Current Trends in Arbovirus Outbreaks and Research

A Special Issue of Viruses (ISSN 1999-4915) belonging to the section "Human Virology and Viral Diseases".

Deadline for manuscript submissions: 1 July 2027 | Viewed by 14391

Editor

Special Issue Information

Dear Colleagues,

Arboviruses continue to represent an urgent and expanding global health challenge. In recent years, we have witnessed unprecedented outbreaks, geographic expansions, and shifts in transmission dynamics involving a wide range of arboviral pathogens. These changes are driven by a convergence of viral evolution, climate variability, anthropogenic environmental change, and increasing global connectivity.

After 20 years, chikungunya virus (CHIKV) has re-emerged in Réunion Island (2024–2025), causing a major outbreak associated with a viral clade harboring mutations such as E1-A226V, known to enhance transmission via Aedes albopictus. Similar mutations were responsible for the large-scale outbreaks that began in the Indian Ocean in 2005 and were followed by autochthonous transmission events in Europe.

This adaptation may also be contributing to the current chikungunya outbreaks in Europe and China. In 2025, Europe is experiencing both the earliest seasonal onset and the widest geographic spread of local chikungunya transmission ever recorded, while China is undergoing its largest epidemic to date. Notably, the European summer of 2025 has broken historical temperature records, creating increasingly favorable conditions for arboviral transmission in temperate regions via Aedes albopictus, a vector with expanding distribution.

These developments underscore the growing global risk of sustained arbovirus transmission beyond the tropics and raise concerns about future outbreaks in previously unaffected areas across Europe, Asia, and North America.

At the same time, the Americas are experiencing the largest arbovirus epidemics ever recorded, with explosive outbreaks of dengue, chikungunya, and yellow fever in several Latin American countries. These crises are straining surveillance systems and health services, exposing gaps in early detection, clinical management, and public health response.

Compounding this complex scenario is the rapid and unprecedented geographic expansion of Oropouche virus (OROV), a peribunyavirus historically restricted to the Amazon basin. In recent years, OROV has been detected in urban areas across Brazil, including bordering regions and signaling potential spread into the Caribbean. Despite its epidemic potential, OROV remains under-recognized and frequently misdiagnosed, presenting a silent but growing public health threat.

Topics of Interest

We invite submissions in the form of original research articles, reviews, short communications, case reports, viewpoints, and modeling studies related to the following topics:

  • Arbovirus surveillance systems and outbreak investigations;
  • Molecular epidemiology, viral evolution, and genomic signatures of adaptation;
  • Vector competence, adaptation, and ecology in urban and temperate settings;
  • Climate change and environmental drivers of arboviral transmission;
  • Spillover risk and zoonotic interfaces;
  • Emerging and neglected arboviruses (e.g., Oropouche, Mayaro): detection, expansion, and under-recognition;
  • Diagnostic innovations and challenges in differential diagnosis;
  • Arbovirus-related complications and mortality (neurological, congenital, chronic);
  • Immunopathogenesis and host response to infection;
  • Vaccine and antiviral development, and evaluation of public health applications;
  • Health system preparedness, clinical management, and risk communication;
  • Comparative studies across geographic regions, arbovirus species, or outbreak contexts.

Prof. Dr. André Ricardo Ribas Freitas
Guest Editor

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Keywords

  • arboviral infections
  • Dengue
  • Chikungunya
  • Zika
  • Oropouche
  • West Nile
  • Usutu
  • Tick borne encephalitis
  • Toscana
  • Sandfly Fever Sicilian
  • Flaviviridae
  • Bunyavirales
  • Togaviridae
  • viral evolution
  • vector ecology
  • climate change
  • emerging arboviruses
  • surveillance
  • public health preparedness

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Published Papers (10 papers)

