West Nile fever

This article is about the disease. For the virus, see West Nile virus.

West Nile fever
West Nile virus
Specialty	Infectious disease
Symptoms	None, fever, headache, vomiting or diarrhea and muscle aches rash [1]
Complications	Encephalitis, meningitis [1]
Usual onset	2 to 14 days after exposure [1]
Duration	Weeks to months [1]
Causes	West Nile virus spread by mosquito [1]
Diagnostic method	Based on symptoms and blood tests [1]
Prevention	Reducing mosquitoes, preventing mosquito bites [1]
Treatment	Supportive care (pain medication) [1]
Prognosis	10% risk of death among those seriously affected [1]

West Nile fever is an infection by the West Nile virus, which is typically spread by mosquitoes. ^[1] In about 80% of infections people have few or no symptoms. ^[2] About 20% of people develop a fever, headache, vomiting, or a rash. ^[1] In less than 1% of people, encephalitis or meningitis occurs, with associated neck stiffness, confusion, or seizures. ^[1] Recovery may take weeks to months. ^[1] The risk of death among those in whom the nervous system is affected is about 10 percent. ^[1]

West Nile virus (WNV) is usually spread by mosquitoes that become infected when they feed on infected birds, which often carry the disease. ^[1] Rarely the virus is spread through blood transfusions, organ transplants, or from mother to baby during pregnancy, delivery, or breastfeeding, ^[1] but it otherwise does not spread directly between people. ^[3] Risks for severe disease include being over 60 years old and having other health problems. ^[1] Diagnosis is typically based on symptoms and blood tests. ^[1]

There is no human vaccine. ^[1] The best way to reduce the risk of infection is to avoid mosquito bites. ^[1] Mosquito populations may be reduced by eliminating standing pools of water, such as in old tires, buckets, gutters, and swimming pools. ^[1] When mosquitoes cannot be avoided, mosquito repellent, window screens, and mosquito nets reduce the likelihood of being bitten. ^{[1] [3]} There is no specific treatment for the disease; pain medications may reduce symptoms. ^[1]

The virus was discovered in Uganda in 1937, and was first detected in North America in 1999. ^{[1] [3]} WNV has occurred in Europe, Africa, Asia, Australia, and North America. ^[1] In the United States thousands of cases are reported a year, with most occurring in August and September. ^[4] It can occur in outbreaks of disease. ^[3] Severe disease may also occur in horses, for which a vaccine is available. ^[3] A surveillance system in birds is useful for early detection of a potential human outbreak. ^[3]

Signs and symptoms

About 80% of those infected with West Nile virus (WNV) show no symptoms and go unreported. ^[5] About 20% of infected people develop symptoms. These vary in severity, and begin 3 to 14 days after being bitten. Most people with mild symptoms of WNV recover completely, though fatigue and weakness may last for weeks or months. Symptoms may range from mild, such as fever, to severe, such as paralysis and meningitis. A severe infection can last weeks and can, rarely, cause permanent brain damage. Death may ensue if the central nervous system is affected. Medical conditions such as cancer and diabetes, and age over 60 years, increase the risk of developing severe symptoms. ^{[6] [7]}

Headache can be a prominent symptom of WNV fever, meningitis, encephalitis, meningoencephalitis, and it may or may not be present in poliomyelitis-like syndrome. Thus, headache is not a useful indicator of neuroinvasive disease.

• West Nile fever (WNF), which occurs in 20 percent of cases, is a febrile syndrome that causes flu-like symptoms. ^[8] Most characterizations of WNF describe it as a mild, acute syndrome lasting 3 to 6 days after symptom onset. Systematic follow-up studies of patients with WNF have not been done, so this information is largely anecdotal. Possible symptoms include high fever, headache, chills, excessive sweating, weakness, fatigue, swollen lymph nodes, drowsiness, pain in the joints and flu-like symptoms. There may be gastrointestinal symptoms including nausea, vomiting, loss of appetite, and diarrhea. Fewer than one-third of patients develop a rash.
• West Nile neuroinvasive disease (WNND), which occurs in less than 1 percent of cases, is when the virus infects the central nervous system resulting in meningitis, encephalitis, meningoencephalitis or a poliomyelitis-like syndrome. ^[9] Many patients with WNND have normal neuroimaging studies, although abnormalities may be present in various cerebral areas including the basal ganglia, thalamus, cerebellum, and brainstem. ^[9]
• West Nile virus encephalitis (WNE) is the most common neuroinvasive manifestation of WNND. WNE presents with similar symptoms to other viral encephalitis with fever, headaches, and altered mental status. A prominent finding in WNE is muscular weakness (30 to 50 percent of patients with encephalitis), often with lower motor neuron symptoms, flaccid paralysis, and hyporeflexia with no sensory abnormalities. ^{[10] [11]}
• West Nile meningitis (WNM) usually involves fever, headache, stiff neck and pleocytosis, an increase of white blood cells in cerebrospinal fluid. Changes in consciousness are not usually seen and are mild when present.
• West Nile meningoencephalitis is inflammation of both the brain (encephalitis) and meninges (meningitis).
• West Nile poliomyelitis (WNP), an acute flaccid paralysis syndrome associated with WNV infection, is less common than WNM or WNE. This syndrome is generally characterized by the acute onset of asymmetric limb weakness or paralysis in the absence of sensory loss. Pain sometimes precedes the paralysis. The paralysis can occur in the absence of fever, headache, or other common symptoms associated with WNV infection. Involvement of respiratory muscles, leading to acute respiratory failure, sometimes occurs.
• West-Nile reversible paralysis, Like WNP, the weakness or paralysis is asymmetric. ^[12] Reported cases have been noted to have an initial preservation of deep tendon reflexes, which is not expected for a pure anterior horn involvement. ^[12] Disconnect of upper motor neuron influences on the anterior horn cells possibly by myelitis or glutamate excitotoxicity have been suggested as mechanisms. ^[12] The prognosis for recovery is excellent.
• Nonneurologic complications of WNV infection that may rarely occur include fulminant hepatitis, pancreatitis, ^[13] myocarditis, rhabdomyolysis, ^[14] orchitis, ^[15] nephritis, optic neuritis ^[16] and cardiac dysrhythmias and hemorrhagic fever with coagulopathy. ^[17] Chorioretinitis may also be more common than previously thought. ^[18]
• Skin manifestations, specifically rashes, are common; however, there are few detailed descriptions in case reports, and few images are available. Punctate erythematous, macular, and papular eruptions, most pronounced on the extremities have been observed in WNV cases and in some cases histopathologic findings have shown a sparse superficial perivascular lymphocytic infiltrate, a manifestation commonly seen in viral exanthems. A literature review provides support that this punctate rash is a common cutaneous presentation of WNV infection. ^[19]

Cause

Virology

Main article: West Nile virus

West Nile virus life cycle. After binding and uptake, the virion envelope fuses with cellular membranes, followed by uncoating of the nucleocapsid and release of the RNA genome into the cytoplasm. The viral genome serves as messenger RNA (mRNA) for translation of all viral proteins and as template during RNA replication. Copies are subsequently packaged within new virus particles that are transported in vesicles to the cell membrane.

