{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T05:16:27Z","timestamp":1767071787744,"version":"3.48.0"},"reference-count":140,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T00:00:00Z","timestamp":1766707200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microorganisms"],"abstract":"<jats:p>Vector-borne infections are a growing public health concern in Romania, influenced by ecological diversity, climate change, and socioeconomic factors. West Nile virus, tick-borne encephalitis, and Lyme borreliosis represent the most significant threats, with additional risks posed by emerging pathogens, such as leishmaniasis, and the potential reintroduction of malaria. While surveillance systems exist for human cases and, to a lesser extent, vectors, these remain fragmented, underfunded, and limited in their integration across human, veterinary, and environmental health domains. By highlighting both gaps and opportunities, this review provides a forward-looking perspective on strengthening Romania\u2019s capacity to anticipate and manage vector-borne disease threats. Transitioning from reactive surveillance to proactive, prediction-driven strategies will be critical to safeguarding public health in the context of accelerating environmental change.<\/jats:p>","DOI":"10.3390\/microorganisms14010061","type":"journal-article","created":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T07:52:59Z","timestamp":1766994779000},"page":"61","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Vector-Borne Infections in Romania: From Surveillance to Prediction"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3903-3478","authenticated-orcid":false,"given":"Anca-Elena","family":"Duduveche","sequence":"first","affiliation":[{"name":"Department of Infectious Diseases, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,12,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Crivei, L.A., Moutailler, S., Gonzalez, G., Lowenski, S., Crivei, I.C., Porea, D., Anita, D.C., Ratoi, I.A., Zientara, S., and Oslobanu, L.E. (2023). Detection of West Nile Virus Lineage 2 in Eastern Romania and First Identification of Sindbis Virus RNA in Mosquitoes Analyzed Using High-Throughput Microfluidic Real-Time PCR. Viruses, 15.","DOI":"10.3390\/v15010186"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Dinu, S., Stancu, I.G., Cotar, A.I., Ceianu, C.S., Pintilie, G.V., Karpathakis, I., F\u0103lcu\u021b\u0103, E., Csutak, O., and Prioteasa, F.L. (2024). Continuous and Dynamic Circulation of West Nile Virus in Mosquito Populations in Bucharest Area, Romania, 2017\u20132023. Microorganisms, 12.","DOI":"10.3390\/microorganisms12102080"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Bor\u015fan, S.-D., Ionic\u0103, A.M., Galon, C., Toma-Naic, A., Pe\u015ftean, C., S\u00e1ndor, A.D., Moutailler, S., and Mihalca, A.D. (2021). High Diversity, Prevalence, and Co-infection Rates of Tick-Borne Pathogens in Ticks and Wildlife Hosts in an Urban Area in Romania. Front. Microbiol., 12.","DOI":"10.3389\/fmicb.2021.645002"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Kalm\u00e1r, Z., Briciu, V., Coroian, M., Flonta, M., R\u0103dulescu, A.-L., Topan, A., Mihalca, A.D., and Lup\u0219e, M. (2021). Seroprevalence of antibodies against Borrelia burgdorferi sensu lato in healthy blood donors in Romania: An update. Parasites Vectors, 14.","DOI":"10.1186\/s13071-021-05099-1"},{"key":"ref_5","first-page":"54","article-title":"Synopsis of the mosquitoes (Diptera: Culicidae) of Romania","volume":"4772","author":"Mihalca","year":"2020","journal-title":"Zootaxa"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Coroian, M., Petri\u0107, M., Pistol, A., Sirbu, A., Dom\u0219a, C., and Mihalca, A.D. (2020). Human West Nile Meningo-Encephalitis in a Highly Endemic Country: A Complex Epidemiological Analysis on Biotic and Abiotic Risk Factors. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17218250"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1016\/S0140-6736(98)03538-7","article-title":"West Nile encephalitis epidemic in southeastern Romania","volume":"352","author":"Tsai","year":"1998","journal-title":"Lancet"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Angulo, F.J., Olsen, J., Purdel, V., Lup\u0219e, M., Hristea, A., Briciu, V., Colby, E., Pilz, A., Halsby, K., and Kelly, P.H. (2024). Incidence of symptomatic Borrelia burgdorferi sensu lato infection in Romania, 2018\u22122023. Parasites Vectors, 17.","DOI":"10.1186\/s13071-024-06449-5"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Wint, G.W., Balenghien, T., Berriatua, E., Braks, M., Marsboom, C., Medlock, J., Schaffner, F., Van Bortel, W., Alexander, N., and Alten, B. (2023). VectorNet: Collaborative mapping of arthropod disease vectors in Europe and surrounding areas since 2010. Eurosurveillance, 28.","DOI":"10.2807\/1560-7917.ES.2023.28.26.2200666"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Carbone, G., Boiardi, G., Infantino, C., Cunico, D., and Esposito, S. (2025). Vectors on the Move: How Climate Change Fuels the Spread of Arboviruses in Europe. Microorganisms, 13.","DOI":"10.3390\/microorganisms13092034"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Semenza, J.C., and Suk, J.E. (2018). Vector-borne diseases and climate change: A European perspective. FEMS Microbiol. Lett., 365.","DOI":"10.1093\/femsle\/fnx244"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Radici, A., Hammami, P., Cannet, A., L\u2019AMbert, G., Lacour, G., Fournet, F., Garros, C., Guis, H., Fontenille, D., and Caminade, C. (2025). Aedes albopictus Is Rapidly Invading Its Climatic Niche in France: Wider Implications for Biting Nuisance and Arbovirus Control in Western Europe. Glob. Chang. Biol., 31.","DOI":"10.1111\/gcb.70414"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Erazo, D., Grant, L., Ghisbain, G., Marini, G., Col\u00f3n-Gonz\u00e1lez, F.J., Wint, W., Rizzoli, A., Van Bortel, W., Vogels, C.B.F., and Grubaugh, N.D. (2024). Contribution of climate change to the spatial expansion of West Nile virus in Europe. Nat. Commun., 15.","DOI":"10.1038\/s41467-024-45290-3"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.jcv.2018.08.007","article-title":"Ongoing and emerging arbovirus threats in Europe","volume":"107","author":"Barzon","year":"2018","journal-title":"J. Clin. Virol."