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Serological evidence for the circulation of flaviviruses in seabird populations of the western Indian Ocean

Published online by Cambridge University Press:  21 July 2015

A. JAEGER
Affiliation:
CRVOI (Centre de Recherche et de Veille sur les maladies émergentes dans l'Océan Indien), GIP CYROI, Saint Denis, La Réunion, France Université de La Réunion, UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical), INSERM 1187, CNRS 9192, IRD 249, GIP CYROI, Saint Denis, La Réunion, France Université de la Réunion, UMR ENTROPIE, IRD - CNRS, Saint Denis, La Réunion, France
S. LECOLLINET
Affiliation:
UPE, UMR 1161 Virologie, ANSES, INRA, ENVA, ANSES Animal Health Laboratory, EU-RL on Equine Diseases, Maisons-Alfort, France
C. BECK
Affiliation:
UPE, UMR 1161 Virologie, ANSES, INRA, ENVA, ANSES Animal Health Laboratory, EU-RL on Equine Diseases, Maisons-Alfort, France
M. BASTIEN
Affiliation:
CRVOI (Centre de Recherche et de Veille sur les maladies émergentes dans l'Océan Indien), GIP CYROI, Saint Denis, La Réunion, France Université de la Réunion, UMR ENTROPIE, IRD - CNRS, Saint Denis, La Réunion, France
M. LE CORRE
Affiliation:
Université de la Réunion, UMR ENTROPIE, IRD - CNRS, Saint Denis, La Réunion, France
K. DELLAGI
Affiliation:
CRVOI (Centre de Recherche et de Veille sur les maladies émergentes dans l'Océan Indien), GIP CYROI, Saint Denis, La Réunion, France Université de La Réunion, UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical), INSERM 1187, CNRS 9192, IRD 249, GIP CYROI, Saint Denis, La Réunion, France Institut de Recherche pour le Développement, Sainte Clotilde, La Réunion. France
H. PASCALIS
Affiliation:
CRVOI (Centre de Recherche et de Veille sur les maladies émergentes dans l'Océan Indien), GIP CYROI, Saint Denis, La Réunion, France Université de La Réunion, UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical), INSERM 1187, CNRS 9192, IRD 249, GIP CYROI, Saint Denis, La Réunion, France Institut de Recherche pour le Développement, Sainte Clotilde, La Réunion. France
T. BOULINIER
Affiliation:
Centre d'Ecologie Fonctionnelle et Evolutive, CNRS Université Montpellier UMR 5175, Montpellier, France
C. LEBARBENCHON
Affiliation:
CRVOI (Centre de Recherche et de Veille sur les maladies émergentes dans l'Océan Indien), GIP CYROI, Saint Denis, La Réunion, France Université de La Réunion, UMR PIMIT (Processus Infectieux en Milieu Insulaire Tropical), INSERM 1187, CNRS 9192, IRD 249, GIP CYROI, Saint Denis, La Réunion, France
Corresponding
E-mail address:
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Summary

Birds play a central role in the epidemiology of several flaviviruses of concern for public and veterinary health. Seabirds represent the most abundant and widespread avifauna in the western Indian Ocean and may play an important role as host reservoirs and spreaders of arthropod-borne pathogens such as flaviviruses. We report the results of a serological investigation based on blood samples collected from nine seabird species from seven islands in the Indian Ocean. Using a commercial competitive enzyme-linked immunosorbent assay directed against the prototypic West Nile flavivirus, antibodies against flaviviruses were detected in the serum of 47 of the 855 seabirds tested. They were detected in bird samples from three islands and from four bird species. Seroneutralization tests on adults and chicks suggested that great frigatebirds (Fregata minor) from Europa were infected by West Nile virus during their non-breeding period, and that Usutu virus probably circulated within bird colonies on Tromelin and on Juan de Nova. Real-time polymerase chain reactions performed on bird blood samples did not yield positive results precluding the genetic characterization of flavivirus using RNA sequencing. Our findings stress the need to further investigate flavivirus infections in arthropod vectors present in seabird colonies.

