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Oropouche, this new virus that worries health authorities in the Antilles-Guyana

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  • Oropouche, this new virus that worries health authorities in the Antilles-Guyana

    Translation Google

    "Oropouche", this new virus that worries health authorities in the Antilles-Guyana

    A worrying analysis of the risk of this disease emerging in French Guiana and the French Antilles has just been published by Santé publique France. The document covers data from August 2024, which needs to be updated. However, this report already indicates an epidemic risk in the Atlantic region.

    Franck Aristide • Published on June 17, 2025 at 12:00 p.m.

    Fever, chills, severe headaches, muscle and joint pain, nausea, vomiting, and a rash are the symptoms caused by this new "Oropouche" virus. These signs are similar to those of arboviruses in general.

    Epidemic risk

    In 2023 and 2024, an explosion in the number of cases was observed in South America and the Caribbean, with deaths and fetal malformations among infected mothers. According to Public Health France, today, the risk of an epidemic appears to be high for Guadeloupe, Martinique, and French Guiana.

    The vectors are midges that usually infect ruminants, but with the wind, they can disperse over long distances over bodies of water and introduce the virus into uninfected areas. This mode of dissemination could facilitate the emergence of human infection in the French Antilles and Guiana.

    No vaccine or treatment currently available

    The report therefore highlights the need to prepare for a possible epidemic. Among the measures to be implemented in the short term, it recommends increasing diagnostic capacity, surveillance, alerts, individual and collective protection against vectors, as well as biological and entomological epidemiological investigations.

    These are currently the only methods of control, as there is no vaccine or treatment for the " Oropouche " virus disease.

    Une inquiétante analyse du risque d'émergence de cette maladie en Guyane et dans les Antilles françaises vient d'être publiée par Santé publique France. Le document porte sur des données d'août 2024 lesquelles doivent être actualisées. Mais ce rapport fait d'ores et déjà état d’un risque épidémique dans la zone atlantique.


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    Analysis of the risk of emergence of the OROPOUCHE virus (OROV) in August 2024 in French Guiana and the French Antilles


    Published on June 12, 2025
    Updated on June 11, 2025




    This report presents an initial analysis carried out in August 2024 and consolidated in December 2024, in terms of bibliography and monitoring of the evolution of the risk in Latin America. According to the state of knowledge at the time of its writing, infection by the Oropouche virus (OROV) is one of the most important causes of arbovirosis in South America after dengue fever, with 2 to 5 million people directly exposed. This importance contrasts with the fragmented or imprecise knowledge on the transmission cycle, vectors, animal hosts and reservoirs, clinical aspects, asymptomatic forms and epidemiology of OROV infection. OROV is a segmented virus belonging to the Orthobunyaviruses, with significant potential for evolvability/emergence based in particular on its capacity for reassortment. The epidemic explosion and spread observed in 2023-2024 (including the Caribbean) are linked to a reassortant virus with, for the first time, the reporting of deaths and maternal-fetal forms with malformations, as well as a possible risk of sexual transmission. The virus has extended its area of ​​circulation under the influence of environmental and biodiversity alteration, demographic changes, and human mobility. The main known vector and potential vectors have a much wider distribution than the current outbreaks, particularly in French Guiana and Martinique. The risk of importation through travel and dissemination in the French Communities of America (CFAs) was estimated to be high in August and December 2024. Culicoides, midges that transmit Orbivirus and Orthobunyavirus to domestic and wild ruminants (Bluetongue [BTV], Epidemic Hemorrhagic Disease (EHD), Schmallenberg Virus Disease [SBV]) can disperse with the winds over very long distances over water bodies and therefore be responsible for the introduction of viruses into uninfected territories. This mode of dissemination should be studied for C. paraensis in the context of OROV transmission. The risk of emergence of human OROV infection in the CFAS could be assessed in this report for all CFAS except Saint Martin and Saint Barthélémy due to a lack of data. The report concludes that there is a high risk of an epidemic in French Guiana, Martinique, and Guadeloupe, with uncertainty in this analysis being high in French Guiana and Martinique and low in Martinique. The significant increase in risk for CFAs in 2024 underscores the need for preparedness, involving management measures. Among these, short-term measures include diagnostic capacity, surveillance and alerts, individual and collective protection against vectors, as well as epidemiological and entomological investigations.The risk level estimated in August 2024 will need to be updated for CFAs in the coming months depending on the evolution of the epidemic in South America and the Caribbean. There is no specific treatment or vaccine against Oropouche virus disease, and treatment is symptomatic.

    Author: Desenclos Jean-Claude, Paty Marie-Claire, De Valk Henriette
    Year of publication: 2025
    Pages: 61 p.
    Collection: State of knowledge
    PDF 1.27 MB



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  • #2
    Translation Google
    Oropouche virus epidemic: what risks for the French Antilles and Guyana?

    Public Health France has published an initial analysis of the risk of the Oropouche virus emerging in French departments in America.

    Published on June 23, 2025

    ...

    Oropouche virus infection (OROV) is one of the most important causes of arboviral disease in South America after dengue fever, with 2 to 5 million people directly exposed. Since 2023 and 2024, this virus has expanded its distribution area under the influence of environmental and biodiversity changes, demographic changes, and human mobility.

