West Nile virus in wild resident birds, Southern France, 2004.

An equine West Nile virus (WNV) outbreak occurred in 2004 in the Camargue, a wetland area in the south of France where the virus was first reported in 1962 and re-emerged in 2000. WNV neutralizing antibodies were detected in resident birds and two isolates from a House Sparrow (Passer domesticus) and a Common Magpie (Pica pica) were completely sequenced. Phylogenetic analyses revealed that these isolates are closely related to strains previously found in horses in southern Europe and North Africa. More extensive investigation is required to determine whether WNV has been re-introduced or has become endemic in the Camargue.

West Nile in the Mediterranean basin: 1950-2000.

Recent West Nile virus (WNV) outbreaks have occurred in the Mediterranean basin. In Algeria in 1994, about 50 human cases of WN encephalitis were suspected, including 8 fatal cases. In Morocco in 1996, 94 equines were affected of which 42 died. In Tunisia in 1997, 173 patients were hospitalized for encephalitis or meningoencephalitis. West Nile serology performed on 129 patients was positive in 111 cases (87%) including 5 fatal cases. In Italy in 1998, 14 horses located in Tuscany were laboratory confirmed for WNV infection; 6 animals died. In Israel in 1998, serum samples from horses suffering from encephalomyelitis had WNV antibodies and virus was isolated from the brain of a stork; in 1999 WNV was identified in commercial geese flocks, and in 2000 hundreds of human cases have been reported. In September 2000, WNV infection was detected in horses located in southern France, close to the Camargue National Park where a WNV outbreak occurred in 1962. By November 30, 76 cases were laboratory confirmed among 131 equines presenting with neurological disorders. No human case has been laboratory confirmed among clinically suspect patients. The virus isolated from a brain biopsy is closely related to the Morocco-1996 and Italy-1998 isolates from horses, to the Senegal-1993 and Kenya-1998 isolates from mosquitoes, and to the human isolate from Volgograd-1999. It is distinguishable from the group including the Israel-1998 and New York-1999 isolates, as well as the Tunisia-1997 human isolate.

Experimental transmission of Crimean-Congo hemorrhagic fever virus by west African wild ground-feeding birds to Hyalomma marginatum rufipes ticks.

Hyalomma (H.) marginatum rufipes ticks commonly infest birds and are potential vectors of Crimean-Congo hemorrhagic fever (CCHF) virus in west Africa. An experimental model for investigating the role of birds in the CCHF virus transmission cycle was developed. Following CCHF virus inoculation, antibodies were detected by enzyme-linked immunosorbent assay in one red-beaked hornbill and one glossy starling, but not in two laughing doves and six domestic chickens. None of the birds showed a detectable viremia. Hyalomma marginatum rufipes larvae were placed on three red-beaked hornbills and one glossy starling. These birds were then inoculated with CCHF virus (10(1.5) 50% mouse intracerebral lethal doses). Virus transmission to larvae or nymphs was obtained and seroconversions in birds were recorded. Virus was also detected in 90% of the individually tested nymphs, as well as in adults. The virus was then successfully transmitted by adult ticks to rabbits and the engorged females were allowed to oviposit. Progeny larvae were placed on another group of birds and one of three birds showed seroconversion. The cycle of transmission of virus between ticks and aviremic ground-feeding birds represent a potential reservoir and amplification mechanism of CCHF virus in west Africa.

Enzootic activity of Rift Valley fever virus in Senegal.

In two areas of Senegal where previous evidence of Rift Valley fever (RVF) virus circulation was detected, Barkedji in the Sahelian bioclimatic zone and Kedougou in the Sudano-Guinean zone, a longitudinal study of the enzootic maintenance of RVF virus was undertaken from 1991 to 1993. Mosquitoes, sand flies, and ticks were collected and domestic ungulates were monitored with serologic surveys. Rift Valley fever virus was not isolated in Kedougou. In Barkedji, RVF virus was isolated from Aedes vexans and Ae. ochraceus mosquitoes collected in traps near ground pools and cattle droves and from one health sheep. Sand flies were not involved in the maintenance cycle. Seroconversions were recorded in three (1.9%) of 160 monitored sheep and goats. The interepizootic vectors appeared to belong to the Aedes subgenus Neomelaniconion in East Africa, and to the subgenus Aedimorphus in West Africa. Epizootics in East Africa are associated with an increase in rainfall. However, factors associated with epizootics remain unknown for West Africa.

First isolations of arboviruses from phlebotomine sand flies in West Africa.

