Tracking West Nile virus dynamics using viral loads from trapped mosquitoes

  1. Punya Alahakoon  Is a corresponding author
  2. Ian Marchinton
  3. R Koch
  4. Joseph R Fauver  Is a corresponding author
  5. James A Hay  Is a corresponding author
  1. Pandemic Sciences Institute, Nuffield Department of Medicine, University of Oxford, United Kingdom
  2. College of Public Health, Epidemiology Department, University of Nebraska Medical Center, United States
  3. College of Veterinary Medicine and Biomedical Sciences, Department of Microbiology, Immunology, and Pathology, Colorado State University, United States
31 figures, 3 tables and 1 additional file

Figures

Observed data.

(A): Calculated pooled Ct value vs. disease week from 2022 to 2024. Ct values are presented from pools of mosquitoes separated by species, either C. pipiens/restuans/salinarius or C. tarsalis. (B): RT-qPCR test results vs. disease week from 2022 to 2024.

Overall structure of the agent-based model (parameters were derived from the literature; see Appendix 1, Sections 2, 3, and 4).

(A) Transmission cycle of WNV between birds (hosts) and mosquitoes (vectors). Female mosquitoes lay eggs, which hatch after an average of 8 days, before developing into adult female mosquitoes that contribute to the transmission cycle. (B) Transmission occurs with some probability when an infected female mosquito bites a susceptible bird or a susceptible female mosquito bites an infected bird. (C) Within-host viral kinetics model. Infected birds follow an acute viral load trajectory with rising and clearance phases, starting at the RT-qPCR limit of detection. Female mosquitoes may follow one of the two different viral kinetics models: the mosquito’s initial viral load is proportional to the infector bird’s viral load at the time of bite and either leads to a non-replicating viral trajectory (static viral load) (i) or a replication-competent infection (dynamic viral load) (ii). Note that the Ct value scale is inverted, with lower Ct values depicting higher on the scale. (D) Overall population-level dynamics of the agent-based model. If bitten by an infected mosquito, susceptible birds (S) can become infectious (I). Once infectious, they will eventually recover (R), with lifelong immunity following their infectious period. Susceptible mosquitoes (S), if they bite infectious birds, will become infectious (I) for the rest of their lifespan. Births and deaths are possible in all these states for both birds and mosquitoes. (E) Simulation of routine mosquito trapping and pooled testing accounting for blood meal-seeking behaviour. For each pool, a combined pooled Ct value is calculated based on the mean viral load of captured WNV-positive mosquitoes, diluted by the contribution of WNV-negative mosquitoes. (F) Example population-level Ct dynamics from the simulation. Note that the Ct value scale is inverted, with lower Ct values depicting higher on the scale.

Simulated population-level WNV infection dynamics in mosquitoes.

Each line represents one year of simulated data, and the bold black line highlights the simulated trajectory used for (C). (A) Weekly mosquito infection prevalence per capita. (B) Weekly mosquito infection incidence per capita. (C) Individual-level Ct values of the female mosquito population from 1 year of a single simulation. Each point represents a Ct value from a single randomly selected mosquito, representing perfect observations of the entire population at all times. (D) Calculated pooled Ct values from the mosquito population based on the individual-level Ct values in (C).

Distributions of the pooled Ct values within the limit of detection.

(A) Simulated Ct values by assuming all mosquitoes undergo dynamic infection from Ct = 40. (B) Simulated Ct values assuming mosquitoes inherit 100% of viral load from birds, and 50% of mosquitoes undergo a static viral kinetics trajectory. The bottom left and right panels. (C) and (D) The density of pooled Ct values from Nebraska and Colorado states over 3 years, respectively.

Prevalence estimation using pooled Ct values and binarised data.

(A) Weekly pooled Ct values from the captured mosquitoes (using the sampling procedure used in the agent-based model). Each dot represents the Ct value calculated per pool. (B) Binarised data based on the pooled Ct values in (A). Binarisation was based on whether or not the pooled Ct values were within the limit of detection. (C) Estimated proportion of productive infection using the pooled Ct values. The pink ribbon shows the 95% confidence interval. (E) The estimated weekly WNV prevalence among mosquitoes using the binarised data and the PooledInfRate R package (green line). The green ribbon shows the 95% confidence interval. These values are compared with the true prevalence from the simulation (blue dashed line). (F) Estimated productive infection prevalence using pooled Ct values. The purple ribbon shows the 95% confidence interval.

