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Zoonoses and public health2024; 71(8); 900-910; doi: 10.1111/zph.13171

Orthoflavivirus surveillance in the Netherlands: Insights from a serosurvey in horses & dogs and a questionnaire among horse owners.

Abstract: Zoonotic arboviruses (arthropod-borne) of the Orthoflavivirus genus, such as West Nile virus (WNV), Usutu virus (USUV) and Tick-borne encephalitis virus (TBEV), are emerging in Northwestern Europe and pose a threat to both human and animal health. In the Netherlands, passive symptomatic surveillance (notification of clinical cases) in horses is one of the main pillars for the early detection of WNV. For such passive surveillance to work properly, horse owners and veterinarians need to recognize symptoms and report suspected cases to the authorities. Currently, little is known about the seroprevalence of orthoflaviviruses in domestic animals in the Netherlands. Therefore, this study aims at identifying the seroprevalence of WNV and USUV in horses and dogs in the Netherlands. Additionally, this study seeks to evaluate the knowledge and perceptions of Dutch horse owners towards mosquito-borne viruses. A cross-sectional serosurvey in horses and dogs was conducted between May 2021 and May 2022. Serum samples were screened using an ELISA and doubtful and positive samples were confirmed by Virus Neutralization Tests for WNV, USUV and TBEV. A validated questionnaire, the MosquitoWise survey, was used to assess the knowledge and perceptions of Dutch horse owners towards mosquito-borne viruses between July and October 2022. The serosurvey revealed a low seroprevalence for WNV in horses and no WNV-positive dogs were found. Similarly, a low USUV seroprevalence was found in dogs. The MosquitoWise survey revealed a high knowledge level for horse owners and high awareness of WNV vaccination but a more limited intent to vaccinate. The low seroprevalences of WNV and USUV indicate many dogs and horses remain susceptible, offering opportunities for trend analysis and surveillance. However, despite multiple recent detections of WNV, USUV, and TBEV in humans, the role of dogs and horses in early detection of human cases is debatable. High awareness among horse owners and the absence of detected equine WNV cases highlight this uncertainty. Continued surveillance is crucial for detecting increased virus circulation and protecting both animal and human health.
Publication Date: 2024-07-26 PubMed ID: 39057842DOI: 10.1111/zph.13171Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

Overview

  • This study investigated the presence of Orthoflavivirus infections (specifically West Nile virus [WNV] and Usutu virus [USUV]) in horses and dogs in the Netherlands by measuring antibodies in their blood, and assessed Dutch horse owners’ knowledge and perceptions about mosquito-borne viruses through a questionnaire.
  • The research aimed to understand how common these infections are and evaluate the effectiveness of current surveillance methods based on symptom reporting and owner awareness.

Background

  • Orthoflaviviruses, including WNV, USUV, and Tick-borne encephalitis virus (TBEV), are viruses transmitted by arthropods like mosquitoes and ticks which can infect both humans and animals.
  • These viruses have recently emerged as concerns in Northwestern Europe, including the Netherlands.
  • In horses, WNV infection can cause neurological symptoms. Because of this, detecting symptomatic horses is an important part of early warning systems to prevent outbreaks in humans.
  • The surveillance depends heavily on horse owners and veterinarians recognizing symptoms and reporting suspected cases to authorities promptly.
  • Prior to this study, little was known about how widespread these viruses were among domestic animals in the Netherlands or how knowledgeable horse owners were about these threats.

Study Design

  • A cross-sectional serosurvey was conducted from May 2021 to May 2022:
    • Serum samples from horses and dogs were collected and tested for antibodies against WNV, USUV, and TBEV using ELISA screening.
    • Samples that tested positive or doubtful were further verified by Virus Neutralization Tests to confirm specific virus infections.
  • Between July and October 2022, the MosquitoWise questionnaire was distributed to Dutch horse owners to assess their knowledge and perceptions regarding mosquito-borne viruses, particularly WNV.

Key Findings: Seroprevalence

  • Low seroprevalence of WNV was detected in horses, indicating few animals had been exposed to the virus.
  • No WNV antibodies were found in tested dogs, suggesting dogs had not been infected or were rarely infected.
  • Dogs showed low seroprevalence for USUV as well.
  • These low infection rates imply that many horses and dogs remain susceptible to these viruses.

