West Nile virus in Europe in 2020 - infections among humans and outbreaks among equids and/or birds, updated 20 August 2020.SkiptomaincontentGlobalNavigationOthersites:ECDCEuropeanAntibioticAwarenessDayESCAIDE-ScientificconferenceEurosurveillancejournalEVIP-VaccinationportalHomePublications&dataWestNilevirusinEuropein2020-infectionsamonghumansandoutbreaksamongequidsand/orbirds,updated20August2020Publications&dataWestNilevirusinEuropein2020-infectionsamonghumansandoutbreaksamongequidsand/orbirds,updated20August2020Map21Aug2020Period:13Aug2020-21Aug2020TwitterFacebookLinkedInMailBetween14and20August2020,EUMemberStatesreported34humancasesofWNVinfection:Italy(17),Greece(11)andSpain(six).OnecasewasreportedfromtheprovinceofVerbano-Cusio-Ossola,Italy,whichhadnotbeenaffectedinprevioustransmissionseasons.Allothercaseswerereportedfromareasthathavebeenaffectedduringprevioustransmissionseasons.Thisweek,nodeathswerereported.NohumancasesofWNVinfectionordeathswerereportedfromEUneighbouringcountries.SpainiscurrentlyexperiencinganoutbreakofWNVinfectionintheprovinceofSeville.SixconfirmedhumancasesreportedthroughTESSy(seeabove)andanadditional13probablecasesarebeingfurtherinvestigated.AstheseprobablecaseshavenotyetbeenreportedthroughTESSytheyarenotincludedinthelistofthecasesintheSurveillanceAtlas.Additionalpatientswithmeningo-encephalitisarecurrentlybeingtested.Sincethebeginningofthe2020transmissionseasonandasof20August2020,EUMemberStateshavereported66humancasesofWNVinfectionandsixdeathsthroughTheEuropeanSurveillanceSystem(TESSy):Greece(39,includingsixdeaths),Italy(19),Spain(six)andRomania(two).OnecasewasreportedfromtheprovinceofVerbano-Cusio-Ossola,Italy,whichhadnotbeenaffectedinprevioustransmissionseasons.Allothercaseswerereportedfromareasthathavebeenaffectedduringprevioustransmissionseasons.NocaseshavebeenreportedfromEUneighbouringcountries.Sincethebeginningofthe2020transmissionseason,19outbreaksamongequidshavebeenreported.TheseoutbreakshavebeenreportedbySpain(16includingnineinthepr