WNV is one of the Japanese encephalitis antigenic serocomplex of viruses. ^[20] Image reconstructions and cryoelectron microscopy reveal a 45–50 nm virion covered with a relatively smooth protein surface. This structure is similar to the dengue fever virus; both belong to the genus Flavivirus within the family Flaviviridae . The genetic material of WNV is a positive-sense, single strand of RNA, which is between 11,000 and 12,000 nucleotides long; these genes encode seven nonstructural proteins and three structural proteins. The RNA strand is held within a nucleocapsid formed from 12-kDa protein blocks; the capsid is contained within a host-derived membrane altered by two viral membrane proteins. ^[21]

West Nile virus has been seen to replicate faster and spread more easily to birds at higher temperatures; one of several ways climate change could affect the epidemiology of this disease. ^[22]

Transmission

West Nile virus maintains itself in nature by cycling between mosquitoes in the genus Culex and certain species of birds. A mosquito (the vector) bites an uninfected bird (the host), the virus amplifies within the bird, an uninfected mosquito bites the bird and is in turn infected. Other species such as humans and horses are incidental infections, because the virus does not amplify well within these species and they are considered dead-end hosts.

The prime method of spread of the West Nile virus (WNV) is the female mosquito. In Europe, cats were identified as being hosts for West Nile virus. ^[23] The important mosquito vectors vary according to area; in the United States, Culex pipiens (Eastern United States, and urban and residential areas of the United States north of 36–39°N), Culex tarsalis (Midwest and West), and Culex quinquefasciatus (Southeast) are the main vector species. ^[24] In Europe, Culex pipiens is the principal vector. ^[25]

The mosquito species that are most frequently infected with WNV feed primarily on birds. ^[26] Different species of mosquitos take a blood meal from different types of vertebrate hosts, Mosquitoes show further selectivity, exhibiting preference for different species of birds. In the United States, WNV mosquito vectors feed preferentially on members of the Corvidae and thrush family. Among the preferred species within these families are the American crow, a corvid, and the American robin (Turdus migratorius). ^[27]

Some species of birds develop sufficient viral levels (>~10^4.2 log PFU/ml; ^[28] ) after being infected to transmit the infection to biting mosquitoes that in turn go on to infect other birds. In birds that die from WNV, death usually occurs after 4 to 6 days. ^[29] In mammals and several species of birds, the virus does not multiply as readily and so does not develop high viremia during infection. Mosquitoes biting such hosts are not believed to ingest sufficient virus to become infected, making them so-called dead-end hosts. ^[28] As a result of the differential infectiousness of hosts, the feeding patterns of mosquitoes play an important role in WNV transmission, ^{[26] [27]} and they are partly genetically controlled, even within a species. ^[30]

Direct human-to-human transmission initially was believed to be caused only by occupational exposure, such as in a laboratory setting, ^[31] or conjunctival exposure to infected blood. ^[32] The US outbreak identified additional transmission methods through blood transfusion, ^[33] organ transplant, ^[34] intrauterine exposure, ^[35] and breast feeding. ^[36] Since 2003, blood banks in the United States routinely screen for the virus among their donors. ^[37] As a precautionary measure, the UK's National Blood Service initially ran a test for this disease in donors who donate within 28 days of a visit to the United States, Canada, or the northeastern provinces of Italy, and the Scottish National Blood Transfusion Service ^[38] asks prospective donors to wait 28 days after returning from North America or the northeastern provinces of Italy before donating. There also have been reports of possible transmission of the virus from mother to child during pregnancy or breastfeeding or exposure to the virus in a lab, but these are rare cases and not conclusively confirmed. ^[39]

Recently, the potential for mosquito saliva to affect the course of WNV disease was demonstrated. ^{[40] [41] [42]} Mosquitoes inoculate their saliva into the skin while obtaining blood. Mosquito saliva is a pharmacological cocktail of secreted molecules, principally proteins, that can affect vascular constriction, blood coagulation, platelet aggregation, inflammation, and immunity. It clearly alters the immune response in a manner that may be advantageous to a virus. ^{[43] [44] [45] [46]} Studies have shown it can specifically modulate the immune response during early virus infection, ^[47] and mosquito feeding can exacerbate WNV infection, leading to higher viremia and more severe forms of disease. ^{[40] [41] [42]}

Vertical transmission

Vertical transmission, the transmission of a viral or bacterial disease from the female of the species to her offspring, has been observed in various West Nile virus studies, amongst different species of mosquitoes in both the laboratory and in nature. ^[48] Mosquito progeny infected vertically in autumn may potentially serve as a mechanism for WNV to overwinter and initiate enzootic horizontal transmission the following spring, although it likely plays little role in transmission in the summer and fall. ^[49]

Risk factors

Risk factors independently associated with developing a clinical infection with WNV include a suppressed immune system and a patient history of organ transplantation. ^[50] For neuroinvasive disease the additional risk factors include older age (>50+), male sex, hypertension, and diabetes mellitus. ^{[51] [52]}

A genetic factor also appears to increase susceptibility to West Nile disease. A mutation of the gene CCR5 gives some protection against HIV but leads to more serious complications of WNV infection. Carriers of two mutated copies of CCR5 made up 4.0 to 4.5% of a sample of people with West Nile disease, while the incidence of the gene in the general population is only 1.0%. ^{[53] [54]}

The most at risk occupations in the U.S. are outdoor workers, for example farmers, loggers, landscapers/groundskeepers, construction workers, painters, summer camp workers and pavers. ^[55] Two reports of accidental exposure by laboratory personnel working with infected fluids or tissues have been received. While this appears to be a rare occurrence, it highlights the need for proper handling of infected materials. The World Health Organization states that there are no known cases of health care workers acquiring the virus from infected patients when the appropriate infection control precautions are observed. ^[56]

Diagnosis

An immunoglobulin M antibody molecule: Definitive diagnosis of WNV is obtained through detection of virus-specific IgM and neutralizing antibodies.

