PMID- 33206634 OWN - NLM STAT- MEDLINE DCOM- 20210125 LR - 20210125 IS - 1935-2735 (Electronic) IS - 1935-2727 (Print) IS - 1935-2727 (Linking) VI - 14 IP - 11 DP - 2020 Nov TI - West Nile virus in California, 2003-2018: A persistent threat. PG - e0008841 LID - 10.1371/journal.pntd.0008841 [doi] LID - e0008841 AB - The California Arbovirus Surveillance Program was initiated over 50 years ago to track endemic encephalitides and was enhanced in 2000 to include West Nile virus (WNV) infections in humans, mosquitoes, sentinel chickens, dead birds and horses. This comprehensive statewide program is a function of strong partnerships among the California Department of Public Health (CDPH), the University of California, and local vector control and public health agencies. This manuscript summarizes WNV surveillance data in California since WNV was first detected in 2003 in southern California. From 2003 through 2018, 6,909 human cases of WNV disease, inclusive of 326 deaths, were reported to CDPH, as well as 730 asymptomatic WNV infections identified during screening of blood and organ donors. Of these, 4,073 (59.0%) were reported as West Nile neuroinvasive disease. California's WNV disease burden comprised 15% of all cases that were reported to the U.S. Centers for Disease Control and Prevention during this time, more than any other state. Additionally, 1,299 equine WNV cases were identified, along with detections of WNV in 23,322 dead birds, 31,695 mosquito pools, and 7,340 sentinel chickens. Annual enzootic detection of WNV typically preceded detection in humans and prompted enhanced intervention to reduce the risk of WNV transmission. Peak WNV activity occurred from July through October in the Central Valley and southern California. Less than five percent of WNV activity occurred in other regions of the state or outside of this time. WNV continues to be a major threat to public and wild avian health in California, particularly in southern California and the Central Valley during summer and early fall months. Local and state public health partners must continue statewide human and mosquito surveillance and facilitate effective mosquito control and bite prevention measures. FAU - Snyder, Robert E AU - Snyder RE AUID- ORCID: 0000-0001-9743-0872 AD - California Department of Public Health, Vector-Borne Disease Section, Richmond and Sacramento, California, United States of America. FAU - Feiszli, Tina AU - Feiszli T AUID- ORCID: 0000-0001-6041-5126 AD - California Department of Public Health, Vector-Borne Disease Section, Richmond and Sacramento, California, United States of America. FAU - Foss, Leslie AU - Foss L AD - California Department of Public Health, Vector-Borne Disease Section, Richmond and Sacramento, California, United States of America. FAU - Messenger, Sharon AU - Messenger S AUID- ORCID: 0000-0001-6861-7267 AD - California Department of Public Health, Division of Communicable Disease Control, Richmond, California, United States of America. FAU - Fang, Ying AU - Fang Y AD - Department of Pathology, Microbiology & Immunology, School of Veterinary Medicine, University of California, Davis, California, United States of America. FAU - Barker, Christopher M AU - Barker CM AUID- ORCID: 0000-0002-7941-346X AD - Department of Pathology, Microbiology & Immunology, School of Veterinary Medicine, University of California, Davis, California, United States of America. FAU - Reisen, William K AU - Reisen WK AUID- ORCID: 0000-0002-6878-9787 AD - Department of Pathology, Microbiology & Immunology, School of Veterinary Medicine, University of California, Davis, California, United States of America. FAU - Vugia, Duc J AU - Vugia DJ AUID- ORCID: 0000-0003-2595-7354 AD - California Department of Public Health, Division of Communicable Disease Control, Richmond, California, United States of America. FAU - Padgett, Kerry A AU - Padgett KA AUID- ORCID: 0000-0002-9535-3401 AD - California Department of Public Health, Vector-Borne Disease Section, Richmond and Sacramento, California, United States of America. FAU - Kramer, Vicki L AU - Kramer VL AUID- ORCID: 0000-0002-9325-9200 AD - California Department of Public Health, Vector-Borne Disease Section, Richmond and Sacramento, California, United States of America. LA - eng GR - U01 EH000418/EH/NCEH CDC HHS/United States GR - R01 AI055607/AI/NIAID NIH HHS/United States GR - U01 CK000516/CK/NCEZID CDC HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. DEP - 20201118 PL - United States TA - PLoS Negl Trop Dis JT - PLoS neglected tropical diseases JID - 101291488 RN - 0 (RNA, Viral) SB - IM MH - Animals MH - Base Sequence MH - Birds/virology MH - California/epidemiology MH - Chickens/virology MH - Culex/virology MH - *Epidemiological Monitoring MH - Horses/virology MH - Humans MH - Mosquito Vectors/classification/virology MH - RNA, Viral/genetics MH - Seasons MH - Sequence Analysis, RNA MH - West Nile Fever/*epidemiology/*veterinary MH - West Nile virus/genetics/*isolation & purification PMC - PMC7710070 COIS- The authors have declared that no competing interests exist. EDAT- 2020/11/19 06:00 MHDA- 2021/01/26 06:00 PMCR- 2020/11/18 CRDT- 2020/11/18 17:09 PHST- 2020/03/18 00:00 [received] PHST- 2020/09/24 00:00 [accepted] PHST- 2020/12/02 00:00 [revised] PHST- 2020/11/19 06:00 [pubmed] PHST- 2021/01/26 06:00 [medline] PHST- 2020/11/18 17:09 [entrez] PHST- 2020/11/18 00:00 [pmc-release] AID - PNTD-D-20-00444 [pii] AID - 10.1371/journal.pntd.0008841 [doi] PST - epublish SO - PLoS Negl Trop Dis. 2020 Nov 18;14(11):e0008841. doi: 10.1371/journal.pntd.0008841. eCollection 2020 Nov.