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HEALTH

Italy records spike in cases of deadly West Nile virus infection

Italy recorded dozens of new cases of West Nile virus infection over one week in September, health authorities have said. A total of 16 people have died from the virus in the country since May 2024.

File photo of a mosquito collected on August 25th 2021 in Louisville, Kentucky
File photo of a mosquito collected on August 25th 2021 in Louisville, Kentucky. Photo by Jon Cherry / GETTY IMAGES NORTH AMERICA / Getty Images via AFP

Italy recorded 51 new West Nile virus infections between September 12th and September 18th, bringing the total number of cases registered since May 2024 to 382.

This came after authorities recorded 64 new cases between August 29th and September 4th, and another 35 over the following seven-day period (September 5th-11th), according to the National Health Institute (ISS).

A total of 16 people have died from the virus since May 2024, the ISS said.

Veneto, in northern Italy, was the region with the highest number of confirmed deaths, with 7, followed by Piedmont (3), Emilia Romagna (3), Lombardy (1), Friuli Venezia Giulia (1) and Calabria (1).

Infections were recorded in a total of 45 provinces across 12 regions: Piedmont, Lombardy, Veneto, Friuli Venezia Giulia, Emilia Romagna, Tuscany, Lazio, Abruzzo, Campania, Puglia, Calabria and Sardinia.

Of the 382 cases registered by health authorities, 222 presented meningitis or encephalitis symptoms, with 131 such cases recorded in the northeastern Emilia Romagna region alone.

The West Nile virus is transmitted to humans by mosquitoes (mostly of the Culex species) but cannot pass from human to human.

Most infected people show no symptoms, according to the ISS. 

Severe symptoms, including high fever, headaches, tremors, drowsiness, and seizures, occur in fewer than one percent of infected people. In the most severe cases (around one in 1,000), the virus can cause fatal encephalitis.

There is currently no vaccine for West Nile fever.

There is also no specific treatment for the symptoms caused by the virus. Patients showing the more serious symptoms are admitted to hospital and treated with IV fluids and assisted ventilation.

As of September 18th, 16 countries in Europe had reported cases of West Nile virus infection, including France, Germany and Spain, according to European Centre for Disease Prevention and Control.

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HEALTH

Italy records first ‘indigenous’ case of dengue fever in 2024

Italian health authorities said on Thursday they recorded the first 'indigenous' case of dengue fever for 2024 after a patient who had not travelled abroad tested positive.

Italy records first 'indigenous' case of dengue fever in 2024

“The person who tested positive for dengue fever is in good clinical condition,” the provincial health authority of Brescia, northern Italy, said in a statement on Thursday.

The areas where the patient lived and worked have begun mosquito control measures, including setting mosquito traps, the agency said.

The head of the epidemiology department at Genoa’s San Martino Hospital, Matteo Bassetti, questioned whether it was indeed the first indigenous case of the year, or rather the first recognised one.

“By now, Dengue is an infection that must be clinically considered whenever there are suspicious symptoms, even outside of endemic areas,” Bassetti wrote on social media platform X.

Dengue is a viral disease causing a high fever. In rare cases, it can progress to more serious conditions resulting in severe bleeding.

Deaths are very rare.

An indigenous case means that the person has not recently travelled to regions of the world where the virus, which is transmitted from one person to another by tiger mosquitoes (Aedes albopictus), is widely circulating.

The presence of those mosquitoes have been increasing in several southern European countries, including Italy, France and Spain.

The World Health Organization has said the rise has been partly fuelled by climate change and weather phenomena in which heavy rain, humidity and higher temperatures favour mosquitoes’ reproduction and transmission of the virus.

In 2023, Italy recorded more than 80 indigenous cases, while France had about fifty, according to the WHO.

Cases in which the person is infected abroad number in the hundreds.

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