Evidence map›Paper›PMID 41893656›Full record

ArticleVeterinary sciences2026

Gaps Between Awareness and Prevention of West Nile Virus Among Horse Owners in an Endemic Country: A Cross-Sectional Study from Romania.

Paula Nistor, Livia Stânga, Andreia Chirilă, Vlad Iorgoni, Vlad Cocioba, Răzvan Grigore Cojocaru, Alexandru Gligor, Alexandru Cireșan, Bogdan Florea, Horia Iorgoni and 4 more

Abstract read
In one paragraph

Article in Veterinary sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Paula NistorDepartment of Infectious Diseases and Preventive Medicine, Faculty of Veterinary Medicine, University of Life Sciences "King Mihai I" from Timişoara, 300645 Timişoara, Romania.ORCID 0009-0009-9380-1985
Livia StângaDiscipline of Microbiology, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, Eftimie Murgu Square 2, 300041 Timişoara, Romania.
Andreia ChirilăDepartment of Surgery, Faculty of Veterinary Medicine, University of Life Sciences "King Mihai I" from Timişoara, 300645 Timişoara, Romania.
Vlad IorgoniDepartment of Infectious Diseases and Preventive Medicine, Faculty of Veterinary Medicine, University of Life Sciences "King Mihai I" from Timişoara, 300645 Timişoara, Romania.
Vlad CociobaDepartment of Animal Husbandry, University of Life Sciences "King Mihai I" from Timişoara, 300645 Timişoara, Romania.
Răzvan Grigore CojocaruDepartment of Surgery, Faculty of Veterinary Medicine, University of Life Sciences "King Mihai I" from Timişoara, 300645 Timişoara, Romania.
Alexandru GligorDepartment of Infectious Diseases and Preventive Medicine, Faculty of Veterinary Medicine, University of Life Sciences "King Mihai I" from Timişoara, 300645 Timişoara, Romania.ORCID 0000-0003-2531-6469
Alexandru CireșanDepartment of Surgery, Faculty of Veterinary Medicine, University of Life Sciences "King Mihai I" from Timişoara, 300645 Timişoara, Romania.
Bogdan FloreaDepartment of Internal Medicine, University of Life Sciences "King Mihai I" from Timişoara, 300645 Timişoara, Romania.ORCID 0009-0003-9077-7939
Horia IorgoniFaculty of Physical Education and Sport, West University of Timișoara, 300223 Timișoara, Romania.
Ionica IancuDepartment of Infectious Diseases and Preventive Medicine, Faculty of Veterinary Medicine, University of Life Sciences "King Mihai I" from Timişoara, 300645 Timişoara, Romania.ORCID 0000-0001-8913-4942
Cosmin Horațiu MarișDepartment of Forestry, Faculty of Engineering and Applied Technologies, University of Life Sciences "King Mihai I" from Timișoara, 300645 Timișoara, Romania.ORCID 0009-0003-0153-5533
Janos DegiDepartment of Infectious Diseases and Preventive Medicine, Faculty of Veterinary Medicine, University of Life Sciences "King Mihai I" from Timişoara, 300645 Timişoara, Romania.ORCID 0000-0002-5859-5057
Viorel HermanDepartment of Infectious Diseases and Preventive Medicine, Faculty of Veterinary Medicine, University of Life Sciences "King Mihai I" from Timişoara, 300645 Timişoara, Romania.ORCID 0000-0001-7118-6488

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

West Nile virus (WNV) circulates endemically in Romania, yet prevention of WNV infection in horses largely depends on owner-driven decisions that require accurate risk perception and veterinary guidance. A cross-sectional online survey was carried out between May and November 2025 to evaluate the knowledge, attitudes, and preventive practices (KAP) regarding WNV among 227 horse owners from various Romanian regions. In total, 67.4% of respondents had previously heard of WNV. The main transmission route was correctly identified as mosquito bites by 49.8% of participants, while 32.2% answered "don't know" or presented misconceptions: horse-to-horse contact (9.3%), tick bites (10.6%) and blood transfusion (0.4%). Recognition of clinical signs was limited, with fever (31.3% of respondents) and gait abnormalities or ataxia (24.7% of respondents) being most frequently mentioned, followed by inappetence (19.4% of respondents), seizures (18.1% of respondents), coughing (8.8% of respondents), and abortions (10.6% of respondents); 47.6% of respondents were unable to identify any specific signs. Awareness of the existence of an equine WNV vaccine was reported by 23.8% of respondents, while only 4.0% indicated that their horses had been vaccinated. The most common preventive measures included the use of insecticides in stables (61.2%) and topical repellents on horses (55.5%), whereas environmental control actions such as removing standing water (14.1%) or avoiding swampy areas (11.9%) were less frequent; 19.4% reported taking no preventive measures. Veterinary communication was limited, with only 17.2% of respondents having received information about WNV from a veterinarian, and 21.6% perceiving a real risk of infection in Romania. Overall, the data show a marked disconnect between awareness and actionable prevention (particularly vaccination and environmental mosquito control), indicating that targeted owner education must be paired with structured veterinary communication to translate knowledge into preventive uptake in endemic settings.

Indexed as

equine healthhorse ownersknowledge attitudes and practicesmosquito controlRomaniavaccinationvector-borne diseasesveterinary communicationWest Nile virus

Identifiers

PMID41893656
PMCPMC13030259

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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.