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ECDC - West Nile Virus in Europe and neighbouring countries - 2017 - Updated febr 28 2018 - Map

Gert van der Hoek

In Memoriam - Editor, Senior Moderator
[FONT=&quot]21 Jul 2017[/FONT]

[FONT=&quot]This week the first confirmed human case of West Nile fever in the EU was reported and detected in southern Greece.[/FONT]
[FONT=&quot]In the neighbouring countries, three new cases have been detected in Israel of which one is confirmed.[/FONT]

[FONT=&quot]Since the beginning of the 2017 transmission season and as of 20 July 2017,one human case of West Nile fever has been reported in the EU.

In the neighbouring countries, one confirmed case and three probable cases have been reported by Israel.
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ECDC_WNF_Affected_current_season_21_July.png
 
[FONT=&quot]28 Jul 2017[/FONT]

[FONT=&quot]This week (week 30) four probable human cases of West Nile fever have been reported in an already affected area in Greece. No new cases have been reported in the neighbouring countrie[/FONT]

[FONT=&quot]One West Nile fever equidae case has been notified through the Animal Disease Notification System (ADNS) of the European Commission. The case occurred in the Province of Rovigo, North-East of Italy. More information about ADNS is available at: https://ec.europa.eu/food/animals/an.../not-system_en

Since the beginning of the 2017 transmission season and as of 27 July 2017, five human cases of West Nile fever (one confirmed and four probable) have been reported by Greece. In the neighbouring countries, one confirmed case and three probable cases have been reported; all of them were reported by Israel.


ECDC_WNF_Affected_current_and_past_seasons_5.png
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[FONT=&quot]4 Aug 2017[/FONT]

[FONT=&quot]Between 28 July and 2 August, one confirmed human case of West Nile fever has been reported in Oristano, Sardinia in Italy. No new cases have been reported in the neighbouring countries.[/FONT]

[FONT=&quot]Eight West Nile fever equidae cases have been notified through the Animal Disease Notification System (ADNS) of the European Commission, in Argolida, Southern Greece. Human cases have already been reported in the same area this transmission season.[/FONT]

[FONT=&quot]Since the beginning of the 2017 transmission season and as of 2 August 2017, five human cases of West Nile fever (one confirmed and four probable) have been reported by Greece and one confirmed case has been reported by Italy. In the neighbouring countries, one confirmed case and three probable cases have been reported by Israel.[/FONT]

[FONT=&quot]In equidae, nine West Nile fever cases have been notified through ADNS; eight in Argolida, Southern Greece and one in Rovigo, North-East of Italy.[/FONT]

ECDC_WNF_Affected_current_and_past_seasons_6.png
 
West Nile fever in Europe in 2017; updated 11 August


[FONT=&quot]11 Aug 2017[/FONT]

[FONT=&quot]Between 2 August and 10 August, 15 cases were reported in Greece in a previous affected area. Romania and Serbia reported their first cases of the year. Romania reported one confirmed case, in the South-East of the country. Two confirmed cases were reported by Serbia.[/FONT]
[FONT=&quot]Two cases in Greece died since the beginning of 2017.[/FONT]

[FONT=&quot]Eight West Nile fever Equidae cases were notified through the Animal Disease Notification System (ADNS) of the European Commission; all in Italy, two in Venezia and six in Padova.[/FONT]

[FONT=&quot]Since the beginning of the 2017 transmission season and as of 10 August 2017, 20 human cases of West Nile fever (three confirmed and 17 probable) have been reported by Greece, and one confirmed case has been reported by Italy. Romania reported one case. In the neighbouring countries, six cases have been reported; four by Israel, two by Serbia.[/FONT]

[FONT=&quot]
ECDC_WNF_Affected_current_season_7.png
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Situation update, 18 August 2017

[FONT=&quot]Between 10 August and 17 August, 4 new cases were reported in Greece, in a previously affected area. Italy reported 2 cases in Emilia Romagna region. Three cases were reported by Romania. One new case was reported by Serbia in a newly affected area.[/FONT]

[FONT=&quot]One West Nile fever Equidae case in Viterbo, Lazio region, Italy, was notified through the Animal Disease Notification System (ADNS) of the European Commission during that period.[/FONT]

