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Peer reviewedOpen accessChikungunya

Autochthonous chikungunya virus outbreak in Verona province, Italy, 2025

Journal of Travel Medicine·

Concetta Castilletti, Leonardo Ancillotti, Antonio Mori, Silvia Accordini, Michela Deiana, Samuele Cheri, Natasha Gianesini, Lorena Maria Chesini, Simone Malagò, Andrea Matucci, Federico Cubi, Chiara Zanchi, Paolo Cattaneo, Ralph Huits, Luisa Barzon, Monia Pacenti, Davide Gentili, Michele Tonon, Chiara Postiglione, Francesco Marchiori, Salvatore Falcone, Tamara Zerman, Federica Gobbo, Christina Merakou, Martina Del Manso, Fabrizio Montarsi, Giulietta Venturi, Patrizio Pezzotti, Dora Buonfrate, Giovanna Varischi, Anna Teresa Palamara, Francesca Russo, Federico Giovanni Gobbi

DOI
10.1093/jtm/taag079
PMID
PMCID
OpenAlex
Study type
Genomic study
Publisher
Oxford University Press (OUP)
Article type
journal-article
Integrity
current

Why this research matters now

The report illustrates how coordinated monitoring networks can quickly characterize emerging arboviral activity in non-endemic areas, offering insights into optimal diagnostic windows and the importance of continuous pathogen tracking.

01

Structured evidence summary

Research question

How did integrated monitoring capture the epidemiological and genetic features of a localized chikungunya transmission event in northern Italy during 2025?

Study design

An outbreak investigation combining activated surveillance protocols with retrospective laboratory and phylogenetic analysis following initial case identification.

Population and setting

Individuals residing in Verona province, Italy, between late July and mid-October 2025, predominantly located in two specific municipalities with an average patient age of fifty-five years.

Main findings

Investigators documented sixty-nine cases across a fifteen-week period, noting strong geographic clustering and clear temporal concentration during late summer. Laboratory testing indicated viral RNA presence in bodily fluids during the initial week of illness, while serological markers emerged slightly later. Genetic sequencing demonstrated that the circulating strain formed a tight evolutionary group closely matching recent viral sequences from Réunion Island.

Public-health relevance

The report illustrates how coordinated monitoring networks can quickly characterize emerging arboviral activity in non-endemic areas, offering insights into optimal diagnostic windows and the importance of continuous pathogen tracking.

Important limitations

The original source of infection could not be traced, and environmental mosquito collections failed to yield positive viral results. Initial symptom onset dates relied on retrospective recall rather than real-time reporting.

GIDS interpretation

This publication supplies historical genomic and epidemiological context for a specific European transmission episode, linking local circulation to prior South Asian and Indian Ocean viral lineages. Such records aid in establishing baseline diversity patterns and understanding seasonal movement trends without implying current active threat levels.

02

Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

03

Evidence relationships

This article has 10 auditable classifier relationships to diseases, places, topics, and study design.

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