2021
DOI: 10.1089/vbz.2021.0014
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Characterizing Areas with Increased Burden of West Nile Virus Disease in California, 2009–2018

Abstract: West Nile virus (WNV) is a mosquito-borne flavivirus that can cause severe neurological disease in humans, for which there is no treatment or vaccine. From 2009 to 2018, California has reported more human disease cases than any other state in the United States. We sought to identify smaller geographic areas within the 10 California counties with the highest number of WNV cases that accounted for disproportionately large numbers of human cases from 2009 to 2018. Eleven areas, consisting of groups of high-burden… Show more

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Cited by 5 publications
(6 citation statements)
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“…WNND is most likely to be diagnosed and reported, due to its severity of disease, but it is estimated that fewer than 5% of non-neuroinvasive disease cases are diagnosed and reported [ 2 , 19 ]. For every neuroinvasive disease case, there are an estimated 30–70 non-neuroinvasive cases, which means the true annual incidence of WNV in California is between 19 and 45 cases per 100,000 people [ 21 ], considerably higher than the observed incidence of 1.1 cases per 100,000 during this time-period [ 23 ]. WNV reporting is also likely influenced by additional factors such as access to healthcare and socio-economic status, which could lead to underreporting from some areas.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…WNND is most likely to be diagnosed and reported, due to its severity of disease, but it is estimated that fewer than 5% of non-neuroinvasive disease cases are diagnosed and reported [ 2 , 19 ]. For every neuroinvasive disease case, there are an estimated 30–70 non-neuroinvasive cases, which means the true annual incidence of WNV in California is between 19 and 45 cases per 100,000 people [ 21 ], considerably higher than the observed incidence of 1.1 cases per 100,000 during this time-period [ 23 ]. WNV reporting is also likely influenced by additional factors such as access to healthcare and socio-economic status, which could lead to underreporting from some areas.…”
Section: Discussionmentioning
confidence: 99%
“…California reported 4,035 (18%) of all US cases, more than any other state, and disproportionate to its 12% of the nation’s population [ 21 , 22 ]. The majority of California’s cases have occurred in Southern California and the Central Valley [ 21 , 23 ].…”
Section: Introductionmentioning
confidence: 99%
“…Many of the top ten counties for dead bird reports in either time period had the greatest number of human WNV cases in 2009–2018 [ 64 ]: Fresno, Los Angeles, Orange, Riverside, Sacramento, San Bernardino, and Stanislaus. This suggests that dead bird reporting activity generally occurs in the same regions where human WNV cases occur, making dead birds a relevant WNV surveillance tool.…”
Section: Discussionmentioning
confidence: 99%
“…The chikungunya virus (CHIKV) which re-emerged in Kenya in 2004, spread like a wild fire causing large-scale outbreaks with high morbidity in several countries of Asia, Europe, Oceania, the Caribbeans and the South and North Americas [1,2]. Similar is the case with West Nile virus (WNV), that caused massive outbreaks in North America, South America and Europe with high morbidity and mortality, since it was first detected in New York in 1999 [3,4].…”
Section: Introductionmentioning
confidence: 96%
“…Emerging and re-emerging arthropod borne viruses continue to be a major threat to humanity as they not only inflict high morbidity and mortality but also devastate the economy of many countries especially in the tropical and subtropical countries [1][2][3][4]. During the last few decades, mosquito-borne viruses have emerged as a major public health concern, replacing malaria that had the dubious distinction as a major mosquito borne killer disease across the globe.…”
Section: Introductionmentioning
confidence: 99%