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Research

Jump to: Review

16 pages, 15463 KB  
Article
ENSO Impact on Global Chikungunya Virus Transmission, 2008–2024: A Multi-Country Distributed-Lag Time-Series Analysis
by Shi-Hui Shan, Long-Tao Chen, Wen-Qi Xie, Chen-Long Lv, Dong Jiang, Fang-Yu Ding, Gang Dong and Li-Qun Fang
Viruses 2026, 18(8), 918; https://doi.org/10.3390/v18080918 - 21 Aug 2026
Viewed by 544
Abstract
Chikungunya is undergoing global expansion, but how El Niño–Southern Oscillation (ENSO) influences its transmission remains unclear. We aim to assess the impact of ENSO phases on chikungunya incidence via temperature and precipitation teleconnections and to project future risk burden under climate change. We [...] Read more.
Chikungunya is undergoing global expansion, but how El Niño–Southern Oscillation (ENSO) influences its transmission remains unclear. We aim to assess the impact of ENSO phases on chikungunya incidence via temperature and precipitation teleconnections and to project future risk burden under climate change. We compiled annual national and subnational chikungunya case data (2008–2024), quantified ENSO–climate teleconnections using the E-index (eastern Pacific El Niño) and C-index (central Pacific La Niña), and applied distributed-lag time-series models to assess the teleconnection-mediated impact of ENSO on chikungunya incidence. We further projected future risk burden under climate change scenarios. Modelling shows that El Niño increased chikungunya risk after a 2-year lag (cumulative relative risk [CRR] = 1.40, 95% confidence interval [CI]: 1.02–1.85), while La Niña suppressed it (CRR = 0.09, 95% CI: 0.07–0.13). Temperature teleconnections were the dominant modifier of spatial heterogeneity in effects. Under all scenarios, El Niño-driven warming led to positive median excess cases, the highest under SSP2-4.5, whereas La Niña-driven changes projected smaller, highly uncertain reductions. ENSO influences chikungunya transmission through asymmetric and spatially heterogeneous teleconnection pathways. Integrating ENSO forecasts into surveillance efforts has the potential to enhance preparedness in climate-sensitive regions. Full article
(This article belongs to the Special Issue Current Trends in Arbovirus Outbreaks and Research)
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21 pages, 4539 KB  
Article
Molecular Evolution of the Chikungunya Virus E1 Gene in Saudi Arabia: Predominance of Purifying Selection and ECSA/IOL Lineage Circulation
by Mohamed A. Farrag
Viruses 2026, 18(7), 791; https://doi.org/10.3390/v18070791 - 19 Jul 2026
Viewed by 532
Abstract
Background: Chikungunya virus (CHIKV) is a re-emerging alphavirus that has caused millions of cases worldwide, yet its molecular epidemiology in Saudi Arabia remains poorly understood. This study integrates bioinformatic analysis of the envelope gene (E1) gene sequences from Saudi isolates with [...] Read more.
Background: Chikungunya virus (CHIKV) is a re-emerging alphavirus that has caused millions of cases worldwide, yet its molecular epidemiology in Saudi Arabia remains poorly understood. This study integrates bioinformatic analysis of the envelope gene (E1) gene sequences from Saudi isolates with global genotypes to characterize circulating lineages, selection pressures and stability effects of endemic mutations. Methods: A total of 109 CHIKV E1 sequences (1155 bp) representing the East/Central/South African (ECSA), Asian, and West African genotypes were retrieved from GenBank and GISAID. Phylogenetic relationships were reconstructed using maximum likelihood (IQ-TREE). Codon-based selection analyses were performed with MEME, FEL, SLAC, and FUBAR. The structural effects of nine missense mutations were assessed using DynaMut and consensus predictors (DUET, mCSM). Results: All seven Saudi isolates clustered within the ECSA-Indian Ocean Lineage (IOL) subclade with strong bootstrap support (≥95%). Short branch lengths among Saudi strains indicated recent common ancestry and limited local divergence, suggesting possible repeated introductions or limited local circulation. No codon