Preliminary diagnosis is often based on the patient's clinical symptoms, places and dates of travel (if patient is from a nonendemic country or area), activities, and epidemiologic history of the location where infection occurred. A recent history of mosquito bites and an acute febrile illness associated with neurologic signs and symptoms should cause clinical suspicion of WNV. ^[57]

Diagnosis of West Nile virus infections is generally accomplished by serologic testing of blood serum or cerebrospinal fluid (CSF), which is obtained via a lumbar puncture. Initial screening could be done using the ELISA technique detecting immunoglobulins in the sera of the tested individuals. ^[21]

Typical findings of WNV infection include lymphocytic pleocytosis, elevated protein level, reference glucose and lactic acid levels, and no erythrocytes. ^[58]

Definitive diagnosis of WNV is obtained through detection of virus-specific antibody IgM and neutralizing antibodies. Cases of West Nile virus meningitis and encephalitis that have been serologically confirmed produce similar degrees of CSF pleocytosis and are often associated with substantial CSF neutrophilia. ^[59] Specimens collected within eight days following onset of illness may not test positive for West Nile IgM, and testing should be repeated. A positive test for West Nile IgG in the absence of a positive West Nile IgM is indicative of a previous flavivirus infection and is not by itself evidence of an acute West Nile virus infection. ^[60]

If cases of suspected West Nile virus infection, sera should be collected on both the acute and convalescent phases of the illness. Convalescent specimens should be collected 2–3 weeks after acute specimens.

It is common in serologic testing for cross-reactions to occur among flaviviruses such as dengue virus (DENV) and tick-borne encephalitis virus; this necessitates caution when evaluating serologic results of flaviviral infections. ^[61]

Four FDA-cleared WNV IgM ELISA kits are commercially available from different manufacturers in the U.S., each of these kits is indicated for use on serum to aid in the presumptive laboratory diagnosis of WNV infection in patients with clinical symptoms of meningitis or encephalitis. Positive WNV test results obtained via use of these kits should be confirmed by additional testing at a state health department laboratory or CDC. ^[62]

In fatal cases, nucleic acid amplification, histopathology with immunohistochemistry, and virus culture of autopsy tissues can also be useful. Only a few state laboratories or other specialized laboratories, including those at CDC, are capable of doing this specialized testing. ^[63]

Differential diagnosis

A number of various diseases may present with symptoms similar to those caused by a clinical West Nile virus infection. Those causing neuroinvasive disease symptoms include the enterovirus infection and bacterial meningitis. Accounting for differential diagnoses is a crucial step in the definitive diagnosis of WNV infection. Consideration of a differential diagnosis is required when a patient presents with unexplained febrile illness, extreme headache, encephalitis or meningitis. Diagnostic and serologic laboratory testing using polymerase chain reaction (PCR) testing and viral culture of CSF to identify the specific pathogen causing the symptoms, is the only currently available means of differentiating between causes of encephalitis and meningitis. ^[21]

Prevention

Low-cost, ceiling-hung mosquito netting for a bed

Many of the guidelines for preventing occupational West Nile virus exposure are common to all mosquito-borne diseases. ^[64]

Public health measures include taking steps to reduce mosquito populations. Personal recommendations are to reduce the likelihood of being bitten. General measures to avoid bites include:

• Using insect repellent on exposed skin to repel mosquitoes. Repellents include products containing DEET and picaridin. DEET concentrations of 30% to 50% are effective for several hours. Picaridin, available at 7% and 15% concentrations, needs more frequent application. DEET formulations as high as 30% are recommended for children over two months of age. ^[65] The CDC also recommends the use of: IR3535, oil of lemon eucalyptus, para-menthane-diol, or 2-undecanone. ^[66] Protect infants less than two months of age by using a carrier draped with mosquito netting with an elastic edge for a tight fit.
• When using sunscreen, apply sunscreen first and then repellent. Repellent should be washed off at the end of the day before going to bed. ^[67]
• Wear long-sleeve shirts, which should be tucked in, long trousers, socks, and hats to cover exposed skin (although most fabrics do not totally protect against bites). Insect repellents should be applied over top of protective clothing for greater protection. Do not apply insect repellents underneath clothing. ^[68]
• Repellents containing permethrin (e.g., Permanone) or other insect repellents may be applied to clothing, shoes, tents, mosquito nets, and other gear. (Permethrin is not suitable for use directly on skin.) Most repellent is generally removed from clothing and gear by a single washing, but permethrin-treated clothing is effective for up to five washings. ^[58]
• Most mosquitoes that transmit disease are most active at dawn and in the evening dusk. A notable exception is the Asian tiger mosquito, which is a daytime feeder and is more apt to be found in, or on the periphery of, shaded areas with heavy vegetation. They are now widespread in the United States, and in Florida they have been found in all 67 counties. ^[69]
• In an at-risk area, staying in air-conditioned or well-screened room, or sleeping under an insecticide-treated bed net is recommended. Bed nets should be tucked under mattresses, and can be sprayed with a repellent if not already treated with an insecticide. ^[64]

Monitoring and control

West Nile virus can be sampled from the environment by the pooling of trapped mosquitoes via ovitraps, carbon dioxide-baited light traps, and gravid traps, testing blood samples drawn from wild birds, dogs, and sentinel monkeys, and testing brains of dead birds found by various animal control agencies and the public.^{[ citation needed ]}

Testing of the mosquito samples requires the use of reverse-transcriptase PCR (RT-PCR) to directly amplify and show the presence of virus in the submitted samples. When using the blood sera of wild birds and sentinel chickens, samples must be tested for the presence of WNV antibodies by use of immunohistochemistry (IHC) ^[70] or enzyme-linked immunosorbent assay (ELISA). ^[71]

Dead birds, after necropsy, or their oral swab samples collected on specific RNA-preserving filter paper card, ^{[72] [73]} can have their virus presence tested by either RT-PCR or IHC, where virus shows up as brown-stained tissue because of a substrate-enzyme reaction.

West Nile control is achieved through mosquito control, by elimination of mosquito breeding sites such as abandoned pools, applying larvacide to active breeding areas, and targeting the adult population via lethal ovitraps and aerial spraying of pesticides. ^{[74] [75] [76]} With aerial pesticides, there is a rising need to develop new versions as pesticide resistance among mosquitoes can occur. ^{[77] [78]}

Environmentalists have condemned attempts to control the transmitting mosquitoes by spraying pesticide, saying the detrimental health effects of spraying outweigh the relatively few lives that may be saved, and more environmentally friendly ways of controlling mosquitoes are available. They also question the effectiveness of insecticide spraying, as they believe mosquitoes that are resting or flying above the level of spraying will not be killed; the most common vector in the northeastern United States, Culex pipiens, is a canopy feeder.^{[ citation needed ]}

• 
  A carbon dioxide-baited CDC light trap at NPSmonitoring site: The highest individual light trap total for 2010 was from a trap located in a salt marsh in the Fire Island National Seashore: around 25,142 mosquitoes were collected during a 16-hour period on August 31. ^[79]
• 
  Eggs of permanent water mosquitoes can hatch, and the larvae survive, in only a few ounces of water. Less than half the amount that may collect in a discarded coffee cup. Floodwater species lay their eggs on wet soil or other moist surfaces. Hatch time is variable for both types; under favorable circumstances (such as warm weather), the eggs of some species may hatch in as few as 1–3 days after being laid. ^[80]
• 
  Used tires often hold stagnant water and are a breeding ground for many species of mosquitoes. Some species such as the Asian tiger mosquito prefer manmade containers, such as tires, in which to lay their eggs. The rapid spread of this aggressive daytime feeding species beyond their native range has been attributed to the used tire trade. ^{[69] [81]}