Key Findings: Horse Owner Knowledge and Perceptions

  • The MosquitoWise survey indicated horse owners have a high level of knowledge about mosquito-borne viruses including WNV.
  • A large majority of horse owners were aware that vaccination against WNV is available.
  • Despite this awareness, the intention to vaccinate their horses was relatively limited, revealing a gap between knowledge and behavior.

Implications

  • The low seroprevalences among dogs and horses suggest that these animals could be useful for ongoing trend monitoring to detect increases in virus circulation over time.
  • However, the usefulness of dogs and horses as early warning indicators for human infections remains uncertain because of the low infection rates detected in animals despite the virus being present in humans.
  • High awareness among horse owners and the absence of reported equine WNV cases complicate the role of passive surveillance based on symptomatic reporting.
  • These findings highlight the importance of maintaining active surveillance and possibly developing additional methods beyond relying on horse symptom reporting to protect both human and animal health.

Conclusion

  • This study provides valuable baseline data on the prevalence of WNV and USUV in domestic animals in the Netherlands and reveals good awareness but limited vaccination intent among horse owners.
  • Continued surveillance is essential to detect any uptick in virus circulation in animals, which could have implications for public health.
  • The role of domestic animals in early detection of human arbovirus infections needs further exploration and possibly complementary surveillance strategies.

Cite This Article

APA
Streng K, Hakze-van der Honing RW, Graham H, van Oort S, de Best PA, Abourashed A, van der Poel WHM. (2024). Orthoflavivirus surveillance in the Netherlands: Insights from a serosurvey in horses & dogs and a questionnaire among horse owners. Zoonoses Public Health, 71(8), 900-910. https://doi.org/10.1111/zph.13171

Publication

ISSN: 1863-2378
NlmUniqueID: 101300786
Country: Germany
Language: English
Volume: 71
Issue: 8
Pages: 900-910

Researcher Affiliations

Streng, Kiki
  • Quantitative Veterinary Epidemiology, Wageningen University and Research, Wageningen, The Netherlands.
Hakze-van der Honing, Renate W
  • Wageningen Bioveterinary Research, Wageningen University and Research, Lelystad, The Netherlands.
Graham, Heather
  • Wageningen Bioveterinary Research, Wageningen University and Research, Lelystad, The Netherlands.
van Oort, Sophie
  • Wageningen Bioveterinary Research, Wageningen University and Research, Lelystad, The Netherlands.
de Best, Pauline A
  • Viroscience, Erasmus MC, Rotterdam, The Netherlands.
  • National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
Abourashed, Ayat
  • Viroscience, Erasmus MC, Rotterdam, The Netherlands.
  • Centre for Advances Studies of Blanes, Blanes, Spain.
van der Poel, Wim H M
  • Quantitative Veterinary Epidemiology, Wageningen University and Research, Wageningen, The Netherlands.
  • Wageningen Bioveterinary Research, Wageningen University and Research, Lelystad, The Netherlands.

MeSH Terms

  • Animals
  • Horses
  • Netherlands / epidemiology
  • Dogs
  • Seroepidemiologic Studies
  • Horse Diseases / epidemiology
  • Horse Diseases / virology
  • Humans
  • Surveys and Questionnaires
  • Dog Diseases / epidemiology
  • Dog Diseases / virology
  • Flavivirus Infections / epidemiology
  • Flavivirus Infections / veterinary
  • Flavivirus Infections / virology
  • Flavivirus / isolation & purification
  • Flavivirus / immunology
  • Cross-Sectional Studies
  • Male
  • Female
  • Zoonoses
  • West Nile virus / isolation & purification
  • West Nile virus / immunology
  • Antibodies, Viral / blood
  • West Nile Fever / epidemiology
  • West Nile Fever / veterinary
  • West Nile Fever / virology