showed robust evidence of positive selection across multiple methods. However, episodic diversifying selection was detected at codon 99 (MEME, p = 0.01), while pervasive purifying selection acted on numerous sites (e.g., codons 135, 307, 344; strong signals across FEL, SLAC, and FUBAR). A single conserved N-linked glycosylation site was present at residue 141 (NITV motif) in all Saudi and most global strains. Three mutations unique to or prominent in Saudi isolates (N20H, L136F, A249T) were identified; consensus stability predictions (DUET) classified them as destabilizing. Conclusions: Saudi CHIKV strains belong exclusively to the ECSA-IOL lineage and exhibit strong purifying selection on the E1 gene, consistent with functional constraints on this essential fusion protein. The identified Saudi-associated mutations appear to be non-adaptive, tolerated changes. These findings underscore the value of continued genomic surveillance to monitor potential adaptive evolution, particularly in the context of mass gatherings and competent Aedes vectors. Full article
(This article belongs to the Special Issue Current Trends in Arbovirus Outbreaks and Research)
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11 pages, 252 KB  
Article
Increasing Frequency of Secondary Dengue Infections in Sequential Outbreaks (2016–2024)—Clinical Impact and Diagnostic Challenges
by Sonia L. Espindola, Matías Javier Pereson, José Martín Lema, Analía Kachuk, Graciela M. Carballo, Natalia Aloisi, María Noel Badano, Marcos Miretti, Federico A. Di Lello and Patricia Baré
Viruses 2026, 18(7), 785; https://doi.org/10.3390/v18070785 - 18 Jul 2026
Viewed by 654
Abstract
Successive dengue virus (DENV) outbreaks progressively reshape population immunity, influencing disease expression and diagnostic performance. This study evaluated the impact of secondary infections across sequential outbreaks on disease severity markers, serotype dynamics, and the agreement between routinely used direct diagnostic methods. This retrospective [...] Read more.
Successive dengue virus (DENV) outbreaks progressively reshape population immunity, influencing disease expression and diagnostic performance. This study evaluated the impact of secondary infections across sequential outbreaks on disease severity markers, serotype dynamics, and the agreement between routinely used direct diagnostic methods. This retrospective study analyzed 976 serum samples from three outbreaks in Misiones, Argentina. Clinical and serotype analyses included 869 acute-phase dengue cases confirmed by at least one direct detection method (2016: n = 512; 2019: n = 148; 2024: n = 209). A subset of 318 samples, including 107 RT-PCR/NS1-negative samples, was used to compare NS1 antigen rapid diagnostic tests (NS1 Ag) and RT-PCR. Viral serotypes and clinical and laboratory severity markers were evaluated. Secondary infections increased from 31.1% in 2016 to 43.2% in 2019 and 53.1% in 2024 (p < 0.001). Serotype distribution shifted from DENV-1 predominance in 2016 (95.1%) to DENV-1/DENV-4 co-circulation in 2019 (60.7%/39.3%) and DENV-2 predominance in 2024 (97.6%). Secondary infections were associated with increased frequency of laboratory severity markers, particularly in 2024, including higher hematocrit, liver enzyme levels and lower leukocyte and platelet counts. Concordance between NS1 Ag and RT-PCR was lower in secondary infections (κ = 0.457 vs. 0.759, p = 0.0013). The increasing frequency of secondary infections may influence laboratory markers associated with dengue severity and reduce the diagnostic concordance between direct detection methods, highlighting the need for optimized surveillance and diagnostic strategies during dengue outbreaks. Full article
(This article belongs to the Special Issue Current Trends in Arbovirus Outbreaks and Research)
14 pages, 1848 KB  
Article
Genomic Evidence for Novel Introduction and Intra-Host Diversity of DENV-2 in Dar es Salaam, Tanzania
by Silvan Hälg, Frank S. C. Tenywa, Nicole Liechti, Christian Beuret, Sarah J. Moore and Pie Müller
Viruses 2026, 18(5), 585; https://doi.org/10.3390/v18050585 - 21 May 2026