[FONT=&quot]Since the beginning of the 2017 transmission season and as of 10 August 2017, 24 human cases of West Nile fever (five confirmed and 19 probable) have been reported by Greece; three confirmed cases were reported by Italy and Romania reported four cases. In the neighbouring countries, seven cases were reported: four by Israel and three by Serbia.[/FONT]

[FONT=&quot]In Equidae, 18 West Nile fever cases were notified through ADNS; ten in Italy, and eight in Argolida, Greece.[/FONT]

ECDC_WNF_Affected_current_and_past_seasons_8.png
 
Situation update, 25 August 2017

[FONT=&quot]Between 17 and 24 August, Greece reported 13 new cases in a previously affected area. .Two cases in newly affected areas were reported by Romania. Austria and Hungary reported their first cases: Austria reported four and Hungary two. Serbia reported a new case in an already affected area.[/FONT]

[FONT=&quot]In addition, Italy reported nine West Nile fever Equidae cases in Padova and Rovigo through the Animal Disease Notification System (ADNS) of the European Commission.[/FONT]

[FONT=&quot]Since the beginning of the 2017 transmission season and as of 24 August 2017, Greece reported 37 (seven confirmed and 30 probable) human cases of West Nile fever, Italy reported three confirmed cases, Romania reported six cases, four cases are reported by Austria. Hungary reported two cases. Israel reported four cases and Serbia four cases.[/FONT]

[FONT=&quot]In Equidae, Member States reported 27 West Nile fever cases through ADNS, 19 in Italy and eight in Argolida, Greece.


ECDC_WNF_Affected_current_season_9.png

west-nile-fever-europe-2017-updated-25-august
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Situation update, 1 September 2017

[FONT=&quot]Between 24 and 31 August 2017, Hungary reported three cases in previously affected areas. Italy reported 24 cases in previously affected areas. Ten cases in previously affected areas were reported by Romania. Two cases were reported by Austria and Serbia reported eight cases, all in previously affected areas. Romania reported six deaths, and Greece reported three deaths so far in 2017.[/FONT]

[FONT=&quot]In addition, Italy reported 17 West Nile fever Equidae cases through the Animal Disease Notification System (ADNS) of the European Commission. One Equidae case was reported in an area where human WNF was already reported. Greece reported two new Equidae WNF cases, both in newly Equidae WNF affected areas.[/FONT]

[FONT=&quot]Since the beginning of the 2017 transmission season and as of 31 August 2017, Greece has reported 37 human cases of West Nile fever, Italy reported 27 cases, Romania reported 16 cases, six cases were reported by Austria and five cases by Hungary. Israel reported four cases and Serbia twelve cases.[/FONT]

[FONT=&quot]In Equidae, Member States reported 46 West Nile fever cases through ADNS, 36 in Italy and ten in Greece.[/FONT]

ECDC_WNF_Affected_current_and_past_seasons_9.png
 
Situation update, 8 September 2017

[FONT=&quot]Between 31 August and 7 September 2017, Greece reported three cases in newly affected areas. Four cases were reported by Hungary in previously affected areas. Romania reported six cases, in which one area was previously not affected. Israel and Serbia reported cases in previously affected areas; Israel reported five cases and Serbia reported seven cases. Serbia reported one death due to West Nile fever.[/FONT]

[FONT=&quot]In addition, Italy reported 11 West Nile fever Equidae cases and Hungary reported one Equidae case through the Animal Disease Notification System (ADNS) of the European Commission.[/FONT]

[FONT=&quot]Since the beginning of the 2017 transmission season and as of 7 September 2017, Greece has reported 40 human cases of West Nile fever, Italy reported 27 cases, Romania reported 22 cases, Hungary reported nine cases and Austria reported two cases. In addition, Serbia reported 19 cases and Israel reported nine cases.[/FONT]

[FONT=&quot]In Equidae, Member States reported 58 West Nile fever cases through ADNS: 47 in Italy, ten in Greece and one in Hungary.

ECDC_WNF_Affected_current_season_11.png
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West Nile fever in Europe in 2017; updated 15 September


[FONT=&quot]Between 7 September and 14 September 2017, Serbia reported nine cases and Hungary reported one case. All cases were reported in previously affected areas. Greece reported one death due to West Nile fever of a previously reported case.