References

This article includes 61 references
  1. Abourashed A, De Best PA, Doornekamp L, Sikkema RS, Van Gorp ECM, Timen A, Bartumeus F, Palmer JRB, Koopmans MPG. Development and validation of the MosquitoWise survey to assess perceptions towards mosquitoes and mosquito‐borne viruses in Europe. Scientific Reports 14(1), 1777.
  2. Adjadj NR, Vervaeke M, Sohier C, Cargnel M, De Regge N. Tick‐borne encephalitis virus prevalence in sheep, wild boar and ticks in Belgium. Viruses 14(11), 2362.
    doi: 10.3390/v14112362google scholar: lookup
  3. Beck C, Jimenez‐Clavero M, Leblond A, Durand B, Nowotny N, Leparc‐Goffart I, Zientara S, Jourdain E, Lecollinet S. Flaviviruses in Europe: Complex circulation patterns and their consequences for the diagnosis and control of West Nile disease. International Journal of Environmental Research and Public Health 10(11), 6049–6083.
    doi: 10.3390/ijerph10116049google scholar: lookup
  4. Beck C, Lowenski S, Durand B, Bahuon C, Zientara S, Lecollinet S. Improved reliability of serological tools for the diagnosis of West Nile fever in horses within Europe. PLoS Neglected Tropical Diseases 11(9), e0005936.
  5. Benzarti E, Linden A, Desmecht D, Garigliany M. Mosquito‐borne epornitic flaviviruses: An update and review. Journal of General Virology 100(2), 119–132.
    doi: 10.1099/jgv.0.001203google scholar: lookup
  6. Boden LA, Parkin TD, Yates J, Mellor D, Kao RR. An online survey of horse‐owners in Great Britain. BMC Veterinary Research 9(1), 188.
  7. Braks M, van den Kerkhof J. Westnijlvirus in Nederland: Aanpak surveillance en respons 2021–2023. .
  8. Calisher CH, Karabatsos N, Dalrymple JM, Shope RE, Porterfield JS, Westaway EG, Brandt WE. Antigenic relationships between flaviviruses as determined by cross‐neutralization tests with polyclonal antisera. Journal of General Virology 70(1), 37–43.
  9. Cavalleri JV, Korbacska‐Kutasi O, Leblond A, Paillot R, Pusterla N, Steinmann E, Tomlinson J. European College of Equine Internal Medicine consensus statement on equine flaviviridae infections in Europe. Journal of Veterinary Internal Medicine 36(6), 1858–1871.
    doi: 10.1111/jvim.16581google scholar: lookup
  10. . Dashboard Arbeidsmarkt Zorg en Welzijn (AZW). .
  11. . Population dashboard: Age distribution. .
  12. Chapman GE, Baylis M, Archer DC. Survey of UK horse owners' knowledge of equine arboviruses and disease vectors. Veterinary Record 183(5), 159.
    doi: 10.1136/vr.104521google scholar: lookup
  13. Clé M, Beck C, Salinas S, Lecollinet S, Gutierrez S, Van de Perre P, Baldet T, Foulongne V, Simonin Y. Usutu virus: A new threat?. Epidemiology and Infection 147, e232.
    doi: 10.1017/s0950268819001213google scholar: lookup
  14. Constant O, Gil P, Barthelemy J, Bolloré K, Foulongne V, Desmetz C, Leblond A, Desjardins I, Pradier S, Joulié A, Sandoz A, Amaral R, Boisseau M, Rakotoarivony I, Baldet T, Marie A, Frances B, Reboul Salze F, Tinto B, Simonin Y. One health surveillance of West Nile and Usutu viruses: A repeated cross‐sectional study exploring seroprevalence and endemicity in southern France, 2016 to 2020. Eurosurveillance 27(25), 2200068.
  15. De Bellegarde De Saint Lary C, Kasbergen LMR, Bruijning‐Verhagen PCJL, Van Der Jeugd H, Chandler F, Hogema BM, Zaaijer HL, Van Der Klis FRM, Barzon L, De Bruin E, Ten Bosch Q, Koopmans MPG, Sikkema RS, Visser LG. Assessing West Nile virus (WNV) and Usutu virus (USUV) exposure in bird ringers in The Netherlands: A high‐risk group for WNV and USUV infection?. One Health 16, 100533.
