1. Prevalence and molecular epidemiology of West Nile and Usutu virus infections in Croatia in the ‘One health’ context, 2018
- Author
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Maja Bogdanić, Eddy Listeš, Marina Balicevic, Marko Vucelja, Giovanni Savini, Bozana Miklausic, Tamara Butigan, Vladimir Stevanović, Zdravko Andrić, Elizabeta Dvorski, Irena Tabain, Marija Santini, Tanja Potocnik-Hunjadi, Ljubo Barbić, Vladimir Savić, Gordana Kolaric-Sviben, Ljiljana Perić, Ana Klobučar, Mirta Balenović, Tatjana Vilibić-Čavlek, Krunoslav Capak, and Dario Sabadi
- Subjects
Croatia / epidemiology ,Male ,West Nile virus / isolation & purification ,Flavivirus Infections / epidemiology ,viruses ,West Nile virus ,Usutu virus ,prevalence ,molecular epidemiology ,Croatia ,0403 veterinary science ,Blood serum ,Seroepidemiologic Studies ,West Nile Fever / virology ,Prevalence ,Child ,Aged, 80 and over ,Molecular Epidemiology ,0303 health sciences ,biology ,Transmission (medicine) ,Horse Diseases / epidemiology ,virus diseases ,04 agricultural and veterinary sciences ,General Medicine ,Middle Aged ,Female ,Adult ,Turkeys ,West Nile Fever / epidemiology ,Flavivirus Infections / virology ,Adolescent ,040301 veterinary sciences ,Context (language use) ,Flavivirus Infections / veterinary ,Flavivirus Infections ,Young Adult ,03 medical and health sciences ,Culex pipiens ,Animals ,Humans ,Horses ,One Health ,Poultry Diseases ,Poultry Diseases / epidemiology ,Aged ,030304 developmental biology ,General Veterinary ,General Immunology and Microbiology ,Molecular epidemiology ,Flavivirus ,Outbreak ,biology.organism_classification ,Virology ,Flavivirus / isolation & purification ,West Nile Fever / veterinary ,Horse Diseases ,Horse Diseases / virology ,Poultry Diseases / virology ,Chickens ,West Nile Fever - Abstract
In 2018, Croatia reported the largest outbreak of West Nile virus (WNV) infections as well as the re-occurrence of human Usutu virus (USUV) infections. For the first time, fatal WNV and USUV infections were detected in wild birds. We analysed epidemiological characteristics and molecular epidemiology of WNV and USUV infections detected during 2018 transmission season. From April to November, 178 patients with neuroinvasive disease and 68 patients with febrile disease were tested for WNV and USUV. Viral RNA was detected in cerebrospinal fluid (CSF) and urine samples using a real-time RT- PCR. Positive samples were tested by nested RT- PCR and nucleotide sequencing. IgM/IgG antibodies were detected in serum/CSF samples using ELISA with confirmation of cross- reactive samples by virus neutralization test (VNT). WNV neuroinvasive disease was confirmed in 54 and WNV fever in seven patients from 10 continental Croatian counties. Areas affected in 2018 were those in which cases occurred in previous seasons, while in three areas human cases were reported for the first time. Phylogenetic analysis of six strains from patients residing in different geographic areas showed circulation of WNV lineage 2. In three patients, neuroinvasive USUV infection was confirmed by RT-PCR or VNT. Sequence analysis of one detected strain revealed USUV Europe 2 lineage. During the same period, a total of 2, 574 horse and 1, 069 poultry serum samples were tested for WNV antibodies using ELISA. Acute asymptomatic WNV infection (IgM antibodies) was documented in 20/0.7% horses. WNV IgG antibodies were found in 307/11.9% horses and in 125/12.7% poultry. WNV RNA was detected in two goshawks and USUV RNA was detected in one blackbird from north-western Croatia. In the Zagreb area, 3, 670 female mosquitoes were collected. One Culex pipiens pool collected in July tested positive for USUV RNA. Our results highlight the importance of continuous multidisciplinary 'One health' surveillance of these emerging arboviruses.
- Published
- 2019
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