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Fleischmann, W.A., Cao, L.C., Nurjadi, D., and Velavan, T.P. (2024). Addressing the rise of autochthonous vector-borne diseases in a warming Europe. Int. J. Infect. Dis., 149.","DOI":"10.1016\/j.ijid.2024.107275"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Charnley, G.E., Alcayna, T., Almuedo-Riera, A., Antoniou, C., Badolo, A., Bartumeus, F., Boodram, L.-L., Bueno-Mar\u00ed, R., Code\u00e7o, C., and Coelho, F.C. (2025). Strengthening resilience to emerging vector-borne diseases in Europe: Lessons learnt from countries facing endemic transmission. Lancet Reg. Health Eur., 53.","DOI":"10.1016\/j.lanepe.2025.101271"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"T\u00f6r\u00f6k, E., Tomazatos, A., Cadar, D., Horv\u00e1th, C., Keresztes, L., Jansen, S., Becker, N., Kaiser, A., Popescu, O., and Schmidt-Chanasit, J. (2016). Pilot longitudinal mosquito surveillance study in the Danube Delta Biosphere Reserve and the first reports of Anopheles algeriensis Theobald, 1903 and Aedes hungaricus Mih\u00e1lyi, 1955 for Romania. Parasites Vectors, 9.","DOI":"10.1186\/s13071-016-1484-7"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1089\/vbz.2017.2221","article-title":"Molecular Evidence of Rickettsia spp., Anaplasma phagocytophilum, and \u201cCandidatus Neoehrlichia mikurensis\u201d in Ticks from Natural and Urban Habitats in Eastern Romania","volume":"18","author":"Raileanu","year":"2018","journal-title":"Vector-Borne Zoonotic Dis."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1111\/j.1749-6632.2001.tb02688.x","article-title":"Epidemic West Nile encephalitis in Romania\u2014Waiting for history to repeat itself","volume":"951","author":"Campbell","year":"2001","journal-title":"Ann. N. Y. Acad. Sci."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Cotar, A.I., F\u0103lcu\u021b\u0103, E., Dinu, S., Necula, A., B\u00eerlu\u021biu, V., Ceianu, C.S., and Prioteasa, F.L. (2018). West Nile virus lineage 2 in Romania, 2015\u20132016: Co-circulation and strain replacement. Parasites Vectors, 11.","DOI":"10.1186\/s13071-018-3145-5"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Logiudice, J., Alberti, M., Ciccarone, A., Rossi, B., Tiecco, G., De Francesco, M.A., and Quiros-Roldan, E. (2025). Introduction of Vector-Borne Infections in Europe: Emerging and Re-Emerging Viral Pathogens with Potential Impact on One Health. Pathogens, 14.","DOI":"10.3390\/pathogens14010063"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Dinu, S., I Cotar, A., P\u0103nculescu-G\u0103tej, I.R., F\u0103lcu\u0163\u0103, E., Prioteasa, F.L., S\u00eerbu, A., Opri\u015fan, G., B\u0103descu, D., Reiter, P., and Ceianu, C.S. (2015). West Nile virus circulation in south-eastern Romania, 2011 to 2013. Eurosurveillance, 20.","DOI":"10.2807\/1560-7917.ES2015.20.20.21130"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Garrig\u00f3s, M., Garrido, M., Panisse, G., Veiga, J., and la Puente, J.M.-D. (2023). Interactions Between West Nile Virus and the Microbiota of Culex pipiens Vectors: A Literature Review. Pathogens, 12.","DOI":"10.3390\/pathogens12111287"},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Carrasco, L., Utrilla, M.J., Fuentes-Romero, B., Fernandez-Novo, A., and Martin-Maldonado, B. (2024). West Nile Virus: An Update Focusing on Southern Europe. Microorganisms, 12.","DOI":"10.3390\/microorganisms12122623"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Young, J.J., Haussig, J.M., Aberle, S.W., Pervanidou, D., Riccardo, F., Sekuli\u0107, N., Bakonyi, T., and Gossner, C.M. (2021). Epidemiology of human West Nile virus infections in the European Union and European Union enlargement countries, 2010 to 2018. Eurosurveillance, 26, Erratum in Eurosurveillance \u00a02021, 26, 210520c. https:\/\/doi.org\/10.2807\/1560-7917.ES.2021.26.20.210520c.","DOI":"10.2807\/1560-7917.ES.2021.26.19.2001095"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1001\/jama.2025.8737","article-title":"West Nile Virus: A Review","volume":"334","author":"Gould","year":"2025","journal-title":"JAMA"},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Coroian, M., Mihalca, A.D., Dobler, G., Euringer, K., Girl, P., Bor\u0219an, S.-D., Kalm\u00e1r, Z., Briciu, V.T., Flonta, M., and Topan, A. (2022). Seroprevalence Rates against West Nile, Usutu, and Tick-Borne Encephalitis Viruses in Blood-Donors from North-Western Romania. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19138182"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"2065","DOI":"10.3201\/eid2312.170166","article-title":"Tick-Borne Encephalitis in Sheep, Romania","volume":"23","author":"Salat","year":"2017","journal-title":"Emerg. Infect. Dis."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"2067","DOI":"10.1007\/s00436-011-2703-y","article-title":"Hard ticks (Ixodidae) in Romania: Surveillance, host associations, and possible risks for tick-borne diseases","volume":"110","author":"Dumitrache","year":"2011","journal-title":"Parasitol. Res."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1007\/s00436-018-5848-0","article-title":"Tick-borne pathogens in tick species infesting humans in Sibiu County, central Romania","volume":"117","author":"Andersson","year":"2018","journal-title":"Parasitol. Res."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1086\/515195","article-title":"Tick-Borne Encephalitis","volume":"28","author":"Dumpis","year":"1999","journal-title":"Clin. Infect. Dis."