In addition, Italy has reported eight West Nile fever equine cases and Hungary and Greece both reported one equine case through the Animal Disease Notification System (ADNS) of the European Commission.
[/FONT]

[FONT=&quot]Since the beginning of the 2017 transmission season and as of 14 September 2017, Greece has reported 40 human cases, Italy has reported 27 cases, Romania 22 cases, Hungary 10 cases and Austria two cases. In addition, Serbia has reported 28 cases and Israel has reported nine cases.[/FONT]
[FONT=&quot]In equids, Member States reported 68 West Nile fever cases through ADNS: 55 in Italy, 11 in Greece and two in Hungary.[/FONT]


[FONT=&quot]
ECDC_WNF_Affected_current_season_12.png
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Situation update, 22 September 2017


[FONT=&quot]Between 14 and 21 September 2017, Italy reported 20 cases, of which two cases were reported in a newly affected area. Romania reported 17 cases, in which one area is newly affected. Four cases in previously affected areas were reported by Hungary. Greece reported four cases of which two areas are newly affected. One domestically acquired case in Greece with an unknown place of infection has been reported. Romania reported one death due to West Nile fever.[/FONT]

[FONT=&quot]In addition, Italy has reported ten West Nile fever equine cases and Hungary reported one equine case through the Animal Disease Notification System (ADNS) of the European Commission.

More information about ADNS is available at: https://ec.europa.eu/food/animals/an.../not-system_en
[/FONT]


[FONT=&quot]Since the beginning of the 2017 transmission season and as of 21 September 2017, Italy has reported 47 cases, Greece has reported 45 human cases, Romania 39 cases, Hungary 14 cases and Austria has reported two cases. In addition, Serbia has reported 28 cases, and Israel has reported nine cases.

In equids, Member States reported 79 West Nile fever cases through ADNS: 65 in Italy, 11 in Greece and three in Hungary.
[/FONT]


ECDC_WNF_Affected_current_season_13.png
 
Situation update, 29 September 2017

[FONT=&quot]Between 21 and 28 September 2017, six new cases were reported by Romania. Austria reported two cases, Hungary reported two cases, Greece reported two cases and Italy reported two cases. Serbia reported eight new cases. All cases were notified in previously affected areas.

Three deaths due to West Nile fever have been reported by Greece, Hungary and Italy this week.

In addition, Italy reported eight West Nile fever equine cases and Greece reported one West Nile fever equine case through the Animal Disease Notification System (ADNS) of the European Commission.
[/FONT]


[FONT=&quot]Since the beginning of the 2017 transmission season and as of 28 September 2017, Italy has reported 49 cases, Greece has reported 47 human cases, Romania 45 cases, Hungary 16 cases and Austria has reported four cases. In addition, Serbia has reported 36 cases, and Israel has reported nine cases. Fifteen deaths due to West Nile fever have been reported since the start of the transmission season: Romania reported seven, Greece reported five, Hungary, Italy and Serbia reported one.[/FONT]

[FONT=&quot]In equids, Member States reported 88 West Nile fever cases through ADNS: 73 in Italy, 12 in Greece and three in Hungary.

index.aspx
ECDC_WNF_Affected_current_season_14.png
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[h=3]Situation update, 6 October 2017[/h] [FONT=&quot]Between 28 September and 5 October 2017, Romania reported nine cases, Italy reported four cases, Hungary reported two cases and Greece reported one case. Serbia and Israel reported nine and eight cases respectively. All cases were notified in areas already considered as affected.
Romania reported one death due to West Nile fever.
[/FONT]

[FONT=&quot]Since the beginning of the 2017 transmission season and as of 5 October 2017, the EU Member States and the neighbouring countries reported 240 cases: Romania (54 cases), Italy (53), Serbia (45), Greece (48), Hungary (19), Israel (17) and Austria (4).

