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Topic:West Nile Virus

West Nile Virus (WNV) is a mosquito-borne virus that affects horses, causing neurological disease. It is transmitted primarily through the bite of infected mosquitoes, which acquire the virus from feeding on infected birds. Horses are considered a dead-end host, meaning they do not contribute to the transmission cycle of the virus. Clinical signs in horses can range from mild fever and lethargy to severe neurological symptoms such as ataxia, weakness, and paralysis. Diagnosis is typically confirmed through serological testing or detection of the virus in tissues. Vaccination is available and serves as a preventive measure to reduce the incidence of the disease. This page compiles peer-reviewed research studies and scholarly articles that explore the epidemiology, pathogenesis, clinical presentation, and management of West Nile Virus in equine populations.
A retrospective study of 171 cases of equine meningoencephalomyelitis in the United States, 1996-2023. Countrymann K, Ruby R, Miller AD.Equine meningoencephalomyelitis is an important cause of morbidity and mortality and is associated with a wide variety of infectious etiologies. Because of the lack of large retrospective studies, the prevalence and incidence of these diseases are unknown. Here we describe 171 cases of meningoencephalomyelitis in horses submitted to the Section of Anatomic Pathology at the New York State Animal Health Diagnostic Center (Cornell University, Ithaca, NY, USA) from 1996-2023. Neuroinflammatory disease was identified in 5.4% of submitted horses with a wide breed, age, and sex distribution. A parasi...
West Nile virus in horses: surveillance, diagnosis and prevention in the UK.
The Veterinary record    September 5, 2025   Volume 197, Issue 5 e5926 doi: 10.1002/vetr.5926
Whitlock F, Newton R, King S, Ionescu AM, Higgins S.With the geographical distribution of West Nile virus expanding, there is growing concern about the potential for an incursion to the UK. Here, Fleur Whitlock, Richard Newton, Simon King, Andra-Maria Ionescu and Sara Higgins provide a timely reminder of key aspects of the virus' biology.
Cellular Immune Response in Horses After West Nile Neuroinvasive Disease.
Animals : an open access journal from MDPI    August 11, 2025   Volume 15, Issue 16 2352 doi: 10.3390/ani15162352
Tolnai C, O'Sullivan C, Lőrincz M, Karvouni M, Tenk M, Marosi A, Forgách P, Paszerbovics B, Wagenhoffer Z, Kutasi O.West Nile virus (WNV) is a mosquito-borne neurotropic virus that causes neurologic disease in both humans and horses. Yet the long-term cellular immune response following natural infection in horses remains poorly understood. This study aims to evaluate the WNV-specific T-cell response in horses recovered from West Nile neuroinvasive disease (WNND). Twelve client-owned horses (4 Hungarian sport horses, 2 Lippizaners, 1 KWPN, 1 Shagya Arabian, 1 Friesian, 1 Gidran, 1 Andalusian, and 1 draft cross horse) with confirmed clinical WNV infection were enrolled, and peripheral blood mononuclear cells ...
Serological differentiation of West Nile, Usutu, and tick-borne encephalitis virus antibodies in birds and horses using mutant E protein ELISAs.
Scientific reports    August 6, 2025   Volume 15, Issue 1 28752 doi: 10.1038/s41598-025-14448-4
Schwarzer A, Ziegler U, Fertey J, Kreuz M, Vahlenkamp TW, Groschup MH, Ulbert S.West Nile virus (WNV), Usutu virus (USUV) and tick-borne encephalitis virus (TBEV) are worldwide endemic zoonotic orthoflaviviruses, often co-circulating in the same areas. Serological studies in animals, mostly birds and horses, are important means to monitor the spread of these viruses and the infection risks for humans. However, cross-reactive antibodies to these structurally similar flaviviruses frequently impact serological differentiation in enzyme-linked immunosorbent assays (ELISAs), hence time-consuming virus neutralization tests (VNTs) have to be employed in laboratories with high bi...
West Nile virus transmission in the Metropolitan Area of Barcelona (Spain): A One-Health surveillance approach.
