West Nile fever summary for transmission season 2017
Nov 24 2017
The 2017 West Nile Fever transmission season in the European Union and European Economic Area (EU/EEA) and neighbouring countries is now over. During this season 203 West Nile fever cases were reported, with most cases being notified by Romania. For the first time this year, ECDC reported not only on human but also on equine cases. The last notified case in the EU/EEA had disease onset at the end of October (week 43). However, countries can still notify new or retrospective human and equine cases/outbreaks through respectively the European Surveillance System (TESSy) and Animal Disease Notification System (ADNS). ECDC will resume the monitoring at the start of the 2018 season, expected in June.
In the EU/EEA, the first cases of the 2017 season were notified by Greece at the end of July (week 30) and had a disease onset at the end of June. In the neighbouring countries, Israel notified the first West Nile fever cases early July (week 27). During the 2017 West Nile fever transmission season, 203 human West Nile fever cases were reported in the EU/EEA: Romania (66 cases), Italy (57), Greece (48), Hungary (21), Croatia (5), Austria (4), France (1) and Bulgaria (1). Eighty-four cases were reported in neighbouring countries: Serbia (49), Israel (28) and Turkey (7).
This season the case-fatality rate of West Nile fever was 9% with 26 reported deaths. After two consecutive years with no West Nile fever cases reported in Greece, 48 cases were reported in the country in 2017, including cases in areas where West Nile fever transmission to humans was not observed before. This year, Italy also reported cases in newly-affected areas, along the western coast (i.e. Livorno) and in the North-East of the country (i.e. Asti). France reported one case in the Alpes-Maritimes, a region bordering Italy, which is an area that did not experience any human West Nile fever cases previously.
This year, for the first time, ECDC included in its weekly epidemiological updates three types of West Nile fever maps: 1) human West Nile fever cases; 2) equine West Nile fever cases; 3) combined human and equine West Nile fever cases. Human cases are collected through TESSy and equine cases are collected through ADNS of the European Commission. While the distribution of human cases covers EU/EEA countries and neighbouring countries, equine cases cover only EU/EEA countries. Following a One Health approach, the maps aimed to highlight areas, at the NUTS3 level, where West Nile virus circulates in incidental hosts. This transmission season, 128 equine West Nile fever cases were reported by EU/EEA Member States through ADNS: 100 in Italy, 13 in Greece, nine in Spain, three in Hungary, two in Austria, and one in Portugal.