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1861","DOI":"10.1016\/S0140-6736(08)60800-4","article-title":"Tick-borne encephalitis","volume":"371","author":"Lindquist","year":"2008","journal-title":"Lancet"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"4556","DOI":"10.1016\/j.vaccine.2011.04.061","article-title":"The current perspective on tick-borne encephalitis awareness and prevention in six Central and Eastern European countries: Report from a meeting of experts convened to discuss TBE in their region","volume":"29","author":"Kollaritsch","year":"2011","journal-title":"Vaccine"},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Pustijanac, E., Bur\u0161i\u0107, M., Talapko, J., \u0160krlec, I., Me\u0161trovi\u0107, T., and Li\u0161nji\u0107, D. (2023). Tick-Borne Encephalitis Virus: A Comprehensive Review of Transmission, Pathogenesis, Epidemiology, Clinical Manifestations, Diagnosis, and Prevention. Microorganisms, 11.","DOI":"10.3390\/microorganisms11071634"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ejim.2019.01.004","article-title":"Tick-borne encephalitis in Europe: A brief update on epidemiology, diagnosis, prevention, and treatment","volume":"62","author":"Riccardi","year":"2019","journal-title":"Eur. J. Intern. Med."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1016\/S1473-3099(24)00654-6","article-title":"Multi-antigen serology and a diagnostic algorithm for the detection of arbovirus infections as novel tools for arbovirus preparedness in southeast Europe (MERMAIDS-ARBO): A prospective observational study","volume":"25","author":"Kasbergen","year":"2025","journal-title":"Lancet Infect. Dis."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"\u010cabanov\u00e1, V., Kerlik, J., Kirschner, P., Rosochov\u00e1, J., Klempa, B., Sl\u00e1vikov\u00e1, M., and Li\u010dkov\u00e1, M. (2023). Co-Circulation of West Nile, Usutu, and Tick-Borne Encephalitis Viruses in the Same Area: A Great Challenge for Diagnostic and Blood and Organ Safety. Viruses, 15.","DOI":"10.3390\/v15020366"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Saegerman, C., Humblet, M.-F., Leandri, M., Gonzalez, G., Heyman, P., Sprong, H., L\u2019hostis, M., Moutailler, S., Bonnet, S.I., and Haddad, N. (2023). First Expert Elicitation of Knowledge on Possible Drivers of Observed Increasing Human Cases of Tick-Borne Encephalitis in Europe. Viruses, 15.","DOI":"10.3390\/v15030791"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Zaj\u0105c, Z., Kulisz, J., Bartosik, K., Wo\u017aniak, A., Dzier\u017cak, M., and Khan, A. (2021). Environmental determinants of the occurrence and activity of Ixodes ricinus ticks and the prevalence of tick-borne diseases in eastern Poland. Sci. Rep., 11.","DOI":"10.1038\/s41598-021-95079-3"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1007\/s10493-011-9438-4","article-title":"Ixodes ricinus ticks (Acari: Ixodidae): Vectors for Lyme disease spirochetes in Romania","volume":"54","author":"Coipan","year":"2011","journal-title":"Exp. Appl. Acarol."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Strnad, M., Honig, V., R\u016f\u017eek, D., Grubhoffer, L., and Rego, R.O.M. (2017). Europe-Wide Meta-Analysis of Borrelia burgdorferi Sensu Lato Prevalence in Questing Ixodes ricinus Ticks. Appl. Environ. Microbiol., 83.","DOI":"10.1128\/AEM.00609-17"},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Kazim\u00edrov\u00e1, M., Mahr\u00edkov\u00e1, L., Ham\u0161\u00edkov\u00e1, Z., Stanko, M., Golovchenko, M., and Rudenko, N. (2023). Spatial and Temporal Variability in Prevalence Rates of Members of the Borrelia burgdorferi Species Complex in Ixodes ricinus Ticks in Urban, Agricultural and Sylvatic Habitats in Slovakia. Microorganisms, 11.","DOI":"10.3390\/microorganisms11071666"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"3838","DOI":"10.1128\/AEM.00067-11","article-title":"Correlation of Borrelia burgdorferi Sensu Lato Prevalence in Questing Ixodes ricinus Ticks with Specific Abiotic Traits in the Western Palearctic","volume":"77","author":"Ortega","year":"2011","journal-title":"Appl. Environ. Microbiol."},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Pawe\u0142czyk, A., Bednarska, M., Hamera, A., Religa, E., Poryszewska, M., Mierzejewska, E.J., and Welc-Fal\u0119ciak, R. (2021). Long-term study of Borrelia and Babesia prevalence and co-infection in Ixodes ricinus and Dermacentor recticulatus ticks removed from humans in Poland, 2016\u20132019. Parasites Vectors, 14.","DOI":"10.1186\/s13071-021-04849-5"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1007\/s10493-023-00818-y","article-title":"Prevalence of Borrelia, Neoehrlichia mikurensis and Babesia in ticks collected from vegetation in eastern Poland","volume":"90","author":"Kloc","year":"2023","journal-title":"Exp. Appl. Acarol."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Strnad, M., Rudenko, N., and Rego, R.O. (2023). Pathogenicity and virulence of Borrelia burgdorferi. Virulence, 14.","DOI":"10.1080\/21505594.2023.2265015"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1007\/s00436-022-07445-3","article-title":"The evolving story of Borrelia burgdorferi sensu lato transmission in Europe","volume":"121","author":"Steinbrink","year":"2022","journal-title":"Parasitol. Res."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"2265","DOI":"10.1007\/s00296-024-05580-x","article-title":"Borrelia burgdorferi and autoimmune mechanisms: Implications for mimicry, misdiagnosis, and mismanagement in Lyme disease and autoimmune disorders","volume":"44","author":"Doskaliuk","year":"2024","journal-title":"Rheumatol. Int."},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Snik, M.E., Stouthamer, N.E., Hovius, J.W., and van Gool, M.M. (2024). Bridging the gap: Insights in the immunopathology of Lyme borreliosis. Eur. J. Immunol., 54.","DOI":"10.1002\/eji.202451063"},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Sanderson, V.P., Miller, J.C., Bamm, V.V., Tilak, M., Lloyd, V.K., Singh-Ranger, G., and Wills, M.K.B. (2023). Profiling disease burden and Borrelia seroprevalence in Canadians with complex and chronic illness. PLoS ONE, 18.","DOI":"10.1371\/journal.pone.0291382"},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"The ScandTick Biobank Study Group, Lager, M., Dessau, R.B., Wilhelmsson, P., Nyman, D., Jensen, G.F., Matussek, A., Lindgren, P.