One health (Amsterdam, Netherlands)    July 21, 2025   Volume 21 101150 doi: 10.1016/j.onehlt.2025.101150
Busquets N, Gardela J, José-Cunilleras E, Solé A, Salvador MJ, Obón E, Molina-López R, Aranda C, Montalvo T, Corbella I, Bou-Monclús MA....West Nile virus (WNV), mainly transmitted by mosquitoes, poses significant health risks to humans and horses, particularly in endemic regions. The first detection of WNV lineage 2 in Spain was in 2017 in Catalonia (northeastern Spain). In 2023, WNV was confirmed in a young yellow-legged gull and a probable human case was notified within the urban settings. We aimed to define the zone of WNV circulation in the Barcelona Metropolitan Area where these infections occurred and the effectiveness of the One Health approach for early WNV detection. The Catalan WNV surveillance and control programs in...
West Nile Virus Antibody Prevalence in Horses During the 2023 Outbreak in Tunisia, North Africa.
Vector borne and zoonotic diseases (Larchmont, N.Y.)    July 11, 2025   doi: 10.1177/15303667251359822
Dachraoui K, Ben Osman R, Ben Slama S, Sayadi A, Maachach Y, Trifi M, Labidi I, Lachheb J, Badr C, Larbi I, Zhioua E.A total of 20 horses belonging to the Pasteur Institute of Tunis used for the production of therapeutic serum antiscorpion venom were tested for the presence of antibodies anti-West Nile virus (WNV) during the 2023 outbreak of West Nile disease that affected humans and horses in Tunisia. Of the 20 samples tested in November 2023 by enzyme-linked immuno-sorbent assay (ELISA), five were positive, leading to a seroprevalence of 25%. Since the number of horses is not substantial, all samples were tested also by virus microneutralization test (MNT) using the Tunisian strain of WNV lineage 1 isolate...
Zoonotic pathogens in equids in Central Europe: a systematic review.
BMC veterinary research    July 8, 2025   Volume 21, Issue 1 451 doi: 10.1186/s12917-025-04915-5
Arshad A, Reif AH, Cavalleri JV, Desvars-Larrive A.Equids serve diverse roles in contemporary society. Their use as companion animals, in sports, transportation, and food production brings them into close contact with humans, creating potential zoonotic risks. This review had two objectives: (i) to catalogue zoonotic pathogens detected in equids across Central Europe, and (ii) to analyse research trends and collaborations in equid zoonosis studies within the region. We conducted a systematic literature search following PRISMA guidelines to identify publications on naturally occurring zoonotic pathogens in equids from nine countries: Austria, t...
First Detection of West Nile Virus (WNV) Lineage 2 in Mosquitoes in the Republic of Kosovo.
Transboundary and emerging diseases    June 24, 2025   Volume 2025 3208806 doi: 10.1155/tbed/3208806
Hoxha I, Xhekaj B, Muja-Bajraktari N, Sekulin K, Unterköfler MS, Schlamadinger L, Situmorang T, Fuehrer HP, Obwaller AG, Camp JV, Walochnik J....West Nile virus (WNV, family Flaviviridae) is the most geographically widespread arbovirus affecting humans. It circulates between wild birds and mosquitoes, while humans and horses are dead-end hosts. In recent years, several outbreaks have been reported from European countries, including the Balkan Peninsula. In the Republic of Kosovo, a southern Balkan country, data on WNV are scarce, and neither mosquito monitoring nor WNV surveillance is established. To address this gap, we aimed to assess a first monitoring approach that should set the basis and support future large-scale activities in t...
Long-Term Humoral Immune Response After West Nile Virus Convalescence in Horses in a Geographic Area of Multiple Orthoflavivirus Co-Circulation.
Journal of veterinary internal medicine    June 17, 2025   Volume 39, Issue 4 e70176 doi: 10.1111/jvim.70176
Tolnai CH, Forgách P, Marosi A, Fehér O, Paszerbovics B, Tenk M, Wagenhoffer Z, Kutasi O.In the last three decades, West Nile virus (WNV, Flaviviridae, Orthoflavivirus genus) has become one of the most important encephalitic agents worldwide, causing substantial numbers of cases in humans and horses every year by re-emerging in endemic areas and emerging in new territories. It is considered that after natural WNV infection, humans and birds develop long-term immunoprotection, but data on immunoprotection in horses is scarce. Objective: West Nile virus infection provides long-term humoral immunity in subclinically infected horses. Methods: Client-owned, naturally WNV subclinically ...
Epidemiology and surveillance of West Nile virus in the Mediterranean Basin during 2010-2023: A systematic review.