Comparison of prevalence estimates based on the pooled Ct values and the PooledInfRate R package with varying pool sizes.

The beige colour dots present maximum likelihood prevalence estimates calculated from pooled Ct values from a different simulation. The estimated prevalence calculated using the binarised data is in dark red. Each panel presents the estimates based on 100 pools containing up to 50 mosquitoes (pool size). The black dashed line represents perfect estimates. Labels along with the red dotted lines illustrate the maximum prevalence level at which the PooledInfRate R package returns accurate estimates.

Overall prevalence estimation per year for Nebraska and Colorado from 2022 to 2024 using pooled Ct values (green) and binarised data (red), and the estimated productive infection prevalence (beige).

The lines show mean estimates and the ribbons are 95% confidence intervals. Red dashed lines are the estimated prevalence based on binarised data.

Appendix 1—figure 1
Human case data and mosquito surveilance data.

(A) Observed monthly human cases from 1999 to 2024 (downloaded from the CDC website CDC, 2025). (C) and (D) [Figure 1 of the manuscript]: Observed data: Calculated pooled Ct value vs. disease week from 2022 to 2024. Pooled Ct values presented here are calculated by using species Culex pipiens/restuans/salinarius and Culex tarsalis.

Appendix 1—figure 2
Observed Ct values distributed by number of mosquitoes contained in the tested pool.

Pearson correlation coefficient = 0.04, p-value = 0.31.

Appendix 1—figure 3
Observed Ct values from 143 samples tested in two laboratories.

Ct values generated from the UNMC laboratory were consistently lower than those generated from NPHL, showing reproducibility of Ct value data from the same mosquito pool.

Appendix 1—figure 4
Ct values by species in Nebraska from 2022 to 2024 and Colorado from 2022 to 2023.

Here, pipiens in Nebraska include C. pipiens/restuans/salinarius species.

Appendix 1—figure 5
Ct values obtained by counties in Nebraska.
Appendix 1—figure 6
Ct values obtained by counties in Colorado.
Appendix 1—figure 7
Time-dependent parameters for the mosquitoes for 1 year.

(A) Birth rate, bMt. (B) Transmission probability from bird to mosquito, pMIt. (C) Biting rate, rt. (D) Daily death rate, dMt.

Appendix 1—figure 8
Probability of overwintering (top panel) and that of the mosquitoes becoming active (bottom panel) during 1 year period.
Appendix 1—figure 9
Ct dynamics models used for birds (top panel) and the mosquitoes (bottom panel) in our agent-based model.

Top panel: mi (where i=1,2) represents the slope parameters for the birds. C[Bi] (i=1,2) represents a random Ct value within a bird since infection. Bottom panel: (a) Ct dynamics model when the mosquitoes undergo dynamic infection from Ct[LOD], the limit of detection (which is 40 in our study). m represents the slope parameter of a mosquito in the Ct model. yt represents a random Ct value of a mosquito since infection. (b) Mosquitoes inherit a certain percentage of viral load from birds. (i) shows the static viral load, and (ii) illustrates the dynamic viral load models. Ct[B] represents the Ct value inherited from the bird at the time of a successful infection of a mosquito. For both bird and mosquito Ct dynamics models, Ct[LOD] represents the limit of detection (Ct = 40), t0 is the time of infection, and Ct[MIN] is the minimum Ct value that reaches the peak viral load.

Appendix 1—figure 10
Relationship between log10(viral load) and Ct values.
Appendix 1—figure 11
States of the hosts over 10 years.
Appendix 1—figure 12
States of mosquitoes over 10 years.
Appendix 1—figure 13
Simulated population-level WNV infection dynamics in mosquitoes.

Each line represents 1 year of simulated data, and the bold black line highlights the simulated trajectory used for (C) and Figure 4 in the manuscript. (A) Weekly bird infection prevalence per capita. (B) Weekly bird infection incidence per capita. (C) Individual-level Ct values of the bird population from 1 year of a single simulation. Each point represents a Ct value from a single randomly selected bird, representing perfect observations of the entire population at all times.

Appendix 1—figure 14
Top panel: Density distributions of the Ct values within the level of detection with change of viral inheritance probability vs. model change probability.

