Arbovirus

(Redirected from Arboviruses)
Jump to navigation Jump to search

WikiDoc Resources for Arbovirus

Articles

Most recent articles on Arbovirus

Most cited articles on Arbovirus

Review articles on Arbovirus

Articles on Arbovirus in N Eng J Med, Lancet, BMJ

Media

Powerpoint slides on Arbovirus

Images of Arbovirus

Photos of Arbovirus

Podcasts & MP3s on Arbovirus

Videos on Arbovirus

Evidence Based Medicine

Cochrane Collaboration on Arbovirus

Bandolier on Arbovirus

TRIP on Arbovirus

Clinical Trials

Ongoing Trials on Arbovirus at Clinical Trials.gov

Trial results on Arbovirus

Clinical Trials on Arbovirus at Google

Guidelines / Policies / Govt

US National Guidelines Clearinghouse on Arbovirus

NICE Guidance on Arbovirus

NHS PRODIGY Guidance

FDA on Arbovirus

CDC on Arbovirus

Books

Books on Arbovirus

News

Arbovirus in the news

Be alerted to news on Arbovirus

News trends on Arbovirus

Commentary

Blogs on Arbovirus

Definitions

Definitions of Arbovirus

Patient Resources / Community

Patient resources on Arbovirus

Discussion groups on Arbovirus

Patient Handouts on Arbovirus

Directions to Hospitals Treating Arbovirus

Risk calculators and risk factors for Arbovirus

Healthcare Provider Resources

Symptoms of Arbovirus

Causes & Risk Factors for Arbovirus

Diagnostic studies for Arbovirus

Treatment of Arbovirus

Continuing Medical Education (CME)

CME Programs on Arbovirus

International

Arbovirus en Espanol

Arbovirus en Francais

Business

Arbovirus in the Marketplace

Patents on Arbovirus

Experimental / Informatics

List of terms related to Arbovirus

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Arbovirus is a term used to refer to a group of viruses that are transmitted by arthropod vectors. The word arbovirus is an acronym (ARthropod-BOrne virus).[1] The word tibovirus is sometimes used to describe viruses transmitted by ticks (TIck-BOrne virus).[2] Symptoms of arbovirus infection generally occur 3–15 days after exposure to the virus and last 3 or 4 days. The most common clinical features of infection are fever, headache and malaise, but encephalitis and hemorrhagic fever may also occur.[3]

History

Year Event
1800s Dengue fever epidemics occur globally
1898-1914 First large scale effort to prevent arbovirus infection
takes place in Florida, Havana and the Canal Zone
1901 First arbovirus, the Yellow fever virus, is discovered
1906 Dengue fever transmission is discovered
1936 Tick-borne encephalitis virus is discovered
1937 Yellow fever vaccine is invented
1937 West Nile virus is discovered
1950s Japanese encephalitis vaccines are invented
1980s Insecticide treated mosquito nets are developed
1999 West Nile virus reaches Western Hemisphere
Late 1900s Dengue fever spreads globally

Arboviruses have existed throughout human history, but were not known to exist until fairly recently. The connection between arthropods and disease was not postulated until 1881 when Cuban doctor and scientist Carlos Finlay proposed that Yellow fever may be transmitted by mosquitoes instead of human contact,[4] a reality that was verified by Major Walter Reed in 1901.[5] The primary vector, Aedes aegypti, had spread globally from the 15th to the 19th centuries as a result of globalization and the slave trade.[6] This geographic spreading caused Dengue fever epidemics throughout the 18th century,[7] and later, in 1906, transmission by the Aedes mosquitoes was confirmed, making Yellow fever and Dengue fever the first two diseases known to be caused by viruses.[8] The discovery of the West Nile virus came in 1937,[9] and has since been found in Culex populations[10] and causing epidemics throughout Africa, the Middle East and Europe. In 1999, the virus was introduced into the Western Hemisphere, sparking a series of epidemics.[11] During the latter half of the 20th century, Dengue fever reemerged as a global disease, with the virus spreading geographically due to urbanization, population growth, increased international travel and global warming.[12][13][14] Yellow fever, alongside malaria, was a major obstacle in the construction of the Panama Canal. French supervision of the project in the 1880s was unsuccessful because of these diseases, forcing the abandonment of the project in 1889.[15] During the American effort to construct the canal in the early 1900s, William C. Gorgas, the Chief Sanitary Officer of Havana, was tasked with overseeing the health of the workers. He had past success in eradicating the disease in Florida and Havana by reducing mosquito populations through draining nearby pools of water, cutting grass, applying oil to the edges of ponds and swamps to kill larvae, and capturing adult mosquitoes that remained indoors during the daytime.[16] Joseph Augustin LePrince, the Chief Sanitary Inspector of the Canal Zone, invented the first commercial larvicide, a mixture of carbolic acid, resin and caustic soda, to be used throughout the Canal Zone.[17] The combined implementation of these sanitation measures led to a dramatic decline in the number of workers dying and the eventual eradication of Yellow fever in the Canal Zone as well as the containment of malaria during the 10-year construction period. Because of the success of these methods at preventing disease, they were adopted and improved upon in other regions of the world.[15][18]