Current research in parasitology & vector-borne diseases    June 2, 2025   Volume 7 100277 doi: 10.1016/j.crpvbd.2025.100277
Abbas I, Ahmed F, Muqaddas H, Alberti A, Varcasia A, Sedda L.Climate change can cause spatio-temporal shifts in the epidemiology of various vector borne pathogens, especially in vulnerable areas such as the Mediterranean Basin (MB). Among these pathogens, the West Nile virus (WNV) became endemic in the region. This systematic review and meta-analysis study summarizes WNV epidemiology, molecular characteristics, and surveillance in various MB countries, relying on data and scientific articles on WNV published during 2010-2023. The number of published articles varied across the three MB subregions: Southern Europe (n = 153), North Africa (n = 33), and...
Wastewater surveillance as a tool for understanding West Nile virus transmission and distribution in Oklahoma.
The Science of the total environment    May 21, 2025   Volume 983 179707 doi: 10.1016/j.scitotenv.2025.179707
Kuhn KG, Shelton K, Sanchez G, Zamor R, Bohanan K, Nichols M, Morris L, Robert J, Austin A, Dart B, Bolding B, Maytubby P, Vogel J, Stevenson B.West Nile Virus (WNV) is the most widespread and frequently reported mosquito-borne disease in the US, with a high risk of outbreaks. Accurate surveillance of WNV is complicated by many mild or asymptomatic infections, resulting in human cases being under-reported and disease distribution and transmission not being well understood. In this study, we investigated how wastewater surveillance can be used for monitoring WNV in Oklahoma. We analyzed samples collected from wastewater treatment facilities in 16 counties during July 1 to September 31, 2023, for the presence of WNV genetic material and...
Stochastic modeling of the horse population and vaccination data indicates low annual vaccination coverage for West Nile virus in Canada (2016-2020). Levasseur A, Paré J, Aubry P, Iwasawa S, Leung D, Arsenault J.Vaccination is the most efficient tool for preventing West Nile virus (WNV) disease in horses. The objectives of this retrospective study were to: i) estimate the provincial and national horse population in Canada; ii) estimate the annual vaccination coverage for WNV in each province; and iii) compare estimates of provincial annual vaccination coverage. Horse population data (2006-2023) and the number of vaccine doses sold in Canada (2016-2020) were obtained by province. Based on these data and expert consultations, the annual number of vaccine doses administered, and provincial horse populati...
West Nile Virus: An Update Focusing on Southern Europe.
Microorganisms    December 18, 2024   Volume 12, Issue 12 2623 doi: 10.3390/microorganisms12122623
Carrasco L, Utrilla MJ, Fuentes-Romero B, Fernandez-Novo A, Martin-Maldonado B.West Nile Virus (WNV) is a zoonotic, vector-borne pathogen affecting humans and animals, particularly in Europe. The virus is primarily transmitted through mosquitoes that infect birds, which serve as the main reservoirs. Humans and horses are incidental hosts. This review focuses on the epidemiology of WNV in southern Europe, particularly its increasing prevalence. Methods included an extensive literature review and analysis of recent outbreaks. WNV is largely asymptomatic in humans, but a small percentage can develop West Nile neuroinvasive disease (WNND), leading to severe neurological symp...
Serum protein electrophoretic profile changes in West Nile virus-naturally infected horses.
Journal of equine veterinary science    November 14, 2024   105232 doi: 10.1016/j.jevs.2024.105232
Chaintoutis SC, Diakakis N, Polizopoulou ZS, Dovas CI.Serum protein electrophoresis (SPE) is widely used to evaluate protein changes associated with several pathologies, aiming to assist clinical diagnosis. This study aimed to determine, for the first time, SPE profile changes in WNV-naturally infected horses. Sixty horses with different clinical and infection status (encephalitis, asymptomatic infection, and immunologically naïve) were included. Total protein concentrations were determined via an automated biuret method and SPE was performed using a cellulose acetate membrane-based automated system. Statistical analysis revealed significantly h...
West Nile virus in the Iberian Peninsula: using equine cases to identify high-risk areas for humans.
Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin    October 5, 2023   Volume 28, Issue 40 2200844 doi: 10.2807/1560-7917.ES.2023.28.40.2200844
García-Carrasco JM, Muñoz AR, Olivero J, Segura M, García-Bocanegra I, Real R.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 ...