Viewed by 1066
Abstract
Dengue virus (DENV) poses a growing risk in Tanzania, yet its genetic diversity in mosquito populations remains poorly understood. Using Nanopore sequencing, we recovered full coding sequences from six DENV-2 positive mosquito pools collected in Dar es Salaam outside recognized outbreak periods. Phylogenetic [...] Read more.
Dengue virus (DENV) poses a growing risk in Tanzania, yet its genetic diversity in mosquito populations remains poorly understood. Using Nanopore sequencing, we recovered full coding sequences from six DENV-2 positive mosquito pools collected in Dar es Salaam outside recognized outbreak periods. Phylogenetic analysis placed these sequences in a distinct monophyletic clade within genotype II, separate from strains linked to Tanzania’s 2014 outbreak. Instead, they clustered with Asian lineages and showed the closest relatedness to DENV-2 strains from Kenya (2013) and India (2014), with divergence estimated to have occurred around 2010. Variant profiling identified 212 low-frequency intra-pool variants, predominantly non-synonymous changes in the NS3, NS4B, and NS5 coding regions. These results suggest a previously unrecognized introduction of genotype II that is now circulating silently within local mosquito populations. Our findings highlight the value of genomic surveillance in mosquito vectors for early detection of arboviral threats, even in the absence of reported human cases. Full article
(This article belongs to the Special Issue Current Trends in Arbovirus Outbreaks and Research)
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15 pages, 3535 KB  
Article
Aedes aegypti Mosquitoes from Central Vietnam Feature Specific Viromic Profiles Linked to Dengue Virus Coinfection
by Margarita Popova, Alena Khalilova, Anna Gladkikh, Ekaterina Klyuchnikova, Tatiana Arbuzova, Edward Ramsay, Nguyen T. Dong, Bui T. Phu, Hung Thai Do and Vladimir Dedkov
Viruses 2026, 18(4), 422; https://doi.org/10.3390/v18040422 - 31 Mar 2026
Viewed by 1245
Abstract
Aedes aegypti is a primary vector for globally significant arboviruses such as dengue virus (DENV). The mosquito’s metavirome, particularly its insect-specific virus (ISV) component, is recognized as a key modulator of arboviral transmission. However, the natural ecology of these interactions in populations remains [...] Read more.
Aedes aegypti is a primary vector for globally significant arboviruses such as dengue virus (DENV). The mosquito’s metavirome, particularly its insect-specific virus (ISV) component, is recognized as a key modulator of arboviral transmission. However, the natural ecology of these interactions in populations remains poorly understood. This study presents the first comparative analysis of the metavirome in wild-caught A. aegypti from Vietnam based on natural DENV infection status. Metaviromic analysis was performed on 69 DENV-positive pools from six central provinces. The results obtained were compared with previously obtained metaviromic data from 7 DENV-negative pools (from the same region). Analysis suggests the presence of a stable ‘core metavirome’ of 11 ISVs present in both groups. Interestingly, six ISVs were detected only in DENV-negative mosquitoes, which may suggest potential antagonistic interactions requiring further investigation. Conversely, five ISVs were found only in DENV-positive pools, including Aedes partiti-like virus 1 and Aedes anphevirus. The latter may suggest possible synergistic relationships that facilitate arboviral replication. Phylogenetic analysis of prevalent ISVs, such as Phasi Charoen-like phasivirus (PCLV) and Chaq-like virus, revealed patterns of both local circulation and genetic diversity. The findings describe distinct ISV profiles associated with DENV infection in a natural setting, providing a data-driven foundation for hypothesizing specific virus–virus interactions. The data underscores the complexity of the mosquito metavirome. Here, we identified several candidate ISVs for future experimental studies aimed at understanding potential functional impact on arboviral vector competence. Full article