-E., Henningsson, A.J., and Baqir, H. (2019). Serological diagnostics of Lyme borreliosis: Comparison of assays in twelve clinical laboratories in Northern Europe. Eur. J. Clin. Microbiol. Infect. Dis., 38, 1933\u20131945.","DOI":"10.1007\/s10096-019-03631-x"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"2397","DOI":"10.1007\/s10096-024-04956-y","article-title":"Evaluation of different standard and modified two-tier testing strategies for the laboratory diagnosis of lyme borreliosis in a European setting","volume":"43","author":"Kerkhof","year":"2024","journal-title":"Eur. J. Clin. Microbiol. Infect. Dis."},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Blanchard, L., Jones-Diette, J., Lorenc, T., Sutcliffe, K., Sowden, A., and Thomas, J. (2022). Comparison of national surveillance systems for Lyme disease in humans in Europe and North America: A policy review. BMC Public Health, 22.","DOI":"10.1186\/s12889-022-13669-w"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1089\/vbz.2022.0071","article-title":"Incidence of Lyme Borreliosis in Europe from National Surveillance Systems (2005\u20132020)","volume":"23","author":"Burn","year":"2023","journal-title":"Vector-Borne Zoonotic Dis."},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Birlutiu, V., Iancu, G., Birlutiu, R.-M., and Florescu, S.A. (2025). How Common Is Imported Cutaneous Leishmaniasis in Romania? Two Case Reports. Microorganisms, 13.","DOI":"10.3390\/microorganisms13061207"},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Koch, L.K., Kochmann, J., Klimpel, S., and Cunze, S. (2017). Modeling the climatic suitability of leishmaniasis vector species in Europe. Sci. Rep., 7.","DOI":"10.1038\/s41598-017-13822-1"},{"key":"ref_57","doi-asserted-by":"crossref","unstructured":"Chalghaf, B., Chemkhi, J., Mayala, B., Harrabi, M., Benie, G.B., Michael, E., and Ben Salah, A. (2018). Ecological niche modeling predicting the potential distribution of Leishmania vectors in the Mediterranean basin: Impact of climate change. Parasites Vectors, 11.","DOI":"10.1186\/s13071-018-3019-x"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1080\/14787210.2020.1751611","article-title":"The enemy at home: Leishmaniasis in the Mediterranean basin, Italy on the focus","volume":"18","author":"Gianchecchi","year":"2020","journal-title":"Expert Rev. Anti-Infect. Ther."},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Khosravi, A., Sharifi, I., Bamorovat, M., Parizi, M.H., Aflatoonian, M.R., Sharifi, F., Afshari, S.A.K., Afshar, A.A., Akhtardanesh, B., and Mollaakbari, E. (2025). The Impact of Anthropic and Natural Events on Leishmaniasis Burden, Control Measures, and Public Health Importance. Transbound. Emerg. Dis., 2025.","DOI":"10.1155\/tbed\/7588132"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1007\/s00436-019-06575-5","article-title":"Environmental and socioeconomic risk factors associated with visceral and cutaneous leishmaniasis: A systematic review","volume":"119","author":"Valero","year":"2020","journal-title":"Parasitol. Res."},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"Medenica, S., Miladinovi\u0107-Tasi\u0107, N., Stojanovi\u0107, N.M., Laki\u0107evi\u0107, N., and Rako\u010devi\u0107, B. (2023). Climate Variables Related to the Incidence of Human Leishmaniosis in Montenegro in Southeastern Europe During Seven Decades (1945\u20132014). Int. J. Environ. Res. Public Health, 20.","DOI":"10.3390\/ijerph20031656"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1089\/vbz.2021.0091","article-title":"Seroprevalence of Crimean-Congo Hemorrhagic Fever Among Small Ruminants from Southern Romania","volume":"22","author":"Bratuleanu","year":"2022","journal-title":"Vector-Borne Zoonotic Dis."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.tmaid.2016.03.012","article-title":"Current situation of Crimean-Congo hemorrhagic fever in Southeastern Europe and neighboring countries: A public health risk for the European Union?","volume":"14","author":"Dreshaj","year":"2016","journal-title":"Travel Med. Infect. Dis."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1016\/j.ijid.2009.03.028","article-title":"Crimean-Congo hemorrhagic fever in southeastern Europe","volume":"13","author":"Vorou","year":"2009","journal-title":"Int. J. Infect. Dis."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.coviro.2018.12.002","article-title":"Crimean-Congo hemorrhagic fever and expansion from endemic regions","volume":"34","author":"Spengler","year":"2019","journal-title":"Curr. Opin. Virol."},{"key":"ref_66","doi-asserted-by":"crossref","unstructured":"Zehender, G., Ebranati, E., Shkjezi, R., Papa, A., Luzzago, C., Gabanelli, E., Presti, A.L., Lai, A., Rezza, G., and Galli, M. (2013). Bayesian Phylogeography of Crimean-Congo Hemorrhagic Fever Virus in Europe. PLoS ONE, 8.","DOI":"10.1371\/journal.pone.0079663"},{"key":"ref_67","doi-asserted-by":"crossref","unstructured":"Lukashev, A.N., Klimentov, A.S., E Smirnova, S., Dzagurova, T.K., Drexler, J.F., and Gmyl, A.P. (2016). Phylogeography of Crimean Congo Hemorrhagic Fever Virus. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0166744"},{"key":"ref_68","doi-asserted-by":"crossref","unstructured":"Portillo, A., Palomar, A.M., Santib\u00e1\u00f1ez, P., and Oteo, J.A. (2021). Epidemiological Aspects of Crimean-Congo Hemorrhagic Fever in Western Europe: What About the Future?. Microorganisms, 9.","DOI":"10.3390\/microorganisms9030649"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1016\/j.antiviral.2013.02.007","article-title":"The impact of Crimean-Congo hemorrhagic fever virus on public health","volume":"98","author":"Mertens","year":"2013","journal-title":"Antivir. Res."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1038\/s41579-023-00871-9","article-title":"Crimean\u2013Congo haemorrhagic fever virus","volume":"21","author":"Hawman","year":"2023","journal-title":"Nat. Rev. Microbiol."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1089\/vbz.2009.0071","article-title":"Malaria and the Campaigns Toward its Eradication in Romania, 1923\u20131963","volume":"11","author":"Neghina","year":"2011","journal-title":"Vector-Borne Zoonotic Dis."