Type
Original Papers
Copyright
Copyright © Cambridge University Press 2015 

INTRODUCTION

First described in Uganda in 1937 [Reference Smithburn1], West Nile virus (WNV) is a mosquito-borne flavivirus that can induce fatal encephalitis in humans and horses, as well as in domestic and wild birds [Reference Komar2]. WNV is considered to be an emerging pathogen, having the most widespread geographical distribution in flaviviruses, including Africa, India, Europe, Asia and America [Reference Hubálek and Halouzka3Reference Reed5]. Usutu virus (USUV) is another mosquito-borne flavivirus originating from Africa [Reference Woodall6]. Closely related to WNV, it has recently been of epidemiological concern due to its rapid spread in Europe [Reference Vazquez7]. Because such viruses represent a threat to public health [Reference Vazquez7, Reference Nash8] and wildlife conservation [Reference Daszak, Cunningham and Hyatt9Reference Boyce11], the development of surveillance and research programmes on these infectious agents is critical, particularly at lower latitudes where reporting efforts are the lowest and emerging infectious diseases are more likely to occur [Reference Jones12].

Birds play a central role in the epidemiology of WNV and USUV as they represent the main amplifying hosts in the wild [Reference Komar2, Reference Vazquez7] and act as potential long-range vectors through their migratory behaviour [Reference Reed5]. Despite cases of human WNV infections reported in Madagascar [Reference Smithburn1Reference Hubálek and Halouzka3], few studies have investigated the role of wild birds as reservoirs of this virus in the western Indian Ocean (WIO) [Reference Rappole, Derrickson and Hubálek4, Reference Reed5]. Moreover, to our knowledge, no attempt has been made to detect USUV in bird populations of the WIO islands although it originates from adjacent African countries [Reference Woodall6Reference Daszak, Cunningham and Hyatt9]. Such information is important to assess the risk of emergence of flaviviruses in this region and to define appropriate preventive procedures for public and veterinary health.

With 30 breeding species totalling about 19 million individuals, seabirds represent the most abundant and widespread avifauna in the WIO [Reference Weissenbock10, Reference Boyce11]. In this region, seabirds and their ectoparasites are involved in the transmission and dispersal of several infectious agents including viruses, bacteria and blood parasites [Reference Jones12Reference Converse18]. In this study we therefore hypothesized that seabirds could also play an important role in the epidemiology of flaviviruses because most of them breed in colonies with high bird density and are infested by potential arthropod vectors [Reference Jones12, Reference Converse19, Reference Lebarbenchon20]. Mosquitoes and ticks, specifically associated with seabirds [Reference Bastien21Reference Feare24], can be found in breeding colonies and be responsible for the circulation of arboviruses, including flaviviruses [Reference Dietrich, Gomez-Díaz and McCoy25Reference Gritsun, Nuttall and Gould28]. For instance, Meaban virus (MEAV) has been detected in soft ticks of the genus Carios (Ornithodoros), in gull colonies in Europe [Reference Rappole, Derrickson and Hubálek4, Reference Jones12, Reference Chastel27]. In the WIO, Carios capensis is commonly found in seabird colonies [Reference Daszak, Cunningham and Hyatt9, Reference Sinclair and Langrand17, Reference Dietrich22] but to date its role as a vector of flaviviruses remains to be assessed.

Our objective was therefore to determine if the seabirds of the WIO are exposed to flaviviruses, particularly to WNV, USUV, and MEAV. Blood samples were collected in nine seabird species from seven islands of the region. Different techniques were conducted to determine if such flaviviruses circulated in these bird populations. A commercial competitive enzyme-linked immunosorbent assay (ELISA) was used as a serological screening tool to detect antibodies against flaviviruses cross-reacting with WNV [Reference Jones12, Reference Beck29, Reference Arnal30]. Virus-specific neutralization tests were then used to identify the flaviviruses to which birds had been exposed in ELISA-positive serum samples [Reference Weingartl31]. Real-time polymerase chain reactions (real-time PCR) were also performed in an attempt to directly detect flaviviruses in blood samples from bird populations in which antibodies against flaviviruses were found.