(This article belongs to the Special Issue Current Trends in Arbovirus Outbreaks and Research)
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18 pages, 1517 KB  
Article
Increased Mortality Rates During the 2025 Chikungunya Epidemic in Réunion Island
by André Ricardo Ribas Freitas, Luana Hughes Freitas, Antonio Silva Lima Neto, Luciano Pamplona Goes Cavalcanti and Pedro María Alarcón-Elbal
Viruses 2026, 18(2), 180; https://doi.org/10.3390/v18020180 - 29 Jan 2026
Cited by 2 | Viewed by 2025
Abstract
Background: Chikungunya virus (CHIKV) has historically been regarded as a low-fatality infection; however, growing evidence from diverse study designs demonstrated a substantial mortality burden during large-scale epidemics. In 2025, Réunion Island experienced a major CHIKV outbreak, raising renewed concerns about its fatal impact. [...] Read more.
Background: Chikungunya virus (CHIKV) has historically been regarded as a low-fatality infection; however, growing evidence from diverse study designs demonstrated a substantial mortality burden during large-scale epidemics. In 2025, Réunion Island experienced a major CHIKV outbreak, raising renewed concerns about its fatal impact. Methods: We conducted an ecological time-series analysis of all-cause mortality during the 2025 chikungunya epidemic. Expected deaths were estimated using two complementary approaches: (i) a baseline based on age-specific mean mortality rates from the same calendar months in the post-pandemic period and (ii) long-term Poisson regression models using a log-link function and population offset, excluding the COVID-19 pandemic period. Excess mortality was calculated as the difference between observed and expected deaths during periods when observed mortality significantly exceeded the upper bound of the 95% confidence interval (CI). Results: Observed mortality exceeded the upper 95% CI limit for three consecutive months, coinciding with the epidemic curve and resulting in an estimated 208 excess deaths. These deaths were concentrated among older adults, peaking in April 2025 with a mortality rate ratio of 1.34 (95% CI: 1.22–1.47; p < 0.001). Among older adults, the age-specific excess mortality rate reached 145.3 per 100,000 (95% CI: 125.5–165.0) with a case fatality rate (CFR) of 2.4%, resulting in an overall population excess mortality rate of 23.2 per 100,000 and a total CFR of 0.4%. The number of deaths identified through routine surveillance was substantially lower than our estimates, highlighting a significant discrepancy between reported and excess chikungunya-associated mortality. Conclusions: Chikungunya epidemics are consistently associated with substantial underrecognized mortality worldwide. Routine surveillance relying solely on laboratory confirmation underestimates the true burden of the disease. Integrating excess mortality analysis, strengthening diagnostic and postmortem investigations, and implementing timely mitigation measures are essential to accurately assess and reduce preventable deaths during future CHIKV outbreaks. Full article
(This article belongs to the Special Issue Current Trends in Arbovirus Outbreaks and Research)
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15 pages, 1096 KB  
Article
Surveillance of West Nile Virus in Tunisia: Evidence from Human and Entomological Investigation
by Walid Barhoumi, Marwa Khedhiri, Youmna M’Ghirbi, Souha Bougatef, Henda Touzi, Adel Rhim, Hela Karray, Abdelhalim Trabelsi, Maha Mastouri, Naila Hannachi, Ali Bouattour, Henda Triki, Nissaf Bouafif Ben Alaya and Wasfi Fares
Viruses 2025, 17(12), 1562; https://doi.org/10.3390/v17121562 - 29 Nov 2025
Cited by 1 | Viewed by 1457
Abstract
West Nile virus (WNV) is a mosquito-borne pathogen of the Flaviviridae family that poses recurring public health threats in Tunisia, where Culex pipiens is recognized as the primary vector. Identification of circulating strains in different mosquito species is essential for targeted prevention and [...] Read more.