Transmission

Arboviruses maintain themselves in nature by going through a cycle between a host, an organism that carries the virus, and a vector, an organism that carries and transmits the virus to other organisms.[19] For arboviruses, vectors are commonly mosquitoes, ticks, sandflies[20] and other arthropods that consume the blood of vertebrates for nutritious or developmental purposes.[21] Vertebrates which have their blood consumed act as the hosts, with each vector generally having an affinity for the blood of specific species, making those species the hosts.[22]

Transmission between the vector and the host occurs when the vector feeds on the blood of the vertebrate, wherein the virus that has established an infection in the salivary glands of the vector comes into contact with the host's blood.[23][24] While the virus is inside the host, it undergoes a process called amplification, where the virus replicates at sufficient levels to induce viremia, a condition in which there are large numbers of viruses present in the blood.[25] The abundance of viruses in the host's blood allows the host to transmit the virus to other organisms if its blood is consumed by them. When uninfected vectors become infected from feeding, they are then capable of transmitting the virus to uninfected hosts, resuming amplification of virus populations. If viremia is not achieved in a vertebrate, the species can be called a "dead-end host", as the virus cannot be transmitted back to the vector.[26]

An example of this vector-host relationship can be observed in the transmission of the West Nile virus. Female mosquitoes of the genus Culex prefer to consume the blood of Passerine birds, making them the hosts of the virus.[27] When these birds are infected, the virus amplifies, potentially infecting multiple mosquitoes that feed on its blood. These infected mosquitoes may go on to further transmit the virus to more birds. If the mosquito is unable to find its preferred food source, it will choose another. Human blood is sometimes consumed, but since the West Nile virus does not replicate that well in mammals, humans are considered a dead-end host.[28]

In humans

Person-to-person transmission of arboviruses is not common, but can occur. Blood transfusions, organ transplantation and the use of blood products can transmit arboviruses if the virus is present in the donor's blood or organs.[29][30][31] Because of this, blood and organs are often screened for viruses before being administered.[32] Rarely, vertical transmission, or mother-to-child transmission, has been observed in infected pregnant[33] and breastfeeding women.[34] Exposure to used needles may also transmit arboviruses if they have been used by an infected person or animal.[35] This puts intravenous drug users and healthcare workers at risk for infection in regions where the arbovirus may be spreading in human populations.

Structure and genome

The majority of the arboviruses are spherical in shape although a few are rod-shaped. They are 17-150 nm in diameter and most have an RNA genome (the single exception is African swine fever virus, which has a DNA genome).

Classification

In the past, arboviruses were organized into one of four groups: A, B, C and D. Group A denoted members of the genus Alphavirus,[36][37] Group B were members of the genus Flavivirus, and Group C remains as the Group C serogroup of the genus Orthobunyavirus. Group D was renamed in the mid-1950s to the Guama group and is currently the Guama serogroup in the genus Orthobunyavirus.[38] This renaming of the group was because the number of groups would eventually exceed the length of the alphabet. Since then, the organization of arboviruses into these groups has fallen out of usage as the standard biological classification system became more preferred for classifying viruses.[38]

Signs and symptoms

Many arboviruses (such as African Swine Fever virus) do not normally infect humans or if so, cause either no symptoms or mild and transient infections characterized by fever, headache and rash. Others of this group however can cause epidemic disease and severe infections such as fulminant meningitis, encephalitis, meningoencephalitis, or viral hemorrhagic fever that can be fatal.