Sixteen deaths due to West Nile fever have been reported since the start of the transmission season: Romania (8 deaths), Greece (5), Hungary (1), Italy (1) and Serbia (1).
[/FONT]

[FONT=&quot]Equine West Nile fever data reported through the Animal Disease Notification System (ADNS) of the European Commission and maps displaying areas with reports of equine West Nile fever cases are available at: https://ecdc.europa.eu/en/infectiou...nce-and-disease-data/disease-data-west-equids[/FONT]


ECDC_WNF_Affected_current_season_15.png
 
Situation update, 13 October 2017

[FONT=&quot]Between 5 and 12 October 2017, Romania reported six cases, Croatia reported five cases, Bulgaria and Serbia both reported one case. One of the case reported in Croatia is in a newly affected area. All other cases were notified in areas already considered as affected.[/FONT]

[FONT=&quot]Three deaths were reported due to West Nile fever, two by Romania and one by Croatia.[/FONT]

[FONT=&quot]Since the beginning of the 2017 transmission season and as of 12 October 2017, the EU Member States reported 189 cases: Romania (60 cases), Italy (53), Greece (47), Hungary (19), Croatia (5), Austria (4) and Bulgaria (1). Sixty-three cases were reported in the neighbouring countries: Serbia (46) and Israel (17). Nineteen deaths due to West Nile fever have been reported since the start of the transmission season: Romania (10 deaths), Greece (5), Hungary (1), Italy (1), Croatia (1) and Serbia (1).[/FONT]

[FONT=&quot]Equine West Nile fever data reported through the Animal Disease Notification System (ADNS) of the European Commission and maps displaying areas with reports of equine West Nile fever cases are available at: https://ecdc.europa.eu/en/infectious-diseases-public-health/west-nile-fever/surveillance-and-disease-data/disease-data-west-equids

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West Nile fever in Europe in 2017; updated 20 October


[FONT=&quot]20 Oct 2017[/FONT]

[FONT=&quot]Between 12 and 19 October 2017, Turkey reported five cases and Romania reported two cases. Greece and Italy both reported one case.

One of the cases reported in Turkey is in a newly affected area. All other cases were notified in areas already considered to be affected.
[/FONT]


[FONT=&quot]Turkey also reported one death due to West Nile fever.[/FONT]


[FONT=&quot]Since the beginning of the 2017 transmission season and as of 19 October 2017, the EU Member States reported 193 cases: Romania (62 cases), Italy (54), Greece (48), Hungary (19), Croatia (5), Austria (4) and Bulgaria (1).

Sixty-eight cases were reported in neighbouring countries: Serbia (46), Turkey (5) and Israel (17). Twenty deaths due to West Nile fever have been reported since the start of the transmission season: Romania (10 deaths), Greece (5), Hungary (1), Italy (1), Croatia (1), Serbia (1), Turkey (1).
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[FONT=&quot]
ECDC_WNF_Affected_current_season_17.png
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West Nile fever in Europe in 2017; updated 3 November

[FONT=&quot]Between 26 October and 2 November 2017, Hungary reported one case in Budapest. Eleven new cases were reported by Israel. All cases were notified in areas already considered to be affected. In addition, Hungary reported one death due to West Nile fever in a previously reported case.

Since the beginning of the 2017 transmission season and as of 2 November 2017, the EU Member States reported 198 cases: Romania (64 cases), Italy (55), Greece (48), Hungary (20), Croatia (5), Austria (4), France (1) and Bulgaria (1).

Eighty-two cases were reported in neighbouring countries: Serbia (49), Turkey (5) and Israel (28).
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ECDC_WNF_Affected_current_and_past_seasons_19.png
 
West Nile fever in Europe in 2017 and previous transmission seasons


[FONT=&quot]10 Nov 2017[/FONT]

[FONT=&quot]Between 2 and 9 November 2017, Romania reported two cases in previously affected areas, with disease onset in September and October. Italy reported two cases from Asti (Piedmont), a newly affected WNF area for humans, with onset dates in September. In addition, Romania reported one death due to West Nile fever in a previously reported case.[/FONT]

[FONT=&quot]Since the beginning of the 2017 transmission season and as of 9 November 2017, EU Member States reported 202 cases: Romania (66 cases), Italy (57), Greece (48), Hungary (20), Croatia (5), Austria (4), France (1) and Bulgaria (1). Eighty-two cases were reported in neighbouring countries: Serbia (49), Turkey (5) and Israel (28).[/FONT]

[FONT=&quot]Twenty-six deaths due to West Nile fever have been reported since the start of the transmission season: Romania (14 deaths), Greece (5), Hungary (2), Italy (1), Croatia (1), Serbia (2) and Turkey (1).

