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.
Wozniak A, Dowda HE, Tolson MW, Karabatsos N, Vaughan DR, Turner PE, Ortiz DI, Wills W.Arboviruses isolated and identified from mosquitoes in South Carolina (USA) are described, including new state records for eastern equine encephalitis virus (EEE), St. Louis encephalitis virus (SLE), Flanders virus, Tensaw virus (TEN), and a variant of Jamestown Canyon virus (JC). Mosquitoes were collected at 52 locations in 30 of 46 South Carolina counties beginning in June 1996, and ending in October 1998, and tested for arboviruses. Of 1,329 mosquito pools tested by virus isolation (85,806 mosquitoes representing 34 mosquito species or complexes), 15 pools were positive. Virus isolations in...
Davis BS, Chang GJ, Cropp B, Roehrig JT, Martin DA, Mitchell CJ, Bowen R, Bunning ML.Introduction of West Nile (WN) virus into the United States in 1999 created major human and animal health concerns. Currently, no human or veterinary vaccine is available to prevent WN viral infection, and mosquito control is the only practical strategy to combat the spread of disease. Starting with a previously designed eukaryotic expression vector, we constructed a recombinant plasmid (pCBWN) that expressed the WN virus prM and E proteins. A single intramuscular injection of pCBWN DNA induced protective immunity, preventing WN virus infection in mice and horses. Recombinant plasmid-transform...
Komar N.West Nile virus (WNV) has emerged in recent years in temperate regions of Europe and North America, presenting a threat to both public and animal health. The most serious manifestation of infection is fatal encephalitis in humans and horses, as well as mortality in certain domestic and wild birds. A recent development in the epizootiology of this mosquito-borne flavivirus was the occurrence of a severe outbreak in New York City and surrounding areas. During this outbreak, mortality was observed in humans, horses, a cat and numerous species of wild birds, particularly members of the family Corv...
Ostlund EN, Andresen JE, Andresen M.WNV encephalitis in horses, previously reported in Africa, Asia, and Europe, occurred for the first time in the Western Hemisphere in 1999. The causative agent, WNV, is a flavivirus maintained in nature by a bird-mosquito cycle. The disease in horses is manifested primarily by ataxia of variable severity. Outbreaks of encephalitis may have a case fatality rate in excess of 40%, although this virus infection is inapparent in some horses. Early evidence indicates that WNV has overwintered in the northeastern United States and poses a threat for future disease occurrences in horses. No vaccine is...
Cantile C, Di Guardo G, Eleni C, Arispici M.West Nile (WN) virus infection is a mosquito-borne flavivirosis endemic in Africa and Asia. Clinical disease is usually rare and mild and only in a few cases the infection causes encephalomyelitis in horses, fever and meningoencephalitis in man. We report here the clinical and pathological findings in an epidemic of the disease involving 14 horses from Tuscany, Italy. All cases were observed from August to October 1998. Affected horses showed ataxia, weakness paresis of the hindlimbs and, in 6 cases, there was paraparesis progressing to tetraplegia and recumbency within 2 to 9 days. Eight anim...
Arboviruses include mosquitoborne and tickborne agents that persist in nature in complex cycles involving birds or mammals, including humans. Arboviral infection can cause fever, headache, meningitis, encephalitis, and sometimes death. During 1996-1997, health departments in 19 states reported to CDC 286 confirmed or probable cases (eight fatal) of arboviral encephalitis in humans (132 cases in 1996 and 154 provisionally in 1997). Surveillance programs in 18 states detected enzootic arboviral activity in mosquito or sentinel or wild bird populations, and cases of arboviral disease were recogni...
Mall MP, Kumar A, Malik SV.A study on seroprevalence of Japanese Encephalitis (JE), West Nile (WN) and Dengue-2 (DN-2) was undertaken in and around Bareilly, Uttar Pradesh to explore the role of non-human hosts in the natural cycle of these infections. A total of 1449 animal sera samples collected from 104 dogs, 170 pigs, 170 horses, 333 buffaloes, 252 cattle, 168 sheep and 252 goats were screened for antibodies against JE, WN and DN-2 by Micro-haemagglutination inhibition (HI) test employing 4 to 16 HA units of JE, WN and DN-2 antigens. The HI positivity against JE was found in dogs (55.77%) followed by pigs (40%), hor...