Each density simulated per year is overlaid. Model change for mosquitoes was done as a Bernoulli trial with the probability specified in each sup-panel in the right corner. A successful Bernoulli trial indicated model (b) i: that is, the mosquito viral load will remain constant after successful viral inheritance. Bottom panel: Density distributions of the Ct values within the level of detection for the Colorado and Nebraska datasets. All the densities for the three years are overlaid.

Appendix 1—figure 15
Left: Density distributions of the Ct values within the level of detection with change of viral inheritance probability = 1 vs. model change probability = 0.5 with assumed decay rates 0, 0.001, 0.01, 0.1, and 0.5.

Each density simulated per year is overlaid. Right: Ct dynamics with assumed decay rates 0, 0.001, 0.01, 0.1, and 0.5.

Appendix 1—figure 16
Density distributions of Ct values of the mosquitoes (less than the limit of detection) from simulated data assuming mosquitoes inherit 100% of viral load from birds, and 50% of mosquitoes undergo a static viral kinetics trajectory.

Each panel illustrates the distributions of the Ct values of the mosquitoes that underwent a static (in pink) or dynamic (in blue) viral kinetics trajectory in each week.

Appendix 1—figure 17
Distributions of estimated Pr(yj|kj,nj) through KDE approximations.

Each line represents the number of positive samples (kj). Each panel represents the pool size, and nj depends on the pool size.

Appendix 1—figure 18
Distributions of estimated Pr(yj|kj,nj) through KDE approximations when the pool size is 50.

Each panel represents the number of positive samples (kj). nj is assumed to be 50.

Appendix 1—figure 19
Estimated prevalence using 8 simulations.

Beige lines and ribbons illustrate the estimated prevalence and the corresponding 95% confidence intervals using pooled Ct values. The green lines and ribbons illustrate the estimated prevalence and the corresponding 95% confidence intervals using the binarised data.

Appendix 1—figure 20
Using Pooled Ct values, the difference between actual prevalence and the estimated prevalence under different prevalence values, pool sizes, and number of pools.

Each combination was repeated 100 times. All the calculations are done using the MLE estimates for prevalence. Black lines represent the mean of the estimates. The ribbons are 95% quantile intervals based on the MLE estimates. If the MLE estimate is the same across the 100 repeated calculations (see top corner panel when the prevalence = 0.001, the quantiles were not calculated.).

Appendix 1—figure 21
The percentages of 95% confidence intervals that include the true prevalence.

95% confidence intervals were calculated using the same combinations of number of pools, prevalence values, and pool sizes as in Appendix 1—figure 20. Each combination was repeated 100 times, and under each of these measures, each 95% confidence interval was checked to see if the interval covered the true prevalence.

Appendix 1—figure 22
Top panel: Productive infection estimation error.

Box plots of the difference between actual prevalence and the estimated productive infection prevalence using Pooled Ct values under different prevalence values, number of pools and pool size of 50. Each combination was repeated 100 times. All the calculations are done using the MLE estimates for prevalence. Bottom panel: Confidence interval coverage. The percentages of 95% confidence intervals that include the true productive infection prevalence. 95% confidence intervals were calculated using the same combinations of number of pools, prevalence values, and pool sizes as in top panel. Each combination was repeated 100 times, and under each of these measures, each 95% confidence interval was checked to see if the interval covered the true prevalence.

Appendix 1—figure 23
The percentages of 95% confidence intervals that include the true productive infection prevalence.

95% confidence intervals were calculated using the same combinations as in Appendix 1—figure 22. Each combination was repeated 100 times, and under each of these measures, each 95% confidence interval was checked to see if the interval covered the true prevalence. If the interval included the true productive infection prevalence, it is denoted in blue, otherwise in red. Note: Some confidence intervals are narrow (e.g.: see coverage under 100 pools, productive infection proportion 0.6 and production infection prevalence 0.001). Therefore, the confidence intervals may not be visible.

Appendix 1—figure 24
Estimated productive infection proportion from Nebraska and Colorado data based on the results in Figure 7 in the manuscript.

