Evidence map›Paper›PMID 41697700›Full record

ArticleJAMA network open2026

Genomic Epidemiology of West Nile Virus in Paris.

Raphaelle Klitting, Mathilde Gondard, Laura Pezzi, Camille Victoire Migné, Rachel Bellone, Grégory L'Ambert, Teheipuaura Helle, Antoine Mignotte, Raquel Gutiérrez-Climente, Guillaume Lacour and 33 more

Erratum issuedAbstract read
In one paragraph

Article in JAMA network open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Errors in Results and Discussion.JAMA network open · 2026
    Article
  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

43 authors.

Raphaelle KlittingCentre National de Référence des Arbovirus, National Institute of Health and Medical Research-Institut de Recherche Biomédicale des Armées, Marseille, France.
Mathilde GondardAgence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail, Institut national de recherche pour l'agriculture, l'alimentation et l'environnement, Ecole Nationale Vétérinaire d'Alfort, UMR Virologie, Laboratoire de Santé Animale, Maisons-Alfort, France.
Laura PezziCentre National de Référence des Arbovirus, National Institute of Health and Medical Research-Institut de Recherche Biomédicale des Armées, Marseille, France.
Camille Victoire MignéAgence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail, Institut national de recherche pour l'agriculture, l'alimentation et l'environnement, Ecole Nationale Vétérinaire d'Alfort, UMR Virologie, Laboratoire de Santé Animale, Maisons-Alfort, France.
Rachel BelloneDepartment of Virology, Arboviruses and Insect Vectors, Institut Pasteur, Paris, France.
Grégory L'AmbertDirection générale de la Santé, Centre de Crises Sanitaires, Paris, France.
Teheipuaura HelleAnimal, Santé, Territoires, Risques et Écosystèmes, Centre de coopération internationale en recherche agronomique pour le développement, Institut national de recherche pour l'agriculture, l'alimentation et l'environnement, University of Montpellier, Montpellier, France.
Antoine MignotteAltopictus, Pérols, France.
Raquel Gutiérrez-ClimenteEntente interdépartementale pour la démoustication du littoral méditerranéen , Montpellier, France.
Guillaume LacourAltopictus, Pérols, France.
Julien MocqAltopictus, Pérols, France.
Nazli AyhanCentre National de Référence des Arbovirus, National Institute of Health and Medical Research-Institut de Recherche Biomédicale des Armées, Marseille, France.
Federico LuccheseCentre National de Référence des Arbovirus, National Institute of Health and Medical Research-Institut de Recherche Biomédicale des Armées, Marseille, France.
Géraldine PiorkowskiUnité des Virus Émergents, Aix-Marseille Univ, Università di Corsica, IRD 190, National Institute of Health and Medical Research 1207, Institut de Recherche Biomédicale des Armées, Marseille, France.
Marine DumarestAnimal, Santé, Territoires, Risques et Écosystèmes, Centre de coopération internationale en recherche agronomique pour le développement, Institut national de recherche pour l'agriculture, l'alimentation et l'environnement, University of Montpellier, Montpellier, France.
Rayane AmaralUnité des Virus Émergents, Aix-Marseille Univ, Università di Corsica, IRD 190, National Institute of Health and Medical Research 1207, Institut de Recherche Biomédicale des Armées, Marseille, France.
Karine BollorePathogenesis and Control of Chronic and Emerging Infections, Université de Montpellier, National Institute of Health and Medical Research, Montpellier, France.
Jeanne HaninPathogenesis and Control of Chronic and Emerging Infections, Université de Montpellier, National Institute of Health and Medical Research, Montpellier, France.
Olivier CourotIngénierie et Analyse en Génétique Environnementale, Montpellier, France.
Edouard HirchaudAgence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail, Laboratory of Ploufragan, Unit of Viral Genetics and Biosafety, Ploufragan, France.
Véronique BevenAgence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail, Laboratory of Ploufragan, Unit of Viral Genetics and Biosafety, Ploufragan, France.
Yannick BlanchardAgence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail, Laboratory of Ploufragan, Unit of Viral Genetics and Biosafety, Ploufragan, France.
Anais KarchAgence Régionale de Démoustication, Rosny-sous-Bois, France.
Georges JakerianAgence Régionale de Démoustication, Rosny-sous-Bois, France.
Guillaume André DurandCentre National de Référence des Arbovirus, National Institute of Health and Medical Research-Institut de Recherche Biomédicale des Armées, Marseille, France.
Gilda GrardCentre National de Référence des Arbovirus, National Institute of Health and Medical Research-Institut de Recherche Biomédicale des Armées, Marseille, France.
Nicolas HerbreteauAgence Régionale de Santé, Île-de-France, France.
Alexandre DuvignaudDepartment of Infectious Diseases and Tropical Medicine, CHU Bordeaux, France; National Institute for Health and Medical Research, Bordeaux, France.