Immune response to infection

The immune system plays a crucial role in defense against infection. Arboviruses are generally good inducers of the production of interferons, which may partially explain why acute infection is often similar to influenza (fever, headache, fatigue, myalgia). Antibodies can be important in controlling viremia and limiting the severity of infection. Recovery typically involves the cell-mediated immune system.

Diagnosis

Preliminary diagnosis of arbovirus infection is usually based on clinical presentations of symptoms, places and dates of travel, activities and epidemiological history of the location where infection occurred.[39] Definitive diagnosis is typically made in a laboratory by employing some combination of blood tests, particularly immunologic, serologic and/or virologic techniques such as ELISA,[39][40] complement fixation,[40] polymerase chain reaction,[41] neutralization test[42] and hemagglutination-inhibition test.[43]

Prevention

Vector control measures, especially mosquito control, are essential to reducing the transmission of disease by arboviruses. Habitat control involves draining swamps and removal of other pools of stagnant water (such as old tires, large outdoor potted plants, empty cans, etc.) that often serve as breeding grounds for mosquitoes. Insecticides can be applied in rural and urban areas, inside houses and other buildings or in outdoor environments. They are often quite effective for controlling arthropod populations, though use of some of these chemicals is controversial, and some organophosphates and organochlorides (such as DDT) have been banned in many countries. Infertile male mosquitoes have been introduced in some areas in order to reduce the breeding rate of relevant mosquito species. Larvicides are also used worldwide in mosquito abatement programs. Temefos is a common mosquito larvicide.[44]

People can also reduce the risk of getting bitten by arthropods by employing personal protective measures such as sleeping under mosquito nets, wearing protective clothing, applying insect repellents such as permethrin and DEET to clothing and exposed skin, and (where possible) avoiding areas known to harbor high arthropod populations. Arboviral encephalitis can be prevented in two major ways: personal protective measures and public health measures to reduce the population of infected mosquitoes. Personal measures include reducing time outdoors particularly in early evening hours, wearing long pants and long sleeved shirts and applying mosquito repellent to exposed skin areas. Public health measures often require spraying of insecticides to kill juvenile (larvae) and adult mosquitoes.[45]

Vaccination

Vaccines are available for the following arboviral diseases:

  • Japanese encephalitis[46]
  • Yellow fever[47]

Vaccines are in development for the following arboviral diseases:

  • Dengue fever[48]
  • Eastern Equine encephalitis[49]
  • West Nile[50]

Treatment

Because the arboviral encephalitides are viral diseases, antibiotics are not an effective form of treatment and no effective antiviral drugs have yet been discovered. Treatment is supportive, attempting to deal with problems such as swelling of the brain, loss of the automatic breathing activity of the brain and other treatable complications like bacterial pneumonia.[1]

List of common arboviruses

Common arboviruses include:

Family Genera Species (of high economic/epidemiologic importance) Vectors Diseases caused
Asfarviridae Asfivirus African swine fever virus tick viral encephalitis, viral hemorrhagic fever
Bunyaviridae Nairovirus Crimean–Congo hemorrhagic fever virus tick viral hemorrhagic fever
Bunyaviridae Orthobunyavirus Anopheles A virus, Anopheles B virus, California encephalitis virus, La Crosse encephalitis virus mosquito viral encephalitis
Bunyaviridae Phlebovirus Rift Valley fever virus, Naples virus, Sicilian virus, Toscana virus mosquito (Aedes spp., Culex spp., Phlebotomus spp.) viral encephalitis, viral hemorrhagic fever
Bunyaviridae Uukuvirus Bakau virus, Kaisodi virus, Mapputta virus, Nairobi sheep disease virus, Turlock virus tick viral encephalitis, viral hemorrhagic fever
Flaviviridae Flavivirus Louping ill virus, Powassan virus, Tick-borne encephalitis virus tick (Ixodes spp.) viral encephalitis
Flaviviridae Flavivirus Dengue virus, Japanese encephalitis virus, Murray Valley encephalitis virus, St. Louis encephalitis virus, West Nile virus, Yellow fever virus mosquito viral encephalitis, viral hemorrhagic fever
Reoviridae Coltivirus Colorado tick fever virus tick viral hemorrhagic fever
Reoviridae Orbivirus African horse sickness virus, Bluetongue disease virus, Epizootic hemorrhagic disease virus mosquito (Culicoides spp.) viral encephalitis
Togaviridae Alphavirus Chikungunya virus, Eastern equine encephalitis virus, O'nyong'nyong virus, Ross River virus, Semliki Forest virus, Venezuelan equine encephalitis virus, Western equine encephalitis virus mosquito viral encephalitis, arthritis