For the first time in West Africa, arboviruses were isolated from phlebotomine sand fly pools. One strain of Chandipura virus (a Vesiculovirus), four strains of Saboya virus (a Flavivirus), and one strain of a not yet identified virus were isolated. Three hundred twenty-two pools were established from a population of 33,917 sand flies caught in CO2 light traps in the Ferlo Sahelian region of Senegal from November 1991 to December 1992. This is the first isolation of Chandipura virus from any arthropod in Africa. Saboya virus has already been isolated from small rodents in Senegal; thus, its transmission cycle probably involves rodentophilic sand flies. No strain of Rift Valley fever phlebovirus, which caused an epizootic in this region in 1987, was isolated. During the same time at the same site, 11 sand fly species were identified from 4,191 specimens caught on sticky traps, including Phlebotomus duboscqi, a leishmaniasis vector.

Isolation of Tete serogroup bunyaviruses from Ceratopogonidae collected in Colorado.

Two viruses were isolated from ceratopogonid midges collected in northern Colorado. Electron microscopy indicated that both isolates were bunyavirus-like. Indirect fluorescent antibody and serum dilution-plaque reduction neutralization tests showed that these isolates were members of the Tete serogroup, most closely related antigenically to Tete and Batama viruses but distinguishable from both and from each other. We suggest the name Weldona virus for these isolates. Antibody in both waterfowl and passerine birds in northern Colorado indicates the enzootic presence of these viruses in northern Colorado and raises unanswered questions about the introduction and establishment of Tete serogroup viruses in the Americas.

Rift Valley fever in rural northern Senegal: human risk factors and potential vectors.

To investigate past infection in and transmission of Rift Valley fever (RVF) virus to humans within an endemic focus, we undertook a retrospective cohort study of the seminomadic Peul people living in sub-Saharan northcentral Senegal. Residents of the rural settlement of Yonofere five years of age or older were studied during February-May 1989. Anti-RVF virus IgG was found in blood samples of 22.3% of 273 persons who responded to a standard questionnaire; none had IgM antibodies. Seropositivity was similar for males (25.4%) and females (21.1%), increased markedly with age for both sexes, and varied considerably among compounds (groups of huts) (0-37.5%). Risk factors for past RVF virus infection were nursing sick people, assisting animals during abortions/births, and treating sick animals. In all age groups, odds ratios (ORs) for RVF viral antibody among females who reported treating sick animals were three to six times greater than for those who did not. The ORs for males who reported assisting with animal births/abortions and nursing sick people were approximately five times those for males who did not. Serologic prevalence of RVF viral antibody among sheep averaged 30.1% overall (0.8% IgM), but varied among compounds (0-66.7%) in a manner different from that of humans. The seasonal abundance and relative density of potential mosquito vectors were estimated by monthly samples captured in Centers for Disease Control and Prevention-type traps. Mosquito abundance varied seasonally with rainfall (> 90% captures during four months). Species diversity was large (28 spp.), dominated by Aedes and Culex. Rift Valley fever virus was not isolated from 142 pools of 2,956 unengorged mosquitoes tested, although three other arboviruses were found. Results indicate that RVF is endemic in this region, people are at considerable risk of infection, and that a heretofore unrecognized mode of human infection under nonepizootic conditions may be transmission via contact with infected animals or humans.

Crimean-Congo hemorrhagic fever in ticks (Acari: Ixodidae) and ruminants: field observations of an epizootic in Bandia, Senegal (1989-1992).

From 1989 to 1992, a longitudinal study of the relationships between different tick species and domestic ungulates in the transmission and amplification of Crimean-Congo hemorrhagic fever (CCHF) virus was undertaken in the Bandia area in Senegal where the presence of the virus had been reported previously. An epizootic occurred in 1991-1992 and 22 strains of CCHF virus were isolated from Hyalomma marginatum rufipes Koch, Amblyomma variegatum (F.), Rhipicephalus guilhoni Morel & Vassiliades, and R. evertsi evertsi Neumann ticks collected from cattle and goats. No human cases were reported. Transmission of CCHF virus in the area involves a complicated pattern including many tick species and hosts. Amplicons of the S fragment (536 bp) of the CCHF genome of 12 isolates from the study were obtained by polymerase chain reaction and analyzed by restriction-length fragment polymorphism. Three different genotypes of CCHF virus were identified and present during the epizootic. One genotype was recovered from A. variegatum, R. guilhoni, and R. e. evertsi and 2 genotypes were isolated from H. m. rufipes.