Baba SS, Fagbami AH, Ojeh CK, Olaleye OD, Omilabu SA.Retrospective and prospective serological surveys to determine the prevalence of Wesslsbron (WSL) virus infections in animal populations were carried out in different vegetational zones in Nigeria. Sera from 1,492 animals comprising 292 camels, 81 horses, 4 donkeys, 320 cattle, 235 sheep, 260 goats, 114 pigs, 101 dogs and 85 domestic fowls were assayed by haemagglutination-inhibition (HI) test for presence of antibodies to WSL virus and other flavivirus antigens: Yellow Fever (YF), Potiskum (POT), Banzi (BAN), Uganda S (UGS) and West Nile (WN) viruses. Four hundred and eighty one (32%) of the ...
Olaleye OD, Oladosu LA, Omilabu SA, Baba SS, Fagbami AH.Sixty-two sera horse collected from two stables at Lagos, Nigeria, were tested for complement fixing antibody to 8 arbovirus antigens; Chikungunya, Igbo-Ora, Yellow fever, Wesselsbron, West Nile, Potiskum, Uganda S and Rift Valley fever. Ten per cent of the horse sera examined contained CF antibody to one or more of the test antigens and indicated considerable arbovirus activity in the two stables. Reactions with flavivirus antigens were most common and the highest antibody titres were obtained with Wesselsbron and Yellow fever viruses. Eleven per cent of the sera tested reacted with alphaviru...
Bochkova NG, Koreshkova GV, Pogodina VV.A total of 5227 serum specimens from humans, horses and swine collected in the seasons of 1968--1976 in 15 administrative areas of the Primorskiy Kray were examined with antigens of a number of mosquito-borne arboviruses: Japanese encephalitis (JE), West Nile (WN), Getah, and Sindbis. Both independent and combined circulation of these viruses in the region was established. Sindbis virus was found to be circulating separately most frequently, West Nile virus the least frequently. According to the results of the serological analysis, the conditions for combined circulation are most closely relat...
Monath TP.The arthropod-borne encephalitides are an important cause of equine and human morbidity in the Americas. Between 1975 and 1978, 6970 human cases of arboviral encephalitis were reported in the United States of America; however, this represents only a fraction of the true incidence. St Louis encephalitis (4824 cases), California encephalitis (1035 cases), and western equine encephalitis (WEE, 947 cases) accounted for 98.5% of all reported infections. Approximately 1000-4000 cases of equine encephalitis occur annually in the United States, the majority due to WEE. In tropical America, important o...
The results of integrated human and veterinary surveillance for West Nile virus (WNV) infections in Austria during the transmission seasons 2015 and 2016 are shown. Altogether WNV nucleic acid was detected in 21 humans, horses, wild birds and mosquito pools. In detail: in four human clinical cases [two cases of West Nile fever (WNF) and two cases of West Nile neuroinvasive disease (WNND)]; eight blood donors [among 145,541 tested donations], of which three remained asymptomatic and five subsequently developed mild WNF; two horses with WNND, of which one recovered and one had to be euthanized; ...
This report summarizes West Nile virus (WNV) surveillance data reported to CDC through ArboNET and verified by states and other jurisdictions as of July 23, 2002. During the reporting week of July 17-23, nine human cases of WNV were reported from two states (Louisiana and Mississippi). During the same period, WNV infections were reported in 202 dead crows, 48 other dead birds, 13 horses, and 69 mosquito pools.
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...
This report summarizes West Nile virus (WNV) surveillance data reported to CDC through ArboNET as of 3 a.m., Mountain Daylight Time, September 10, 2003.
Hale D.West Nile Virus is the most frequent cause of arboviral disease in the United States. It was first identified in the United States in 1999. Since that time, each of the 48 contiguous states in the United States has seen the disease, and it has been found in 96% of the U.S. counties in infected humans, mosquitoes, birds, horses, or other mammals. Although most often the disease resolves on its own, patients can develop serious and life-threatening complications, and may need further monitoring and treatment. This article reviews the prevalence, transmission, signs and symptoms, complications, t...