    The importance and extent of this threat contrasts with the fragmentary or imprecise knowledge of the transmission cycle, vectors and their ecology in these territories.

    This is why it was important for Public Health France and its partners to publish an initial risk analysis carried out in December 2024, in order to assess the potential health risks in French Guiana and the French Antilles.


    Three questions for Jean-Claude Désenclos, co-author of this first risk analysis

    What is Oropouche virus infection?

    Oropouche disease is caused by an arbovirus, the Oropouche virus, or OROV. OROV belongs to the viral genus Orthobunyavirus, whose RNA is segmented (like that of the influenza virus), allowing it to recompose itself through reassortment to generate new, emerging viral strains.
    OROV infection affects both animals and humans:
    • in the forest, within a sylvatic cycle , via transmission by arthropods;
    • and in peri-urban/urban environments by human-to-human transmission via anthropophilic midges, mainly Culicoides paraensis (other vectors are discussed, including Culex quinquefasciatus ).
    The host and vector species that maintain the sylvatic cycle of OROV are still poorly understood.

    The disease in humans is characterized by acute flu-like symptoms (fever, headaches, joint and muscle pain, etc.) that resolve spontaneously within a few days. However, neurological complications (aseptic meningitis) can occur. Diagnosis is based on a blood test (RT-PCR on a sample taken during the first 7 days of the illness or by serology).

    In the absence of these tests in clinical practice, the disease remains unrecognized, and its symptoms do not distinguish OROV infection from other arboviruses. Consequently, its importance is greatly underestimated, and epidemics go undetected. There is no specific treatment or vaccine for OROV infection, and treatment is symptomatic.


    Why did Public Health France and its partners carry out a risk analysis?

    A risk analysis allows for the early assessment of emerging hazards, whether infectious, environmental, or related to risky behaviors. By assessing the likelihood and impact of these risks, health authorities can prioritize actions and implement appropriate preventive or corrective measures.

    Also, the years 2023 and especially 2024 saw an epidemic resurgence of OROV infection in South America (Brazil, Peru, Colombia, Bolivia, Guyana and then, in 2025, Venezuela) much higher than previous years. This resurgence was accompanied by an extension of transmission zones to Panama and the Caribbean (Cuba, Barbados).
    Multiple importations via travelers also took place in North America and Europe.

    This epidemic wave is caused by a new sublineage of the Oropouche virus, resulting from the reassortment of several OROVs. Studies conducted during the 2023-2024 epidemic resurgence showed that this sublineage was first detected during the 2020 epidemic, in a village in a forested area of ​​inland Guiana. It would have a better capacity for replication (and potentially for transmission and spread) and could more easily escape the protection conferred by immunity acquired during past infections. Furthermore, these studies indicate that the extension of the virus's transmission zone is linked to the alteration of the environment and biodiversity, as well as demographic changes and human mobility.

    For the first time during the 2024 epidemics, severe forms with deaths and cases of maternal-fetal transmission with congenital malformations were reported. Similarly, Guillain-Barré syndromes were observed in Cuba, and possible sexual transmission and transmission by blood transfusion were highlighted.

    This situation led Public Health France to hypothesize that the establishment of virus transmission cycles in the French departments of the Americas (DFAs) was becoming possible, even probable. A multidisciplinary risk analysis was conducted by Public Health France and its partners to prepare a response to this new epidemic threat.


    What is the risk of this disease in the Antilles and Guyana?

    The marked evolution of the epidemiology of OROV infection in South America and the Caribbean in 2023 and 2024 led us to significantly increase, in August 2024, the risk for French Guiana and the French Antilles compared to the 2020 epidemic. The analysis report concluded in 2024 that there was a high risk of an epidemic in French Guiana, Martinique and Guadeloupe (the uncertainty of this analysis being high in French Guiana and Guadeloupe and low in Martinique).

    However, significant uncertainties remain, reflecting the fragmentary scientific data to date concerning viruses, hosts and vectors, as well as their interactions.

    This is why the risks estimated for August and December 2024 are likely to change. They are highly dependent on the epidemiological situation in the territories with which trade takes place, requiring regularly updated international monitoring.

    Public Health France stresses the need to prepare the affected areas, particularly by:
    • Preparing the healthcare system with strengthening diagnostic capacities
    • Improving monitoring and alert systems
    • Developing mosquito protection
    • Continuing epidemiological and entomological investigations

    Learn more

    Analysis of the risk of emergence of the OROPOUCHE virus (OROV) in August 2024 in French Guiana and the French Antilles

    Learn more
    What management measures are in place?
    1. The recommendation to strengthen diagnostic capacities was followed with the provision of diagnostics in hospital laboratories in the Antilles (it was already possible in Guyana with the associated laboratory of the CNR of arboviruses);
    2. the surveillance system has been adapted to facilitate the identification of cases in the Antilles and Guyana, with the development of algorithms and access to diagnosis;
    3. Anses has issued an opinion on measures to combat Culicoides , the main vectors of the Oropouche virus.


    Vector-borne diseases: diseases on the rise

    The spread of vector-borne diseases today is primarily driven by the intensification and globalization of trade in goods and the movement of people. Human interactions with their environment, as well as climate change, also represent factors in the spread of these diseases.
    Read our report



    Santé publique France publie une première analyse du risque d’émergence du virus Oropouche dans les départements français d’Amérique.

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