West Nile virus (WNV) is a mosquito-borne pathogen of the Flaviviridae family that poses recurring public health threats in Tunisia, where Culex pipiens is recognized as the primary vector. Identification of circulating strains in different mosquito species is essential for targeted prevention and control. Between November 2021 and October 2022, mosquitoes were collected at four high-risk sites, and human samples were obtained through the national meningitis surveillance program. Human serum, cerebrospinal fluid (CSF), and urine samples were tested for WNV-specific IgM and IgG antibodies using ELISA, and molecular diagnosis was performed using Real-time RT-PCR (RRT-PCR). Positive samples underwent sequencing for phylogenetic characterization. Serological investigation on human serum revealed the presence of IgM and/or IgG antibodies reactive to WNV antigens, which may indicate exposure to WNV or related flaviviruses. RNA of WNV was detected in 21 mosquito pools (10.19%) belonging to Culex pipiens, Cx. perexiguus, Aedes caspius, and Ae. detritus, as well as in three human cases. Phylogenetic analysis of positive human and mosquito samples showed that all detected WNV strains belonged to sublineage 1a. The concurrent detection of WNV in vectors and humans confirms active circulation in Tunisia and underscores the role of Culex spp. Mosquitoes in transmission. Sustained multidisciplinary surveillance integrating entomological and clinical data is critical for early detection, guiding control measures, and preventing future outbreaks in humans and animals. Full article
(This article belongs to the Special Issue Current Trends in Arbovirus Outbreaks and Research)
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17 pages, 2945 KB  
Article
Differential Profile of Hemostasis in Dengue Fever Before and After COVID-19
by Alanna Calheiros Santos, Julya Farias Carneiro, Anna Paula de Souza e Silva Sales, Mariana Gandini, Flávia Barreto dos Santos, Paulo Vieira Damasco, Luis José de Souza, Elzinandes Leal de Azeredo and Luzia Maria de-Oliveira-Pinto
Viruses 2025, 17(11), 1431; https://doi.org/10.3390/v17111431 - 28 Oct 2025
Viewed by 1341
Abstract
Dengue and COVID-19 are viral diseases characterized by coagulopathies, with Dengue associated with fibrinolysis and COVID-19 with prothrombotic events. Furthermore, cross-reactivity between anti-SARS-CoV-2 and anti-DENV antibodies may confer protective immunity or exacerbate disease severity. Our investigation explored the impact of prior COVID-19 exposure [...] Read more.
Dengue and COVID-19 are viral diseases characterized by coagulopathies, with Dengue associated with fibrinolysis and COVID-19 with prothrombotic events. Furthermore, cross-reactivity between anti-SARS-CoV-2 and anti-DENV antibodies may confer protective immunity or exacerbate disease severity. Our investigation explored the impact of prior COVID-19 exposure on the immunopathogenesis of Dengue, focusing on hemostatic parameters. We quantified nitrites, procoagulant, anticoagulant, and fibrinolytic mediators in the plasma of Dengue patients before and after the COVID-19 pandemic. We also evaluated the influence of plasma from dengue patients on platelet activation in vitro using platelets from healthy donors exposed to DENV-2. Hemorrhagic manifestations were more frequent in pre-COVID-19 Dengue, while nitrite levels were elevated in post-COVID-19 Dengue patients, particularly among those without hemorrhagic signs. Among procoagulant factors, tissue factor (TF) levels were increased in post-COVID-19 Dengue, whereas Factor XIII was higher in pre-COVID-19 Dengue. In contrast, antithrombin (an anticoagulant) and plasminogen (a profibrinolytic factor) were more elevated in pre-COVID-19 Dengue than in post-COVID-19 cases. In vitro, DENV-2-infected platelets exposed to plasma of Dengue patients before and after COVID-19 showed decreased nitrite production in relation to DENV-2 alone. These findings suggest that prior COVID-19 exposure may influence hemostatic responses in Dengue, potentially modulating disease pathophysiology and opening new avenues for research and therapeutic strategies. Full article
(This article belongs to the Special Issue Current Trends in Arbovirus Outbreaks and Research)
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Review