Treatment

No specific treatment is available for WNV infection. ^[82] Most people recover without treatment. ^[83] In mild cases, over-the-counter pain relievers can help ease mild headaches and muscle aches in adults. ^[84] In severe cases supportive care is provided, often in hospital, with intravenous fluids, pain medication, respiratory support, and prevention of secondary infections. ^[85]

Prognosis

While the general prognosis is favorable, current studies indicate that West Nile Fever can often be more severe than previously recognized, with studies of various recent outbreaks indicating that it may take as long as 60 to 90 days to recover. ^{[11] [86]} Patients with milder WNF are just as likely as those with more severe manifestations of neuroinvasive disease to experience multiple somatic complaints such as tremor, and dysfunction in motor skills and executive functions for over a year. People with milder symptoms are just as likely as people with more severe symptoms to experience adverse outcomes. ^[87] Recovery is marked by a long convalescence with fatigue. One study found that neuroinvasive WNV infection was associated with an increased risk for subsequent kidney disease. ^{[88] [89]}

Epidemiology

Global distribution of West Nile virus (2006)

See also: List of West Nile virus outbreaks and West Nile virus in the United States

WNV was first isolated from a feverish 37-year-old woman at Omogo in the West Nile District of Uganda in 1937 during research on yellow fever virus. ^[90] A series of serosurveys in 1939 in central Africa found anti-WNV positive results ranging from 1.4% (Congo) to 46.4% (White Nile region, Sudan). It was subsequently identified in Egypt (1942) and India (1953), a 1950 serosurvey in Egypt found 90% of those over 40 years in age had WNV antibodies. The ecology was characterized in 1953 with studies in Egypt ^[91] and Israel. ^[92] The virus became recognized as a cause of severe human meningoencephalitis in elderly patients during an outbreak in Israel in 1957. The disease was first noted in horses in Egypt and France in the early 1960s and found to be widespread in southern Europe, southwest Asia and Australia.^{[ citation needed ]}

The first appearance of WNV in the Western Hemisphere was in 1999 ^[93] with encephalitis reported in humans, dogs, cats, and horses, and the subsequent spread in the United States may be an important milestone in the evolving history of this virus. The American outbreak began in College Point, Queens in New York City and was later spread to the neighboring states of New Jersey and Connecticut. The virus is believed to have entered in an infected bird or mosquito, although there is no clear evidence. ^[94] West Nile virus is now endemic in Africa, Europe, the Middle East, west and central Asia, Oceania (subtype Kunjin), and most recently, North America and is spreading into Central and South America. ^[95]

Outbreaks of West Nile virus encephalitis in humans have occurred in Algeria (1994), Romania (1996 to 1997), the Czech Republic (1997), Congo (1998), Russia (1999), the United States (1999 to 2009), Canada (1999–2007), Israel (2000), Greece (2010), and Israel (2024). ^[96]

Epizootics of disease in horses occurred in Morocco (1996), Italy (1998), the United States (1999 to 2001), and France (2000), Mexico (2003) and Sardinia (2011).^{[ citation needed ]}

In August 2024 in Warsaw the West Nile virus was identified in bodies of dead birds (Corvidae) while investigating an unusually high number of finds. ^[97]

Outdoor workers (including biological fieldworkers, construction workers, farmers, landscapers, and painters), healthcare personnel, and laboratory personnel who perform necropsies on animals are at risk of contracting WNV. ^[98]

In 2012, the US experienced one of its worst epidemics in which 286 people died, with the state of Texas being hard hit by this virus. ^{[99] [100]}

Weather

Drought has been associated with a higher number of West Nile virus cases in the following year. ^[101] As drought can decrease fish and other populations that eat mosquito eggs, higher numbers of mosquitoes can result. ^[101] Higher temperatures are linked to decreased time for replication and increased viral load in birds and mosquitoes. ^[22]

Research

A vaccine for horses (ATCvet code: QI05AA10 ( WHO )) based on killed viruses exists; some zoos have given this vaccine to their birds, although its effectiveness is unknown. Dogs and cats show few if any signs of infection. There have been no known cases of direct canine-human or feline-human transmission; although these pets can become infected, it is unlikely they are, in turn, capable of infecting native mosquitoes and thus continuing the disease cycle. ^[102] AMD3100, which had been proposed as an antiretroviral drug for HIV, has shown promise against West Nile encephalitis. Morpholino antisense oligos conjugated to cell penetrating peptides have been shown to partially protect mice from WNV disease. ^[103] There have also been attempts to treat infections using ribavirin, intravenous immunoglobulin, or alpha interferon. ^[104] GenoMed, a U.S. biotech company, has found that blocking angiotensin II can treat the "cytokine storm" of West Nile virus encephalitis as well as other viruses. ^[105]

As of 2019, six vaccines had progressed to human trials but none had been licensed in the United States. Only the two live attenuated vaccines produced strong immunity after a single dose. ^[106]

Dr. Anthony Fauci, former director of the National Institute of Allergy and Infectious Diseases, has urged proactive action, including international collaborations for vaccine and antiviral development, emphasizing that we must not wait for a greater crisis to address this virus. His call for increased public awareness and scientific research followed his own recovery as a victim of the West Nile virus himself, which he most likely contracted in his Washington, D.C. based backyard from a mosquito bite. ^[107]