Wittich CA, Ward MP, Fosgate GT, Srinivasan R.To determine whether West Nile virus (WNV) disease hyperendemic foci (hot spots) exist within the horse population in Texas and, if detected, to identify the locations. Methods: Reports of 1,907 horses with WNV disease in Texas from 2002 to 2004. Methods: Case data with spatial information from WNV epidemics occurring in 2002 (1,377 horses), 2003 (396 horses), and 2004 (134 horses) were analyzed by use of the spatial scan statistic (Poisson model) and kriging of empirical Bayes smoothed county attack rates to determine locations of horses with WNV disease in which affected horses were consiste...
Ollis GW, Morin LA, Visser AL.Through collaborations with Alberta Health and Wellness; Alberta Agriculture, Food and Rural Development; Alberta Sustainable Resource Development; and Alberta Environment, a surveillance program was implemented to detect West Nile virus (WNV) in Alberta and to explore the distribution of the virus in mosquito pools, wild birds, humans, and horses. The surveillance in horses was to detect the presence of the virus in Alberta and to explore possibilities of reducing the risk of infection in both humans and horses. This report gives the frequency, distribution, clinical symptoms, and associated ...
Molini U, Franzo G, Rautenbach I, Otto HV, Khaiseb S, Di Gennaro A, Ntahonshikira C, Baines I, Monaco F, Savini G, D'Alterio N.West Nile virus (WNV) is a vector-borne virus maintained in nature by a bird-mosquito cycle. However, it can occasionally and accidentally infect horses and human beings, leading to sometimes severe or even fatal outcomes in these species. Therefore, the monitoring of its circulation and disease occurrence is of relevance. Unfortunately, it is underdiagnosed or not diagnosed in several African counties, including Namibia, where no data is currently available for horses. In this study, 98 horses in three different stables in the Windhoek city area were investigated. They were found to have a se...
Wolf TM, Gandolf AR, Dooley JL, Atkinson MW, Wolfe BA.Vaccination has been an important component of preventative health care programs of North American zoologic institutions in their protection of valuable species against West Nile virus (WNV) infection since its detection in 1999. Although approved only for horses, commercial WNV vaccine has been used for the purpose of protection of nondomestic species, including avian, equid, and rhinoceros species. Currently, there are two commercial equine vaccines available, a killed vaccine and a recombinant viral-vectored vaccine. Both products have been used for the vaccination of Greater One-horned rhi...
Nielsen MK, Rubinson EF, Chambers TM, Horohov DW, Wagner B, Betancourt A, Reedy SE, Jacobsen S.Anthelmintics and vaccines are commonly given concurrently in routine equine management, but it is unknown to what extent an interaction between the two exists. Cyathostomins can modulate the local immune response by stimulating a type 2 helper T cell (Th2) response. In addition, anti-inflammatory effects of ivermectin have been found in rodent models. It is unknown whether these anti-inflammatory effects affect the acute phase response elicited by commonly used vaccines. This study evaluated how the acute phase inflammatory response, leukocyte expression of pro-inflammatory cytokines, and vac...
Kent RJ, Lacer LD, Meisch MV.Migratory birds could introduce West Nile (WN) virus to Arkansas. The purpose of this study was to establish a cooperative arbovirus surveillance program to monitor mosquitoes and birds in Arkansas for arboviruses. Our objectives were to: 1) perform routine, multicounty collections of mosquitoes and test them for eastern equine encephalitis, St. Louis encephalitis, and WN viruses; and 2) conduct passive surveillance by testing dead wild birds for WN virus. Arbovirus surveillance was organized by the Arkansas Department of Health, University of Arkansas, and Vector Disease Control Incorporated....
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...
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...
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...
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...
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...
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...
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 ...
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.
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...