List of arboviruses (not complete)

References

  1. ↑ 1.0 1.1 "CDC Information on Arboviral Encephalitides". Archived from the original on January 27, 2007. Retrieved 2007-02-07.
  2. ↑ Hubálek Z, Rudolf I (2012). "Tick-borne viruses in Europe". Parasitology Research. 111 (1): 9–36. doi:10.1007/s00436-012-2910-1. PMID 22526290. Unknown parameter |month= ignored (help)
  3. ↑ "Arbovirus Infection Symptoms". freemd. Retrieved 22 June 2013.
  4. ↑ Chaves-Carballo E (2005). "Carlos Finlay and yellow fever: triumph over adversity". Military Medicine. 170 (10): 881–5. PMID 16435764. Unknown parameter |month= ignored (help)
  5. ↑ Template:Cite doi
  6. ↑ Simmons CP, Farrar JJ, Nguyen vV, Wills B (2012). "Dengue". The New England Journal of Medicine. 366 (15): 1423–32. doi:10.1056/NEJMra1110265. PMID 22494122. Unknown parameter |month= ignored (help)
  7. ↑ Gubler DJ (1998). "Dengue and dengue hemorrhagic fever". Clinical Microbiology Reviews. 11 (3): 480–96. PMC 88892. PMID 9665979. Unknown parameter |month= ignored (help)
  8. ↑ Henchal EA, Putnak JR (1990). "The dengue viruses". Clinical Microbiology Reviews. 3 (4): 376–96. PMC 358169. PMID 2224837. Unknown parameter |month= ignored (help)
  9. ↑ Smithburn, K. C.; Hughes, T. P.; Burke, A. W.; Paul, J. H. (1940). "A Neurotropic Virus Isolated from the Blood of a Native of Uganda". American Journal of Tropical Medicine. 20: 471–472.
  10. ↑ TAYLOR RM, HURLBUT HS, DRESSLER HR, SPANGLER EW, THRASHER D (1953). "Isolation of West Nile virus from Culex mosquitoes". The Journal of the Egyptian Medical Association. 36 (3): 199–208. PMID 13084817.
  11. ↑ Sun, L. H. (13 September 2012). "West Nile epidemic on track to be deadliest ever: CDC". The Washington Post. Retrieved 19 June 2013.
  12. ↑ Whitehorn J, Farrar J (2010). "Dengue". British Medical Bulletin. 95: 161–73. doi:10.1093/bmb/ldq019. PMID 20616106.
  13. ↑ Rodenhuis-Zybert IA, Wilschut J, Smit JM (2010). "Dengue virus life cycle: viral and host factors modulating infectivity". Cellular and Molecular Life Sciences : CMLS. 67 (16): 2773–86. doi:10.1007/s00018-010-0357-z. PMID 20372965. Unknown parameter |month= ignored (help)
  14. ↑ Guzman MG, Halstead SB, Artsob H, Buchy P, Farrar J, Gubler DJ, Hunsperger E, Kroeger A, Margolis HS, Martínez E, Nathan MB, Pelegrino JL, Simmons C, Yoksan S, Peeling RW (2010). "Dengue: a continuing global threat". Nature Reviews. Microbiology. 8 (12 Suppl): S7–16. doi:10.1038/nrmicro2460. PMID 21079655. Unknown parameter |month= ignored (help)
  15. ↑ 15.0 15.1 "Tropical Diseases and the Construction of the Panama Canal, 1904–1914". Contagion: Historical Views of Diseases and Epidemics. Retrieved 19 June 2013.
  16. ↑ "Malaria: The Panama Canal". Centers for Disease Control and Prevention (CDC). 8 February 2010. Retrieved 19 June 2013.
  17. ↑ LaPointe PM (1987). "Joseph Augustin LePrince: his battle against mosquitoes and malaria". The West Tennessee Historical Society Papers. West Tennessee Historical Society. 41: 48–61. PMID 12862098.
  18. ↑ "Yellow Fever and Malaria in the Canal". PBS. American Experience. Retrieved 19 June 2013.
  19. ↑ Last, J., ed. (2001). A Dictionary of Epidemiology. New York: Oxford University Press. pp. 185–186. ISBN 978-0-19-514169-6. OCLC 207797812.
