West Nile virus (WNV) is a zoonotic flavivirus whose transmission cycle in nature includes wild birds as amplifying hosts and ornithophilic mosquito vectors. Bridge vectors can transmit WNV to mammal species potentially causing West Nile Fever. Wild bird migration is a mode of WNV introduction into new areas. The Danube Delta Biosphere Reserve (DDBR) is a major stopover of wild birds migrating between Europe and Africa. The aim of this study was to investigate the presence of WNV in the DDBR during the 2016 transmission season in wild birds and mosquitoes. Blood from 68 wild birds (nine different species) trapped at four different locations was analyzed by competitive ELISA and Virus Neutralization Test (VNT), revealing positive results in 8/68 (11.8%) of the wild birds by ELISA of which six samples (three from juvenile birds) were confirmed seropositive by VNT. Mosquitoes (n = 6523, 5 genera) were trapped with CDC Mini Light traps at two locations and in one location resting mosquitoes were caught. The presence of WNV RNA was tested in 134 pools by reverse transcription quantitative PCR (RT-qPCR). None of the pools was positive for WNV-specific RNA. Based on the obtained results, WNV was circulating in the DDBR during 2016.

The purpose of this research was to improve the epidemiological data on HEV infection in the human population in Romania. The analysis targeted hospitalized subjects with acute hepatitis (n = 94) of unknown etiology from the Infectious Diseases Regional Hospital in Iasi. Moreover, patients without liver disease (n = 40) from a different county hospital located in Eastern Romania were included. The presence of HEV infection and first characterization of human HEV strains was determined using serological and molecular assays. The apparent HEV seroprevalence varied between 29.16% (95% CI, 16.31–42.03) and 32.5% (95% CI, 17.98–47.02) according to patient grouping. Molecular analysis enhanced the detection of two HEV isolates, that clustered in subtype HEV-3c, the most commonly identified subtype in Europe. Identification of acute hepatitis E cases, together with the first detection and molecular characterization of human HEV in Romania represent the originality attributes of the present study.

West Nile virus (WNV) infection causes diseases that vary in intensity from asymptomatic to fatal encephalitis in humans and animals. The etiological agent is a Flavivirus belonging to Japanesse Encephalitis complex. This zoonotic virus is maintained in nature in an enzootic cycle between mosquitoes and birds as amplifying hosts. Except birds, a wide variety of animals develop seroconversion caused by infection, and previous studies indicated that dogs may be considered as sentinel for WNV. The importance of studying this virus is caused by its zoonotic character, limited possibilities of active surveillance and real-time alertness of the infection’s presence in the human and animal populations. The aim of the study was to demonstrate and estimate the seroconversion in dogs within an area with confirmed cases in humans and animals. A total number of 76 serum samples were evaluated for the presence of specific anti WNV antibodies using a commercial competitive ELISA kit, for the detection of anti-pr-E antibodies (ID Screen® West Nile Competition Multi-species). The results indicated specific antibodies in 32 (42.1%) out of 76 samples tested. Positive results were recorded in all four counties from which samples were collected. Our preliminary results proved the circulation of WNV in dogs in areas where the infection was previously reported in animals and humans.

The impact of mosquito-borne diseases on human and veterinary health is being exacerbated by rapid environmental changes caused mainly by changing climatic patterns and globalization. To gain insight into mosquito-borne virus circulation from two counties in eastern and southeastern Romania, we have used a combination of sampling methods in natural, urban and peri-urban sites. The presence of 37 mosquito-borne viruses in 16,827 pooled mosquitoes was analyzed using a high-throughput microfluidic real-time PCR assay. West Nile virus (WNV) was detected in 10/365 pools of Culex pipiens (n = 8), Culex modestus (n = 1) and Aedes vexans (n = 1) from both studied counties. We also report the first molecular detection of Sindbis virus (SINV) RNA in the country in one pool of Culex modestus. WNV infection was confirmed by real-time RT-PCR (10/10) and virus isolation on Vero or C6/36 cells (four samples). For the SINV-positive pool, no cytopathic effectwas observed after infection of Vero or C6/36 cells, but no amplification was obtained in conventional SINV RT-PCR. Phylogenetic analysis of WNV partial NS5 sequences revealed that WNV lineage 2 of theCentral-Southeast European clade, has a wider circulation in Romania than previously known.

The nontuberculous mycobacteria (NTM) represents a large group ofubiquitous environmental mycobacterial species, with more than 160 members that can pose a threat for human health, especially for the immunocompromised hosts. The aim of the current study was the collection of data regarding the frequency of NTM isolation from human clinical specimens, thus providing preliminary data regarding the infection prevalence in Iași County, Romania.Between May 2015 and March 2017 epidemiological data regarding NTM isolatesin the Bacteriology Laboratory at the Clinical Hospital of Pneumology in Iasi were analyzed. A total of 63 mycobacteria strains were isolated and identified as nontuberculous (by smear microscopy, culture on solid and liquid media and immunochromatographic assay). Out of the total number of samples that were submitted in the laboratory for the diagnosis of tuberculosis, during the studied period, 0.25% of them were identified as NTM. The prevalence for 2015 was estimated at 0.18%, and 0.34% for 2016. Given the challenging diagnostic procedures and the absence of notifiable status of NTM in most European Union countries, the epidemiological situation is broadlyunknown. This emphases the need of regular recording and reporting of NTM isolation frequency for awareness of the risk of associated mycobacterial infections.