Grazia Greco

Background: West Nile virus (WNV) is an emerging mosquito-borne neurotropic virus, belonging to the Flaviviridae family and the Orthoflavivirus genus. The effective control of WNV requires a targeted preventive strategy that also needs the identification of the higher-risk populations. Hence, this study focused on a systematic literature review of WNV-acquired infection in work-related settings and the assessment of the exposure risks among different occupational categories. Methods: A comprehensive search was conducted to identify studies until September 2023 in multiple databases such as PubMed/MEDLINE, SCOPUS and Web of Science, according to the PRISMA 2020 statement. Risk of bias of collected papers was assessed by the ROB tool of the National Toxicology Program’s Office of Health Assessment and Translation handbook. Results: A total of 21 studies were included in the systematic review, out of which seventeen were observational studies and four were case reports. Workers identified as at higher risk for WNV infection were military workers, veterinarians, agricultural workers, farmers, and laboratory workers with contact with infected fluids or aerosols. Conclusions: The identification of higher-risk workers could facilitate active surveillance by occupational physicians, which could improve our understanding of the epidemiology of WNV and, in addition, could help tailor appropriate preventive recommendations, reducing the overall burden of disease in high-risk areas.

Bartonella species are vector-borne infectious pathogens with a severe impact on animal and human health. This comprehensive systematic review aimed to perform a meta-analysis to evaluate the global impact of this pathogen on pet health. A literature search was performed on electronic databases (Web of Science, PubMed, and Scopus) to find relevant peer-reviewed published papers (n = 131). A random-effects model was employed to calculate pooled prevalence estimates, and Q-statistic and I2 index were used to assess the heterogeneity. Based on 20.133 cats and 9.824 dogs, the global prevalence estimates were 15.3% and 3.6%. The heterogeneity was significantly high in both species, with I2 = 95.8%, p-value <0.0001, and I2 = 87.7%, p-value <0.0001 in cats and dogs, respectively. The meta-analysis conducted using location coordinates showed a consistently high prevalence in regions located between latitudes −40 to −30 or latitudes 30–40 in both populations, in agreement with the pure spatial analysis results, which computed significantly high relative risk areas within these region coordinates. When analyzing cat data for other subgroup moderators, Bartonella spp. prevalence was higher in animals of young age (<1 year, p-value = 0.001), with a free roaming lifestyle (p-value <0.0001) and/or having ectoparasite infestation (p-value = 0.004). Globally, among the Bartonella species detected in cats, Bartonella henselae was the most frequent (13.05%), followed by Bartonella clarridgeiae (1.7%) and Bartonella koehlerae (0.11%). When considering Bartonella henselae genotype distribution, high heterogeneity ( p < 0.0001 ) was observed based on geographical subgroups. Dogs displayed infection by Bartonella vinsonii subsp. berkhoffii (1.1%), B. henselae (1%), Candidatus B. merieuxii (0.9%) and B. rochalimae (0.38%). The present study provides a global picture of the epidemiological distribution of Bartonella spp. in cat and dog populations that may be pivotal for implementing proper preventive and control measures.