EPHE, Université PSL, INRAE, Universite Claude Bernard Lyon1, IVPC UMR754, F-69007, Lyon, France.
Unité des Virus Émergents (UVE: Aix-Marseille Univ, Università di Corsica, IRD 190, Inserm 1207, IRBA), Marseille, France.
Euro Surveill. 2024 Sep;29(36). doi: 10.2807/1560-7917.ES.2024.29.36.2400195.
While locally-acquired dengue virus (DENV) human infections occur in mainland France since 2010, data to identify the mosquito species involved and to trace the virus are frequently lacking. Supported by a local network gathering public health agencies and research laboratories, we analysed, in late summer 2023, mosquitoes from privately-owned traps within a French urban neighbourhood affected by a dengue cluster. The cluster, in Auvergne-Rhône-Alpes, comprised three cases, including two autochthonous ones. Upon return from a recent visit to the French Caribbean Islands, the third case had consulted healthcare because of dengue-compatible symptoms, but dengue had not been recognised. For the two autochthonous cases, DENV-specific antibodies in serum or a positive quantitative PCR for DENV confirmed DENV infection. The third case had anti-flavivirus IgMs. No DENV genetic sequences were obtained from affected individuals but mosquitoes trapped less than 200 m from the autochthonous cases' residence contained DENV. Genetic data from the mosquito-derived DENV linked the cluster to the 2023-2024 dengue outbreak in the French Caribbean Islands. This study highlights the importance of raising mosquito-borne disease awareness among healthcare professionals. It demonstrates as a DENV vector in mainland France and the value of private mosquito traps for entomo-virological surveillance.
自 2010 年以来,法国本土也出现了本地感染的登革热病毒(DENV)人类感染病例,但往往缺乏鉴定涉及的蚊子种类和追踪病毒的相关数据。在一个汇集公共卫生机构和研究实验室的当地网络的支持下,我们于 2023 年夏末,分析了一个受登革热聚集性感染影响的法国城市街区私人陷阱中的蚊子。该聚集性感染发生在奥弗涅-罗讷-阿尔卑斯大区,包括三例病例,其中两例为本地病例。第三名病例在从法属加勒比地区近期访问返回后,因符合登革热症状而咨询了医疗保健,但未被确诊为登革热。对于两例本地病例,血清中存在 DENV 特异性抗体或 DENV 的定量 PCR 呈阳性,证实了 DENV 感染。第三名病例有抗黄病毒 IgM。从受影响的个体中未获得 DENV 遗传序列,但距离本地病例居住地不到 200 米的蚊子中含有 DENV。从蚊子中分离出的 DENV 的遗传数据将该聚集性感染与 2023-2024 年法属加勒比地区的登革热疫情联系起来。本研究强调了提高医疗保健专业人员对蚊媒疾病认识的重要性。它证明了法国本土存在 DENV 作为传播媒介的可能性,以及私人蚊子陷阱在虫媒病毒监测方面的价值。