MATERIALS AND METHODS

Blood samples (from 0·2 to 1 ml) were collected from the brachial or metatarsian vein of 855 seabirds between April 2011 and February 2012. We focused on nine seabird species (Table 1): sooty tern (Onychoprion fuscatus), white-tailed (Phaethon lepturus) and red-tailed (Phaethon rubricauda) tropicbirds, wedge-tailed shearwater (Puffinus pacificus), lesser (Anous tenuirostris) and brown (Anous stolidus) noddies, great frigatebird (Fregata minor), masked (Sula dactylatra) and red-footed (Sula sula) boobies, in seven islands of the WIO (Fig. 1): Aride (<1 km2, 4° 12' S, 55° 39′ E), Bird (<1 km2, 3° 43′ S, 55° 12′ E), Cousin (<1 km2, 4° 19′ S, 55° 39′ E), Europa (28 km2, 22° 21′ S, 40° 21′ E), Juan de Nova (5 km2, 17° 03′ S, 42° 45′ E), Réunion (2512 km2, 21° 22′ S, 55° 34′ E), and Tromelin (1 km2, 15° 53′ S, 54° 31′ E). These islands are uninhabited or host small human communities (these islands are mainly nature reserves, military camps, or privately owned), except for Réunion island (800 000 inhabitants). The same sampling strategy was performed as in a previous investigation on influenza A virus infection in seabirds performed on the same bird communities and islands [Reference Longmire32]. The most abundant and diverse bird species were sampled on each island by taking into account geographical, safety, ethical and sample conservation constraints. Details that relate to the number of species and colony size are available in Lebarbenchon et al. [Reference Longmire32]. When sampling was performed during chick rearing, samples from both adults and chicks were collected.

Fig. 1. Sampling locations (⧫).

Table 1. Results of competitive ELISAs for the detection of flavivirus antibodies in seabird sera from the western Indian Ocean

CI, Confidence interval.

Two drops of blood were stored in 800 µl Longmire lysis buffer [Reference Lebarbenchon33], the remaining blood was centrifuged and serum samples were conserved at −20 °C in the field. All samples were transported under refrigeration (<4 °C) to the laboratory, and maintained at −80 °C until tested. Screening of sera for flavivirus antibodies was first conducted using a commercial competitive ELISA kit designed to detect antibodies against the structural pre-membrane (prM) and envelope (E) proteins of WNV (ID Screen® West Nile Competition, IDvet, France). Because WNV E protein shares conserved epitopes with other flaviviruses, this ELISA tool can be conveniently used as a surrogate test to detect antibodies to many flaviviruses, particularly those belonging to the Japanese encephalitis serocomplex [Reference Jones12, Reference Beck29] but also to the seabird tick-borne group [Reference Arnal30]. The analyses were implemented and interpreted as recommended in the manufacturer's protocol.

In order to determine the infecting flavivirus species, serum samples that tested positive in ELISA were then analysed in comparative micro virus neutralization tests (VNTs) [Reference Weingartl31] using a panel of three flaviviruses (WNV, USUV, MEAV) suspected to circulate in the WIO region. The limited volume of serum that was available precluded testing other flaviviruses and did not allow for an extensive analysis of each serum sample with the three flaviviruses (Table 2). Neutralizing antibody titres to WNV (Israel 1998 strain, provided by Dr P. Desprès, Institut Pasteur, Paris) and USUV (SAAR 1776 strain) were determined by performing a 96-well plate VNT on Vero cells (ATCC® CCL-81) as previously described [Reference Figuerola34]. Samples that showed neutralization at dilutions ⩾1:10 were considered positive (dilution range 1/10 to 1/640). The neutralizing antibody titre was considered to be the reciprocal value of the highest serum dilution that conferred complete protection to the cell layer. A plaque reduction neutralization test (PRNT90) on SW13 cells (ATCC® CCL105) was also performed on these serum samples to detect antibodies against MEAV (strain Brest ART707, provided by X. de Lamballerie), as described in [Reference Arnal30]. A sample was considered positive if the number of viral plaques in wells treated with the serum was <10% of the number counted in the control well (without serum).

Table 2. Results of virus neutralization tests (VNTs) for the detection of specific antibodies to West Nile virus (WNV), Meaban virus (MEAV) and Usutu virus (USUV) in samples tested positive with ELISA

* Not enough serum volumes to perform VNTs for the three flaviviruses.

Results are presented as number of VNT-positive samples/number of tested samples.