  16. De Heus P, Kolodziejek J, Hubálek Z, Dimmel K, Racher V, Nowotny N, Cavalleri J‐M V. West Nile virus and tick‐borne encephalitis virus are endemic in equids in eastern Austria. Viruses 2021;13(9):1873.
    doi: 10.3390/v13091873google scholar: lookup
  17. Dekker M, Laverman G D, de Vries A, Reimerink J, Geeraedts F. Emergence of tick‐borne encephalitis (TBE) in The Netherlands. Ticks and Tick‐borne Diseases 2019;10(1):176–179.
  18. . Huisdieren in Nederland, 2021. .
  19. Durand B, Haskouri H, Lowenski S, Vachiery N, Beck C, Lecollinet S. Seroprevalence of West Nile and Usutu viruses in military working horses and dogs, Morocco, 2012: Dog as an alternative WNV sentinel species?. Epidemiology and Infection 2016;144(9):1857–1864.
    doi: 10.1017/s095026881600011xgoogle scholar: lookup
  20. ECDC. Surveillance, prevention and control of West Nile virus and Usutu virus infections in the EU/EEA. EFSA Supporting Publications 2023;20(9):11–12.
  21. Escribano‐Romero E, Lupulović D, Merino‐Ramos T, Blázquez A‐B, Lazić G, Lazić S, Saiz J‐C, Petrović T. West Nile virus serosurveillance in pigs, wild boars, and roe deer in Serbia. Veterinary Microbiology 2015;176(3–4):365–369.
  22. Esser H J, Lim S M, De Vries A, Sprong H, Dekker D J, Pascoe E L, Bakker J W, Suin V, Franz E, Martina B E E, Koenraadt C J M. Continued circulation of tick‐borne encephalitis virus variants and detection of novel transmission foci, the Netherlands. Emerging Infectious Diseases 2022;28(12):2416–2424.
    doi: 10.3201/eid2812.220552google scholar: lookup
  23. Falcão M, Barros M, Duarte M D, Santos F A D, Fagulha T, Henriques M, Ramos F, Duarte A, Luís T, Parreira R, Barros S C. Genome characterization and spaciotemporal dispersal analysis of Bagaza virus detected in Portugal, 2021. Pathogens 2023;12(2):150.
    doi: 10.3390/pathogens12020150google scholar: lookup
  24. Ganzenberg S, Sieg M, Ziegler U, Pfeffer M, Vahlenkamp T W, Hörügel U, Groschup M H, Lohmann K L. Seroprevalence and risk factors for equine West Nile virus infections in eastern Germany, 2020. Viruses 2022;14(6):1191.
    doi: 10.3390/v14061191google scholar: lookup
  25. García‐Bocanegra I, Jurado‐Tarifa E, Cano‐Terriza D, Martínez R, Pérez‐Marín J E, Lecollinet S. Exposure to West Nile virus and tick‐borne encephalitis virus in dogs in Spain. Transboundary and Emerging Diseases 2018;65(3):765–772.
    doi: 10.1111/tbed.12801google scholar: lookup
  26. Garcia‐Vozmediano A, Bellato A, Rossi L, Hoogerwerf M N, Sprong H, Tomassone L. Use of wild ungulates as sentinels of TBEV circulation in a Naïve area of the northwestern Alps, Italy. Lifestyles 2022;12(11):1888.
    doi: 10.3390/life12111888google scholar: lookup
  27. Guerrero‐Carvajal F, Bravo‐Barriga D, Martín‐Cuervo M, Aguilera‐Sepúlveda P, Ferraguti M, Jiménez‐Clavero M Á, Llorente F, Alonso J M, Frontera E. Serological evidence of co‐circulation of West Nile and Usutu viruses in equids from western Spain. Transboundary and Emerging Diseases 2021;68(3):1432–1444.
    doi: 10.1111/tbed.13810google scholar: lookup
  28. Hubálek Z, Rudolf I, Nowotny N. Arboviruses pathogenic for domestic and wild animals. Advances in Virus Research 2014;89:201–275.
  29. Hyde J, Nettleton P, Marriott L, Willoughby K. Louping ill in horses. Veterinary Record 2007;160(15):532.
    doi: 10.1136/vr.160.15.532google scholar: lookup
  30. Jahfari S, de Vries A, Rijks J M, Van Gucht S, Vennema H, Sprong H, Rockx B. Tick‐borne encephalitis virus in ticks and roe deer, the Netherlands. Emerging Infectious Diseases 2017;23(6):1028–1030.
