Evidence map›Paper›PMID 41901751›Full record

ReviewPathogens (Basel, Switzerland)2026

West Nile Virus in Europe: Epidemiology, Vector Ecology, Environmental Drivers, and the Role of Equine Sentinel Surveillance in a One Health Framework.

Paula Nistor, Livia Stanga, Vlad Iorgoni, Razvan Grigore Cojocaru, Alexandru Gligor, Alexandru Ciresan, Bogdan Florea, Vlad Cocioba, Ionica Iancu, Horia Iorgoni and 3 more

Abstract readReview
In one paragraph

Review in Pathogens (Basel, Switzerland), 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

13 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 StangaDiscipline of Microbiology, Faculty of Medicine, "Victor Babes" University of Medicine and Pharmacy, Eftimie Murgu Square 2, 300041 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.
Razvan 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 CiresanDepartment 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
Vlad CociobaDepartment of Animal Husbandry, University of Life Sciences "King Mihai I" from Timişoara, 300645 Timişoara, 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
Horia IorgoniFaculty of Physical Education and Sport, West University of Timișoara, 300223 Timișoara, Romania.
Cristian ZahaDepartment of Surgery, Faculty of Veterinary Medicine, University of Life Sciences "King Mihai I" from Timişoara, 300645 Timişoara, Romania.
Cosmin Horatiu MarisDepartment 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
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) is a mosquito-borne flavivirus that remains an important public and veterinary health concern across Europe. Periodic outbreaks affecting humans, horses, and wildlife highlight the complex ecological interactions underlying viral circulation. This narrative review aims to synthesize current knowledge regarding WNV epidemiology, transmission dynamics, and surveillance strategies in Europe, with particular attention to the Romanian context. Available surveillance data indicate recurrent seasonal transmission in several European regions; however, reported case numbers may be influenced by differences in diagnostic capacity, reporting practices, and surveillance intensity among countries. Recent studies suggest that environmental variability, vector adaptation, and host community composition play important roles in shaping regional transmission risk, although the relative contribution of these factors remains incompletely quantified. Despite expanding surveillance networks and One Health initiatives, important knowledge gaps persist regarding the integration of environmental risk indicators, vector ecology, and operational preparedness into coherent risk-assessment frameworks. This review therefore examines current epidemiological patterns, evaluates surveillance approaches, and discusses emerging drivers of WNV transmission in Europe. As a narrative synthesis based on published literature and surveillance reports, this review is subject to limitations related to heterogeneity in available data and differences in national reporting systems. Nevertheless, a clearer understanding of these interacting factors may support improved surveillance strategies and more adaptive public health responses to future WNV transmission events. Reported surveillance data should be interpreted cautiously, as differences in national surveillance intensity, diagnostic capacity, and reporting frameworks across Europe may influence notified case numbers. Consequently, reported outbreaks do not necessarily reflect proportional differences in transmission intensity.

Indexed as

Horse DiseasesMosquito VectorsSentinel SurveillanceWest Nile FeverWest Nile virusAnimalsDisease OutbreaksEuropeHorsesHumansMosquito-Borne DiseasesOne HealthCulexenvironmental risk factorsepidemiologyequineEuropeOne HealthWest Nile virus

Identifiers

PMID41901751
PMCPMC13028643

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.