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110<br />
cumstances of isolation of Bahig and Matruh viruses in<br />
Italy seemed to confirm this hypothesis.<br />
Sandfly-borne virus<br />
During World War Il, an outbreak of febrile illness<br />
occurred among USA military troops in Southern ltaly.<br />
From the blood of some patients, Sabin isolated two<br />
strains of viruses, the Sandfly Fever Naples virus and<br />
the Sandfly Fever Sicilian virus (Sabin et al., 1944).<br />
Since then, the two agents have been isolated from the<br />
sand fly Phlebotomus papatasi in several<br />
Me<strong>di</strong>terranean countries. Their circulation in Italy was<br />
probably terminated after the antimalaric campaign<br />
conducted in the late forties.<br />
In 1973, a new virus (Toscana virus), serologically<br />
related to the Sandfly Fever Naples virus, was isolated<br />
from a pool of P. perniciosus sandflies collected in the<br />
Tuscany region (Verani et al., 1980). The Toscana virus<br />
has been associated with human acute CNS <strong>di</strong>sease<br />
occurring during the period June-October with a peak<br />
in August (in the same month its vector sandflies have<br />
their peak of activity).<br />
The virus is present in at least eight <strong>di</strong>fferent regions of<br />
Central and Northern Italy (Tuscany, Marche, Abruzzo,<br />
Emilia Romagna, Umbria, Piedmont, Campania and<br />
Sar<strong>di</strong>nia). The virus is largely <strong>di</strong>ffuse: high levels of<br />
antibo<strong>di</strong>es against Toscana virus have been found in<br />
healthy populations of endemic areas, suggesting that<br />
the virus can also be the cause of an infection with only<br />
minor symptoms of <strong>di</strong>sease.<br />
More than 100 <strong>di</strong>fferent strains have been isolated<br />
from wild-caught sand flies of the P. perniciosus and P.<br />
perfiliewi species, and several strains have also been<br />
isolated from the cerebrospinal fluid of patients.<br />
(Nicoletti et al, 1991)<br />
Two more viruses have been isolated from the same<br />
sand flies in the same areas: the Phlebovirus Arbia and<br />
the Vesiculovirus Ra<strong>di</strong>. The Arbia virus is largely <strong>di</strong>ffuse<br />
in the sand fly populations but only low levels of<br />
antibo<strong>di</strong>es have been found in humans and no <strong>di</strong>sease<br />
could be associated with its infection (Verani et al.,<br />
1988).<br />
Little work has been done with the Ra<strong>di</strong> virus. The<br />
virus has been isolated several times from sand flies but<br />
no antibo<strong>di</strong>es have been found in humans and no<br />
human <strong>di</strong>sease has been associated with it (Ciufolini et<br />
al., 1990).<br />
Tick-borne viruses<br />
TBE-virus. The first evidence of the presence of the<br />
TBE virus in Italy was obtained in 1967 on the basis of<br />
serologic surveys in Northern (Gorizia province) and<br />
Central Italy (Latina province) (Balducci et al., 1967;<br />
Verani et al., 1967). Subsequently, extensive stu<strong>di</strong>es<br />
were performed in Central and Northern Italy. Acute<br />
infection of central nervous system (CNS) <strong>di</strong>sease were<br />
<strong>di</strong>agnosed in the Florence province of Toscana Region<br />
and in Trentino-Alto A<strong>di</strong>ge, Friuli and Veneto where<br />
L. Nicoletti et al. - Arbovirus in Italy<br />
the most active focus is present. Field stu<strong>di</strong>es in these<br />
areas allowed for isolation of strains of TBE virus from<br />
pools of Ixodes ricinus ticks and from Apodemus sylvaticus<br />
mouse (Verani et al, 1991).<br />
Bhanja virus. Bhanja virus (an ungrouped tick-borne<br />
virus) was repeatedly isolated from pools of<br />
Haemaphysalis punctata collected collected in Central<br />
Italy (in 1967 and 1973 in the Latina province, in 1977<br />
in the Florence province). Serologic evidence of the circulation<br />
of this virus has been obtained in many areas<br />
of Northern, Central and Southern Italy. The highest<br />
prevalence was found in goats and sheep, but low levels<br />
of antibo<strong>di</strong>es were also found in cattle, humans,<br />
wild rodents and birds. No human <strong>di</strong>sease has been<br />
associated with this virus in our country. (Verani et al,<br />
1970)<br />
Tribec virus. The Orbivirus Tribec was isolated from<br />
Rhipicephalus bursa ticks collected in 1972 in<br />
Northern Italy (Gorizia province) and in 1977 in<br />
CentraI Italy (Siena province). No serologic survey on<br />
its <strong>di</strong>stribution has been performed (Verani et al.,<br />
1978).<br />
Thogoto virus. The Orthomyxovirus Thogoto was isolated<br />
from R. bursa ticks collected in 1969 in Sicily.<br />
The occurrence of antibo<strong>di</strong>es to this virus in sera of cattle<br />
and sheep from <strong>di</strong>fferent zones of Western Sicily has<br />
been reported (Albanese et al., 1971; 1972).<br />
References<br />
Albanese M, Bruno Smiraglia C, Di Cuonzo G, Lavagnino A and<br />
Srihongse S (1972). Isolation of Thogoto virus from<br />
Rhipicephalus bursa ticks in Western Sicily. Acta Virol 16: 267.<br />
Albanese M, Di Cuonzo G, Randazzo G, Srihongse S and Tringali<br />
G (1971). Survey for arbovirus antibo<strong>di</strong>es in domestic animals of<br />
Western Sicily. Ann Sclavo 13: 641-647.<br />
Autorino GL, Battisti A, Deubel V, Ferrari G, Forletta R, Giovannini A,<br />
Lelli R, Murri S, Scicluna MT. West Nile virus epidemic in horses,<br />
Tuscany region, Italy. Emerg Infect Dis. (2002) 12:1372-1378.<br />
Balducci M, Verani P, Lopes MC and Gregorig B (1967). Survey for<br />
antibo<strong>di</strong>es against arthropod-borne viruses in man and animals<br />
in Italy. II. Serologic status of human beings in a Northern Italian<br />
region (Gorizia province). Am J Trop Med Hyg 16: 2111-2115.<br />
Balducci M, Verani P, Lopes MC and Gregorig B. (1973): Isolation<br />
in Italy of Bahig and Matruh viruses (Tete group) from migratory<br />
birds. Ann. Microbiol. (Inst. Pasteur) 124 B, 231-237.<br />
Balducci M, Verani P, Lopes MC, Saccà G and Gregorig B (1968).<br />
Isolation of Tahyna virus from Aedes mosquitoes in Northern<br />
Italy (Gorizia province). Acta Virol 12: 457-459.<br />
Ciufolini MG, Maroli M, Miceli N, Nicoletti L, Cecchetti S, Amore R,<br />
Percopo S, Verani P (1990). Monitoring of Phlebotominae sandflies-transmitted<br />
viruses activity in Marche region (Italy). Arbo<br />
Info Exch December 1990 (Newsletter): 58-59.<br />
Nicoletti L., Verani P., Caciolli S., Ciufolini M.G., Renzi A.,<br />
Bartolozzi D., Paci P., Leoncini F., Padovani P., Traini E.,<br />
Baldereschi M. and Balducci M. Central nervous system<br />
involvement during infection by Phlebovirus Toscana of residents<br />
in natural foci in Central Italy (1977-1988). Am. J. Trop.<br />
Med. Hyg. 45: 429-434, 1991<br />
Rezza G , Nicoletti L , Angelini R, Romi R, Finarelli AC, Panning M,