The 2023 dengue outbreak in Lombardy, Italy: A one-health perspective
Introduction: Here we reported the virological, entomological and epidemiological characteristics of the large autochthonous outbreak of dengue (DENV) occurred in a small village of the Lombardy region (Northern Italy) during summer 2023. Methods: After the diagnosis of the first autochthonous case...
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Elsevier
2025-03-01
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| Series: | Travel Medicine and Infectious Disease |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1477893925000018 |
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| author | Francesca Rovida Marino Faccini Carla Molina Granè Irene Cassaniti Sabrina Senatore Eva Rossetti Giuditta Scardina Manuela Piazza Giulia Campanini Daniele Lilleri Stefania Paolucci Guglielmo Ferrari Antonio Piralla Francesco Defilippo Davide Lelli Ana Moreno Luigi Vezzosi Federica Attanasi Marzia Soresini Manuela Barozzi Lorenzo Cerutti Stefano Paglia Angelo Regazzetti Maurilia Marcacci Guido Di Donato Marco Farioli Mattia Manica Piero Poletti Antonio Lavazza Maira Bonini Stefano Merler Fausto Baldanti Danilo Cereda Antonella Sarasini Milena Furione Dalila Mele Federica Bergami Josè Camilla Sammartino Alessandro Ferrari Greta Romano Antonino Maria Guglielmo Pitrolo Maya Carrera Rita Brugnoli Nunzia Laini Francesca Bonalda Sara Arfani Giuditta Zamboni Fanny Delfanti Piergiuseppe Ferrari Anxhela Dafa Antonella Negri Filippa Parisi Marcello Tirani Michela Viscardi Gabriele Del Castillo Federica Morani Francesco Scovenna Sheila Sansebastian Manuel Maffeo Mario Chiari Enrico Tallarita |
| author_facet | Francesca Rovida Marino Faccini Carla Molina Granè Irene Cassaniti Sabrina Senatore Eva Rossetti Giuditta Scardina Manuela Piazza Giulia Campanini Daniele Lilleri Stefania Paolucci Guglielmo Ferrari Antonio Piralla Francesco Defilippo Davide Lelli Ana Moreno Luigi Vezzosi Federica Attanasi Marzia Soresini Manuela Barozzi Lorenzo Cerutti Stefano Paglia Angelo Regazzetti Maurilia Marcacci Guido Di Donato Marco Farioli Mattia Manica Piero Poletti Antonio Lavazza Maira Bonini Stefano Merler Fausto Baldanti Danilo Cereda Antonella Sarasini Milena Furione Dalila Mele Federica Bergami Josè Camilla Sammartino Alessandro Ferrari Greta Romano Antonino Maria Guglielmo Pitrolo Maya Carrera Rita Brugnoli Nunzia Laini Francesca Bonalda Sara Arfani Giuditta Zamboni Fanny Delfanti Piergiuseppe Ferrari Anxhela Dafa Antonella Negri Filippa Parisi Marcello Tirani Michela Viscardi Gabriele Del Castillo Federica Morani Francesco Scovenna Sheila Sansebastian Manuel Maffeo Mario Chiari Enrico Tallarita |
| author_sort | Francesca Rovida |
| collection | DOAJ |
| description | Introduction: Here we reported the virological, entomological and epidemiological characteristics of the large autochthonous outbreak of dengue (DENV) occurred in a small village of the Lombardy region (Northern Italy) during summer 2023. Methods: After the diagnosis of the first autochthonous case on August 18, 2023, public health measures, including epidemiological investigation and vector control measures, were carried out. A serological screening for DENV antibodies detection was offered to the population. In the case of positive DENV IgM, a second sample was collected to detect DENV RNA and verify seroconversion. Entomological and epidemiological investigations were also performed. A modeling analysis was conducted to estimate the dengue generation time, transmission potential, distance of transmission, and assess diagnostic delays. Results: Overall, 416 subjects participated to the screening program and 20 were identified as DENV-1 cases (15 confirmed and 5 probable). In addition, DENV-1 infection was diagnosed in 24 symptomatic subjects referred to the local Emergency