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We report acute Oropouche virus infections in 2 previously healthy women from a nonendemic region of Brazil outside the Amazon Basin. Infections rapidly progressed to hemorrhagic manifestations and fatal outcomes in 4-5 days. These cases highlight the critical need for enhanced surveillance to clarify epidemiology of this neglected disease.

A febrile man in Italy who had traveled to Cuba in July 2024 was diagnosed with Oropouche fever. Reverse transcription PCR detected prolonged shedding of Oropouche virus RNA in whole blood, serum, urine, and semen. Sixteen days after symptom onset, replication-competent virus was detected in semen, suggesting risk for sexual transmission.

During May-December 2024, we detected Oropouche virus (OROV) in 13.9% (263/1,890) of febrile patients in Ceará state, Brazil. Genomic sequencing revealed those cases were caused by a novel OROV reassortant previously identified in the Amazon region. Our data show the introduction and establishment of OROV transmission in Ceará, northeastern Brazil.

In early 2024, explosive outbreaks of Oropouche virus (OROV) linked to a novel lineage were documented in the Amazon Region of Brazil. We report the introduction of this lineage into Colombia and its co-circulation with another OROV lineage. Continued surveillance is needed to prevent further spread of OROV in the Americas.

Given recent outbreaks of Oropouche virus in Latin America and >100 confirmed travel-associated cases in the United States, we evaluated the competence of US vectors, including Aedes albopictus, Culex quinquefasciatus, Culex pipiens, and Anopheles quadrimaculatus mosquitoes. Results with historic and recent isolates suggest transmission potential for those species is low.

Oropouche virus has recently caused outbreaks in South America and the Caribbean, expanding into areas to which the virus was previously not endemic. This geographic range expansion, in conjunction with the identification of vertical transmission and reports of deaths, has raised concerns about the broader threat this virus represents to the Americas. We review information on Oropouche virus, factors influencing its spread, transmission risk in the United States, and current status of public health response tools. On the basis of available data, the risk for sustained local transmission in the continental United States is considered low because of differences in vector ecology and in human-vector interactions when compared with Oropouche virus-endemic areas. However, more information is needed about the drivers for the current outbreak to clarify the risk for further expansion of this virus. Timely detection and control of this emerging pathogen should be prioritized to mitigate disease burden and stop its spread.

Oropouche virus (OROV), historically endemic to the Amazon, had spread to nearly all Brazil states by 2024; Espírito Santo emerged as a transmission hotspot in the Atlantic Forest biome. We characterized the epidemiologic factors driving OROV spread in nonendemic southeast Brazil, analyzing environmental and agricultural conditions contributing to viral transmission. We tested samples from 29,080 suspected arbovirus-infected patients quantitative reverse transcription PCR for OROV and dengue, chikungunya, Zika, and Mayaro viruses. During March‒June 2024, the state had 339 confirmed OROV cases, demonstrating successful local transmission. Spatial analysis revealed that most cases clustered in municipalities with tropical climates and intensive cacao, robusta coffee, coconut, and pepper cultivation. Phylogenetic analysis identified the Espírito Santo OROV strains as part of the 2022-2024 Amazon lineage. The rapid spread of OROV outside the Amazon highlights its adaptive potential and public health threat, emphasizing the need for enhanced surveillance and targeted control measures.

We describe introduction of the 2022-2023 Oropouche virus lineage from Brazil, which has caused large-scale outbreaks throughout Brazil, into the Amazon Region of Peru. This lineage is co-circulating with another lineage that was circulating previously. Our findings highlight the need for continued surveillance to monitor Oropouche virus in Peru.

Oropouche virus (OROV) is an emerging arbovirus responsible for Oropouche fever, also known as sloth fever, a febrile illness that can lead to recurrent outbreaks in affected regions. Endemic to parts of South and Central America, OROV is primarily transmitted by biting midges (Culicoides paraensis), although mounting evidence implicates mosquitoes, particularly the Culex and Aedes species, as additional vectors. Recent ecological disturbances—such as deforestation, urbanization, and climate change—have driven significant shifts in vector population dynamics, contributing to the expanded geographic range and increased transmission of OROV. Notably, recent reports of OROV infections among American and European travelers to Cuba highlight the virus’s growing potential for international dissemination and underscore its significance as a global health concern. OROV is an enveloped orthobunyavirus within the Peribunyaviridae family, possessing a tripartite, single-stranded, negative-sense RNA genome composed of the S (small), M (medium), and L (large) segments. These segments encode the nucleocapsid (N) protein, glycoproteins (Gn and Gc), and RNA-dependent RNA polymerase, respectively. Despite increasing incidence and potential for global spread, no licensed vaccines or antiviral therapies currently exist, and effective diagnostic tools remain limited. Furthermore, although human-to-human transmission has not been observed, the absence of robust surveillance systems complicates timely outbreak detection and response. In this study, we present a comprehensive molecular characterization of OROV’s major structural proteins, with an emphasis on structural modeling and epitope prediction. By integrating bioinformatics approaches with available structural data, we identify key antigenic regions that could serve as targets for the development of serological diagnostics and vaccine candidates. Our findings contribute critical insights into the molecular virology of OROV and provide a foundational framework for future efforts aimed at the prevention, diagnosis, and control of this neglected tropical pathogen. These advancements are essential for mitigating the impact of OROV in endemic regions and reducing the risk of global emergence.

The collection of insects of medical importance from the Instituto Nacional de Salud, INS (Bogotá, Colombia: https://www.ins.gov.co/Paginas/Inicio.aspx), was started in 1934 with the aim of being an institutional and national repository of the biodiversity of insects involved in vector-borne diseases of importance in public health. Today, the entomological collection includes more than 7,500 specimens. The ceratopogonid insects are one group of Diptera that are represented in this collection. Within the Ceratopogonidae, the genus Culicoides Latreille, 1809 is relevant in public health because of the nuisance caused by their bites when they are presented in great abundance and because of their role as vectors of several agents (virus, protozoa and nematodes) that cause diseases to humans and to animals (Mellor et al. 2000, Mullen 2002). An overview of the Ceratopogonidae, represented in this collection, is presented here. A total of 801 individuals, mainly adults of the genus Culicoides (90%) are represented. The collection is the result of the effort of several researchers of the Group of Entomology at INS. These researchers collected ceratopogonids when they went to different transmission scenarios of vector-borne diseases in Colombia, with the purpose of making entomological characterisations including the processing, assembly and identification of the specimens in the laboratory. New information about the geographical distribution of 39 species of the genus Culicoides in Colombia. All data have been uploaded to GBIF and are publicly available there.