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West Nile Virus

Severity: Low

West Nile virus is extremely common but rarely causes serious illness — about 80% of infections produce no symptoms at all, and most symptomatic cases resemble a mild flu. However, roughly 1 in 150 infections leads to neuroinvasive disease (encephalitis or meningitis), which can be severe or fatal.

The virus is carried by Culex mosquitoes, which bite primarily from dusk through the night. West Nile is widespread across the Americas, Europe (expanding significantly since 2010), the Middle East, and parts of Africa. Peak transmission occurs in late summer and early autumn.

There is no vaccine for humans and no specific treatment. Older adults and immunocompromised individuals are at highest risk of severe disease. Standard evening and nighttime bite precautions are the only defense.

Pathogen

Virus

Culex pipiens (Europe/North America) and Culex quinquefasciatus (tropics) — night-biting species.

Risk Groups

Who is at risk
Low

Adults over 60 and immunocompromised travelers face the greatest risk of severe neuroinvasive disease. There is no vaccine and no specific treatment — taking precautions is your only protection.

Symptoms

Most infections (80%) are asymptomaticFever, headache, body achesSkin rash and swollen lymph nodesNausea and vomitingSevere cases: stiff neck, disorientation, tremorsNeuroinvasive disease in ~1 in 150 infections

Mosquito species that transmit West Nile Virus

Aedes albopictusCulex pipiensCulex quinquefasciatus

Precautions

Use repellent during evening and nighttime hours
Install or check window screens
Drain standing water weekly around accommodation
Wear long sleeves outdoors after dusk
Stay in air-conditioned or screened rooms at night
Be especially cautious in late summer months
WHO West Nile Fact SheetECDC West Nile Surveillance

Countries with West Nile Virus

West Nile Virus is recorded in 50 countries in our database. Click any country for the full Mozzwise briefing covering local seasonality, regional risk, and prevention.

AlbaniaAlgeriaArgentinaAustraliaAustriaBosnia and HerzegovinaBulgariaCanadaColombiaCroatiaCubaCyprusCzechiaDominican RepublicEgyptFranceGeorgiaGermanyGreeceHungaryIndiaIsraelItalyKenyaMadagascarMexicoMoldovaMontenegroMoroccoNigeriaNorth MacedoniaPakistanPalestineRomaniaRussiaSenegalSerbiaSlovakiaSloveniaSouth AfricaSpainSudanTanzaniaTrinidad and TobagoTunisiaTurkeyUgandaUkraineUnited StatesVenezuela

Disease information is sourced from WHO, CDC, ECDC, and OpenDengue. Not medical advice. Personal decisions on diagnosis, treatment, vaccinations, or medication belong with a qualified healthcare professional.

West Nile Virus — Mosquito-Borne Disease | Mozzwise