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West Nile virus (WNV) is spreading in Germany, with increased infections in animals and humans noted from 2022-2024. Surveillance and testing are crucial for public health and transfusion safety.

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Area of Science:

  • Veterinary Medicine
  • Public Health
  • Virology

Background:

  • West Nile virus (WNV) is an arbovirus circulating in mosquitoes and birds, with humans as accidental hosts.
  • Autochthonous WNV infections have been reported in Germany since 2019, initially in Central-East regions.

Purpose of the Study:

  • To provide an updated epidemiological overview of WNV in Germany between 2022 and 2024.
  • To assess the spread and impact of WNV on human and animal populations.

Main Methods:

  • Analysis of surveillance data and confirmatory testing for human and animal WNV cases in Germany.
  • Monitoring of WNV epidemiology from 2022 to 2024.

Main Results:

  • A gradual annual spread of WNV was observed since 2022, intensifying in 2024 with numerous animal infections in northwest Germany.
  • Eighty confirmed human WNV infections were identified between 2022-2024, primarily among blood donors.
  • Extensive annual screening of approximately 2.2 million blood donations contributes significantly to WNV surveillance.

Conclusions:

  • Distinguishing WNV from co-circulating flaviviruses like Usutu virus requires specific nucleic acid amplification techniques (NAT) or next-generation sequencing.
  • A comprehensive One Health approach integrating human and veterinary surveillance, including sequencing data, is essential for understanding the WNV epidemic.
  • Effective WNV surveillance is vital for ensuring transfusion safety and protecting public health in affected areas.