Room Department for suggestive symptoms and 1 case was identified through blood donation screening. The average generation time was estimated to be 18.3 days (95 % CI: 13.1–23.5 days). R0 was estimated at 1.31 (95 % CI: 0.76–1.98); 90 % of transmission occurred within 500m. Entomological investigations performed in 46 pools of mosquitoes revealed the presence of only one positive pool for DENV-1. Discussion: This report highlights the importance of synergic surveillance, including virological, entomological and public health measures to control the spread of arboviral infections. |
| format | Article |
| id | doaj-art-af037590f5c64409a8f6cb203c260800 |
| institution | Kabale University |
| issn | 1873-0442 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Travel Medicine and Infectious Disease |
| spelling | doaj-art-af037590f5c64409a8f6cb203c2608002025-01-13T04:18:33ZengElsevierTravel Medicine and Infectious Disease1873-04422025-03-0164102795The 2023 dengue outbreak in Lombardy, Italy: A one-health perspectiveFrancesca Rovida0Marino Faccini1Carla Molina Granè2Irene Cassaniti3Sabrina Senatore4Eva Rossetti5Giuditta Scardina6Manuela Piazza7Giulia Campanini8Daniele Lilleri9Stefania Paolucci10Guglielmo Ferrari11Antonio Piralla12Francesco Defilippo13Davide Lelli14Ana Moreno15Luigi Vezzosi16Federica Attanasi17Marzia Soresini18Manuela Barozzi19Lorenzo Cerutti20Stefano Paglia21Angelo Regazzetti22Maurilia Marcacci23Guido Di Donato24Marco Farioli25Mattia Manica26Piero Poletti27Antonio Lavazza28Maira Bonini29Stefano Merler30Fausto Baldanti31Danilo Cereda32Antonella Sarasini33Milena Furione34Dalila Mele35Federica Bergami36Josè Camilla Sammartino37Alessandro Ferrari38Greta Romano39Antonino Maria Guglielmo Pitrolo40Maya Carrera41Rita Brugnoli42Nunzia Laini43Francesca Bonalda44Sara Arfani45Giuditta Zamboni46Fanny Delfanti47Piergiuseppe Ferrari48Anxhela Dafa49Antonella Negri50Filippa Parisi51Marcello Tirani52Michela Viscardi53Gabriele Del Castillo54Federica Morani55Francesco Scovenna56Sheila Sansebastian57Manuel Maffeo58Mario Chiari59Enrico Tallarita60Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, Pavia, Italy; SC Microbiology and Virology, IRCCS Policlinico San Matteo, Pavia, ItalyDepartment of Hygiene and Health Prevention, Health Protection Agency, Metropolitan Area of Milano, Milano, ItalyCenter for Health Emergencies, Bruno Kessler Foundation, Trento, ItalyDepartment of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, Pavia, Italy; SC Microbiology and Virology, IRCCS Policlinico San Matteo, Pavia, Italy; Corresponding author. Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, Pavia, Italy.Department of Hygiene and Health Prevention, Health Protection Agency, Metropolitan Area of Milano, Milano, ItalyDepartment of Hygiene and Health Prevention, Health Protection Agency, Metropolitan Area of Milano, Milano, ItalyDepartment of Hygiene and Health Prevention, Health Protection Agency, Metropolitan Area of Milano, Milano, ItalySC Infectious and Tropical Diseases -ASST Lodi, Lodi, ItalySC Microbiology and Virology, IRCCS Policlinico San Matteo, Pavia, ItalySC Microbiology and Virology, IRCCS Policlinico San Matteo, Pavia, ItalySC Microbiology and Virology, IRCCS Policlinico San Matteo, Pavia, ItalySC Microbiology and Virology, IRCCS Policlinico San Matteo, Pavia, ItalySC Microbiology and Virology, IRCCS Policlinico San Matteo, Pavia, ItalyVirology Unit, Animal Health and Welfare Department, Istituto Zooprofilattico Sperimentale della Lombardia e dell’Emilia Romagna, Brescia, ItalyVirology Unit, Animal Health and Welfare Department, Istituto Zooprofilattico Sperimentale della Lombardia e dell’Emilia Romagna, Brescia, ItalyVirology Unit, Animal Health and Welfare Department, Istituto Zooprofilattico Sperimentale della Lombardia e dell’Emilia Romagna, Brescia, ItalyDepartment of Hygiene