Isolations of West Nile and Bagaza viruses from mosquitoes (Diptera: Culicidae) in central Senegal (Ferlo).

During October-November 1990, 31,497 mosquitoes consisting of 25 different species were collected in Barkedji, Ferlo area (Senegal), and tested for virus infection. Viruse were isolated from 55 of 407 pools. Eighteen pools were found positive for both Bagaza virus (BGA) and West Nile virus (WN). One alphavirus (Babanki [BBK] and 72 flaviviruses (19 BGA, 53 WN) were isolated from Culex poicilipes Theobald (29 WN, 8 BGA), C. neavei Theobald (3 WN, 1 BGA), Mimomyia hispida Theobald (8 WN, 6 BGA, and 1 BBK), M. lacustris Edwards (4 WN, 1 BGA), M. splendens Theobald (6 WN, 2 BGA), Mimomyia. spp. (2 WN), and Aedeomyia africana Neveu-Lemaire (1 WN). These were the first isolations of arboviruses from A. africana and Mimomyia species. C. poicilipes and possibly Mimomyia spp. may be involved in an avian-mosquito cycle of West Nile virus transmission in Senegal.

Surveillance for yellow fever virus in eastern Senegal during 1993.

During the 1993 rainy season, 15,806 mosquitoes, including 14,304 Aedes ssp., were collected and tested for virus infection in 702 and 547 pools, respectively. Aedes furcifer (Edwards) was the most abundant species collected throughout the survey period. Yellow fever (YF) virus was detected in 187 pools: Ae. furcifer (123 isolates), Ae. taylori (Edwards) (41 isolates), and Ae. luteocephalus (Newstead) (23 isolates). A high prevalence of immunoglobulin (IgG) antibodies was found in human and simian populations. Results clearly indicated that increased sylvatic YF activity in eastern Senegal has the increased the risk of YF transmission among rural populations in West Africa. Our results showed that a minimal survey period may be effective in detecting the circulation of YF in the Kedougou area.

Arbovirus surveillance from 1990 to 1995 in the Barkedji area (Ferlo) of Senegal, a possible natural focus of Rift Valley fever virus.

Surveillance for mosquito-borne viruses was conducted in Barkedji area from 1990 to 1995, following an outbreak of Rift Valley fever (RVF) virus in southern Mauritania. Mosquitoes, sand flies, and midges were collected from human bait and trapped by solid-state U.S. Army battery-powered CDC miniature light traps baited with dry ice or animals (sheep or chickens) at four ponds. Overall, 237,091 male and female mosquitoes representing 52 species in eight genera, 214,967 Phlebotomine sand flies, and 2,527 Culicoides were collected, identified, and tested for arboviruses in 9,490 pools (7,050 pools of female and 331 of male mosquitoes, 2,059 pools of sand flies and 50 pools of Culicoides). Viruses isolated included one Alphavirus, Babanki (BBK); six Flaviviruses, Bagaza (BAG), Ar D 65239, Wesselsbron (WSL), West Nile (WN), Koutango (KOU), Saboya (SAB); two Bunyavirus, Bunyamwera (BUN) and Ngari (NRI); two Phleboviruses, Rift Valley fever (RVF) and Gabek Forest (GF); one Orbivirus, Ar D 66707 (Sanar); one Rhabdovirus, Chandipura (CHP); and one unclassified virus, Ar D 95537. Based on repeated isolations, high field infection rates and abundance, Culex appeared to be the vectors of BAG, BBK, Ar D 65239 (BAG-like), and WN viruses, Ae. vexans and Ae. ochraceus of RVF virus, Mansonia of WN and BAG viruses, Mimomyia of WN and BAG viruses, and Phlebotomine of SAB, CHP, Ar D 95537, and GF viruses. Our data indicate that RVF virus circulated repeatedly in the Barkedji area.

[Dengue, arbovirus and migrations in the Indian Ocean]. / Dengue, arbovirus et migrations dans l'Océan Indien.