References

1. "General Questions About West Nile Virus". www.cdc.gov. 19 October 2017. Archived from the original on 26 October 2017. Retrieved 26 October 2017.
2. "Symptoms, Diagnosis, & Treatment". www.cdc.gov. 15 January 2019. Archived from the original on 26 October 2017. Retrieved 15 January 2019.
3. "West Nile virus". World Health Organization. July 2011. Archived from the original on 18 October 2017. Retrieved 28 October 2017.
4. "Final Cumulative Maps and Data | West Nile Virus | CDC". www.cdc.gov. 24 October 2017. Archived from the original on 27 October 2017. Retrieved 28 October 2017.
5. Gompf, Sandra. "West Nile Virus". Medicine Net. MedicineNet Inc. Retrieved 15 January 2019.
6. "Symptoms, Diagnosis, & Treatment". Centers for Disease Control and Prevention. USA.gov. 2018-12-10. Retrieved 15 January 2019.
7. "West Nile virus". Mayoclinic. Mayo Foundation for Medical Education and Research (MFMER). Retrieved 15 January 2019.
8. Olejnik E (1952). "Infectious adenitis transmitted by Culex molestus". Bull Res Counc Isr. 2: 210–1.
9. Davis LE, DeBiasi R, Goade DE, et al. (Sep 2006). "West Nile virus neuroinvasive disease". Annals of Neurology . 60 (3): 286–300. doi:10.1002/ana.20959. PMID   16983682. S2CID   30778922.
10. Flores Anticona EM, Zainah H, Ouellette DR, Johnson LE (2012). "Two case reports of neuroinvasive west nile virus infection in the critical care unit". Case Reports in Infectious Diseases. 2012: 1–4. doi: 10.1155/2012/839458 . PMC   3433121 . PMID   22966470.
11. Carson PJ, Konewko P, Wold KS, et al. (2006). "Long-term clinical and neuropsychological outcomes of West Nile virus infection" (PDF). Clinical Infectious Diseases . 43 (6): 723–30. doi:10.1086/506939. PMID   16912946. S2CID   2765866. Archived (PDF) from the original on 2022-10-09.
12. Mojumder, D.K., Agosto, M., Wilms, H.; et al. (March 2014). "Is initial preservation of deep tendon reflexes in West Nile Virus paralysis a good prognostic sign?". Neurology Asia. 19 (1): 93–97. PMC   4229851 . PMID   25400704.
13. Asnis DS, Conetta R, Teixeira AA, Waldman G, Sampson BA (March 2000). "The West Nile Virus outbreak of 1999 in New York: the Flushing Hospital experience". Clinical Infectious Diseases. 30 (3): 413–8. doi: 10.1086/313737 . PMID   10722421.
14. Montgomery SP, Chow CC, Smith SW, Marfin AA, O'Leary DR, Campbell GL (2005). "Rhabdomyolysis in patients with west nile encephalitis and meningitis". Vector-Borne and Zoonotic Diseases. 5 (3): 252–7. doi:10.1089/vbz.2005.5.252. PMID   16187894. S2CID   33442661.
15. Smith RD, Konoplev S, DeCourten-Myers G, Brown T (February 2004). "West Nile virus encephalitis with myositis and orchitis". Hum. Pathol. 35 (2): 254–8. doi:10.1016/j.humpath.2003.09.007. PMID   14991545.
16. Anninger WV, Lomeo MD, Dingle J, Epstein AD, Lubow M (2003). "West Nile virus-associated optic neuritis and chorioretinitis". Am. J. Ophthalmol. 136 (6): 1183–5. doi:10.1016/S0002-9394(03)00738-4. PMID   14644244.
17. Paddock CD, Nicholson WL, Bhatnagar J, et al. (June 2006). "Fatal hemorrhagic fever caused by West Nile virus in the United States". Clinical Infectious Diseases. 42 (11): 1527–35. doi:10.1086/503841. PMID   16652309.
18. Shaikh S, Trese MT (2004). "West Nile virus chorioretinitis". Br J Ophthalmol. 88 (12): 1599–60. doi:10.1136/bjo.2004.049460. PMC   1772450 . PMID   15548822.
19. Anderson RC, Horn KB, Hoang MP, Gottlieb E, Bennin B (November 2004). "Punctate exanthem of West Nile Virus infection: report of 3 cases". J. Am. Acad. Dermatol. 51 (5): 820–3. doi:10.1016/j.jaad.2004.05.031. PMID   15523368.
20. Lobigs M, Diamond MS (2012). "Feasibility of cross-protective vaccination against flaviviruses of the Japanese encephalitis serocomplex". Expert Rev Vaccines. 11 (2): 177–87. doi:10.1586/erv.11.180. PMC   3337329 . PMID   22309667.
21. "Home - PMC - NCBI". www.ncbi.nlm.nih.gov. Retrieved 2022-06-24.
22. Paz, Shlomit (2015-04-05). "Climate change impacts on West Nile virus transmission in a global context". Philosophical Transactions of the Royal Society B: Biological Sciences. 370 (1665): 20130561. doi:10.1098/rstb.2013.0561. ISSN   0962-8436. PMC   4342965 . PMID   25688020.
23. Rijks, J.M.; Cito, F.; Cunningham, A.A.; Rantsios, A.T.; Giovannini, A. (2016). "Disease Risk Assessments Involving Companion Animals: an Overview for 15 Selected Pathogens Taking a European Perspective". Journal of Comparative Pathology. 155 (1): S75–S97. doi: 10.1016/j.jcpa.2015.08.003 . ISSN   0021-9975. PMID   26422413.
24. Hayes EB, Komar N, Nasci RS, Montgomery SP, O'Leary DR, Campbell GL (2005). "Epidemiology and transmission dynamics of West Nile virus disease". Emerging Infect. Dis. 11 (8): 1167–73. doi:10.3201/eid1108.050289a. PMC   3320478 . PMID   16102302.
25. Vogels, Chantal Bf; Göertz, Giel P.; Pijlman, Gorben P.; Koenraadt, Constantianus Jm (2017-11-08). "Vector competence of European mosquitoes for West Nile virus". Emerging Microbes & Infections. 6 (11): e96. doi:10.1038/emi.2017.82. ISSN   2222-1751. PMC   5717085 . PMID   29116220.
26. Kilpatrick, A.M. (2011). "Globalization, land use, and the invasion of West Nile virus". Science. 334 (6054): 323–327. Bibcode:2011Sci...334..323K. doi:10.1126/science.1201010. PMC   3346291 . PMID   22021850.
27. Kilpatrick, AM, P Daszak, MJ Jones, PP Marra, LD Kramer (2006). "Host heterogeneity dominates West Nile virus transmission". Proceedings of the Royal Society B: Biological Sciences. 273 (1599): 2327–2333. doi:10.1098/rspb.2006.3575. PMC   1636093 . PMID   16928635.
28. Kilpatrick, AM, SL LaDeau, PP Marra (2007). "Ecology of West Nile virus transmission and its impact on birds in the western hemisphere" (PDF). Auk (Submitted manuscript). 124 (4): 1121–1136. doi:10.1642/0004-8038(2007)124[1121:eownvt]2.0.co;2. S2CID   13796761.
