101. WEST NILE VIRUS INFECTIONS IN EUROPE -- GENERAL FEATURES.
- Author
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Nowotny, Norbert, Bakonyi, Tamas, Weissenbock, Herbert, Seidel, Bernhard, Kolodziejek, Jolanta, Sekulin, Karin, and Lussy, Helga
- Subjects
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WEST Nile virus , *MOSQUITO vectors , *PUBLIC health , *EPIDEMIOLOGICAL research , *AMINO acid analysis - Abstract
In the past West Nile virus (WNV) infections occurred only sporadically in Europe, limited in time and geographic distribution. This changed dramatically since the emergence of an exotic lineage 2 WNV strain in Hungary in 2004 [Bakonyi et al., Emerg. Infect. Dis. 12, 618-623 (2006)]. Following a few years of adaptation, this virus strain dispersed widely in 2008, and was identified all over Hungary and in the eastern part of Austria [Wodak et al., Vet. Microbiol. 149, 358-366 (2011)]. Most likely during that time this WNV lineage also spread to Croatia, Slovenia and Serbia. In 2010, a clinically severe outbreak occurred in the Thessaloniki area of Greece with more than 200 human neuroinvasive cases and more than 30 deaths. Genetic analysis demonstrated the above-mentioned lineage 2 WNV as the causative agent, however with an amino acid exchange, which might have been responsible for the increased neuroinvasiveness [Papa et al., Emerg. Infect. Dis. 17, 920-922 (2011)]. In 2012, overt West Nile disease in humans and animals was also reported from several Balkan states. Since 2008 widespread outbreaks of lineage 1 WNV have been reported in northern Italy as well as outbreaks of a different type of a lineage 2 WNV (Volgograd strain) in Ro-mania. We demonstrated that the virus is overwintering in mosquitoes in outbreak areas, indicating that central, southern and eastern Europe must be aware of further WNV outbreaks in the future. General features of WNV infections and an overview of WNV epidemiology in Europe are presented. [ABSTRACT FROM AUTHOR]
- Published
- 2013