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Table 1 Investigations for the presence of WNV in sub-Saharan Africa. The order of countries reflects those where WNV has been detected through virus isolation, those where WNV has been detected through serosurveillance and those where WNV has not been detected or no studies have been reported

From: Epidemiology and ecology of West Nile virus in sub-Saharan Africa

Country

Area (km2)a

Population estimate for 2015 (millions)b

Reference

Observation

Countries where WNV has been detected through virus isolation

 Democratic Republic of the Congo

2,344,858

71.2

[58]

WNV outbreak in an army camp

 Djibouti

23,200

0.9

[82]

Detection of WNV in Culex mosquitoes

 Gabon

267,667

1.7

[83]

Human case of WNV

 Madagascar

587,041

24.2

[15, 84,85,86]

WNV detected in birds, mosquitoes and humans. Serological evidence for WNV in lemurs and horses

 Namibia

824,292

2.4

[87]

WNV detected in humans

 Senegal

196,722

15.0

[3, 88]

Serological evidence for WNV in humans. Detection of multiple lineages of WNV

 South Africa

1,219,090

53.5

[10, 14, 62]

Serological evidence for WNV in humans, detection in mosquitoes, disease in horses; neurological disease in humans

 Uganda

241,038

40.1

[11]

Isolation of virus from humans

Countries where WNV has been detected by serology only

 Central African Republic

622,984

4.8

[53]

Serological evidence for WNV

 Chad

1,284,000

13.6

[56]

High seroprevalence among horses

 Côte d'Ivoire

322,463

21.3

[55]

High seroprevalence among horses

 Ethiopia

1,104,300

98.9

[52]

Serological evidence of WNV

 Ghana

238,533

26.4

[89]

Serological evidence for WNV in humans

 Kenya

580,367

46.7

[50]

Serological evidence for WNV in humans

 Mali

1,240,192

16.2

[90]

Serological evidence for WNV in humans

 Nigeria

923,768

182

[57, 91]

Serological evidence for WNV in humans and horses

 Sierra Leone

71,740

6.3

[92]

Serological evidence for WNV in humans

 Sudan

1,861,484

39.6

[52]

Serological evidence for WNV in humans

 Tanzania

947,300

52.3

[51]

Serological evidence for WNV in humans

 Zambia

752,618

15.5

[93]

Serological evidence for WNV in humans

Countries that have not reported the presence of WNV

 Angola

1,246,700

22.8

na

–

 Benin

112,622

10.9

na

–

 Botswana

581,730

2.0

na

–

 Burkina Faso

274,200

17.9

na

–

 Burundi

27,830

10.8

[54]

No evidence for WNV found

 Cameroon

475,440

23.4

[94]

No evidence for WNV found

 Congo

342,000

4.7

na

–

 Eritrea

117,600

6.7

na

–

 Equatorial Guinea

28,051

0.8

na

–

 Guinea

245,857

12.3

na

–

 Guinea-Bissau

36,125

1.8

na

–

 Lesotho

30,355

2.1

na

–

 Liberia

111,369

4.5

na

–

 Malawi

118,484

17.3

na

–

 Mauritania

1,030,700

4.1

na

–

 Mozambique

799,380

27.1

na

–

 Niger

1,267,000

19.3

na

–

 Rwanda

26,338

12.4

na

–

 Somalia

637,657

11.1

na

–

 South Sudan

644,329

12.1

na

–

 Swaziland

17,364

1.3

na

–

 The Gambia

11,295

2.0

na

–

 Togo

56,785

7.2

na

–

 Zimbabwe

390,757

15.0

na

–

  1. Abbreviation: na, not applicable (no evidence found)
  2. a[95]
  3. b[96]