Distribution of West Nile virus cases in horses reveals different spatiotemporal patterns in eastern and western Canada.
Journal of the American Veterinary Medical Association    August 9, 2023   1-9 doi: 10.2460/javma.23.05.0259
Levasseur A, Arsenault J, Paré J.West Nile virus (WNV) became notifiable in horses in 2003 in Canada and has been reported every year since. The objective of this study was to describe the spatiotemporal distribution of WNV in horses between 2003 and 2020 in Canada. Methods: The 848 symptomatic and laboratory-confirmed WNV cases in horses reported to the Canadian Food Inspection Agency between 2003 and 2020. Methods: Canada was divided into eastern and western regions for analysis. For each case, location and date of notification were captured. Triennial maps were made to describe the spatiotemporal distribution and expansion...
JMM Profile: West Nile virus.
Journal of medical microbiology    July 17, 2023   Volume 72, Issue 7 doi: 10.1099/jmm.0.001730
Sewgobind S, McCracken F, Schilling M.West Nile virus (WNV) is a positive-sense single-stranded RNA virus belonging to the Flaviviridae family and is maintained in an enzootic cycle between avian hosts and mosquito vectors. Humans, horses and other mammals are susceptible to infection but are dead-end hosts due to a low viraemia. The disease can manifest itself in a variety of clinical signs and symptoms in people and horses from mild fever to severe encephalitis and morbidity. There are no vaccines licensed for human protection, but parts of Europe, North America, Africa and Australia have vaccines commercially available for hors...
Monitoring the epidemic of West Nile virus in equids in Spain, 2020-2021.
Preventive veterinary medicine    July 13, 2023   Volume 217 105975 doi: 10.1016/j.prevetmed.2023.105975
Gonzálvez M, Franco JJ, Barbero-Moyano J, Caballero-Gómez J, Ruano MJ, Martínez R, Cano-Terriza D, García-Bocanegra I.The largest epidemic of West Nile virus (WNV) reported ever in Spain in both humans and equines occurred in 2020, affecting 77 humans and 139 equine herds. Here, we aimed to monitor the outbreaks detected in equid herds in Andalusia (southern Spain), the Spanish region where 89.9% of the outbreaks were reported, and to evaluate the virus circulation and risk factor associated with WNV exposure in the affected herds. The first WNV case was detected in mid-July 2020, the number of outbreaks peaked in mid-August and the last one was confirmed on 26th October 2020. WNV lineage 1 was detected in 12...
Serological and molecular surveillance of West Nile virus in domesticated mammals of peninsular Malaysia.
Frontiers in veterinary science    June 29, 2023   Volume 10 1126199 doi: 10.3389/fvets.2023.1126199
Mohammed MN, Yasmin AR, Ramanoon SZ, Noraniza MA, Ooi PT, Ain-Najwa MY, Natasha JA, Nur-Fazila SH, Arshad SS, Mohammed HO.West Nile virus is a mosquito-borne neurotropic pathogen with a wide host range that constitutes a significant risk to public and animal health. There is limited information on WNV infection in domesticated mammals in Malaysia; however, current reports indicate infections in birds, macaques, bats and pigs from Malaysia. In this study, 203 serum samples from cattle, goats, and horses were tested for the presence of anti-WNV IgG using a competitive enzyme-linked immunosorbent assay (c-ELISA). Additionally, using one-step RT-PCR, nasopharyngeal swabs were analyzed for WNV RNA from all 203 animals...
Long-term serological surveillance for West Nile and Usutu virus in horses in south-West Spain.
One health (Amsterdam, Netherlands)    June 12, 2023   Volume 17 100578 doi: 10.1016/j.onehlt.2023.100578
Magallanes S, Llorente F, Ruiz-López MJ, Martínez-de la Puente J, Soriguer R, Calderon J, Jímenez-Clavero MÁ, Aguilera-Sepúlveda P, Figuerola J.West Nile virus (WNV) is a re-emerging zoonotic pathogen with increasing incidence in Europe, producing a recent outbreak in 2020 in Spain with 77 human cases and eight fatalities. However, the factors explaining the observed changes in the incidence of WNV in Europe are not completely understood. Longitudinal monitoring of WNV in wild animals across Europe is a useful approach to understand the eco-epidemiology of WNV in the wild and the risk of spillover into humans. However, such studies are very scarce up to now. Here, we analysed the occurrence of WNV and Usutu virus (USUV) antibodies in ...