Tables

Appendix 1—table 1
Population-level parameters of the agent-based model.
ParameterDescriptionValuesReference
TSimulation time26 years (excluding a burn-in period of one year)NA
tCurrent time of the simulation (in days)NANA
NHNumber of hosts(birds) at t = 0 (initial bird population size)1000NA
NMNumber of female mosquitoes at t = 0 (initial mosquito population size)10,000Female mosquito to bird ratio 1:10 (Vogels et al., 2017; Balenghien et al., 2006)
IM0Infected female mosquitoes att = 0100NA
PHITransmission probability from mosquito to bird per bite0.88Turell et al., 2001
bMtAverage number of eggs laid by mosquitoes who will eventually become adult female mosquitoes per day.See details in Section 2.1
aEAThe number of days on average that takes for an egg to become an adult mosquito8CDC (CDC, 2024c)
bHBird birth rate per day.0.023×NH per day0.023: (Ferraguti et al., 2023)
dHBird death rate0.0015 per dayFerraguti et al., 2023
dMtDaily death rate of mosquitoesSee details in Section 2.4
pMItTime-dependent transmission probability from bird to mosquitoes per biteSee details in Section 2.2
rtDaily biting rateSee details in Section 2.3
OtOverwintering period (time-dependent)See details in Section 2.5
potProbability overwintering (time-dependent)See details in Section 2.5
AtMosquito active period (time-dependent)See details in Section 2.6
patProbability of mosquitoes becoming active after overwintering (time-dependent)See details in Section 2.6
Appendix 1—table 2
Summary statistics for the Ct values from Nebraska from 2022 to 2024.

The 95% confidence intervals from both estimation methods partially overlap in all weeks across all years.