Badr C, Handous M, Nsiri J, ElBehi I, Arbi M, Maaroufi A, Bennour MA, Ben Osman R, Dachraoui K, Abbes M, Mahmoudi A, Khosrof I, Abrougui S, Lachheb J....West Nile virus (WNV) is an arthropod borne virus, the most widely distributed of the encephalitic Orthoflaviviruses. It can cause severe neurological symptoms in both humans and horses. It poses an emerging threat to both public and animal health. In this study, we retrospectively screened 25 suspected WNV samples collected from 2018 to 2023. Methods: A total number of 25 samples (brain tissue and blood) were collected from clinically affected horses and those already deceased across several locations in Tunisia. All samples were tested for the presence of WNV NS2A gene using qRT-PCR. Eleven ...
This study presents the first investigation of West Nile virus (WNV) seroprevalence among farmed horses in Kazakhstan. In 2024, a total of 368 serum samples were collected from horses across 106 settlements in 10 regions of the Republic of Kazakhstan. Using an enzyme-linked immunosorbent assay (ELISA), antibodies to WNV were detected in 32 horses (8.7%; 95% CI: 6.2-12.0%) from six regions. Among the seropositive animals, 26 (81.25%) were females and 6 (18.75%) were males, ranging in age from 1 to 19 years. No statistically significant association between sex and the presence of antibodies to W...
Fonseca-Rodríguez O, Pailler-García L, Urban A, Cáceres G, Napp S, Busquets N.West Nile virus (WNV) is an arthropod-borne virus primarily transmitted by Culex mosquitoes, among birds, but occasionally infecting humans and equids. Understanding environmental factors on the disease occurrence is crucial for planning effective prevention and control strategies. Our study estimates the short-term effects of ambient temperature, relative humidity and precipitation on weekly cases of WNV in equids in Spain, using a space-time stratified case-crossover design. Because WNV transmission occurs sometime after the weather conditions become favorable for the vector, we aimed to est...
Zhang Y, Zheng J, Zhang H, Lin Y, Wang Y, Ma Z, Wei J, Zhou B, Zhong D.Getah virus (GETV), Japanese encephalitis virus (JEV), West Nile virus (WNV), and African horse sickness virus (AHSV) are mosquito-borne viruses threatening the health of racehorses. However, the systematic surveillance of these viruses among Shanghai racehorses remains lacking. Therefore, molecular and serological surveillance was conducted for these viruses in racehorses and mosquitoes at horse farms in Shanghai, China, during 2022 to assess their prevalence. Among 11,140 mosquitoes collected from seven farms across four districts, and were identified as the dominant species. RT-qPCR detec...
In Italy, West Nile virus (WNV) has been consistently causing disease in humans, horses, and birds since 2008; it was initially confined to the northeast of the country and then spread gradually to the western and southern regions. WNV lineage 1 (WNV-L1) virus was the only lineage that circulated in Italy until 2011, but it was progressively replaced by WNV lineage 2 (WNV-L2). WNV disease in humans was not observed in Sicily, southern Italy, until 2016, when the first case of West Nile neuroinvasive disease (WNND) due to WNV-L1 was reported. Our results demonstrate the introduction of WNV-L2 i...
Al-Rammahi HM, Mohsen RK, Othman RM.West Nile virus (WNV) circulates between birds and mosquitoes, with horses and humans as incidental dead-end hosts. Despite documented cases in neighboring countries and human cases in southern Iraq, no previous studies have investigated WNV in Iraqi horses. Unassigned: To determine the seroprevalence of WNV in horses from three southern Iraqi governorates (Thi-Qar, Misan, and Basrah) between March and June 2024. Unassigned: Blood samples were collected from 236 horses regardless of age, sex, or health status. Serum samples were analyzed using commercial competitive enzyme-linked immunosorbent...
Schilling M, Dunkel B, Floyd T, Hicks D, Nunez A, Steinbach F, Folly AJ, Johnson N.We report fatal West Nile virus (WNV) infection in a 7-year-old mare returning to the United Kingdom from Spain. Case timeline and clustering of virus sequence with recent WNV isolates suggest that transmission occurred in Andalusía, Spain. Our findings highlight the importance of vaccination for horses traveling to WNV-endemic regions.