West Nile virus: The current situation in Egypt.
Veterinary world    May 30, 2023   Volume 16, Issue 5 1154-1160 doi: 10.14202/vetworld.2023.1154-1160
Hassanien RT, Hussein HA, Abdelmegeed HK, Abdelwahed DA, Khattab OM, Ali MH, Habashi AR, Ibraheem EM, Shahein MA, Abohatab EM.Due to climatic changes, arthropod-borne viruses have become a global health concern. In Egypt, West Nile virus (WNV) was initially detected in humans in 1950 and then in 1951, 1954, 1968, and 1989. Although WNV infection has been recorded in numerous Middle Eastern countries, its prevalence among the equine population in Egypt is unknown. This study aimed to investigate the current situation of vector-borne WNV in Egypt, estimate its seroprevalence, and assess the associated risk factors. Unassigned: We screened 1100 sera samples and nasal swabs from the same equids, 156 mosquito pools, and 3...
Comparison of West Nile Virus Disease in Humans and Horses: Exploiting Similarities for Enhancing Syndromic Surveillance.
Viruses    May 24, 2023   Volume 15, Issue 6 1230 doi: 10.3390/v15061230
Schwarz ER, Long MT.West Nile virus (WNV) neuroinvasive disease threatens the health and well-being of horses and humans worldwide. Disease in horses and humans is remarkably similar. The occurrence of WNV disease in these mammalian hosts has geographic overlap with shared macroscale and microscale drivers of risk. Importantly, intrahost virus dynamics, the evolution of the antibody response, and clinicopathology are similar. The goal of this review is to provide a comparison of WNV infection in humans and horses and to identify similarities that can be exploited to enhance surveillance methods for the early dete...
Interactions of Equine Viruses with the Host Kinase Machinery and Implications for One Health and Human Disease.
Viruses    May 13, 2023   Volume 15, Issue 5 1163 doi: 10.3390/v15051163
Anderson C, Baha H, Boghdeh N, Barrera M, Alem F, Narayanan A.Zoonotic pathogens that are vector-transmitted have and continue to contribute to several emerging infections globally. In recent years, spillover events of such zoonotic pathogens have increased in frequency as a result of direct contact with livestock, wildlife, and urbanization, forcing animals from their natural habitats. Equines serve as reservoir hosts for vector-transmitted zoonotic viruses that are also capable of infecting humans and causing disease. From a One Health perspective, equine viruses, therefore, pose major concerns for periodic outbreaks globally. Several equine viruses ha...
Horses as Sentinels for the Circulation of Flaviviruses in Eastern-Central Germany.
Viruses    April 30, 2023   Volume 15, Issue 5 1108 doi: 10.3390/v15051108
Gothe LMR, Ganzenberg S, Ziegler U, Obiegala A, Lohmann KL, Sieg M, Vahlenkamp TW, Groschup MH, Hörügel U, Pfeffer M.Since 2018, autochthonous West Nile virus (WNV) infections have been regularly reported in eastern-central Germany. While clinically apparent infections in humans and horses are not frequent, seroprevalence studies in horses may allow the tracing of WNV and related flaviviruses transmission, such as tick-borne encephalitis virus (TBEV) and Usutu virus (USUV), and consequently help to estimate the risk of human infections. Hence, the aim of our study was to follow the seropositive ratio against these three viruses in horses in Saxony, Saxony Anhalt, and Brandenburg and to describe their geograp...
West Nile Virus diffusion in temperate regions and climate change. A systematic review.
Le infezioni in medicina    March 1, 2023   Volume 31, Issue 1 20-30 doi: 10.53854/liim-3101-4
West Nile virus (WNV) is a member of the Japanese encephalitis serocomplex, which was first described in 1937 as neurotropic virus in Uganda in 1937. Subsequently, WNV was identified in the rest of the old-world and from 1999 in North America. Birds are the primary hosts, and WNV is maintained in a bird-mosquito-bird cycle, with pigs as amplifying hosts and humans and horses as incidental hosts. WNV transmission is warranted by mosquitoes, usually of the spp., with a tendency to spill over when mosquitoes' populations build up. Other types of transmissions have been described in endemic areas...