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"1285","DOI":"10.1089\/vbz.2010.0275","article-title":"International Travel Increase and Malaria Importation in Romania, 2008\u20132009","volume":"11","author":"Neghina","year":"2011","journal-title":"Vector-Borne Zoonotic Dis."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.tmaid.2007.12.001","article-title":"Import of malaria in a Romanian Western County","volume":"6","author":"Neghina","year":"2008","journal-title":"Travel Med. Infect. Dis."},{"key":"ref_74","doi-asserted-by":"crossref","unstructured":"Bertola, M., Mazzucato, M., Pombi, M., and Montarsi, F. (2022). Updated occurrence and bionomics of potential malaria vectors in Europe: A systematic review (2000\u20132021). Parasites Vectors, 15.","DOI":"10.1186\/s13071-022-05204-y"},{"key":"ref_75","doi-asserted-by":"crossref","unstructured":"Ivanescu, L., Bodale, I., Florescu, S.-A., Roman, C., Acatrinei, D., and Miron, L. (2016). Climate Change Is Increasing the Risk of the Reemergence of Malaria in Romania. BioMed Res. Int., 2016.","DOI":"10.1155\/2016\/8560519"},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"2597","DOI":"10.1007\/s10096-025-05246-x","article-title":"Historical evolution of the epidemiology of Malaria in Spain and Europe. Future perspectives","volume":"44","author":"Gallardo","year":"2025","journal-title":"Eur. J. Clin. Microbiol. Infect. Dis."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1016\/S0140-6736(25)00038-8","article-title":"Mapping the global prevalence, incidence, and mortality of Plasmodium falciparum and Plasmodium vivax malaria, 2000\u20132022: A spatial and temporal modelling study","volume":"405","author":"Weiss","year":"2025","journal-title":"Lancet"},{"key":"ref_78","doi-asserted-by":"crossref","unstructured":"Lu, G., Zhang, D., Chen, J., Cao, Y., Chai, L., Liu, K., Chong, Z., Zhang, Y., Lu, Y., and Heuschen, A.-K. (2023). Predicting the risk of malaria re-introduction in countries certified malaria-free: A systematic review. Malar. J., 22.","DOI":"10.1186\/s12936-023-04604-4"},{"key":"ref_79","doi-asserted-by":"crossref","unstructured":"Lazar, M., Pascu, C., Ro\u0219ca, M., and St\u0103nescu, A. (2023). Ongoing measles outbreaks in Romania, March 2023 to August 2023. Eurosurveillance, 28.","DOI":"10.2807\/1560-7917.ES.2023.28.35.2300423"},{"key":"ref_80","doi-asserted-by":"crossref","unstructured":"Jugulete, G., Meri\u0219escu, M.M., Borcos, B., Totoianu, A.N., and Dragomirescu, A.O. (2025). Paediatric Measles in Romania: A Comparative Clinical and Epidemiological Analysis of the 2017\u20132019 and 2023\u20132024 Epidemic Waves at a Tertiary Care Centre in Bucharest. Viruses, 17.","DOI":"10.3390\/v17060755"},{"key":"ref_81","doi-asserted-by":"crossref","unstructured":"Zucs, P., Beaut\u00e9, J., Palm, D., and Spiteri, G. (2024). Focus, vigilance, resilience: Towards stronger infectious disease surveillance, threat detection and response in the EU\/EEA. Eurosurveillance, 29.","DOI":"10.2807\/1560-7917.ES.2024.29.34.2400066"},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1007\/s00436-020-06620-8","article-title":"The invasive Asian tiger mosquito Aedes albopictus in Romania: Towards a country-wide colonization?","volume":"119","author":"Prioteasa","year":"2020","journal-title":"Parasitol. Res."},{"key":"ref_83","doi-asserted-by":"crossref","unstructured":"Tomazatos, A., Jansen, S., Pfister, S., T\u00f6r\u00f6k, E., Maranda, I., Horv\u00e1th, C., Keresztes, L., Sp\u00eenu, M., Tannich, E., and J\u00f6st, H. (2019). Ecology of West Nile Virus in the Danube Delta, Romania: Phylogeography, Xenosurveillance and Mosquito Host-Feeding Patterns. Viruses, 11.","DOI":"10.3390\/v11121159"},{"key":"ref_84","doi-asserted-by":"crossref","unstructured":"Ionic\u0103, A.M., Zittra, C., Wimmer, V., Leitner, N., Vot\u00fdpka, J., Modr\u00fd, D., Mihalca, A.D., and Fuehrer, H.-P. (2017). Mosquitoes in the Danube Delta: Searching for vectors of filarioid helminths and avian malaria. Parasites Vectors, 10.","DOI":"10.1186\/s13071-017-2264-8"},{"key":"ref_85","doi-asserted-by":"crossref","unstructured":"Bald, L., Ratnaweera, N., Hengl, T., Laube, P., Grunder, J., Tischhauser, W., Bhandari, N., and Zeuss, D. (2025). Assessing tick attachments to humans with citizen science data: Spatio-temporal mapping in Switzerland from 2015 to 2021 using spatialMaxent. Parasites Vectors, 18.","DOI":"10.1186\/s13071-024-06636-4"},{"key":"ref_86","doi-asserted-by":"crossref","unstructured":"Nistor, P., Stanga, L., Chirila, A., Iorgoni, V., Gligor, A., Ciresan, A., Popa, I., Florea, B., Imre, M., and Cocioba, V. (2025). Seroprevalence and Passive Clinical Surveillance of West Nile Virus in Horses from Ecological High-Risk Areas in Western Romania: Exploratory Findings from a Cross-Sectional Study. Microorganisms, 13.","DOI":"10.3390\/microorganisms13081910"},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"2232","DOI":"10.1128\/JCM.38.6.2232-2239.2000","article-title":"Evaluation of Immunoglobulin M (IgM) and IgG Enzyme Immunoassays in Serologic Diagnosis of West Nile Virus Infection","volume":"38","author":"Tardei","year":"2000","journal-title":"J. Clin. Microbiol."},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1016\/S1473-3099(24)00655-8","article-title":"Prevalence, clinical management, and outcomes of adults hospitalised with endemic arbovirus illness in southeast Europe (MERMAIDS-ARBO): A prospective observational study","volume":"25","author":"Sigfrid","year":"2025","journal-title":"Lancet Infect. Dis."},{"key":"ref_89","doi-asserted-by":"crossref","unstructured":"de Freitas, E.C., Streng, K., Santos, M.A.d.S., and Counotte, M.J. (2024). The effect of temperature on the boundary conditions of West Nile virus circulation in Europe. PLoS Neglected Trop. Dis., 18.","DOI":"10.1371\/journal.pntd.0012162"},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"1969","DOI":"10.1056\/NEJMra2200092","article-title":"Climate Change and Vectorborne Diseases","volume":"387","author":"Thomson","year":"2022","journal-title":"N. Engl. J. Med."