29. Komar, N, S Langevin, S Hinten, N Nemeth, E Edwards, D Hettler, B Davis, R Bowen, M Bunning (2003). "Experimental infection of North American birds with the New York 1999 strain of West Nile virus". Emerging Infectious Diseases. 9 (3): 311–322. doi:10.3201/eid0903.020628. PMC   2958552 . PMID   12643825.
30. Brugman, V. A.; Hernández-Triana, L. M.; England, M. E.; Medlock, J. M.; Mertens, P. P. C.; Logan, J. G.; Wilson, A. J.; Fooks, A. R.; Johnson, N.; Carpenter, S. (2017-03-27). "Blood-feeding patterns of native mosquitoes and insights into their potential role as pathogen vectors in the Thames estuary region of the United Kingdom". Parasites & Vectors. 10 (1): 163. doi: 10.1186/s13071-017-2098-4 . ISSN   1756-3305. PMC   5369192 . PMID   28347323.
31. Centers for Disease Control and Prevention (CDC) (2002). "Laboratory-acquired West Nile virus infections—United States, 2002". MMWR Morb. Mortal. Wkly. Rep. 51 (50): 1133–5. PMID   12537288.
32. Fonseca K, Prince GD, Bratvold J, et al. (2005). "West Nile virus infection and conjunctive exposure". Emerging Infect. Dis. 11 (10): 1648–9. doi:10.3201/eid1110.040212. PMC   3366727 . PMID   16355512.
33. Centers for Disease Control and Prevention (CDC) (2002). "Investigation of blood transfusion recipients with West Nile virus infections". MMWR Morb. Mortal. Wkly. Rep. 51 (36): 823. PMID   12269472.
34. Centers for Disease Control and Prevention (CDC) (2002). "West Nile virus infection in organ donor and transplant recipients—Georgia and Florida, 2002". MMWR Morb. Mortal. Wkly. Rep. 51 (35): 790. PMID   12227442.
35. Centers for Disease Control and Prevention (CDC) (2002). "Intrauterine West Nile virus infection—New York, 2002". MMWR Morb. Mortal. Wkly. Rep. 51 (50): 1135–6. PMID   12537289.
36. Centers for Disease Control and Prevention (CDC) (2002). "Possible West Nile virus transmission to an infant through breast-feeding—Michigan, 2002". MMWR Morb. Mortal. Wkly. Rep. 51 (39): 877–8. PMID   12375687.
37. Centers for Disease Control and Prevention (CDC) (2003). "Detection of West Nile virus in blood donations—United States, 2003". MMWR Morb. Mortal. Wkly. Rep. 52 (32): 769–72. PMID   12917583. Archived from the original on 2017-06-25.
38. West Nile Virus. Scottish National Blood Transfusion Service.
39. "West Nile virus". Mayo Clinic. Archived from the original on 26 October 2017. Retrieved 25 October 2017.
40. Schneider BS, McGee CE, Jordan JM, Stevenson HL, Soong L, Higgs S (2007). Baylis, Matthew (ed.). "Prior exposure to uninfected mosquitoes enhances mortality in naturally-transmitted West Nile virus infection". PLOS ONE. 2 (11): e1171. Bibcode:2007PLoSO...2.1171S. doi: 10.1371/journal.pone.0001171 . PMC   2048662 . PMID   18000543.
41. Styer LM, Bernard KA, Kramer LD (2006). "Enhanced early West Nile virus infection in young chickens infected by mosquito bite: effect of viral dose". Am. J. Trop. Med. Hyg. 75 (2): 337–45. doi: 10.4269/ajtmh.2006.75.337 . PMID   16896145.
42. Schneider BS, Soong L, Girard YA, Campbell G, Mason P, Higgs S (2006). "Potentiation of West Nile encephalitis by mosquito feeding". Viral Immunol. 19 (1): 74–82. doi:10.1089/vim.2006.19.74. PMID   16553552. S2CID   37464180.
43. Wasserman HA, Singh S, Champagne DE (2004). "Saliva of the Yellow Fever mosquito, Aedes aegypti, modulates murine lymphocyte function". Parasite Immunol. 26 (6–7): 295–306. doi:10.1111/j.0141-9838.2004.00712.x. PMID   15541033. S2CID   32742815.
44. Limesand KH, Higgs S, Pearson LD, Beaty BJ (2003). "Effect of mosquito salivary gland treatment on vesicular stomatitis New Jersey virus replication and interferon alpha/beta expression in vitro". J. Med. Entomol. 40 (2): 199–205. doi: 10.1603/0022-2585-40.2.199 . PMID   12693849. S2CID   85624297.
45. Wanasen N, Nussenzveig RH, Champagne DE, Soong L, Higgs S (2004). "Differential modulation of murine host immune response by salivary gland extracts from the mosquitoes Aedes aegypti and Culex quinquefasciatus". Med. Vet. Entomol. 18 (2): 191–9. doi:10.1111/j.1365-2915.2004.00498.x. PMID   15189245. S2CID   42458052.
46. Zeidner NS, Higgs S, Happ CM, Beaty BJ, Miller BR (1999). "Mosquito feeding modulates Th1 and Th2 cytokines in flavivirus susceptible mice: an effect mimicked by injection of sialokinins, but not demonstrated in flavivirus resistant mice". Parasite Immunol. 21 (1): 35–44. doi:10.1046/j.1365-3024.1999.00199.x. PMID   10081770. S2CID   26774722.
47. Schneider BS, Soong L, Zeidner NS, Higgs S (2004). "Aedes aegypti salivary gland extracts modulate anti-viral and TH1/TH2 cytokine responses to sindbis virus infection". Viral Immunol. 17 (4): 565–73. doi:10.1089/vim.2004.17.565. PMID   15671753.
48. Bugbee, LM; Forte LR (September 2004). "The discovery of West Nile virus in overwintering Culex pipiens (Diptera: Culicidae) mosquitoes in Lehigh County, Pennsylvania". Journal of the American Mosquito Control Association. 20 (3): 326–7. PMID   15532939.
49. Goddard LB, Roth AE, Reisen WK, Scott TW (November 2003). "Vertical transmission of West Nile Virus by three California Culex (Diptera: Culicidae) species". J. Med. Entomol. 40 (6): 743–6. doi: 10.1603/0022-2585-40.6.743 . PMID   14765647.
50. Kumar D, Drebot MA, Wong SJ, et al. (2004). "A seroprevalence study of West Nile virus infection in solid organ transplant recipients". Am. J. Transplant. 4 (11): 1883–8. doi:10.1111/j.1600-6143.2004.00592.x. PMID   15476490. S2CID   31695008.
51. Jean CM, Honarmand S, Louie JK, Glaser CA (December 2007). "Risk factors for West Nile virus neuroinvasive disease, California, 2005". Emerging Infect. Dis. 13 (12): 1918–20. doi:10.3201/eid1312.061265. PMC   2876738 . PMID   18258047.
52. Kumar D, Drebot MA, Wong SJ, et al. (2004). "A seroprevalence study of west nile virus infection in solid organ transplant recipients". Am. J. Transplant. 4 (11): 1883–8. doi:10.1111/j.1600-6143.2004.00592.x. PMID   15476490. S2CID   31695008.