Development of a validated molecular analytical method to determine the viral safety of F(AB´)2 products: A novel application for a well-known technique.
Journal of virological methods    February 22, 2023   Volume 315 114694 doi: 10.1016/j.jviromet.2023.114694
Sánchez-Pacheco UA, Bahena-Mondragón BM, Hernández-Piedras FR, Soria-Osorio R, Meneses-Acosta A.The immunotherapy agents derived from horses are biological products that allow the neutralization of clinically relevant immunogens, such as the SARS-CoV-2 virus that causes COVID-19, or the neutralization of toxins present in the venoms of snakes, spiders, and other poisonous animals. Due to their importance, detecting adventitious viruses in equine hyperimmune serum (raw material in industrial processes) is a critical step to support the safety of products for human use, and, in consequence, it is a requirement for commercialization and distribution. The safety of the finished product is ba...
West Nile, Sindbis and Usutu Viruses: Evidence of Circulation in Mosquitoes and Horses in Tunisia.
Pathogens (Basel, Switzerland)    February 21, 2023   Volume 12, Issue 3 360 doi: 10.3390/pathogens12030360
M'ghirbi Y, Mousson L, Moutailler S, Lecollinet S, Amaral R, Beck C, Aounallah H, Amara M, Chabchoub A, Rhim A, Failloux AB, Bouattour A.Mosquito-borne diseases have a significant impact on humans and animals and this impact is exacerbated by environmental changes. However, in Tunisia, surveillance of the West Nile virus (WNV) is based solely on the surveillance of human neuroinvasive infections and no study has reported mosquito-borne viruses (MBVs), nor has there been any thorough serological investigation of anti-MBV antibodies in horses. This study therefore sought to investigate the presence of MBVs in Tunisia. Among tested mosquito pools, infections by WNV, Usutu virus (USUV), and Sindbis virus (SINV) were identified in ....
Arboviruses in Mammals in the Neotropics: A Systematic Review to Strengthen Epidemiological Monitoring Strategies and Conservation Medicine.
Viruses    February 1, 2023   Volume 15, Issue 2 417 doi: 10.3390/v15020417
García-Romero C, Carrillo Bilbao GA, Navarro JC, Martin-Solano S, Saegerman C.Arthropod-borne viruses (arboviruses) are a diverse group of ribonucleic acid (RNA) viruses, with the exception of African swine fever virus, that are transmitted by hematophagous arthropods to a vertebrate host. They are the important cause of many diseases due to their ability to spread in different environments and their diversity of vectors. Currently, there is no information on the geographical distribution of the diseases because the routes of transmission and the mammals (wild or domestic) that act as potential hosts are poorly documented or unknown. We conducted a systematic review fro...
Eastern, Western, and Venezuelan Equine Encephalitis and West Nile Viruses: Clinical and Public Health Considerations.
The Veterinary clinics of North America. Equine practice    February 1, 2023   Volume 39, Issue 1 99-113 doi: 10.1016/j.cveq.2022.11.007
Luethy D.The continued recognition and emergence of alphavirus and flavivirus diseases is a growing veterinary and public health concern. As the global environment continues to change, mosquito-borne diseases will continue to evolve and expand. Continued development of readily available vaccines for the prevention of these diseases in humans and animals is essential to controlling epizootics of these diseases. Further research into effective antiviral treatments is also sorely needed. This article describes equine encephalitis viruses with a focus on clinical and public health considerations.
Genomic Analysis of West Nile Virus Lineage 1 Detected in Mosquitoes during the 2020-2021 Outbreaks in Andalusia, Spain.
Viruses    January 17, 2023   Volume 15, Issue 2 266 doi: 10.3390/v15020266
Ruiz-López MJ, Muñoz-Chimeno M, Figuerola J, Gavilán AM, Varona S, Cuesta I, Martínez-de la Puente J, Zaballos Á, Molero F, Soriguer RC....Emerging infectious diseases are one of the most important global health challenges because of their impact on human and animal health. The vector-borne West Nile virus (WNV) is transmitted between birds by mosquitos, but it can also infect humans and horses causing disease. The local circulation of WNV in Spain has been known for decades, and since 2010, there have been regular outbreaks in horses, although only six cases were reported in humans until 2019. In 2020, Spain experienced a major outbreak with 77 human cases, which was followed by 6 additional cases in 2021, most of them in the An...
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