},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1603\/ME12255","article-title":"Worthy of Their Name: How Floods Drive Outbreaks of Two Major Floodwater Mosquitoes (Diptera: Culicidae)","volume":"51","author":"Berec","year":"2014","journal-title":"J. Med. E\u0300ntomol."},{"key":"ref_92","doi-asserted-by":"crossref","unstructured":"Coalson, J.E., Anderson, E.J., Santos, E.M., Garcia, V.M., Romine, J.K., Luzingu, J.K., Dominguez, B., Richard, D.M., Little, A.C., and Hayden, M.H. (2021). The Complex Epidemiological Relationship Between Flooding Events and Human Outbreaks of Mosquito-Borne Diseases: A Scoping Review. Environ. Health Perspect., 129, Erratum in Environ. Health Perspect.\u00a02021, 129, 129001.","DOI":"10.1289\/EHP8887"},{"key":"ref_93","doi-asserted-by":"crossref","unstructured":"Tomazatos, A., Cadar, D., T\u00f6r\u00f6k, E., Maranda, I., Horv\u00e1th, C., Keresztes, L., Spinu, M., Jansen, S., J\u00f6st, H., and Schmidt-Chanasit, J. (2018). Circulation of Dirofilaria immitis and Dirofilaria repens in the Danube Delta Biosphere Reserve, Romania. Parasites Vectors, 11.","DOI":"10.1186\/s13071-018-2980-8"},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"1946","DOI":"10.1016\/S0140-6736(12)61151-9","article-title":"Drivers, dynamics, and control of emerging vector-borne zoonotic diseases","volume":"380","author":"Kilpatrick","year":"2012","journal-title":"Lancet"},{"key":"ref_95","doi-asserted-by":"crossref","first-page":"1546","DOI":"10.1093\/jme\/tjaa209","article-title":"Impact of Land Use Changes and Habitat Fragmentation on the Eco-epidemiology of Tick-Borne Diseases","volume":"58","author":"VanAcker","year":"2021","journal-title":"J. Med. E\u0300ntomol."},{"key":"ref_96","doi-asserted-by":"crossref","unstructured":"Leibovici, D.G., Bylund, H., Bj\u00f6rkman, C., Tokarevich, N., Thierfelder, T., Eveng\u00e5rd, B., and Quegan, S. (2021). Associating Land Cover Changes with Patterns of Incidences of Climate-Sensitive Infections: An Example on Tick-Borne Diseases in the Nordic Area. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph182010963"},{"key":"ref_97","doi-asserted-by":"crossref","unstructured":"Ledger, K.J., Keenan, R.M., Sayler, K.A., and Wisely, S.M. (2019). Multi-scale patterns of tick occupancy and abundance across an agricultural landscape in southern Africa. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0222879"},{"key":"ref_98","doi-asserted-by":"crossref","unstructured":"Kalitsilo, L., Abdullahi, L., Mbeye, N., Mwandira, L., Hara, H., Mitambo, C., and Oronje, R. (2025). Vector borne disease control interventions in agricultural and irrigation areas in sub-Saharan Africa: A systematic review. PLoS ONE, 20.","DOI":"10.1371\/journal.pone.0302279"},{"key":"ref_99","doi-asserted-by":"crossref","unstructured":"Noll, M., Wall, R., Makepeace, B.L., Newbury, H., Adaszek, L., B\u00f8dker, R., Estrada-Pe\u00f1a, A., Guillot, J., da Fonseca, I.P., and Probst, J. (2023). Predicting the distribution of Ixodes ricinus and Dermacentor reticulatus in Europe: A comparison of climate niche modelling approaches. Parasites Vectors, 16.","DOI":"10.1186\/s13071-023-05959-y"},{"key":"ref_100","doi-asserted-by":"crossref","unstructured":"Estrada-Pe\u00f1a, A., and de la Fuente, J. (2024). Machine learning algorithms for the evaluation of risk by tick-borne pathogens in Europe. Ann. Med., 56.","DOI":"10.1080\/07853890.2024.2405074"},{"key":"ref_101","doi-asserted-by":"crossref","first-page":"2241","DOI":"10.1007\/s00436-022-07556-x","article-title":"Ticks on the move-Climate change-induced range shifts of three tick species in Europe: Current and future habitat suitability for Ixodes ricinus in comparison with Dermacentor reticulatus and Dermacentor marginatus","volume":"121","author":"Cunze","year":"2022","journal-title":"Parasitol. Res."},{"key":"ref_102","doi-asserted-by":"crossref","unstructured":"Braks, M., Schaffner, F., Medlock, J.M., Berriatua, E., Balenghien, T., Mihalca, A.D., Hendrickx, G., Marsboom, C., Van Bortel, W., and Smallegange, R.C. (2022). VectorNet: Putting Vectors on the Map. Front. Public Health, 10.","DOI":"10.3389\/fpubh.2022.809763"},{"key":"ref_103","doi-asserted-by":"crossref","unstructured":"Groen, T.A., L\u2019aMbert, G., Bellini, R., Chaskopoulou, A., Petric, D., Zgomba, M., Marrama, L., and Bicout, D.J. (2017). Ecology of West Nile virus across four European countries: Empirical modelling of the Culex pipiens abundance dynamics as a function of weather. Parasites Vectors, 10.","DOI":"10.1186\/s13071-017-2484-y"},{"key":"ref_104","doi-asserted-by":"crossref","unstructured":"Te\u0161ovi\u0107, B., Ni\u0161avi\u0107, J., \u0110eri, B.B., Petrovi\u0107, T., Radalj, A., \u0160ekler, M., Matovi\u0107, K., Debeljak, Z., Vaskovi\u0107, N., and Dmitri\u0107, M. (2023). Development of multiplex PCR based NGS protocol for whole genome sequencing of West Nile virus lineage 2 directly from biological samples using Oxford Nanopore platform. Diagn. Microbiol. Infect. Dis., 105.","DOI":"10.1016\/j.diagmicrobio.2022.115852"},{"key":"ref_105","doi-asserted-by":"crossref","unstructured":"Lu, L., Zhang, F., Munnink, B.B.O., Munger, E., Sikkema, R.S., Pappa, S., Tsioka, K., Sinigaglia, A., Molin, E.D., and Shih, B.B. (2024). West Nile virus spread in Europe: Phylogeographic pattern analysis and key drivers. PLoS Pathog., 20.","DOI":"10.1371\/journal.ppat.1011880"},{"key":"ref_106","doi-asserted-by":"crossref","unstructured":"Kalm\u00e1r, Z., S\u00e1ndor, A.D., Matei, I.A., Ionic\u0103, A., D\u2019aMico, G., Gherman, C.M., and Mihalca, A.D. (2019). Borrelia spp. in small mammals in Romania. Parasites Vectors, 12.","DOI":"10.1186\/s13071-019-3713-3"},{"key":"ref_107","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1007\/978-1-4939-7383-5_2","article-title":"Species Identification and Phylogenetic Analysis of Borrelia burgdorferi Sensu Lato Using Molecular Biological Methods","volume":"1690","author":"Margos","year":"2018","journal-title":"Methods Mol. Biol."