YearDisease weekNumber of poolsMean Ct (including negative pools)Minimum CtNumber of positivesMean Ct (with positive pools)Average pool sizeEstimated prevalence: binary data (95% CI)Estimated prevalence: pooled Ct values (95% CI)Estimated productive infection prevalence: pooled Ct values (95% CI)
2022221740.0040.00020 (0, 0.092)0 (0, 0.05)0 (0, 1)
2022233340.0040.00060 (0, 0.018)0 (0, 0.01)0 (0, 1)
2022242540.0040.00030 (0, 0.045)0 (0, 0.025)0 (0, 1)
2022254440.0040.00060 (0, 0.014)0 (0, 0.01)0 (0, 1)
2022263640.0040.00040 (0, 0.023)0 (0, 0.01)0 (0, 1)
2022273640.0040.00070 (0, 0.014)0 (0, 0.01)0 (0, 1)
2022284139.7027.78127.7860.004 (0, 0.019)0.004 (0, 0.019)0.004 (0, 0.021)
2022294540.0040.000110 (0, 0.008)0 (0, 0.005)0 (0, 1)
2022302840.0040.00060 (0, 0.022)0 (0, 0.01)0 (0, 1)
2022313239.1621.62226.52120.005 (0.001, 0.016)0.006 (0.001, 0.018)0.005 (0.001, 0.02)
2022327039.6927.26229.04220.001 (0, 0.004)0.001 (0, 0.005)0.001 (0, 0.004)
2022336038.5023.27828.74210.007 (0.003, 0.014)0.008 (0.004, 0.015)0.005 (0.002, 0.012)
2022347938.3320.841026.79180.008 (0.004, 0.014)0.009 (0.004, 0.015)0.006 (0.003, 0.012)
20223510737.2122.012929.72290.012 (0.008, 0.016)0.012 (0.008, 0.017)0.007 (0.004, 0.01)
2022369237.0521.201925.74200.013 (0.008, 0.02)0.015 (0.009, 0.022)0.012 (0.007, 0.019)
2022377437.9619.401126.26180.01 (0.005, 0.017)0.011 (0.006, 0.019)0.007 (0.004, 0.014)
2022386638.8819.13525.21130.006 (0.002, 0.013)0.007 (0.002, 0.015)0.005 (0.002, 0.013)
2022394140.0040.00050 (0, 0.018)0 (0, 0.01)0 (0, 1)
2023225340.0040.00060 (0, 0.013)0 (0, 0.005)0 (0, 1)
2023233540.0040.00060 (0, 0.017)0 (0, 0.01)0 (0, 1)
2023245340.0040.00060 (0, 0.011)0 (0, 0.005)0 (0, 1)
2023255839.4020.00328.37130.004 (0.001, 0.011)0.005 (0.001, 0.012)0.003 (0.001, 0.011)
20232610539.6025.20429.48270.001 (0, 0.003)0.002 (0, 0.004)0.001 (0, 0.003)
2023274439.7127.10127.10150.002 (0, 0.007)0.002 (0, 0.008)0.002 (0, 0.008)
2023289238.6322.001027.39220.006 (0.003, 0.01)0.006 (0.003, 0.011)0.005 (0.002, 0.009)
20232915937.4220.004230.22360.009 (0.006, 0.012)0.009 (0.007, 0.012)0.004 (0.003, 0.006)
20233013538.0519.503231.77320.009 (0.006, 0.013)0.009 (0.007, 0.013)0.003 (0.002, 0.006)
2023315139.0121.90427.38150.006 (0.002, 0.014)0.007 (0.002, 0.015)0.004 (0.001, 0.014)
20233212837.6517.803029.97260.011 (0.008, 0.016)0.012 (0.008, 0.016)0.005 (0.003, 0.008)
20233314537.2819.004130.36390.009 (0.006, 0.012)0.009 (0.007, 0.013)0.004 (0.003, 0.006)
20233412938.1420.701725.86320.005 (0.003, 0.007)0.005 (0.003, 0.008)0.004 (0, 0.007)
2023358538.2816.80923.72270.004 (0.002, 0.007)0.005 (0.002, 0.008)0.003 (0.002, 0.007)
2023366038.1619.84724.2490.013 (0.006, 0.026)0.014 (0.006, 0.028)0.013 (0, 0.024)
2023375439.0819.20530.08170.006 (0.002, 0.012)0.006 (0.002, 0.013)0.002 (0.001, 0.009)
2023385639.2619.14219.3980.004 (0.001, 0.014)0.005 (0.001, 0.015)0.004 (0, 0.014)
2023393839.5924.30124.3050.005 (0, 0.022)0.005 (0, 0.023)0.005 (0, 0.028)
2024225740.0040.000150 (0, 0.005)0 (0, 0.005)0 (0, 1)
2024235340.0040.000130 (0, 0.005)0 (0, 0.005)0 (0, 1)
2024248439.7120.40227.85240.001 (0, 0.003)0.001 (0, 0.003)0 (0, 0.003)
2024255140.0040.000180 (0, 0.004)0 (0, 0.005)0 (0, 1)
2024267339.8025.28125.28130.001 (0, 0.005)0.001 (0, 0.005)0.001 (0, 0.005)
2024275039.5227.30228.00110.004 (0.001, 0.012)0.004 (0.001, 0.013)0.004 (0, 0.012)
20242811139.4521.30527.80230.002 (0.001, 0.004)0.002 (0.001, 0.005)0.002 (0.001, 0.004)
2024298938.8121.00826.76300.003 (0.001, 0.006)0.004 (0.002, 0.007)0.003 (0.001, 0.006)
2024307739.8030.90232.40210.001 (0, 0.004)0.001 (0, 0.004)0 (0, 0.008)
2024316038.7423.20729.17200.007 (0.003, 0.013)0.007 (0.003, 0.014)0.004 (0.002, 0.011)
2024326438.7121.90523.50160.005 (0.002, 0.012)0.006 (0.002, 0.013)0.005 (0, 0.011)
2024337538.3119.80925.94250.005 (0.002, 0.009)0.006 (0.003, 0.01)0.004 (0.002, 0.009)
20243410537.3418.701824.47290.007 (0.004, 0.01)0.008 (0.005, 0.012)0.006 (0.004, 0.01)
20243510838.0623.102029.52290.008 (0.005, 0.012)0.008 (0.005, 0.012)0.005 (0.003, 0.009)
2024368039.3420.00529.48190.003 (0.001, 0.007)0.004 (0.001, 0.008)0.001 (0, 0.006)
2024376338.7320.90728.60170.007 (0.003, 0.014)0.008 (0.003, 0.015)0.004 (0.002, 0.011)
2024385139.5921.70229.5590.004 (0.001, 0.014)0.005 (0.001, 0.014)0.002 (0, 0.016)
2024395240.0040.001100 (0, 0.008)0 (0, 0.005)0 (0, 1)
Appendix 1—table 3
Summary statistics for the Ct values from Colorado from 2022 to 2023.

The 95% confidence intervals from both estimation methods partially overlap in all weeks across all years.