  20. ↑ Depaquit J, Grandadam M, Fouque F, Andry PE, Peyrefitte C (2010). "Arthropod-borne viruses transmitted by Phlebotomine sandflies in Europe: a review". Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin. 15 (10): 19507. PMID 20403307. Unknown parameter |month= ignored (help)
  21. ↑ "Life cycle of Hard Ticks that Spread Disease". Centers for Disease Control and Prevention (CDC). 26 July 2012. Retrieved 26 June 2013.
  22. ↑ Template:Cite doi
  23. ↑ Wasserman HA, Singh S, Champagne DE (2004). "Saliva of the Yellow Fever mosquito, Aedes aegypti, modulates murine lymphocyte function". Parasite Immunology. 26 (6–7): 295–306. doi:10.1111/j.0141-9838.2004.00712.x. PMID 15541033.
  24. ↑ Schneider BS, McGee CE, Jordan JM, Stevenson HL, Soong L, Higgs S (2007). "Prior exposure to uninfected mosquitoes enhances mortality in naturally-transmitted West Nile virus infection". Plos One. 2 (11): e1171. doi:10.1371/journal.pone.0001171. PMC 2048662. PMID 18000543.
  25. ↑ Weaver SC (2005). "Host range, amplification and arboviral disease emergence". Archives of Virology. Supplementum (19): 33–44. PMID 16358422.
  26. ↑ Bowen RA, Nemeth NM (2007). "Experimental infections with West Nile virus". Current Opinion in Infectious Diseases. 20 (3): 293–7. doi:10.1097/QCO.0b013e32816b5cad. PMID 17471040. Unknown parameter |month= ignored (help)
  27. ↑ Lura T, Cummings R, Velten R, De Collibus K, Morgan T, Nguyen K, Gerry A (2012). "Host (avian) biting preference of southern California Culex mosquitoes (Diptera: Culicidae)". Journal of Medical Entomology. 49 (3): 687–96. PMID 22679878. Unknown parameter |month= ignored (help)
  28. ↑ Amraoui F, Krida G, Bouattour A, Rhim A, Daaboub J, Harrat Z, Boubidi SC, Tijane M, Sarih M, Failloux AB (2012). "Culex pipiens, an experimental efficient vector of West Nile and Rift Valley fever viruses in the Maghreb region". Plos One. 7 (5): e36757. doi:10.1371/journal.pone.0036757. PMC 3365064. PMID 22693557.
  29. ↑ Tambyah PA, Koay ES, Poon ML, Lin RV, Ong BK (2008). "Dengue hemorrhagic fever transmitted by blood transfusion". The New England Journal of Medicine. 359 (14): 1526–7. doi:10.1056/NEJMc0708673. PMID 18832256. Unknown parameter |month= ignored (help)
  30. ↑ Iwamoto M, Jernigan DB, Guasch A, Trepka MJ, Blackmore CG, Hellinger WC, Pham SM, Zaki S, Lanciotti RS, Lance-Parker SE, DiazGranados CA, Winquist AG, Perlino CA, Wiersma S, Hillyer KL, Goodman JL, Marfin AA, Chamberland ME, Petersen LR (2003). "Transmission of West Nile virus from an organ donor to four transplant recipients". The New England Journal of Medicine. 348 (22): 2196–203. doi:10.1056/NEJMoa022987. PMID 12773646. Unknown parameter |month= ignored (help)
  31. ↑ Teo D, Ng LC, Lam S (2009). "Is dengue a threat to the blood supply?". Transfusion Medicine (Oxford, England). 19 (2): 66–77. doi:10.1111/j.1365-3148.2009.00916.x. PMC 2713854. PMID 19392949. Unknown parameter |month= ignored (help)
  32. ↑ "Update: West Nile virus screening of blood donations and transfusion-associated transmission--United States, 2003". MMWR. Morbidity and Mortality Weekly Report. 53 (13): 281–4. 2004. PMID 15071426. Unknown parameter |month= ignored (help)
  33. ↑ Wiwanitkit V (2010). "Unusual mode of transmission of dengue". Journal of Infection in Developing Countries. 4 (1): 51–4. PMID 20130380. Unknown parameter |month= ignored (help)