},{"key":"ref_108","doi-asserted-by":"crossref","unstructured":"Revez, J., Espinosa, L., Albiger, B., Leitmeyer, K.C., Struelens, M.J., and ECDC National Microbiology Focal Points and Experts Group (2017). Survey on the Use of Whole-Genome Sequencing for Infectious Diseases Surveillance: Rapid Expansion of European National Capacities, 2015\u20132016. Front. Public Health, 5.","DOI":"10.3389\/fpubh.2017.00347"},{"key":"ref_109","first-page":"S292","article-title":"Next Generation Sequencing and Bioinformatics Methodologies for Infectious Disease Research and Public Health: Approaches, Applications, and Considerations for Development of Laboratory Capacity","volume":"221","author":"Melendrez","year":"2020","journal-title":"J. Infect. Dis."},{"key":"ref_110","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1093\/ajcp\/aqad050","article-title":"International health initiative: Development and pilot testing of a molecular diagnostics training program in Romania","volume":"160","author":"Fukuto","year":"2023","journal-title":"Am. J. Clin. Pathol."},{"key":"ref_111","doi-asserted-by":"crossref","unstructured":"Melo, C.L., Mageste, L.R., Guaraldo, L., Paula, D.P., and Wakimoto, M.D. (2024). Use of Digital Tools in Arbovirus Surveillance: Scoping Review. J. Med. Internet Res., 26.","DOI":"10.2196\/57476"},{"key":"ref_112","doi-asserted-by":"crossref","first-page":"e739","DOI":"10.1016\/S2542-5196(21)00141-8","article-title":"Digital and technological innovation in vector-borne disease surveillance to predict, detect, and control climate-driven outbreaks","volume":"5","author":"Pley","year":"2021","journal-title":"Lancet Planet. Health"},{"key":"ref_113","doi-asserted-by":"crossref","unstructured":"Virgillito, C., Longo, E., De Marco, C., Serini, P., Zucchelli, M., Montarsi, F., Severini, F., Ros\u00e0, R., Da Re, D., and Filipponi, F. (2024). Involving citizen scientists in monitoring arthropod vectors of human and zoonotic diseases: The case of Mosquito Alert in Italy. Sci. Total. Environ., 948.","DOI":"10.1016\/j.scitotenv.2024.174847"},{"key":"ref_114","doi-asserted-by":"crossref","unstructured":"Cull, B. (2021). Potential for online crowdsourced biological recording data to complement surveillance for arthropod vectors. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0250382"},{"key":"ref_115","doi-asserted-by":"crossref","unstructured":"Palmer, J.R.B., Oltra, A., Collantes, F., Delgado, J.A., Lucientes, J., Delacour, S., Bengoa, M., Eritja, R., and Bartumeus, F. (2017). Citizen science provides a reliable and scalable tool to track disease-carrying mosquitoes. Nat. Commun., 8.","DOI":"10.1038\/s41467-017-00914-9"},{"key":"ref_116","doi-asserted-by":"crossref","unstructured":"Lustig, Y., Sofer, D., Bucris, E.D., and Mendelson, E. (2018). Surveillance and Diagnosis of West Nile Virus in the Face of Flavivirus Cross-Reactivity. Front. Microbiol., 9.","DOI":"10.3389\/fmicb.2018.02421"},{"key":"ref_117","doi-asserted-by":"crossref","unstructured":"Fiacre, L., Pag\u00e8s, N., Albina, E., Richardson, J., Lecollinet, S., and Gonzalez, G. (2020). Molecular Determinants of West Nile Virus Virulence and Pathogenesis in Vertebrate and Invertebrate Hosts. Int. J. Mol. Sci., 21.","DOI":"10.3390\/ijms21239117"},{"key":"ref_118","doi-asserted-by":"crossref","unstructured":"Humphreys, J.M., Pelzel-McCluskey, A.M., Cohnstaedt, L.W., McGregor, B.L., Hanley, K.A., Hudson, A.R., Young, K.I., Peck, D., Rodriguez, L.L., and Peters, D.P.C. (2021). Integrating Spatiotemporal Epidemiology, Eco-Phylogenetics, and Distributional Ecology to Assess West Nile Disease Risk in Horses. Viruses, 13.","DOI":"10.3390\/v13091811"},{"key":"ref_119","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1111\/j.1469-0691.2008.02691.x","article-title":"Biodiversity loss and the rise of zoonotic pathogens","volume":"15","author":"Ostfeld","year":"2009","journal-title":"Clin. Microbiol. Infect."},{"key":"ref_120","doi-asserted-by":"crossref","unstructured":"Rochlin, I., Kenney, J., Little, E., and Molaei, G. (2025). Public health significance of the white-tailed deer (Odocoileus virginianus) and its role in the eco-epidemiology of tick- and mosquito-borne diseases in North America. Parasites Vectors, 18.","DOI":"10.1186\/s13071-025-06674-6"},{"key":"ref_121","doi-asserted-by":"crossref","unstructured":"Shaheen, M.N.F. (2022). The concept of one health applied to the problem of zoonotic diseases. Rev. Med Virol., 32.","DOI":"10.1002\/rmv.2326"},{"key":"ref_122","doi-asserted-by":"crossref","unstructured":"Gossner, C.M., Marrama, L., Carson, M., Allerberger, F., Calistri, P., Dilaveris, D., Lecollinet, S., Morgan, D., Nowotny, N., and Paty, M.-C. (2017). West Nile virus surveillance in Europe: Moving towards an integrated animal-human-vector approach. Eurosurveillance, 22.","DOI":"10.2807\/1560-7917.ES.2017.22.18.30526"},{"key":"ref_123","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1007\/978-1-4939-3670-0_14","article-title":"Field Surveillance Methods for West Nile Virus","volume":"1435","author":"Jameson","year":"2016","journal-title":"Methods Mol Biol."},{"key":"ref_124","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1016\/S0140-6736(22)01595-1","article-title":"Advancing One human\u2013animal\u2013environment Health for global health security: What does the evidence say?","volume":"401","author":"Zinsstag","year":"2023","journal-title":"Lancet"},{"key":"ref_125","doi-asserted-by":"crossref","unstructured":"Hongoh, V., Campagna, C., Panic, M., Samuel, O., Gosselin, P., Waaub, J.-P., Ravel, A., Samoura, K., and Michel, P. (2016). Assessing Interventions to Manage West Nile Virus Using Multi-Criteria Decision Analysis with Risk Scenarios. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0160651"},{"key":"ref_126","doi-asserted-by":"crossref","unstructured":"Riccardo, F., Bolici, F., Fafangel, M., Jovanovic, V., Socan, M., Klepac, P., Plavsa, D., Vasic, M., Bella, A., and Diana, G. (2020). West Nile virus in Europe: After action reviews of preparedness and response to the 2018 transmission season in Italy, Slovenia, Serbia and Greece. Glob. Health, 16, Erratum in Glob. Health\u00a02020, 16, 55.","DOI":"10.1186\/s12992-020-00568-1"},{"key":"ref_127","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1111\/zph.12562","article-title":"Implementation of the One Health approach to fight arbovirus infections in the Mediterranean and Black Sea Region: Assessing integrated surveillance in Serbia, Tunisia and Georgia","volume":"66","author":"Dente","year":"2019","journal-title":"Zoonoses Public Health"},{"key":"ref_128","doi-asserted-by":"crossref","unstructured":"Zana, B., Erd\u00e9lyi, K., Nagy, A., Mezei, E., Nagy, O., Tak\u00e1cs, M., Bakonyi, T., Forg\u00e1ch, P., Korbacska-Kutasi, O., and Feh\u00e9r, O. (2020). Multi-Approach Investigation Regarding the West Nile Virus Situation in Hungary, 2018. Viruses, 12.","DOI":"10.3390\/v12010123"},{"key":"ref_129","doi-asserted-by":"crossref","unstructured":"Petrovi\u0107, T., \u0160ekler, M., Petri\u0107, D., Lazi\u0107, S., Debeljak, Z., Vidanovi\u0107, D., \u0106upina, A.I., Lazi\u0107, G., Lupulovi\u0107, D., and Kolarevi\u0107, M. (2018). Methodology and results of integrated WNV surveillance programmes in Serbia. PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0195439"},{"key":"ref_130","doi-asserted-by":"crossref","unstructured":"Savini, L., Tora, S., Di Lorenzo, A., Cioci, D., Monaco, F., Polci, A., Orsini, M., Calistri, P., and Conte, A. (2018). A Web Geographic Information System to share data and explorative analysis tools: The application to West Nile disease in the Mediterranean basin. PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0196429"},{"key":"ref_131","doi-asserted-by":"crossref","unstructured":"Serres, K., Erazo, D., Despr\u00e9aux, G., Vincenti-Gonz\u00e1lez, M.F., Van Bortel, W., Arsevska, E., and Dellicour, S. (2024). Integrating indicator-based and event-based surveillance data for risk mapping of West Nile virus, Europe, 2006 to 2021. Eurosurveillance, 29.","DOI":"10.2807\/1560-7917.ES.2024.29.44.2400084"},{"key":"ref_132","doi-asserted-by":"crossref","unstructured":"Kapo, N., Bogdanovi\u0107, I.Z., Gagovi\u0107, E., \u017deki\u0107, M., Veinovi\u0107, G., Sukara, R., Mihaljica, D., Ad\u017ei\u0107, B., Kadriaj, P., and Cvetkovikj, A. (2024). Ixodid ticks and zoonotic tick-borne pathogens of the Western Balkans. Parasites Vectors, 17.","DOI":"10.1186\/s13071-023-06116-1"},{"key":"ref_133","doi-asserted-by":"crossref","unstructured":"Dente, M.G., Riccardo, F., Nacca, G., Ranghiasci, A., Escadafal, C., Gaayeb, L., Jim\u00e9nez-Clavero, M.A., Manuguerra, J.-C., Picard, M., and Fern\u00e1ndez-Pinero, J. (2018). Strengthening Preparedness for Arbovirus Infections in Mediterranean and Black Sea Countries: A Conceptual Framework to Assess Integrated Surveillance in the Context of the One Health Strategy. Int. J. Environ. Res. Public Health, 15.","DOI":"10.3390\/ijerph15030489"},{"key":"ref_134","doi-asserted-by":"crossref","unstructured":"European Food Safety Authority (EFSA), Berezowski, J., de Balogh, K., D\u00f3rea, F.C., R\u00fcegg, S., Broglia, A., Gervelmeyer, A., and Kohnle, L. (2023). Prioritisation of zoonotic diseases for coordinated surveillance systems under the One Health approach for cross-border pathogens that threaten the Union. EFSA J., 21.","DOI":"10.2903\/j.efsa.2023.7853"},{"key":"ref_135","doi-asserted-by":"crossref","unstructured":"Nagy, A., Csonka, N., Tak\u00e1cs, M., Mezei, E., and Barab\u00e1s, \u00c9. (2022). West Nile and Usutu virus seroprevalence in Hungary: A nationwide serosurvey among blood donors in 2019. PLoS ONE, 17.","DOI":"10.1371\/journal.pone.0266840"},{"key":"ref_136","doi-asserted-by":"crossref","unstructured":"European Food Safety Authority (EFSA), Berezowski, J., De Balogh, K., D\u00f3rea, F.C., Ruegg, S., Broglia, A., Zancanaro, G., and Gervelmeyer, A. (2023). Coordinated surveillance system under the One Health approach for cross-border pathogens that threaten the Union\u2014Options for sustainable surveillance strategies for priority pathogens. EFSA J., 21.","DOI":"10.2903\/j.efsa.2023.7882"},{"key":"ref_137","doi-asserted-by":"crossref","unstructured":"Dub, T., M\u00e4kel\u00e4, H., Van Kleef, E., Leblond, A., Mercier, A., H\u00e9naux, V., Bouyer, F., Binot, A., Thiongane, O., and Lancelot, R. (2023). Epidemic intelligence activities among national public and animal health agencies: A European cross-sectional study. BMC Public Health, 23.","DOI":"10.1186\/s12889-023-16396-y"},{"key":"ref_138","doi-asserted-by":"crossref","unstructured":"Bouyer, F., Thiongane, O., Hobeika, A., Arsevska, E., Binot, A., Corr\u00e8ges, D., Dub, T., M\u00e4kel\u00e4, H., van Kleef, E., and Jori, F. (2024). Epidemic intelligence in Europe: A user needs perspective to foster innovation in digital health surveillance. BMC Public Health, 24.","DOI":"10.1186\/s12889-024-18466-1"},{"key":"ref_139","doi-asserted-by":"crossref","unstructured":"Bajoriniene, A., Leitmeyer, K.C., Struelens, M.J., and Kokki, M.H. (2019). Observers and Alternate Observers to the ECDC National Microbiology Focal Points in Western Balkan Countries. Investing in Public Health Microbiology Laboratories in Western Balkan Countries Enhances Health Security from Communicable Disease Threats in Europe. Front. Public Health, 7.","DOI":"10.3389\/fpubh.2019.00008"},{"key":"ref_140","doi-asserted-by":"crossref","unstructured":"Pham, C.T., Nguyen, H.T., Le, H.H.T.C., Tran, N.Q.L., Do, K.Q., Bui, V., Phung, H., Phung, D., and Chu, C. (2025). Challenges and Strategies for the Development and Implementation of Climate-Informed Early Warning Systems for Vector-Borne Diseases: A Systematic Review. Trop. Med. Int. Health.","DOI":"10.1111\/tmi.70045"}],"container-title":["Microorganisms"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-2607\/14\/1\/61\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T05:14:40Z","timestamp":1767071680000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-2607\/14\/1\/61"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,26]]},"references-count":140,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,1]]}},"alternative-id":["microorganisms14010061"],"URL":"https:\/\/doi.org\/10.3390\/microorganisms14010061","relation":{},"ISSN":["2076-2607"],"issn-type":[{"type":"electronic","value":"2076-2607"}],"subject":[],"published":{"date-parts":[[2025,12,26]]}}}