2012) surveillance. The knowledge obtained regarding WNV circulation, combined with the need for timely detection of virus activity and risk assessment resulted in the implementation of a national surveillance programme integrating mosquito, horse and bird surveillance in 2014. From 2013, the system showed highly satisfactory results in terms of area specificity (the capacity to indicate the spatial distribution of t...