Real-time PCR was performed to detect flavivirus RNA in blood samples of populations in which antibodies against flaviviruses were detected with the ELISA (sooty tern from Juan de Nova, great frigatebirds from Europa, masked booby and red-footed booby from Tromelin, n = 309). RNA was extracted from 250 µl avian blood in Longmire lysis buffer using the QIAamp viral RNA Mini kit (Qiagen, USA); samples were eluted in a final volume of 40 µl. Reverse transcription was performed on 20 µl RNA product, using 0·1 µg of random hexamers (Promega, USA) and GoScript Reverse Transcriptase (Promega, USA), under the following thermal conditions: 80 °C for 5 min, 25 °C for 5 min, 42 °C for 60 min and 70 °C for 5 min [Reference Fontenille15]. The cDNAs were diluted 1:2 and stored at −20 °C until tested. Real-time PCR was performed following a previously published protocol with primers PF1S and PF2R-bis targeting a region of the NS5 gene [Reference Moureau35]. ABsolute Blue SYBR Green mix (Thermo Fisher Scientific, UK) was used in a final volume of 25 µl containing 5 µl cDNA. Reactions were carried out in a Stratagene Mx3005P (Agilent Technologies, USA) PCR detection system. All PCR reactions were run with a negative and a positive (WNV) control.

χ 2 tests were used to test effects of species, island and bird age (i.e. chick or adult) on ELISA results. Analyses were performed using R v. 3.0.1 (R Foundation, Austria).

RESULTS

Using the competitive ELISA, antibodies against flaviviruses were detected in 47 (5·5%) of the 855 serum samples collected in nine seabird species from seven islands of the WIO. ELISA results showed a strong heterogeneity among islands (χ 2 = 26·03, P < 0·001). Positive samples were collected in only three of the seven islands: Juan de Nova, Tromelin and Europa (Table 1). On Juan de Nova where two seabird species breed, the sooty tern (2 million pairs) and the crested tern (Thalasseus bergii, 250 pairs), only the former species was sampled and antibodies against flaviviruses were detected in 8·2 ± 4·5% of the birds (12/146). On Tromelin, two seabird species breed and were sampled, the masked booby and the red-footed booby. Antibodies were found in both species at 42·3 ± 13·4% (22/52) and 17·5 ± 9·4% (11/63), respectively. Eight seabird species reproduce on Europa. Of the five species sampled, only the great frigatebird tested seropositive to flaviviruses with a prevalence of 4·2 ± 5·6% (2/48). There was also a significant difference in seroprevalence between bird species (χ 2 = 7·01, P = 0·008) and bird age (χ 2 = 48·87, P < 0·001; Fig. 2). In fact, the prevalence in chicks was lower than in adults for masked and red-footed boobies from Tromelin (χ 2 = 29·55, P < 0·001 and χ 2 = 11·18, P < 0·001, respectively), but not for sooty terns from Juan de Nova (χ 2 = 0·01, P = 0·972) and great frigatebirds from Europa (χ 2 = 0·95, P = 0·329).

Fig. 2. Seropositivity rates (%) in birds with antibodies to flaviviruses detected by competitive enzyme-linked immunosorbent assays only for populations in which positive samples were found. Error bars represent ± confidence intervals.

Based on VNTs, WNV-, MEAV- and USUV-specific antibodies were detected in two, one and 27 samples, respectively (Table 2). The two ELISA-positive samples collected from frigatebirds on Europa were positive for WNV (titres of 10 and 20) and negative for MEAV VNTs (not enough serum available to test USUV). USUV-specific antibodies (titres between 10 and 80) were detected in samples collected from the two booby species on Tromelin. One masked booby was both positive in WNV and USUV VNTs, at the test threshold and a titre of 40, respectively. For this particular sample, a comparison of the endpoint titres between the two viruses was performed. The virus with the highest neutralization capacity and at least a fourfold difference in titres was considered as the infecting flavivirus [Reference Yeh36]. We thus reasonably assumed that this bird had been infected with USUV and not with WNV. On Juan de Nova, results were more difficult to interpret. No WNV-specific antibody was found in the sooty tern samples. One sample tested positive with the MEAV VNT at the test threshold (20) and four out of nine tested samples were weakly positive for USUV VNT (titres of 10). Moreover, five ELISA-positive sera did not lead to the identification of virus-specific antibodies based on the VNTs.

No flavivirus nucleic acids were detected by real-time PCR in the blood samples (n = 309) from populations in which antibodies against flaviviruses were found.

DISCUSSION

Overall, we found antibodies against flaviviruses in 5·5% of 855 seabirds tested using a competitive ELISA. Despite some strong spatial heterogeneity, this low seroprevalence indicates that seabirds are unlikely to be the main amplifying hosts for the tested flaviviruses in the WIO region. Seroneutralization assays identified two flaviviruses, USUV and WNV, as infecting seabird populations, which may represent a threat to public and veterinary health.