YearDisease weekNumber of poolsMean Ct (including negative pools)Minimum CtNumber of positivesMean Ct (with positive pools)Average pool sizeEstimated prevalence: binary data (95% CI)Estimated prevalence: pooled Ct values (95% CI)Estimated productive infection prevalence: pooled Ct values (95% CI)
2022234140.0040.00070 (0, 0.014)0 (0, 0.005)0 (0, 1)
2022246240.0040.00080 (0, 0.007)0 (0, 0.005)0 (0, 1)
2022256039.9237.57237.6590.004 (0.001, 0.012)0.004 (0.001, 0.013)0 (0, 0.998)
2022268539.8332.49232.73140.002 (0, 0.005)0.002 (0, 0.005)0 (0, 0.999)
20222711740.0040.000240 (0, 0.001)0 (0, 0.005)0 (0, 1)
20222816439.2219.451531.47320.003 (0.002, 0.005)0.003 (0.002, 0.005)0.001 (0, 0.002)
20222917639.2719.76925.66330.002 (0.001, 0.003)0.002 (0.001, 0.003)0.001 (0.001, 0.003)
20223013938.8417.311831.04260.005 (0.003, 0.008)0.006 (0.003, 0.009)0.002 (0.001, 0.004)
20223113038.1019.251927.01260.006 (0.004, 0.009)0.007 (0.004, 0.01)0.004 (0.002, 0.007)
20223214437.708.412224.97310.006 (0.004, 0.008)0.006 (0.004, 0.009)0.003 (0.002, 0.006)
20223314738.7119.101325.40280.003 (0.002, 0.006)0.004 (0.002, 0.006)0.003 (0.002, 0.005)
20223417037.6318.342523.88300.005 (0.003, 0.008)0.006 (0.004, 0.009)0.005 (0.003, 0.007)
20223511337.5017.461824.31170.011 (0.007, 0.017)0.012 (0.007, 0.018)0.01 (0.006, 0.016)
2022369239.7724.09229.46130.002 (0, 0.005)0.002 (0, 0.005)0.001 (0, 0.006)
2022379439.5123.66428.58190.002 (0.001, 0.006)0.003 (0.001, 0.006)0.002 (0.001, 0.005)
2023236940.0040.00060 (0, 0.009)0 (0, 0.005)0 (0, 1)
2023247840.0040.00070 (0, 0.007)0 (0, 0.005)0 (0, 1)
20232510740.0040.000170 (0, 0.002)0 (0, 0.005)0 (0, 1)
20232623139.9630.12130.12390 (0, 0)0 (0, 0.001)0 (0, 0)
20232729039.6319.28826.65410.001 (0, 0.001)0.001 (0, 0.001)0 (0, 0)
20232832239.2617.151725.97420.001 (0.001, 0.002)0.001 (0.001, 0.002)0.001 (0.001, 0.002)
20232940339.0214.133729.28450.002 (0.002, 0.003)0.002 (0.002, 0.003)0.001 (0.001, 0.002)
20233020637.9718.852623.93360.004 (0.003, 0.005)0.004 (0.003, 0.006)0.004 (0.003, 0.005)
20233114237.0517.702825.04280.008 (0.006, 0.012)0.009 (0.006, 0.013)0.006 (0.004, 0.009)
20233211836.9316.592122.73220.01 (0.006, 0.015)0.011 (0.007, 0.017)0.01 (0, 0.014)
20233310737.3918.782026.01200.011 (0.007, 0.017)0.013 (0.008, 0.019)0.009 (0.006, 0.015)
20233411637.7719.341623.80190.008 (0.005, 0.013)0.009 (0.005, 0.014)0.007 (0.004, 0.012)
2023359639.0519.20828.59100.009 (0.004, 0.017)0.01 (0.004, 0.018)0.006 (0.002, 0.014)
2023365839.6016.56116.5680.002 (0, 0.009)0.002 (0, 0.009)0.002 (0, 0.012)
2023374440.0040.000100 (0, 0.008)0 (0, 0.005)0 (0, 1)

Additional files

Download links

A two-part list of links to download the article, or parts of the article, in various formats.

Downloads (link to download the article as PDF)

Open citations (links to open the citations from this article in various online reference manager services)

Cite this article (links to download the citations from this article in formats compatible with various reference manager tools)

  1. Punya Alahakoon
  2. Ian Marchinton
  3. R Koch
  4. Joseph R Fauver
  5. James A Hay
(2026)
Tracking West Nile virus dynamics using viral loads from trapped mosquitoes
eLife 15:RP111900.
https://doi.org/10.7554/eLife.111900.3