    doi: 10.3201/eid2306.161247google scholar: lookup
  31. Jeffries C L, Mansfield K L, Phipps L P, Wakeley P R, Mearns R, Schock A, Bell S, Breed A C, Fooks A R, Johnson N. Louping ill virus: An endemic tick‐borne disease of Great Britain. Journal of General Virology 2014;95(5):1005–1014.
    doi: 10.1099/vir.0.062356‐0google scholar: lookup
  32. Joó K, Bakonyi T, Szenci O, Sárdi S, Ferenczi E, Barna M, Malik P, Hubalek Z, Fehér O, Kutasi O. Comparison of assays for the detection of West Nile virus antibodies in equine serum after natural infection or vaccination. Veterinary Immunology and Immunopathology 2017;183:1–6.
  33. Klaus C, Ziegler U, Kalthoff D, Hoffmann B, Beer M. Tick‐borne encephalitis virus (TBEV) – Findings on cross reactivity and longevity of TBEV antibodies in animal sera. BMC Veterinary Research 2014;10(1):78.
  34. KNHS. Netherlands, land of horses. 2016.
  35. Laidoudi Y, Durand G, Watier‐Grillot S, Dessimoulie A‐S, Labarde C, Normand T, Andréo V, Guérin P, Grard G, Davoust B. Evidence of antibodies against the West Nile virus and the Usutu virus in dogs and horses from the southeast of France. Transboundary and Emerging Diseases 2023:1–8.
    doi: 10.1155/2023/8779723google scholar: lookup
  36. Llorente F, García‐Irazábal A, Pérez‐Ramírez E, Cano‐Gómez C, Sarasa M, Vázquez A, Jiménez‐Clavero M Á. Influence of flavivirus co‐circulation in serological diagnostics and surveillance: A model of study using West Nile, Usutu and Bagaza viruses. Transboundary and Emerging Diseases 2019;66(5):2100–2106.
    doi: 10.1111/tbed.13262google scholar: lookup
  37. Magallanes S, Llorente F, Ruiz‐López M J, Martínez‐de La Puente J, Soriguer R, Calderon J, Jímenez‐Clavero M Á, Aguilera‐Sepúlveda P, Figuerola J. Long‐term serological surveillance for West Nile and Usutu virus in horses in south‐West Spain. One Health 2023;17:100578.
  38. Manyweathers J, Field H, Longnecker N, Agho K, Smith C, Taylor M. “Why won't they just vaccinate?” horse owner risk perception and uptake of the Hendra virus vaccine. BMC Veterinary Research 2017;13(1):103.
  39. Metz M B C, Olufemi O T, Daly J M, Barba M. Systematic review and meta‐analysis of seroprevalence studies of West Nile virus in equids in Europe between 2001 and 2018. Transboundary and Emerging Diseases 2021;68(4):1814–1823.
    doi: 10.1111/tbed.13866google scholar: lookup
  40. Monaco F, Purpari G, Di Gennaro A, Mira F, Di Marco P, Guercio A, Savini G. Immunological response in horses following West Nile virus vaccination with inactivated or recombinant vaccine. Veterinaria Italiana 2019;55(1):73–79.
  41. Montagnaro S, Piantedosi D, Ciarcia R, Loponte R, Veneziano V, Fusco G, Amoroso M G, Ferrara G, Damiano S, Iovane G, Pagnini U. Serological evidence of mosquito‐borne flaviviruses circulation in hunting dogs in Campania region, Italy. Vector‐Borne and Zoonotic Diseases 2019;19(2):142–147.
    doi: 10.1089/vbz.2018.2337google scholar: lookup
  42. Oude Munnink B B, Münger E, Nieuwenhuijse D F, Kohl R, van der Linden A, Schapendonk C M E, van der Jeugd H, Kik M, Rijks J M, Reusken C B E M, Koopmans M. Genomic monitoring to understand the emergence and spread of Usutu virus in The Netherlands, 2016–2018. Scientific Reports 2020;10(1):2798.
  43. Percivalle E, Cassaniti I, Sarasini A, Rovida F, Adzasehoun K M G, Colombini I, Isernia P, Cuppari I, Baldanti F. West Nile or Usutu virus? A three‐year follow‐up of humoral and cellular response in a Group of Asymptomatic Blood Donors. Viruses 2020;12(2):157.
