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Widespread activity of multiple lineages of Usutu virus, western Europe, 2016
- Daniel Cadar1,2 , Renke Lühken1,2 , Henk van der Jeugd2,3 , Mutien Garigliany2,4 , Ute Ziegler2,5 , Markus Keller5 , Jennifer Lahoreau6 , Lars Lachmann7 , Norbert Becker8,9 , Marja Kik10 , Bas B Oude Munnink11 , Stefan Bosch12 , Egbert Tannich1,13 , Annick Linden14 , Volker Schmidt15 , Marion P Koopmans11 , Jolianne Rijks2,10 , Daniel Desmecht2,4 , Martin H Groschup2,5 , Chantal Reusken2,11 , Jonas Schmidt-Chanasit1,2,13
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View Affiliations Hide AffiliationsAffiliations: 1 Bernhard Nocht Institute for Tropical Medicine, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research, Hamburg, Germany 2 These authors contributed equally to this work 3 Vogeltrekstation – Dutch Centre for Avian Migration and Demography (NIOO-KNAW), Wageningen, the Netherlands 4 Department of Veterinary Pathology, Faculty of Veterinary Medicine, University of Liège, Liège, Belgium 5 Friedrich-Loeffler-Institut, Federal Research Institute for Animal Health, Institute of Novel and Emerging Infectious Diseases, Greifswald-Insel Riems, Germany 6 Parc Animalier de Sainte Croix, Rhodes, France 7 Nature and Biodiversity Conservation Union (NABU), Berlin, Germany 8 German Mosquito Control Association (KABSeV), Speyer, Germany 9 University of Heidelberg, Heidelberg, Germany 10 Dutch Wildlife Health Centre, Utrecht University, Utrecht, The Netherlands 11 Erasmus MC, Department of Viroscience, WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research, Rotterdam, The Netherlands 12 Nature and Biodiversity Conservation Union (NABU), Stuttgart, Germany 13 German Centre for Infection Research (DZIF), partner site Hamburg-Luebeck-Borstel, Hamburg, Germany 14 Belgian Wildlife Health Surveillance Network, Department of Infectious and Parasitic Diseases, Faculty of Veterinary Medicine, University of Liège, Liège, Belgium 15 Clinic for birds and reptiles, University Leipzig, GermanyChantal Reuskenc.reusken erasmusmc.nl
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Citation style for this article: Cadar Daniel, Lühken Renke, van der Jeugd Henk, Garigliany Mutien, Ziegler Ute, Keller Markus, Lahoreau Jennifer, Lachmann Lars, Becker Norbert, Kik Marja, Oude Munnink Bas B , Bosch Stefan, Tannich Egbert, Linden Annick, Schmidt Volker, Koopmans Marion P, Rijks Jolianne, Desmecht Daniel, Groschup Martin H, Reusken Chantal, Schmidt-Chanasit Jonas. Widespread activity of multiple lineages of Usutu virus, western Europe, 2016. Euro Surveill. 2017;22(4):pii=30452. https://doi.org/10.2807/1560-7917.ES.2017.22.4.30452 Received: 25 Nov 2016; Accepted: 11 Jan 2017
Abstract
In the summer of 2016, Belgium, France, Germany and the Netherlands reported widespread Usutu virus (USUV) activity based on live and dead bird surveillance. The causative USUV strains represented four lineages, of which two putative novel lineages were most likely recently introduced into Germany and spread to other western European countries. The spatial extent of the outbreak area corresponded with R0 values > 1. The occurrence of the outbreak, the largest USUV epizootic registered so far in Europe, allowed us to gain insight in how a recently introduced arbovirus with potential public health implications can spread and become a resident pathogen in a naïve environment. Understanding the ecological and epidemiological factors that drive the emergence or re-emergence of USUV is critical to develop and implement timely surveillance strategies for adequate preventive and control measures. Public health authorities, blood transfusion services and clinicians in countries where USUV was detected should be aware of the risk of possible USUV infection in humans, including in patients with unexplained encephalitis or other neurological impairments, especially during late summer when mosquito densities peak.
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