Table 1. Locally acquired cases of West Nile fever: number and rate per 100 000 population, EU/EEA, 2010–2014 Country 2010 2011 2012 2013 2014 Cases Rate.

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Table 1. Locally acquired cases of West Nile fever: number and rate per 100 000 population, EU/EEA, 2010–2014 Country 2010 2011 2012 2013 2014 Cases Rate National data Report type Reported cases Confirmed cases ASR Austria 0.0 Y C 1 Belgium Bulgaria . 2 Croatia 5 0.3 16 1.1 Cyprus Czech Republic Denmark Estonia Finland France Germany Greece 262 14.1 100 7.7 161 13.1 86 5.9 15 0.1 13 Hungary 18 0.9 17 0.7 31 1.6 11 3 Iceland Ireland Italy 14 50 0.5 69 N 24 - Latvia Liechtenstein Lithuania Luxembourg Malta Netherlands Norway Poland Portugal Romania 57 2.1 0.2 23 22 Slovakia Slovenia Spain Sweden United Kingdom EU/EEA 342 125 249 0.4 228 74 63 Source: Country reports. Legend: Y = yes, N = no, C = case based, · = no report, ASR: age-standardised rate Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2015. West Nile fever. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged

Figure 1. Number of reported, locally acquired cases of West Nile fever, EU/EEA, 2014 Source: Country reports from Austria, Belgium, Bulgaria, Cyprus, the Czech Republic, Estonia, Finland, France, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Poland, Romania, Slovakia, Slovenia, Spain, Sweden, the United Kingdom. Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2015. West Nile fever. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged

Figure 2. Reported, locally acquired cases of West Nile fever, by age and gender, EU/EEA, 2014 Source: Country reports from Austria, Belgium, Bulgaria, Cyprus, the Czech Republic, Estonia, Finland, France, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Poland, Romania, Slovakia, Slovenia, Spain, Sweden, the United Kingdom. Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2015. West Nile fever. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged

Figure 3. Seasonal distribution of reported, locally acquired West Nile fever cases, EU/EEA, 2014 compared with 2010−2013 Source: Country reports from Austria, Belgium, Cyprus, the Czech Republic, Estonia, Finland, France, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Poland, Romania, Slovakia, Slovenia, Spain, Sweden, the United Kingdom. Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2015. West Nile fever. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged

Figure 4: Trend and number of reported, locally acquired cases of West Nile fever, EU/EEA, 2010−2014 Source: Country reports from Austria, Belgium, Cyprus, the Czech Republic, Estonia, Finland, France, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Poland, Romania, Slovakia, Slovenia, Spain, Sweden, the United Kingdom. Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2015. West Nile fever. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged

Table. West Nile fever, surveillance systems overview, 2014   Surveillance Data reported by Case definition used characteristics Country Data source L P H O Austria AT-Reflab V C Y N EU-2008 Belgium BE-REFLAB Se A Not specified/unknown Bulgaria BG-NATIONAL_SURVEILLANCE Cp Co Cyprus CY-NOTIFIED_DISEASES Czech Republic CZ-EPIDAT Estonia EE-NAKIS EU-2012 Finland FI-NIDR France FR-WEST_NILE_VIRUS EU Case Definition (legacy/deprecated) Greece EL-NOTIFIABLE_DISEASES Hungary HU-EFRIR Ireland IE-CIDR Italy IT-WNF Latvia LV-BSN Lithuania LT-COMMUNICABLE_DISEASES Luxembourg LU-SYSTEM1 EU-2002 Malta MT-DISEASE_SURVEILLANCE Netherlands NL-OSIRIS Norway NO-MSIS_A Poland PL-NATIONAL_SURVEILLANCE Romania RO-RNSSy Slovakia SK-EPIS Slovenia SI-SURVIVAL Spain ES-STATUTORY_DISEASES Sweden SE-SMINET United Kingdom UK-WEST_NILE_FEVER Other Surveillance characteristics: compulsory (Cp), comprehensive (co), voluntary (V), other (O), active (A), passive (P), case-based (C), aggregated (A) Data reported by: laboratories (L), physicians (P), hospitals (H), other (O) Suggested citation: European Centre for Disease Prevention and Control. Annual epidemiological report 2016. West Nile fever. Stockholm: ECDC; 2016. © European Centre for Disease Prevention and Control, 2016. Reproduction is authorised, provided the source is acknowledged