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11 pages, 695 KB  
Review
Evaluating the Role of Anopheles Mosquitoes in the Global Spread of Arboviruses: A Review of Laboratory-Confirmed Viral Competence
by Rosheen Sungeni Mthawanji, Matthew Baylis, Maya Wardeh and Marcus S. C. Blagrove
Viruses 2026, 18(5), 541; https://doi.org/10.3390/v18050541 - 8 May 2026
Viewed by 1500
Abstract
Mosquito-borne diseases are a major global health concern, infecting up to 700 million people annually and causing over one million deaths. Of the several genera of biting mosquitoes, species of Anopheles are mostly studied for their ability (vector competence) to transmit Plasmodium protozoan [...] Read more.
Mosquito-borne diseases are a major global health concern, infecting up to 700 million people annually and causing over one million deaths. Of the several genera of biting mosquitoes, species of Anopheles are mostly studied for their ability (vector competence) to transmit Plasmodium protozoan parasites, some species of which cause malaria. More than 480 species of Anopheles have been described worldwide, and about 70 of these are responsible for Plasmodium spp. transmission. However, the focus on Anopheles as vectors of Plasmodium has led to a relative lack of study about the ability of Anopheles to transmit viruses. Some Anopheles species have been experimentally confirmed as competent for various arboviruses. In most cases, they are secondary vectors, with relatively low competence, contributing to overall transmission while other species of mosquito or other vectors are responsible for sustained transmission. Although secondary vectors may contribute less to transmission, they may play important epidemiological roles by extending transmission seasons and/or providing a means of overwintering viruses. Here, we conducted a review of scientific repositories to build a database of known Anopheles competence for arboviruses. After exclusions, we retained 427 laboratory-confirmed studies from 7343 papers reviewed. Our analysis suggests some Anopheles spp. could contribute to arbovirus overwintering in temperate regions. Full article
(This article belongs to the Special Issue Current Trends in Arbovirus Outbreaks and Research)
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13 pages, 833 KB  
Review
Reframing West Nile Virus in Latin America: From Enzootic Evidence to Human Risk—Surveillance Gaps and One Health Actions
by Juan S. Izquierdo-Condoy, Janeth C. Gil, Jhan. S. Saavedra-Torres, H. A. Nati-Castillo, Juan Jose Martinez Penaranda, Carolina Vásquez Narváez, Andrés López-Cortés, Marlon Arias-Intriago and Esteban Ortiz-Prado
Viruses 2026, 18(3), 281; https://doi.org/10.3390/v18030281 - 26 Feb 2026
Cited by 2 | Viewed by 2122
Abstract
West Nile virus (WNV) is a mosquito-borne flavivirus with one of the widest global distributions. Since its discovery in Uganda in 1937, it has become a major zoonotic pathogen, and after its introduction into the United States in 1999, it spread rapidly across [...] Read more.
West Nile virus (WNV) is a mosquito-borne flavivirus with one of the widest global distributions. Since its discovery in Uganda in 1937, it has become a major zoonotic pathogen, and after its introduction into the United States in 1999, it spread rapidly across the Americas, becoming the leading cause of neuroinvasive arboviral disease. Its expansion illustrates a remarkable ecological adaptability, further intensified by climate change. In Latin America and the Caribbean, WNV circulation has been consistently documented in birds, horses, and mosquitoes; however, confirmed human cases remain disproportionately scarce compared with North America and Europe. Reports include sporadic human cases in Brazil (>100 since 2014), Mexico (~13), Argentina (2006–2007), Puerto Rico (2007), Nicaragua, and Haiti, while animal and vector evidence extends to Guatemala, El Salvador, Belize, Costa Rica, Bolivia, Paraguay, Colombia, Venezuela, Cuba, and Ecuador. This paradox likely reflects structural limitations within regional health systems, including underdiagnosis, restricted diagnostic capacity, and significant surveillance gaps, particularly in contexts where mild febrile syndromes may be misclassified as dengue, Zika, or Chikungunya. The regional risk of emergence is further amplified by climatic variability, ecological change, and intensifying human–wildlife interactions. Experiences from Europe highlight the importance of early detection, transfusion safety, and integrated surveillance within a One Health framework. Strengthening preparedness in Latin America will require investments in diagnostic infrastructure, implementation of standardized seroepidemiological surveys, development of predictive models tailored to local ecological contexts, and robust intersectoral collaboration. Full article
(This article belongs to the Special Issue Current Trends in Arbovirus Outbreaks and Research)
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