  34. ↑ "Possible West Nile virus transmission to an infant through breast-feeding--Michigan, 2002". MMWR. Morbidity and Mortality Weekly Report. 51 (39): 877–8. 2002. PMID 12375687. Unknown parameter |month= ignored (help)
  35. ↑ Venter M, Swanepoel R (2010). "West Nile virus lineage 2 as a cause of zoonotic neurological disease in humans and horses in southern Africa". Vector Borne and Zoonotic Diseases (Larchmont, N.Y.). 10 (7): 659–64. doi:10.1089/vbz.2009.0230. PMID 20854018. Unknown parameter |month= ignored (help)
  36. ↑ Dalrymple JM, Vogel SN, Teramoto AY, Russell PK (1973). "Antigenic components of group A arbovirus virions". Journal of Virology. 12 (5): 1034–42. PMC 356734. PMID 4128825. Unknown parameter |month= ignored (help)
  37. ↑ Tesh RB, Gajdusek DC, Garruto RM, Cross JH, Rosen L (1975). "The distribution and prevalence of group A arbovirus neutralizing antibodies among human populations in Southeast Asia and the Pacific islands". The American Journal of Tropical Medicine and Hygiene. 24 (4): 664–75. PMID 1155702. Unknown parameter |month= ignored (help)
  38. ↑ 38.0 38.1 Shope, R. E.; Woodall, J. P.; da Rosa, A. T. (1988). Monath, T. P., ed. The Arboviruses: Epidemiology and Ecology (PDF). 3. CRC Press. p. 38. ISBN 0849343879. Retrieved 16 June 2013.
  39. ↑ 39.0 39.1 "Arboviral Diagnostic Testing". Centers for Disease Control and Prevention (CDC). Retrieved April 17, 2013.
  40. ↑ 40.0 40.1 "Arbovirus Antibodies Test". Medical Health Tests. March 27, 2012. Retrieved April 17, 2013.
  41. ↑ Huang C, Slater B, Campbell W, Howard J, White D (2001). "Detection of arboviral RNA directly from mosquito homogenates by reverse-transcription-polymerase chain reaction". Journal of Virological Methods. 94 (1–2): 121–8. PMID 11337046. Unknown parameter |month= ignored (help)
  42. ↑ Seawright, G. L.; Harding, G.; Thomas, F. C.; Hanson, R. P. (1974). "Microculture Plaque Neutralization Test for California Group Arboviruses". Applied Microbiology. 28 (5): 802–806. PMC 186828.
  43. ↑ Mettler, N. E.; Clarke, D. H.; Casals, J. (1971). "Hemagglutination Inhibition with Arboviruses: Relationship Between Titers and Source of Erythrocytes". Applied Microbiology. 22 (3): 377–379. PMC 376317.
  44. ↑ Walsh, J.A.; Warren, K.S. (1980). "Selective primary health care: an interim strategy for disease control in developing countries". Social Science & Medicine. Part C: Medical Economics. 14 (2): 145–163. doi:10.1016/0160-7995(80)90034-9. PMID 114830.
  45. ↑ "Preventing Mosquito Bites". North Carolina Department of Health and Human Services.
  46. ↑ "Japanese Encephalitis Vaccine, What You Need to Know" (PDF). Centers for Disease Control and Prevention (CDC). December 7, 2011. Retrieved 20 March 2013.
  47. ↑ "Yellow Fever Vaccine, What You Need to Know" (PDF). Centers for Disease Control and Prevention (CDC). March 30, 2011. Retrieved 20 March 2013.
  48. ↑ "Dengue fever vaccine program". Global Vaccines. Retrieved 20 March 2013.
  49. ↑ Pandya J., Gorchakov R., Wang E., Leal G., Weaver S.C. (2012). "A vaccine candidate for eastern equine encephalitis virus based on IRES-mediated attenuation". doi:10.1016/j.vaccine.2011.12.121. PMID 22222869. Unknown parameter |month= ignored (help)
  50. ↑ Young, S. (August 12, 2012). "Few Options in the West Nile Fight". MIT Technology Review. Retrieved 20 March 2013.


Template:WikiDoc Sources

Retrieved from "https://www.wikidoc.org/index.php?title=Arbovirus&oldid=898751"