    doi: 10.3390/v12020157google scholar: lookup
  44. Pfister K, Armstrong R. Systemically and cutaneously distributed ectoparasiticides: A review of the efficacy against ticks and fleas on dogs. Parasites & Vectors 2016;9(1):436.
  45. Rathore A P S, St. John A L. Cross‐reactive immunity among flaviviruses. Frontiers in Immunology 2020;11:334.
    doi: 10.3389/fimmu.2020.00334google scholar: lookup
  46. Rijks J, Kik M, Slaterus R, Foppen R, Stroo A, IJzer J, Stahl J, Gröne A, Koopmans M, van der Jeugd H, Reusken C. Widespread Usutu virus outbreak in birds in the Netherlands, 2016. Eurosurveillance 2016;21(45):1–6.
  47. RIVM. Patient infected with West Nile virus in the Arnhem region. 2020.
  48. RIVM. Grey heron infected with West Nile virus. National Institute for Public Health and the Environment 2022.
  49. RIVM. Tekenencefalitis (TBE). National Institute for Public Health and the Environment 2023.
  50. Sergeant. Epitools Epidemiological Calculators [Computer software]. 2018.
  51. Sikkema R S, Schrama M, van den Berg T, Morren J, Munger E, Krol L, van der Beek J G, Blom R, Chestakova I, van der Linden A, Boter M, van Mastrigt T, Molenkamp R, Koenraadt C J, van den Brand J M, Oude Munnink B B, Koopmans M P, van der Jeugd H. Detection of West Nile virus in a common whitethroat (Curruca communis) and culex mosquitoes in The Netherlands, 2020. Eurosurveillance 2020;25(40):2001704.
  52. Simonin Y. Circulation of West Nile virus and Usutu virus in Europe: Overview and challenges. Viruses 2024;16(4):599.
    doi: 10.3390/v16040599google scholar: lookup
  53. Steenbekkers A, Vermeij L, van Houwelingen P. Dorpsleven tussen stad en land: Slotpublicatie Sociale Staat van het Platteland. Sociaal en Cultureel Planbureau 2017.
  54. Timoney P J, Donnelly W J C, Clements L O, Fenlon M. Encephalitis caused by Louping ill virus in a Group of Horses in Ireland. Equine Veterinary Journal 1976;8(3):113–117.
  55. Trachsel D S, Drozdzewska K, Bergmann F, Ziegler U, Gehlen H. Bestätigte West‐Nil‐Virus‐Infektion bei einem Pferd mit minimalen neurologischen Symptomen und günstigem klinischem Verlauf. Tierärztliche Praxis. Ausgabe G, Grosstiere/Nutztiere 2021;49(4):281–286.
    doi: 10.1055/a‐1519‐4547google scholar: lookup
  56. Van Heuverswyn J, Hallmaier‐Wacker L K, Beauté J, Gomes Dias J, Haussig J M, Busch K, Kerlik J, Markowicz M, Mäkelä H, Nygren T M, Orlíková H, Socan M, Zbrzeźniak J, Žygutiene M, Gossner C M. Spatiotemporal spread of tick‐borne encephalitis in the EU/EEA, 2012 to 2020. Eurosurveillance 2023;28(11):2200543.
  57. Vlaskamp D R, Thijsen S F, Reimerink J, Hilkens P, Bouvy W H, Bantjes S E, Vlaminckx B J, Zaaijer H, van den Kerkhof H H, Raven S F, Reusken C B. First autochthonous human West Nile virus infections in The Netherlands, July to august 2020. Eurosurveillance 2020;25(46):2001904.
  58. Weissenböck H, Bakonyi T, Rossi G, Mani P, Nowotny N. Usutu virus, Italy, 1996. Emerging Infectious Diseases 2013;19(2):274–277.
    doi: 10.3201/eid1902.121191google scholar: lookup
  59. Wijburg S R, Fonville M, de Bruin A, van Rijn P A, Montizaan M G E, van den Broek J, Sprong H, Rijks J M. Prevalence and predictors of vector‐borne pathogens in Dutch roe deer. Parasites & Vectors 2022;15(1):76.
  60. WOAH. West Nile fever. OIE terrestrial manual 2018;8th ed., ch. 3.1.24, pp. 697–710.
  61. Zaaijer H L, Slot E, Molier M, Reusken C B E M, Koppelman M H G M. Usutu virus infection in Dutch blood donors. Transfusion 2019;59(9):2931–2937.
    doi: 10.1111/trf.15444google scholar: lookup