An arbovirus requires a competent haematophagous arthropod for transmission from one vertebrate to another susceptible host. Air transportations allow quick transfers from place to place and the diffusion of potential vectors or infectious hosts. The merchandise transportation by containers allowed the diffusion of Ae. albopictus from Asia through Africa and America. Emerging arbovirusis may occur in zones where they do not exist. Dengue which originally was located in southeastern Asia, is the most important arbovirusis in the world. The occurrence of dengue haemorrhagic fever (DHF) in Asia and America, mostly in urban areas, increased the global concern about dengue. Likewise, cases of DHF are not reported in Africa and in the Indian Ocean southwestern islands. The principal vector of dengue, Aedes aegypti, was present during the dengue 1 outbreak in Comoros, in 1993. In the other islands, only few specimens of Ae. aegypti are observed, and described mostly as none anthropophilic forms. The role of Ae. albopictus as vector of dengue was suspected and reported during outbreaks in Seychelles and Réunion island in 1977-1978. Yellow fever, present in Africa mostly in restricted areas, is absent in Asia. Japanese encephalitis considered as an emerging disease in India could expand through the islands. Rift valley fever, with periodic epizootics in domestic ungulates in Africa, was described as a new disease in Madagascar in 1990-1991. Crimean-Congo haemorrhagic fever is also present in Madagascar. Humans can be infected by vector bite or by handling infectious animal products. The distribution of other viruses (West Nile, Sindbis, Wesselsbron or Chikungunya) is discussed.

[Crimean-Congo hemorrhagic fever in Senegal. Latest data on the ecology of the CCHF virus]. / La fièvre hémorragique de Crimée-Congo au Sénégal. Dernières données sur l'écologie du virus CCHF.

The authors finalize the knowledge on the ecology of the CCHF virus in Senegal, West Africa. They specify two new major data for the understanding of the viral ecology in West Africa. The recognition of a bird species, common and widely distributed in Senegal (Tockus erythrorhynchus, Coraciiformes, Bucerotidae), that replicates the virus and infects the immature stages of its current parasite Hyalomma marginatum rufipes in more than 90% of the cases, explains why the minimum infection rate of the adults of this species of tick is always very high. The implication of Rhipicephalus evertsi evertsi in the viral ecology and/or a high efficiency of the transovarial transmission of the virus in Hy. m. rufipes would help to explain the maintenance of the endemy in the sahelian area. In the sahelian zone, Hy. marginatum rufipes must play the leading part, together with Rh. e. evertsi if vector, for the maintenance of the endemy. Hy. truncatum, the adults of which can readily bite man, ensures the vectorial transmission to him. In the sudanian zone, Amblyomma variegatum must play the same part as the Hyalomma and Rh. e. evertsi (if vector), and is surely the main vector to man, giving perhaps rise to less virulent strains (non hemorrhagic ones).

[Ngari virus (Bunyaviridae: Bunyavirus). First isolation from humans in Senegal, new mosquito vectors, its epidemiology]. / Le virus Ngari (Bunyaviridae: Bunyavirus). Premiers isolements chez l'homme au Sénégal, nouveaux vecteurs culicidiens, le point sur son épidémiologie.

Ngari virus (NRI) (Bunyaviridae, genus Bunyavirus) was isolated first from male Aedes simpsoni mosquitoes in Southeastern Senegal in 1979. Then, it was recovered from several mosquito species in Senegal, Burkina Faso, Central African Republic and Madagascar. A potential pathogenicity of NRI virus in humans was suspected when the virus was isolated from two patients in Dakar in October and November 1993. The large diversity of Culicidae vectors and feeding patterns showed a large heterogeneity of vertebrate hosts. The wide geographical distribution of NRI virus in different bioclimatic areas indicated an important adaptability of the virus. Ngari virus epidemiology will need further investigations in order to approach the real pathogenicity of such emerging virus.

[West Nile virus: a migrating arbovirus of current interest]. / West Nile: une arbovirose migrante d'actualité.

West Nile (WN) virus is a common arbovirosis in sub-Saharian Africa. It has occasionally caused epidemics or epizootics in horses in Mediterranean regions and southern Europe. The virus is transmitted to humans by mosquitoes (primarily the Culex species) that are infected by biting viremic birds. Infections in humans are usually asymptomatic. Recently, however, a growing number of cases involving central nervous system manifestations and deaths have been reported in elderly people in Algeria and Romania. Deaths have also been recorded in migrating birds in zones where the virus is emerging. An outbreak of WN virus in an urban area of North America in 1999 underscored the ability of viruses to appear suddenly in unexpected places. Molecular biology techniques are required for positive identification of WN virus. Serological tests alone do not allow differentiation from other flavivirus in the encephalitis group including Japanese encephalitis in Asia and Saint Louis encephalitis in North America. Virological monitoring of sentinel birds should provide a better understanding of epidemiological factors and of the pathological potential of circulating strains.

West Nile virus: an overview of its spread in Europe and the Mediterranean basin in contrast to its spread in the Americas.