53. Glass, WG; Lim JK; Cholera R; Pletnev AG; Gao JL; Murphy PM (October 17, 2005). "Chemokine receptor CCR5 promotes leukocyte trafficking to the brain and survival in West Nile virus infection". Journal of Experimental Medicine. 202 (8): 1087–98. doi:10.1084/jem.20042530. PMC   2213214 . PMID   16230476.
54. Glass, WG; McDermott DH; Lim JK; Lekhong S; Yu SF; Frank WA; Pape J; Cheshier RC; Murphy PM (January 23, 2006). "CCR5 deficiency increases risk of symptomatic West Nile virus infection". Journal of Experimental Medicine. 203 (1): 35–40. doi:10.1084/jem.20051970. PMC   2118086 . PMID   16418398.
55. "Safety and Health Information Bulletins | Workplace Precautions Against West Nile Virus | Occupational Safety and Health Administration". www.osha.gov. Retrieved 2018-11-28.
56. "West Nile virus". World Health Organization. Retrieved 2018-11-28.
57. Zekar, Lara; Sharman, Tariq (2022), "Plasmodium Falciparum Malaria", StatPearls, Treasure Island (FL): StatPearls Publishing, PMID   32310422 , retrieved 2022-06-24
58. Rea, William J.; Patel, Kalpana D. (2017-12-14). Reversibility of Chronic Disease and Hypersensitivity, Volume 5: Treatment Options of Chemical Sensitivity. CRC Press. pp. 699–700. ISBN   978-1-4987-8137-4.
59. Tyler KL, Pape J, Goody RJ, Corkill M, Kleinschmidt-DeMasters BK (February 2006). "CSF findings in 250 patients with serologically confirmed West Nile virus meningitis and encephalitis". Neurology. 66 (3): 361–5. doi:10.1212/01.wnl.0000195890.70898.1f. PMID   16382032. S2CID   37751889.
60. "2012 DOHMH Advisory #8: West Nile Virus" (PDF). New York City Department of Health and Mental Hygiene. June 28, 2012. Archived (PDF) from the original on December 3, 2013.
61. Papa A, Karabaxoglou D, Kansouzidou A (October 2011). "Acute West Nile virus neuroinvasive infections: cross-reactivity with dengue virus and tick-borne encephalitis virus". J. Med. Virol. 83 (10): 1861–5. doi:10.1002/jmv.22180. PMID   21837806. S2CID   9901472.
62. Turgeon, Mary Louise (2017-04-07). Immunology & Serology in Laboratory Medicine - E-Book. Elsevier Health Sciences. p. 252. ISBN   978-0-323-40283-5.
63. Long, Sarah S.; Prober, Charles G.; Fischer, Marc (2017-05-09). Principles and Practice of Pediatric Infectious Diseases. Elsevier Health Sciences. p. 1135. ISBN   978-0-323-46132-0.
64. "Prevention | West Nile Virus | CDC". www.cdc.gov. 2018-09-24. Retrieved 2018-11-28.
65. American Academy of Pediatrics (8 August 2012). "Choosing an Insect Repellent for Your Child". healthychildren.org. Archived from the original on 27 August 2016. Retrieved 24 August 2016.
66. "Prevention | West Nile Virus | CDC". www.cdc.gov. 2018-09-24. Retrieved 2018-10-29.
67. Richman, Douglas D.; Whitley, Richard J.; Hayden, Frederick G. (2016-12-01). Clinical Virology. John Wiley & Sons. ISBN   978-1-68367-316-3.
68. Auerbach, Paul S. (2009-01-01). Medicine for the Outdoors: The Essential Guide to First Aid and Medical Emergencies. Elsevier Health Sciences. p. 392. ISBN   978-0-323-06813-0.
69. Rios L, Maruniak JE (October 2011). "Asian Tiger Mosquito, Aedes albopictus (Skuse) (Insecta: Diptera: Culicidae)". Department of Entomology and Nematology, University of Florida. EENY-319. Archived from the original on 2012-09-26.
70. Jozan, M; Evans R; McLean R; Hall R; Tangredi B; Reed L; Scott J (Fall 2003). "Detection of West Nile virus infection in birds in the United States by blocking ELISA and immunohistochemistry". Vector-Borne and Zoonotic Diseases (Submitted manuscript). 3 (3): 99–110. doi:10.1089/153036603768395799. PMID   14511579. S2CID   17720540.
71. Hall, RA; Broom AK; Hartnett AC; Howard MJ; Mackenzie JS (February 1995). "Immunodominant epitopes on the NS1 protein of MVE and KUN viruses serve as targets for a blocking ELISA to detect virus-specific antibodies in sentinel animal serum". Journal of Virological Methods. 51 (2–3): 201–10. doi:10.1016/0166-0934(94)00105-P. PMID   7738140.
72. "California Department of Public Health Tutorial for Local Agencies to Safely Collect Dead Birds Oral Swab Samples on RNAse Cards for West Nile Virus Testing" (PDF). Archived from the original (PDF) on July 9, 2014.
73. RNA virus preserving filter paper card Archived 2016-01-10 at the Wayback Machine . fortiusbio.com
74. Dusfour, Isabelle; Chaney, Sarah C (2022). "14 - MOSQUITO CONTROL: Success, failure and expectations in the context of arbovirus expansion and emergence". Mosquitopia: The place of pests in a healthy world (PDF). New York: Routledge. pp. 213–233. ISBN   978-1-00-305603-4.
75. Tidi, Stephen K (December 6, 2015). "Mosquito control: A review" (PDF). Biosciences Research in Today's World. ISSN   2476-7905. Archived from the original on 2020-03-21.
76. Wooding, Madelien; Naudé, Yvette; Rohwer, Egmont; Bouwer, Marc (2020-02-17). "Controlling mosquitoes with semiochemicals: a review". Parasites & Vectors. 13 (1): 80. doi: 10.1186/s13071-020-3960-3 . ISSN   1756-3305. PMC   7027039 . PMID   32066499.
77. Karunaratne, S. H. P. P.; Surendran, S. N. (2022). "Mosquito control: A review on the past, present and future strategies". Journal of the National Science Foundation of Sri Lanka. 50: 277. doi: 10.4038/jnsfsr.v50i0.11244 .
78. Dahmana, Handi; Mediannikov, Oleg (March 13, 2020). "Mosquito-Borne Diseases Emergence/Resurgence and How to Effectively Control It Biologically". Pathogens. 9 (4): 310. doi: 10.3390/pathogens9040310 . ISSN   2076-0817. PMC   7238209 . PMID   32340230.
79. "Mosquito Monitoring and Management". National Park Service. Archived from the original on 2013-04-15.
80. Oklahoma State University: Mosquitoes and West Nile virus
81. Benedict MQ, Levine RS, Hawley WA, Lounibos LP (2007). "Spread of the tiger: global risk of invasion by the mosquito Aedes albopictus". Vector-Borne and Zoonotic Diseases. 7 (1): 76–85. doi:10.1089/vbz.2006.0562. PMC   2212601 . PMID   17417960.