and Health Prevention, Health Protection Agency Val Padana, Mantova, Italy; General Directorate of Welfare, Regione Lombardia, Milano, ItalyGeneral Directorate of Welfare, Regione Lombardia, Milano, ItalyDepartment of Hygiene and Health Prevention, Health Protection Agency, Metropolitan Area of Milano, Milano, ItalyDepartment of Hygiene and Health Prevention, Health Protection Agency, Metropolitan Area of Milano, Milano, ItalySC Chemical-Clinical Analysis and Microbiology Laboratory, ASST Lodi, Lodi, ItalyDepartment of Emergency and Urgency, ASST Lodi, Lodi, ItalySC Infectious and Tropical Diseases -ASST Lodi, Lodi, ItalyIstituto Zooprofilattico Sperimentale dell'Abruzzo e Molise, Teramo, ItalyIstituto Zooprofilattico Sperimentale dell'Abruzzo e Molise, Teramo, ItalyGeneral Directorate of Welfare, Regione Lombardia, Milano, ItalyCenter for Health Emergencies, Bruno Kessler Foundation, Trento, Italy; Epilab-JRU, FEM-FBK Joint Research Unit, Trento, ItalyCenter for Health Emergencies, Bruno Kessler Foundation, Trento, Italy; Epilab-JRU, FEM-FBK Joint Research Unit, Trento, ItalyVirology Unit, Animal Health and Welfare Department, Istituto Zooprofilattico Sperimentale della Lombardia e dell’Emilia Romagna, Brescia, ItalyDepartment of Hygiene and Health Prevention, Health Protection Agency, Metropolitan Area of Milano, Milano, ItalyCenter for Health Emergencies, Bruno Kessler Foundation, Trento, Italy; Epilab-JRU, FEM-FBK Joint Research Unit, Trento, ItalyDepartment of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, Pavia, Italy; SC Microbiology and Virology, IRCCS Policlinico San Matteo, Pavia, ItalyGeneral Directorate of Welfare, Regione Lombardia, Milano, ItalySC Microbiology and Virology, IRCCS Policlinico San Matteo, Pavia, ItalySC Microbiology and Virology, IRCCS Policlinico San Matteo, Pavia, ItalySC Microbiology and Virology, IRCCS Policlinico San Matteo, Pavia, ItalySC Microbiology and Virology, IRCCS Policlinico San Matteo, Pavia, ItalySC Microbiology and Virology, IRCCS Policlinico San Matteo, Pavia, ItalySC Microbiology and Virology, IRCCS Policlinico San Matteo, Pavia, ItalySC Microbiology and Virology, IRCCS Policlinico San Matteo, Pavia, ItalySC Microbiology and Virology, IRCCS Policlinico San Matteo, Pavia, ItalyVirology Department, Istituto Zooprofilattico Sperimentale della Lombardia ed Emilia Romagna, Brescia, ItalyDepartment of Hygiene and Health Prevention, Health Protection Agency, Metropolitan Area of Milano, Milano, ItalyDepartment of Hygiene and Health Prevention, Health Protection Agency, Metropolitan Area of Milano, Milano, ItalyDepartment of Hygiene and Health Prevention, Health Protection Agency, Metropolitan Area of Milano, Milano, ItalyDepartment of Hygiene and Health Prevention, Health Protection Agency, Metropolitan Area of Milano, Milano, ItalyDepartment of Hygiene and Health Prevention, Health Protection Agency, Metropolitan Area of Milano, Milano, ItalyDepartment of Emergency and Urgency, ASST Lodi, Lodi, ItalyDepartment of Emergency and Urgency, ASST Lodi, Lodi, ItalyDepartment of Emergency and Urgency, ASST Lodi, Lodi, ItalySC Chemical-Clinical Analysis and Microbiology Laboratory, ASST Lodi, Lodi, ItalySC Chemical-Clinical Analysis and Microbiology Laboratory, ASST Lodi, Lodi, ItalyGeneral Directorate of Welfare, Regione Lombardia, Milano, ItalyGeneral Directorate of Welfare, Regione Lombardia, Milano, ItalyGeneral Directorate of Welfare, Regione Lombardia, Milano, ItalyGeneral Directorate of Welfare, Regione Lombardia, Milano, ItalyGeneral Directorate of Welfare, Regione Lombardia, Milano, ItalyGeneral Directorate of Welfare, Regione Lombardia, Milano, ItalyGeneral Directorate of Welfare, Regione Lombardia, Milano, ItalyGeneral Directorate of Welfare, Regione Lombardia, Milano, Italy; Department of Hygiene and Health Prevention, Health Protection