One may question whether detection of antibodies to flaviviruses represents merely the serological print of a remote infection or whether it indicates a recent, locally transmitted infection occurring at the breeding area and favoured by promiscuity between seabirds and high concentrations of arthropod vectors. Before further interpreting the results of the serological analyses, some issues regarding anti-flavivirus antibody dynamics in seabirds should be specified. First, it has been suggested that following the exposure of an individual to a specific virus, virus-specific antibodies may persist over a long time period. Persistence of WNV antibodies in pigeons experimentally exposed to the virus has for instance been shown to last several months [Reference Gibbs37]. Hence, the seropositive status of an adult does not necessarily reflect a recent exposure to the virus. This may especially be the case for seabird species, which are long-lived animals, sometimes living for more than 20 years [Reference Schreiber and Burger38]. Second, seropositivity of a young chick to a flavivirus does not unequivocally mean that it was directly exposed to the virus, as this serological status may indicate the presence of maternal antibodies transferred through the egg yolk [Reference Gibbs37]. In most bird species, maternal antibody levels usually decline within the first 2 weeks of life, although recent work on shearwaters has shown that they can persist for more than 2 months post-hatching [Reference Garnier39]. In the present study, antibody-neutralizing flaviviruses cross-reacting with WNV were not detected in the samples obtained from shearwaters and it is unlikely that maternal antibodies persist that long in non-Procellariiformes species, such as the masked and red-footed boobies [Reference Garnier39]. Hence, in the present study, the low seroprevalence in chicks of boobies (fledglings) from Tromelin (Table 1) suggests a low local exposure and the high seroprevalence in adults fits with a likely long-term persistence of anti-flavivirus antibodies. Last, another methodological issues should be considered. It is highly probable that not all flaviviruses to which seabirds are exposed are known, and in spite of the high specificity of VNTs, cross-neutralization by antibodies against closely related viruses and those within the same serocomplex may occur and interfere with test interpretations [Reference Beck29].

As mentioned above, the results show a strong spatial heterogeneity in seroprevalence patterns. Despite relatively balanced sample sizes among locations, antibodies against flaviviruses were found only on three of the seven islands and in four species. Antibodies neutralizing WNV were detected in sera from two adult great frigatebirds from Europa, which suggest that these birds have been exposed to this virus. As no seropositivity was detected in chicks, a local circulation of WNV on this island is unlikely. Frigatebirds are known to visit and roost in large number on other islands of the tropical Indian Ocean (Maldives, Comoros, Madagascar, Seychelles) outside their breeding season [Reference Weimerskirch40], and could have been infected during this period. The fact that no WNV-specific antibody was detected in the four other breeding species that we sampled on Europa also supports this assumption. By contrast, adults and chicks of seabird species breeding on Tromelin and Juan de Nova tested seropositive which suggest that flaviviruses circulate in these colonies and that birds were probably infected locally. Moreover, the behaviour of these bird species during the non-breeding period is known to differ from that of frigatebirds. Although no studies have investigated the post-breeding dispersion of boobies, they are supposed to be sedentary and to remain on their breeding island all year round [Reference Nelson and Busby41]. Antibodies neutralizing USUV detected in boobies on Tromelin thus suggested a local virus circulation on the island. High prevalences of infected birds (reaching more than 50% of the tested birds [Reference Chvala42]) have sometimes been reported for USUV in Europe, with significant temporal variation likely resulting from herd immunity [Reference Chvala42]. Together with the high seroprevalence we observed in boobies, the lack of PCR-positive samples could also suggest that herd immunity could limit virus circulation on Tromelin. It remains unclear why such high seroprevalence has been detected on this island and the identification of epidemiological cycles as well as mechanisms of viral transmission will require additional investigation. Sooty terns migrate far from their breeding grounds, but they remain at sea with no land stopover (M. Le Corre, unpublished data). The likelihood that these birds became infected outside their breeding colony is lower than that of frigatebirds, which frequently roost in large numbers on remote islands. Positive ELISA samples for sooty terns from Juan de Nova suggest local circulation of flaviviruses, but results of VNTs were more difficult to interpret (positives at the test threshold, absence of virus neutralization for a subset of samples) and do not allow us to determine the infecting flavivirus species. Further investigations are required (see below).