82. Petersen LR, Brault AC, Nasci RS (July 2013). "West Nile virus: review of the literature". JAMA. 310 (3): 308–15. doi:10.1001/jama.2013.8042. PMC   4563989 . PMID   23860989.
83. "West Nile Virus". MedlinePlus . 18 March 2021. Retrieved 21 October 2021.
84. "Symptoms, Diagnosis, & Treatment | West Nile Virus | CDC". www.cdc.gov. 2021-07-22. Retrieved 2022-06-24.
85. Sambri V, Capobianchi M, Charrel R, Fyodorova M, Gaibani P, Gould E, Niedrig M, Papa A, Pierro A, Rossini G, Varani S, Vocale C, Landini MP (August 2013). "West Nile virus in Europe: emergence, epidemiology, diagnosis, treatment, and prevention". Clin Microbiol Infect. 19 (8): 699–704. doi: 10.1111/1469-0691.12211 . PMID   23594175.
86. Watson JT, Pertel PE, Jones RC, et al. (September 2004). "Clinical characteristics and functional outcomes of West Nile Fever". Ann. Intern. Med. 141 (5): 360–5. doi:10.7326/0003-4819-141-5-200409070-00010. PMID   15353427. S2CID   5779034.
87. Klee AL, Maidin B, Edwin B, et al. (Aug 2004). "Long-term prognosis for clinical West Nile virus infection". Emerg Infect Dis. 10 (8): 1405–11. doi:10.3201/eid1008.030879. PMC   3320418 . PMID   15496241.
88. Nolan MS, Podoll AS, Hause AM, Akers KM, Finkel KW, Murray KO (2012). Wang, Tian (ed.). "Prevalence of chronic kidney disease and progression of disease over time among patients enrolled in the Houston West Nile virus cohort". PLOS ONE. 7 (7): e40374. Bibcode:2012PLoSO...740374N. doi: 10.1371/journal.pone.0040374 . PMC   3391259 . PMID   22792293.
89. "New Study Reveals: West Nile virus is far more menacing & harms far more people". The Guardian Express. 26 August 2012. Archived from the original on 6 October 2012. Retrieved 26 August 2012.
90. Smithburn KC, Hughes TP, Burke AW, Paul JH (June 1940). "A Neurotropic Virus Isolated from the Blood of a Native of Uganda". Am. J. Trop. Med. 20 (1): 471–92. doi: 10.4269/ajtmh.1940.s1-20.471 .
91. Work TH, Hurlbut HS, Taylor RM (1953). "Isolation of West Nile virus from hooded crow and rock pigeon in the Nile delta". Proc. Soc. Exp. Biol. Med. 84 (3): 719–22. doi:10.3181/00379727-84-20764. PMID   13134268. S2CID   45962741.
92. Bernkopf H, Levine S, Nerson R (1953). "Isolation of West Nile virus in Israel". J. Infect. Dis. 93 (3): 207–18. doi:10.1093/infdis/93.3.207. PMID   13109233.
93. Nash D, Mostashari F, Fine A, et al. (June 2001). "The outbreak of West Nile virus infection in the New York City area in 1999". N. Engl. J. Med. 344 (24): 1807–14. doi: 10.1056/NEJM200106143442401 . PMID   11407341.
94. Calisher CH (2000). "West Nile virus in the New World: appearance, persistence, and adaptation to a new econiche—an opportunity taken". Viral Immunol. 13 (4): 411–4. doi:10.1089/vim.2000.13.411. PMID   11192287.
95. Encyclopedia of Environmental Health. Elsevier. 2019-08-22. p. 452. ISBN   978-0-444-63952-3.
96. Bisen, Prakash S.; Raghuvanshi, Ruchika (2013-06-14). Emerging Epidemics: Management and Control. John Wiley & Sons. ISBN   978-1-118-39325-3.
97. "Tajemnicza choroba ptaków w Warszawie. Potwierdziły się złe informacje". August 13, 2024.
98. "West Nile virus". NIOSH. August 27, 2012. Archived from the original on July 29, 2017.
99. Murray KO, Ruktanonchai D, Hesalroad D, Fonken E, Nolan MS (November 2013). "West Nile virus, Texas, USA, 2012". Emerging Infectious Diseases. 19 (11): 1836–8. doi:10.3201/eid1911.130768. PMC   3837649 . PMID   24210089.
100. Fox, M. (May 13, 2013). "2012 was deadliest year for West Nile in US, CDC says". NBC News. Archived from the original on June 8, 2013. Retrieved May 13, 2013.
101. Brown, L.; Medlock, J.; Murray, V. (January 2014). "Impact of drought on vector-borne diseases – how does one manage the risk?". Public Health. 128 (1): 29–37. doi:10.1016/j.puhe.2013.09.006. ISSN   0033-3506. PMID   24342133.
102. "Vertebrate Ecology". West Nile Virus. Division of Vector-Borne Diseases, CDC. 30 April 2009. Archived from the original on 1 March 2013.
103. Deas, Tia S; Bennett CJ; Jones SA; Tilgner M; Ren P; Behr MJ; Stein DA; Iversen PL; Kramer LD; Bernard KA; Shi PY (May 2007). "In vitro resistance selection and in vivo efficacy of morpholino oligomers against West Nile virus". Antimicrob Agents Chemother. 51 (7): 2470–82. doi:10.1128/AAC.00069-07. PMC   1913242 . PMID   17485503.
104. Hayes EB, Sejvar JJ, Zaki SR, Lanciotti RS, Bode AV, Campbell GL (2005). "Virology, pathology, and clinical manifestations of West Nile virus disease". Emerging Infect. Dis. 11 (8): 1174–9. doi:10.3201/eid1108.050289b. PMC   3320472 . PMID   16102303.
105. Moskowitz DW, Johnson FE (2004). "The central role of angiotensin I-converting enzyme in vertebrate pathophysiology". Curr Top Med Chem. 4 (13): 1433–54. doi:10.2174/1568026043387818. PMID   15379656. S2CID   22897898.
106. Malik, Yashpal Singh; Milton, Arockiasamy Arun Prince; Ghatak, Sandeep; Ghosh, Souvik (2022-01-01). Role of Birds in Transmitting Zoonotic Pathogens. Springer Nature. p. 49. ISBN   978-981-16-4554-9.
107. Anthony, Fauci (October 7, 2024). "Anthony Fauci: My West Nile Virus Nightmare".

External links

• Medicine portal
• Viruses portal

• De Filette M, Ulbert S, Diamond M, Sanders NN (2012). "Recent progress in West Nile virus diagnosis and vaccination". Vet. Res. 43 (1): 16. doi: 10.1186/1297-9716-43-16 . PMC   3311072 . PMID   22380523.
• "West Nile Virus". Division of Vector-Borne Diseases, U.S. Centers for Disease Control and Prevention (CDC). 2018-10-30.
• CDC—West Nile Virus—NIOSH Workplace Safety and Health Topic
• West Nile Virus Resource Guide—National Pesticide Information Center
• Virus Pathogen Database and Analysis Resource (ViPR): Flaviviridae
• Species Profile – West Nile Virus (Flavivirus), National Invasive Species Information Center, United States National Agricultural Library. Lists general information and resources for West Nile Virus.