West Nile (WN) virus is a mosquito-transmitted flavivirus. It is widely distributed in Africa, the Middle East, Asia, and southern Europe and was recently introduced to North America. Birds are involved in the cycle of transmission as amplifying hosts. Humans and horses are considered accidental dead-end hosts. WN fever was initially considered a minor arbovirosis, usually inducing a nonsymptomatic or a mild flu-like illness in humans, but some cases of encephalitis associated with fatalities were reported in Israel in the 1950s. After two silent decades, several human and equine outbreaks of fatal encephalitis occurred from 1996 to 2000 in Romania, Morocco, Tunisia, Italy, Russia, Israel, and France. In Romania, a few cases of WN encephalitis in humans are noticed every year, and in France, recent WN infections have been detected in monitored sentinel birds in 2001 and 2002. Phylogenetic studies have shown two main lineages of WN strains. Strains from lineage I are present in Africa, India, and Australia and are responsible for the outbreaks in Europe and in the Mediterranean basin, and strains from lineage II have been reported only in sub-Saharan Africa. In 1998, a virulent WN strain from lineage I was identified in dying migrating storks and domestic geese showing clinical symptoms of encephalitis and paralysis in Israel. A nearly identical WN strain suddenly emerged in New York in 1999, killing thousands of native birds and causing fatal cases in humans. The virus is now well established in the New World, and it disseminates rapidly. New modes of transmission through blood donations, organ transplants, and the intrauterine route have been reported. In Europe, an enhanced surveillance of WN infection in humans, horses, birds, and vectors may reveal the presence of the virus in different locations. Nevertheless, outbreaks of WN virus remain unpredictable. Further coordinated studies are needed for a better understanding of the ecology and the pathogenicity of the WN virus.

[Epidemiological approach for sexually transmitted diseases in Antsiranana (north Madagascar). Between prevention and treatment, the choice of a strategy against sexually transmitted diseases]. / Approche épidémiologique des maladies sexuellement transmissibles (MST) à Antsiranana (Nord de Madagascar). Entre préventif et curatif, le choix d'une stratégie face aux MST.

We reported a study undertaken in a Sexually Transmitted Disease care unit in Antsiranana amongst two groups of patients: 299 prostitutes and 350 STD patients (204 women and 146 men). The 20-29 years old age group represented 50.3% of the patients. A 12 days average delay between appearance of first symptoms of STD and the visit to the care unit was recorded. The most important clinical signs were cervicovaginal discharge (83%), pelvic pains (67%), and pruritus (53%) in women, urethral discharge and urination pain (64%) in men. Among prostitutes on a routine visit, 22.7% had at least one STD clinical sign. Syphilis serology by TPHA showed a high prevalence among prostitutes (39%) and STD patients (32%). Direct examinations emphazed the major importance of gonorrhoea in more than 70% of STD patients, both men and women, and trichomonasis in women (22%). Chlamydia investigation could not be done. HIV antibodies were recorded in 4 prostitutes (1.3%) and in none of the STD patients. 79.3% of prostitutes and 39.4% of STD patients had at least 2 partners a week and 47.5% of prostitutes used a condom "every time" and only 21.1% STD patients "sometimes" used it. The role of STD care units must be reinforced for information, education and counselling of the population in a non medical context.

Replication of certain recently classified viruses in Toxorhynchites amboinensis mosquitoes and in mosquito and mammalian cell lines, with implications for their arthropod-borne status.

Thirty-one viruses recently placed in taxa were studied for their replication in Toxorhynchites amboinensis by intrathoracic inoculation. Results were compared to those obtained in vitro in mammal and insect cell cultures. These findings provide presumptive evidence for the association of eighteen of these viruses with arthropod vectors.

Rift Valley fever epizootic in small ruminants in southern Mauritania (October 1993): risk of extensive outbreaks.

Following the 1987 Rift Valley fever (RVF) epizootic/epidemic in southern Mauritania, RVF antibody prevalence in small ruminants decreased significantly from 1988 to 1992. In October 1993, at the end of the rainy season, an active RVF virus transmission was detected in several locations of southern Mauritania in small ruminants, in association with an increase of abortions. RVF IgM and IgG antibodies were recorded respectively in 65/390 (16.67%) and 73/390 (18.72%) animals. RVF IgM antibody prevalence was significantly higher in the > or = 2 years old group (26.02%) than in the 0.5- < 2 year old group (7.20%) (p = 0.01). The enzootic maintenance of RVF virus is discussed, as well as the risks of extension by traditional nomadic movements of herds.