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. 2018 Nov 13;151(11):450–459. doi: 10.1016/j.medcle.2018.10.008

Table 2.

Arboviruses transmitted by culicoides with impact on Public Health.

Family/virus Geographical distribution Presence in Spain Risk of emergence or re-emergence in Spain
Disease cases Presence of the vector Virus pathogenicity Risk Risk according to authors
Bunyaviridae
 Batai Africa
Asia
Europe
1 1 1 Moderate Low
 La Crosse encephalitis North America 0 0 0 Low Low
 Rift Valley fever Africa
Middle East
0 1 0 Moderate Moderate
 Inkoo North Europe 1 1 0 High Low
 Tahyna Africa
Asia
Europe
Only serological evidence 1 1 0 High Low



Flaviviridae
 Dengue Africa
America
Asia
Oceania
Present in the past 1 1 0 High High
 Murray Valley encephalitis Oceania 0 0 0 Low Low
 Saint Louis encephalitis America 0 1 0 Moderate Low
 Japanese encephalitis Asia 0 1 0 Moderate Low
 Yellow fever Africa
South America
1 1 0 High Low
 West Nile Virus Africa
Asia
Europe
North America
Middle East
Oceania
Sporadic communication 1 1 0 High High
 Usutu Africa
Europe
Sporadic communication 1 1 1 Moderate Low
 Zika Africa
America
Asia
Oceania
1 1 0 High Moderate



Togaviridae
 Chikungunya Africa
America
Asia
Oceania
1 1 0 High High
 Eastern equine encephalitis America 0 1 0 Moderate Low
 Western equine encephalitis America 0 0 0 Low Low
 Equine encephalitis of Venezuela America 0 1 0 Moderate Low
 Mayaro South America 0 1 0 Moderate Low
 O’nyong-nyong Africa 0 0 0 Low Low
 Ross River Oceania 0 0 0 Low Low
 Sindbis Africa
Asia
Europe
Oceania
Only serological evidence 1 1 0 High Low

The risk of emergence/re-emergence is calculated based on three factors: (a) presence of cases of the disease in humans in the last 5 years in Europe, Mediterranean, Central and South American countries with a significant relationship with Spain; (b) presence of the vector in Spain; (c) pathogenicity of the virus for humans. Each factor is scored with one point (presence in the first two factors and low pathogenicity in the third factor) or with zero points (absence in the first two factors and high pathogenicity in the third factor). The first two factors are added and the third is subtracted. The total score can range between 0 and 2, with 0 being: low risk; 1: moderate risk; 2: high risk.