80% of infected people are no reported and asymptomatic.

20% of syntomic people showed mild symptoms, referee as West Nile fever (WNF).

1 in 150 people developed the encephalitis or meningitis.

Historical distribution of WNV in world: Data reported at Reisen, W. (2013). Ecology of West Nile Virus in North America. Viruses, 5(9), 2079–2105. West Nile transmission in Humans in Europe 2022, from European centre for disease prevention and Control. ECDC, 2023.

Causes the fatal neurological disease in humans.

Leading of cause of mosquito-borne disease in USA.

In 2018-2020 has cause massive outbreaks in Europe.

In US, in 2021 was reported 2,445 cases of WNV humans, and there were 165 (6.8%) confirmed deaths.

There are no approved vaccines in humans, only in horses. There is no antivirals available at the moment for the prevention or treatment of West Nile infection.