Agency Brescia, Brescia, ItalySocial Health Director, ASST Lodi, Lodi, ItalyIntroduction: Here we reported the virological, entomological and epidemiological characteristics of the large autochthonous outbreak of dengue (DENV) occurred in a small village of the Lombardy region (Northern Italy) during summer 2023. Methods: After the diagnosis of the first autochthonous case on August 18, 2023, public health measures, including epidemiological investigation and vector control measures, were carried out. A serological screening for DENV antibodies detection was offered to the population. In the case of positive DENV IgM, a second sample was collected to detect DENV RNA and verify seroconversion. Entomological and epidemiological investigations were also performed. A modeling analysis was conducted to estimate the dengue generation time, transmission potential, distance of transmission, and assess diagnostic delays. Results: Overall, 416 subjects participated to the screening program and 20 were identified as DENV-1 cases (15 confirmed and 5 probable). In addition, DENV-1 infection was diagnosed in 24 symptomatic subjects referred to the local Emergency Room Department for suggestive symptoms and 1 case was identified through blood donation screening. The average generation time was estimated to be 18.3 days (95 % CI: 13.1–23.5 days). R0 was estimated at 1.31 (95 % CI: 0.76–1.98); 90 % of transmission occurred within 500m. Entomological investigations performed in 46 pools of mosquitoes revealed the presence of only one positive pool for DENV-1. Discussion: This report highlights the importance of synergic surveillance, including virological, entomological and public health measures to control the spread of arboviral infections.http://www.sciencedirect.com/science/article/pii/S1477893925000018DENV-1 autochthonous outbreakScreeningEpidemiologyDengue transmissionOne health |
| spellingShingle | Francesca Rovida Marino Faccini Carla Molina Granè Irene Cassaniti Sabrina Senatore Eva Rossetti Giuditta Scardina Manuela Piazza Giulia Campanini Daniele Lilleri Stefania Paolucci Guglielmo Ferrari Antonio Piralla Francesco Defilippo Davide Lelli Ana Moreno Luigi Vezzosi Federica Attanasi Marzia Soresini Manuela Barozzi Lorenzo Cerutti Stefano Paglia Angelo Regazzetti Maurilia Marcacci Guido Di Donato Marco Farioli Mattia Manica Piero Poletti Antonio Lavazza Maira Bonini Stefano Merler Fausto Baldanti Danilo Cereda Antonella Sarasini Milena Furione Dalila Mele Federica Bergami Josè Camilla Sammartino Alessandro Ferrari Greta Romano Antonino Maria Guglielmo Pitrolo Maya Carrera Rita Brugnoli Nunzia Laini Francesca Bonalda Sara Arfani Giuditta Zamboni Fanny Delfanti Piergiuseppe Ferrari Anxhela Dafa Antonella Negri Filippa Parisi Marcello Tirani Michela Viscardi Gabriele Del Castillo Federica Morani Francesco Scovenna Sheila Sansebastian Manuel Maffeo Mario Chiari Enrico Tallarita The 2023 dengue outbreak in Lombardy, Italy: A one-health perspective Travel Medicine and Infectious Disease DENV-1 autochthonous outbreak Screening Epidemiology Dengue transmission One health |
| title | The 2023 dengue outbreak in Lombardy, Italy: A one-health perspective |
| title_full | The 2023 dengue outbreak in Lombardy, Italy: A one-health perspective |
| title_fullStr | The 2023 dengue outbreak in Lombardy, Italy: A one-health perspective |
| title_full_unstemmed | The 2023 dengue outbreak in Lombardy, Italy: A one-health perspective |
| title_short | The 2023 dengue outbreak in Lombardy, Italy: A one-health perspective |
| title_sort | 2023 dengue outbreak in lombardy italy a one health perspective |
| topic | DENV-1 autochthonous outbreak Screening Epidemiology Dengue transmission One health |
| url | http://www.sciencedirect.com/science/article/pii/S1477893925000018 |
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