Evidence map›Paper›PMID 42141881›Full record

ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2026

Hungary as a source of West Nile virus diversity and spread in Europe: insights from the 2024 transmission season.

Anna Nagy, Károly Erdélyi, Zsuzsanna Molnár, Renáta Bagóné Lőrincz, Orsolya Nagy, Anita Koroknai, Nikolett Csonka, Kata Kerényi, Petra Forgách, Enikő Horváth and 7 more

Abstract read
In one paragraph

Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

17 authors.

Anna NagyNational Reference Laboratory for Viral Zoonoses, National Center for Public Health and Pharmacy, Budapest, Hungary.
Károly ErdélyiHUN-REN Veterinary Medical Research Institute, Budapest, Hungary.
Zsuzsanna MolnárUnit of Communicable Disease Epidemiology and Immunisation, National Center for Public Health and Pharmacy, Budapest, Hungary.
Renáta Bagóné LőrinczUnit of Communicable Disease Epidemiology and Immunisation, National Center for Public Health and Pharmacy, Budapest, Hungary.
Orsolya NagyNational Reference Laboratory for Viral Zoonoses, National Center for Public Health and Pharmacy, Budapest, Hungary.
Anita KoroknaiNational Reference Laboratory for Viral Zoonoses, National Center for Public Health and Pharmacy, Budapest, Hungary.
Nikolett CsonkaNational Reference Laboratory for Viral Zoonoses, National Center for Public Health and Pharmacy, Budapest, Hungary.
Kata KerényiNational Reference Laboratory for Viral Zoonoses, National Center for Public Health and Pharmacy, Budapest, Hungary.
Petra ForgáchDepartment of Microbiology and Infectious Diseases, University of Veterinary Medicine Budapest, Budapest, Hungary.
Enikő HorváthHUN-REN Veterinary Medical Research Institute, Budapest, Hungary.
Zoltán SoltészInstitute of Ecology and Botany, HUN-REN Centre for Ecology Research, Vácrátót, Hungary.
Gergely NagyInstitute of Ecology and Botany, HUN-REN Centre for Ecology Research, Vácrátót, Hungary.
Mária TakácsInstitute of Medical Microbiology, Semmelweis University, Budapest, Hungary.
Erzsébet BarcsayDivision of Microbiological Reference Laboratories, National Center for Public Health and Pharmacy, Budapest, Hungary.
Katalin SzomorDivision of Microbiological Reference Laboratories, National Center for Public Health and Pharmacy, Budapest, Hungary.
Gábor Endre TóthVirus Metagenomics and Evolution Group, Department of Arbovirology and Entomology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Dániel CadarVirus Metagenomics and Evolution Group, Department of Arbovirology and Entomology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUNDWest Nile virus (WNV) has become established across Europe, with Hungary serving as a key transmission hub since 2004. Following reduced activity during 2020-22, the 2024 season marked a resurgence with the largest geographical distribution ever recorded in Europe.AIMTo analyse the 2024 WNV transmission season in Hungary using a One Health approach and characterise circulating strains within the European phylogeographic context using comprehensive genomic surveillance.METHODSComplete and near-complete genome sequencing was performed on 55 specimens from 38 humans, 15 birds and two Culex pipiens mosquito pools using amplicon-based next-generation sequencing. Phylogeographic analysis incorporated 637 European WNV genome sequences (2004-24) with time-scaled Bayesian phylogenetic reconstruction and continuous spatial diffusion modelling.RESULTSHungary reported 113 human WNV cases in 2024 (n = 111 autochthonous, 2 imported), a 3.7-fold increase from 2023 (incidence: 1.16 vs 0.31 per 100,000 population). Neuroinvasive disease predominated (92%, n = 104) with a 7.9% case fatality rate. All 55 sequenced strains belonged to WNV lineage 2. Phylogeographic analysis revealed Hungary's central role in European WNV dissemination since 2004, with multiple introductions and local diversification across distinct clades. Continuous spatial modelling identified Hungary as a persistent transmission hub with bidirectional viral flow to neighbouring countries, contributing to northward expansion.CONCLUSIONHungary remains a critical WNV transmission hub in Central Europe with established endemicity of multiple lineage 2 clades. The analysis highlights Hungary's role as both a recipient and major source of European WNV diversity, emphasising the need for coordinated surveillance and climate-adapted preparedness strategies.

Indexed as

CulexWest Nile FeverWest Nile virusAnimalsBayes TheoremBirdsEuropeGenetic VariationGenome, ViralHigh-Throughput Nucleotide SequencingHumansHungaryIncidenceMosquito-Borne DiseasesPhylogenyPhylogeographyHungaryOne HealthphylogeographysurveillanceVirus genomicsWest Nile virus

Identifiers

PMID42141881
PMCPMC13109698

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LicenceCC BY
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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.