ECDC_WNF_Affected_current_and_past_seasons_20.png
[/FONT]
 
West Nile fever in Europe in 2017 and previous transmission seasons


[FONT=&quot]17 Nov 2017[/FONT]

[FONT=&quot]Between 9 and 16 November 2017, Hungary reported one human West Nile fever case in a previously affected area, with onset date end of October.[/FONT]

[FONT=&quot]Since the beginning of the 2017 transmission season and as of 16 November 2017, EU Member States reported 203 cases: Romania (66 cases), Italy (57), Greece (48), Hungary (21), Croatia (5), Austria (4), France (1) and Bulgaria (1). Eighty-two cases were reported in neighbouring countries: Serbia (49), Turkey (5) and Israel (28).[/FONT]

[FONT=&quot]Twenty-six deaths due to West Nile fever have been reported since the start of the transmission season: Romania (14 deaths), Greece (5), Hungary (2), Italy (1), Croatia (1), Serbia (2) and Turkey (1).

ECDC_WNF_Affected_current_and_past_seasons_21.png
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West Nile fever in Europe in 2017 and previous transmission seasons


[FONT=&quot]24 Nov 2017[/FONT]

[FONT=&quot]Between 16 and 23 November 2017, Turkey reported two cases in newly affected areas, with onset dates in August and September.

As no cases with recent disease onset were reported in the past four weeks, the final 2017 weekly update is published today.
[/FONT]


ECDC_WNF_Affected_current_and_past_seasons_22.png
 
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.
 
[FONT=&quot]Epidemiological update: West Nile virus transmission season in Europe, 2017

[FONT=&quot]28 Feb 2018[/FONT]

During the West Nile virus transmission season (June to November), ECDC publishes weekly epidemiological updates on human West Nile fever cases occurring in the European Union and the neighbouring countries. The updates are available via the Surveillance Atlas of Infectious Diseases. This year, for the first time, ECDC included equine West Nile fever cases in its epidemiological updates. During the 2017 transmission season, 204 human cases and 127 equine cases were reported in the European Union.
[/FONT]



[FONT=&quot]Human cases

The first cases in the European Union were infected in Greece late June and were reported at the end of July. The last case of the season was infected in Hungary and was reported mid-November. In the neighbouring countries, the first case was reported by Israel at the beginning of July. The last case of this transmission season was reported by Turkey at the end of November; the case had disease onset early September.
In the European Union, 204 human West Nile fever cases have been reported: Romania (66 cases), Italy (57), Greece (48), Hungary (21), Austria (5), Croatia (5), France (1) and Bulgaria (1). In the neighbouring countries, 84 cases were reported: Serbia (49), Israel (28) and Turkey (7). Twenty-six deaths due to West Nile fever have been reported, with a case fatality of nine percent: Romania (14 deaths), Greece (5), Hungary (2), Serbia (2), Italy (1), Croatia (1) and Turkey (1).

Romania reported a 1.4-fold decrease of human cases compared to the year before. Few affected areas in Romania had no previous reports of West Nile fever cases. Italy also reported cases in newly affected areas, e.g. in Livorno, along the western coast and in the north of the country, in Asti. After two consecutive years without any West Nile fever cases, in 2017, Greece reported again cases, including in areas where no cases were ever reported before. France reported one case in the Alpes-Maritimes, at the border with Italy, an area where no human West Nile fever cases were reported before. The last time France reported an autochthonous case was in 2015.

Serbia reported a similar number of human cases compared to the previous transmission season (n=41), but more compared to 2015 (n=28). Turkey reported several cases more than the previous year, including cases in areas without previous cases (i.e. in Istanbul and Icel). Considerably fewer West Nile fever cases were reported by Israel compared to the previous years, i.e. 125 and 84 cases in 2015 and 2016, respectively. No West Nile fever cases were documented in Russia this year. In 2016, Russia reported 135 cases.


Equine cases

[FONT=&quot]This year, for the first time, ECDC included equine West Nile fever cases in its epidemiological updates. Equine cases are notified through the Animal Disease Notification System (ADNS) of the European Commission.

Following a One Health approach, the maps including human and equine data aim to highlight areas, at the NUTS 3 level, where West Nile virus circulates in incidental hosts. During the 2017 transmission season 127 equine West Nile fever cases were reported by EU Member States through ADNS: 92 in Italy, 13 in Greece, 13 in Spain, three in Hungary, three in Portugal, two in Austria and one in France.

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