It is noticeable that despite large sample sizes, several species and/or islands had no seropositive individuals. In particular, antibodies neutralizing flaviviruses were not detected in seabirds from the Seychelles islands (Bird, Cousin and Aride islands, n = 294), although most of these islands host large populations of mosquitoes (Cousin island) and ticks were observed in seabird colonies during bird sampling (Aride and Bird islands). Finally, the failure to detect flavivirus nucleic acids in any blood samples of individuals from colonies where seropositive birds were detected is probably due to the short viraemia observed for flaviviruses, usually <7 days [Reference Rappole, Derrickson and Hubálek4]. Cloacal or oro-pharyngeal samples could be an interesting alternative to directly characterize these flaviviruses from bird samples [Reference Rappole, Derrickson and Hubálek4].

Overall, our findings suggest that the flaviviruses we have tested circulate at only a low level on islands of the WIO and that the infections exhibited spatial heterogeneity. These results could be explained by different assumptions, e.g. limited contacts between bird populations, or intrinsic resistance in certain bird species to infection or vector host preference. This study also highlights the need for further investigations on the occurrence of flaviviruses in potential arthropod vectors present on bird colonies. Within the seabird communities where flaviviruses are suspected to circulate (Tromelin and Juan de Nova), detailed sampling of mosquitoes and ticks associated with the different hosts should notably be conducted to directly detect and characterize the circulating viruses. Given the highly seropositive boobies on Tromelin, efforts to characterize USUV on this island would be worthwhile and further analyses of bird or arthropod samples from Juan de Nova should explore whether VNT results are indicative of another flavivirus circulating on the island. Finally, phylogenetic studies of the identified flaviviruses should yield important insights on the origin and evolutionary history of viruses in the WIO islands [Reference Heinze, Gould and Forrester43].

ACKNOWLEDGEMENTS

Collection of bird blood samples on Réunion Island and the Eparses islands (Europa, Juan de Nova, Tromelin) was conducted under the approval of the ‘Direction de l'Environnement, de l'Aménagement et du Logement de La Réunion’ and the ‘Terres Australes and Antarctiques Françaises’, respectively. Sample collection at Aride, Bird and Cousin islands and their export to Réunion Island were performed with the approval of the Seychelles Department of Environment and the Seychelles Bureau of Standards. We thank Nature Seychelles (Nirmal Shah) and the Island Conservation Society (staff and volunteers) for their permission and support of the field work on Cousin and Aride islands, respectively. We thank the ‘Brigade Nature Océan Indien’ for the logistic support provided on Réunion Island. We also are very grateful to Marie France and Guy Savy for their warm hospitality on Bird Island and for Bird Island's support in the field work and sample collection. Licia Calabrese, Philippe Desprès, Muriel Dietrich, Chris Feare, Elsa Jourdain, Erwan Lagadec, Xavier de Lamballerie, Christine Larose, Karen McCoy, Gérard Rocamora and Pablo Tortosa are thanked for their contribution at various stages of the work.

This work was supported by the FEDER ‘Pathogenes associés à la Faune Sauvage Océan Indien’ (Programme Opérationnel de Coopération Territoriale 2007–2013; no. 31189) and by the CNRS–INEE/TAAF (AAP Iles Eparses ‘PathOrnithoTiques’ project). A. Jaeger and C. Lebarbenchon post-doctoral fellowships were funded by the European Union's Seventh Framework Programme (FP7/2007–2013; under grant agreement no. 263958). M. Bastien was supported by a ‘Federation Environnement-Biodiversité-Santé’ training programme fellowship.

DECLARATION OF INTEREST

None.

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Figure 0

Fig. 1. Sampling locations (⧫).

Figure 1

Table 1. Results of competitive ELISAs for the detection of flavivirus antibodies in seabird sera from the western Indian Ocean

Figure 2

Table 2. Results of virus neutralization tests (VNTs) for the detection of specific antibodies to West Nile virus (WNV), Meaban virus (MEAV) and Usutu virus (USUV) in samples tested positive with ELISA

Figure 3

Fig. 2. Seropositivity rates (%) in birds with antibodies to flaviviruses detected by competitive enzyme-linked immunosorbent assays only for populations in which positive samples were found. Error bars represent ± confidence intervals.

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