Serafin GutierrezAnimal, Santé, Territoires, Risques et Écosystèmes, Centre de coopération internationale en recherche agronomique pour le développement, Institut national de recherche pour l'agriculture, l'alimentation et l'environnement, University of Montpellier, Montpellier, France.
Lydéric AubertDirection générale de la Santé, Centre de Crises Sanitaires, Paris, France.
Arnaud CannetDirection générale de la Santé, Centre de Crises Sanitaires, Paris, France.
Marion PariseyCentre Hospitalier de Saint-Denis Hôpital Delafontaine, Pulmonology & Infectious Diseases, Saint Denis, France.
Yannick SimoninPathogenesis and Control of Chronic and Emerging Infections, Université de Montpellier, National Institute of Health and Medical Research, Montpellier, France.
Denis MalvyDepartment of Infectious Diseases and Tropical Medicine, CHU Bordeaux, France; National Institute for Health and Medical Research, Bordeaux, France.
Marie-Claire PatySanté publique France (French National Public Health Agency), Saint Maurice, France.
Nelly FournetSanté publique France (French National Public Health Agency), Saint Maurice, France.
Florian FrankeSanté publique France (French National Public Health Agency), Saint Maurice, France.
Syria LapercheEtablissement Français du Sang, La Plaine Saint Denis, France.
Pierre GallianEtablissement Français du Sang, La Plaine Saint Denis, France.
Anna-Bella FaillouxDepartment of Virology, Arboviruses and Insect Vectors, Institut Pasteur, Paris, France.
Xavier de LamballerieCentre National de Référence des Arbovirus, National Institute of Health and Medical Research-Institut de Recherche Biomédicale des Armées, Marseille, France.
Albin FontaineUnité des Virus Émergents, Aix-Marseille Univ, Università di Corsica, IRD 190, National Institute of Health and Medical Research 1207, Institut de Recherche Biomédicale des Armées, Marseille, France.
Gaëlle GonzalezAgence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail, Institut national de recherche pour l'agriculture, l'alimentation et l'environnement, Ecole Nationale Vétérinaire d'Alfort, UMR Virologie, Laboratoire de Santé Animale, Maisons-Alfort, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: West Nile virus (WNV), a mosquito-borne orthoflavivirus, represents an increasing public health threat in Europe. In July 2025, WNV lineage 2 (WNV-L2) was associated with the first autochthonous cases ever detected in the metropolitan area around Paris, France; understanding the dispersal dynamics and geographic origin of these emergence events is critical for public health preparedness. Objectives: To characterize the spatial and temporal dynamics of WNV circulation in France from 2022 to 2025 and to determine the origin of the virus lineages responsible for the 2025 emergence in the Paris metropolitan area. Design, Setting, and Participants: This study was a genomic epidemiology assessment combining human, veterinary, and entomological monitoring, with viral genome sequencing and time-resolved, bayesian phylogenetic analysis. Surveillance was conducted across metropolitan France, with a focus on areas with documented WNV circulation (Eastern and Western Mediterranean, South Atlantic, and Paris). Surveillance included patients with confirmed WNV infection, avian and equine cases, and mosquito collections. Exposures: Natural exposure to WNV through mosquito vectors in affected areas. Main Outcomes and Measures: Phylogenetic relationships between emergence events across regions in France were inferred using a bayesian approach. Results: Genomic data from this epidemiological assessment encompassed 52 WNV-positive samples (6 human, 21 veterinary, and 25 entomological samples). WNV-L2 was the only lineage detected in France between 2022 and 2025. In 2024, Western Mediterranean strains were closely related to those from 2023 from the French South Atlantic area, suggesting west-to-south introduction, whereas Eastern Mediterranean strains represented genetically distinct clades associated with Northern Italy. The phylogenetic analysis of 2025 WNV sequences from the Paris area revealed that the outbreak virus strains all grouped together and originated from the L2 clade of sequences from the South Atlantic area in the 2023 to 2024 period. Conclusions and Relevance: In this study, genomic data from an epidemiologic assessment of 52 WNV-positive samples highlight the combined influence of local virus maintenance and long-distance dispersal in shaping WNV circulation in France. Strengthened genomic surveillance across ecological and administrative boundaries would be essential to anticipate further viral spread, inform response strategies, and protect populations at risk.

Indexed as

West Nile FeverWest Nile virusAnimalsBayes TheoremCulicidaeGenome, ViralGenomicsHorsesHumansMosquito-Borne DiseasesMosquito VectorsParisPhylogeny

Identifiers

PMID41697700
PMCPMC12910402

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.