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  1. Lai J, Tessarolo C, Ercole E, Gallo M, Lo Faro M, Palmitessa C, Carta V, Ferrari A, Favole A, Begovoeva M, Ingravalle F, Peletto S, Fiscella NF, Irelli R, Ciarrocchi E, Martelli W, Mosca A, Cagnotti G, Casalone C, Corona C. β-Actin as an Endogenous Control Gene in Real-Time PCR for Detection of West Nile and Usutu Virus in Mosquitoes.. Microorganisms 2025 Oct 31;13(11).
  2. Sikkema RS, Koopmans M. Viral emergence and pandemic preparedness in a One Health framework.. Nat Rev Microbiol 2026 Jan;24(1):29-44.
    doi: 10.1038/s41579-025-01243-1pubmed: 41044181google scholar: lookup
  3. Marcelino I, Keizer J, Monti G, Cornelissen P, Santman-Berends I, Lam JH, van der Poel WHM. Monitoring Pathogens in Free-Living Large Herbivores in a Nature Reserve in the Netherlands.. Transbound Emerg Dis 2025;2025:6948049.
    doi: 10.1155/tbed/6948049pubmed: 40822449google scholar: lookup
  4. Barbic L, Stevanovic V, Mauric Maljkovic M, Miletic G, Coric I, Savic V, Masovic V, Bogdanic M, Medic A, Vilibic-Cavlek T. Seroprevalence study for selected zoonotic vector-borne pathogens in sheep from endemic areas of Croatia.. Front Vet Sci 2025;12:1602706.
    doi: 10.3389/fvets.2025.1602706pubmed: 40524737google scholar: lookup
  5. Santifort KM, Streng K, Bergknut N, Van Soens I, Plonek M, van der Poel WHM. Lack of serologic evidence of orthoflavivirus infection in dogs with meningoencephalitis of unknown origin and steroid-responsive meningitis-arteritis in the Netherlands.. J Vet Diagn Invest 2025 Sep;37(5):817-821.
    doi: 10.1177/10406387251340619pubmed: 40396364google scholar: lookup
  6. Streng K, Holicki CM, Hesson JC, Graham H, Chandler F, Krol L, Blom R, Münger E, van der Linden A, Koenraadt CJM, Schrama M, de Saint Lary CB, Visser LG, Munnink BO, Lundkvist Å, Koopmans MPG, van der Jeugd HP, van der Poel WHM, Sikkema RS. Local Circulation of Sindbis Virus in Wild Birds and Horses, the Netherlands, 2021-2022.. Emerg Infect Dis 2025 Apr;31(4):863-866.
    doi: 10.3201/eid3104.241503pubmed: 40133068google scholar: lookup
  7. Streng K, Atama N, Chandler F, Blom R, van der Jeugd H, Schrama M, Koopmans MPG, van der Poel WHM, Sikkema RS. Sentinel chicken surveillance reveals previously undetected circulation of West Nile virus in the Netherlands.. Emerg Microbes Infect 2024 Dec;13(1):2406278.
    doi: 10.1080/22221751.2024.2406278pubmed: 39295515google scholar: lookup