Dengue and dengue vectors in the WHO European region: past, present, and scenarios for the future

Summary After 55 years of absence, dengue has re-emerged in the WHO European region both as locally transmitted sporadic cases and as an outbreak in Madeira, driven by the introduction of people infected with the virus and the invasion of the vector mosquito species Aedes aegypti and Aedes albopictu...

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Bibliographic Details
Published in:The Lancet infectious diseases 2014-12, Vol.14 (12), p.1271-1280
Main Authors: Schaffner, Francis, PhD, Mathis, Alexander, Dr
Format: Article
Language:English
Subjects:
Aedes - growth & development
Animals
Aquatic insects
Arboviroses
Biological and medical sciences
Climate change
Climatic conditions
Colleges & universities
Dengue - epidemiology
Dengue - prevention & control
Dengue fever
Dengue fevers
Disease transmission
Epidemiological Monitoring
Europe - epidemiology
Human viral diseases
Humans
Infections
Infectious Disease
Infectious diseases
Insect Vectors
Invasive insects
Medical sciences
Mosquito Control - methods
Mosquitoes
Pandemics
Population
Prophylaxis
Tropical diseases
Tropical viral diseases
Vector-borne diseases
Viral diseases
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Summary:Summary After 55 years of absence, dengue has re-emerged in the WHO European region both as locally transmitted sporadic cases and as an outbreak in Madeira, driven by the introduction of people infected with the virus and the invasion of the vector mosquito species Aedes aegypti and Aedes albopictus . Models predict a further spread of A albopictus , particularly under climate change conditions. Dengue transmission models suggest a low risk in Europe, but these models too rarely include transmission by A albopictus (the main established vector). Further information gaps exist with regard to the Caucasus and central Asian countries of the WHO European region. Many European countries have implemented surveillance and control measures for invasive mosquitoes, but only a few include surveillance for dengue. As long as no dengue-specific prophylaxis or therapeutics are available, integrated vector management is the most sustainable control option. The rapid elimination of newly introduced A aegypti populations should be targeted in the European region, particularly in southern Europe and the Caucasus, where the species was present for decades until the 1950s.
ISSN:1473-3099
1474-4457
DOI:10.1016/S1473-3099(14)70834-5