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Pandemics and Biosecurity
3OCT

Europe's West Nile cases reach 1,765

3 min read
13:42UTC

Sixteen European countries had reported 1,765 locally acquired West Nile cases by 30 September, as France logged 124 local chikungunya cases and Aedes aegypti bred in London.

ScienceDeveloping
Key takeaway

Mosquito-borne infections caught inside Europe ran far above normal this season.

By 30 September 16 European countries had reported 1,765 locally acquired cases of West Nile virus, a mosquito-borne infection carried by wild birds, according to ECDC, the EU's disease-control agency⁠1. On 3 September the count stood at 1,086 against a ten-year average of 736 for that date, which put the season nearly 48% above the decade's norm⁠2. The Netherlands recorded its first human cases since 2020, one of them fatal, and Greece its highest count for the time of year, 284 cases and 24 deaths by 3 September.

A locally acquired case means a mosquito in Europe bit an infected host and then a person, so the whole cycle ran on the continent rather than on a trip abroad. France has 124 locally acquired cases of Chikungunya, a mosquito-borne virus that causes fever and long-lasting joint pain, in 19 clusters, 34 of them added in the last week of September⁠3. Italy has 59 local cases of Dengue, a mosquito-borne fever that can turn severe. France also carries local mosquito-borne transmission beyond the mainland: in Mayotte, its Indian Ocean department, ECDC counted 63 locally acquired malaria cases by late May.

In east London, the UK Health Security Agency (UKHSA) found a breeding population of Aedes aegypti, the main carrier of Dengue, Chikungunya, Zika and yellow fever, in August⁠4. A member of the public reported it through UKHSA's Mosquito Watch scheme. The agency is treating the site with larvicide, insecticide that kills mosquito larvae in standing water, and aims to eradicate it. ECDC says it is unclear whether the species could establish in the current UK climate.

Deep Analysis

In plain English

West Nile virus is carried by birds and spread to people by mosquito bites. Most infected people feel nothing, but a small minority, mostly older people, develop a serious brain infection that can kill. This summer Europe recorded far more cases than usual, and in countries further north, such as the Netherlands. In France, people caught Chikungunya, a mosquito virus that causes painful joints, without leaving the country. In east London, health officials found a breeding group of Aedes aegypti, a tropical mosquito that carries Dengue and other viruses. The UK Health Security Agency aims to wipe it out with larvicide before it spreads.

Deep Analysis
Root Causes

West Nile virus lives in wild birds and is spread by Culex mosquitoes, which breed faster and pass on the virus sooner in warm weather. Longer, hotter summers extend the season into October, which is why ECDC still expects more cases.

Animal surveillance shows the spread ahead of human cases. Belgium had no human cases by 3 September but recorded 14 outbreaks in horses and 26 in birds across eight regions, and Switzerland reported its first locally acquired infection, in a horse in Aargau.

Aedes aegypti travels a different route. ECDC says the London colony was likely introduced in imported plants or commercial goods from the tropics, the same pathway that carried Aedes albopictus into southern Europe.

What could happen next?
  • Risk

    ECDC expects more West Nile cases through October, so the 1,765 total will rise.

    Immediate · Assessed
  • Risk

    If the London Aedes aegypti colony survives the winter, the UK would face a dengue-capable mosquito for the first time.

    Medium term · Suggested
  • Consequence

    More European areas will fall under blood-donation testing rules as West Nile reaches new regions.

    Medium term · Assessed
First Reported In

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