
West Nile virus identified in UK mosquitoes for first time
While the UK Health Security Agency (UKHSA) said the risk to the public is 'very low', it said that surveillance and control activities are being 'enhanced' in light of the findings.
Experts said mosquito-borne diseases are expanding to new areas due to climate change.
The UKHSA and the Animal and Plant Health Agency (APHA) said 'fragments of West Nile virus genetic material' were found in some Aedes vexans mosquitoes collected in wetlands on the River Idle at Gamston, near Retford in Nottinghamshire, in July 2023.
West Nile virus is usually found in birds, and usually circulates through bird-biting mosquitoes.
In rare cases mosquitoes can transmit the virus to humans or horses.
While there have been no cases of West Nile virus acquired in the UK, seven cases linked to travel have been identified since the year 2000.
The UKHSA said there is 'no evidence to suggest ongoing circulation of the virus in birds or mosquitoes in the UK'.
But it said 'disease surveillance and control activities are being enhanced in light of the findings'.
And it is issuing advice to health workers so that patients with encephalitis – or swelling of the brain – of an unknown cause can be tested as a precaution.
Dr Meera Chand, from the UKHSA, said: 'While this is the first detection of West Nile virus in mosquitoes in the UK so far, it is not unexpected as the virus is already widespread in Europe.
'The risk to the general public is currently assessed as very low.
'Vector research of this kind is designed to give us early warning of potential threats so that we can enhance our disease surveillance and control activities and ensure patients receive appropriate testing.'
West Nile virus, which typically causes flu-like symptoms but can lead to severe illness, is endemic in various parts of the world and experts said the 'geographic range' has expanded in recent years to more northerly and western regions of mainland Europe.
The UKHSA said that as temperatures warm due to climate change, tick and mosquito species not currently native to the UK will begin to find the UK's climate more 'bearable'.
Other types of mosquito can arrive in the UK by various means including becoming trapped in cars and lorries crossing borders and in shipping containers.
Dr Arran Folly, from the APHA, said: 'The detection of West Nile virus in the UK is part of a wider changing landscape where, in the wake of climate change, mosquito-borne diseases are expanding to new areas.
'Our primary focus is to understand how viruses move into the country and how they are transmitted.
'Combined, this can help us identify areas that may be at increased risk of outbreaks.'
Dr Jolyon Medlock, from the UKHSA, said: 'Mosquitoes in the UK are also commonly found in wet woodland areas and various aquatic habitats, including ponds, ditches, marshes, and even garden water butts or cisterns.
'To avoid being bitten by a mosquito when in these types of areas, wear long-sleeved clothing and trousers to cover your arms and legs, use insect repellent on your skin (ideally one that contains the ingredient DEET), close windows and doors whenever possible, or use blinds or screens.'
Professor Matthew Baylis, from the University of Liverpool, said: 'West Nile virus is related to dengue virus, yellow fever virus, Zika virus and tick-borne encephalitis virus. West Nile virus is transmitted by mosquitoes between birds.
'It is possible that the virus entered the UK in mosquitoes, perhaps carried to the UK on winds, or hitching a ride in a plane, train or automobile.
'But it is much more likely that it was brought in by a migratory bird, which was then fed upon by mosquitoes.
'This should not be a major cause of concern: the spread of West Nile from southern Europe to northern Europe in the last few years has not led to a significant public health issue, although there have been cases in both humans and horses – I will not be surprised if we see a few cases in the UK too.
'There is a need to heighten surveillance, in humans, birds and mosquitoes.
'This is especially important given that severe cases that report or are reported to medical or veterinary authorities tend to be the tip of the iceberg, with many infected people or horses carrying the virus but not showing symptoms or signs.'
Professor James Logan, from the London School of Hygiene and Tropical Medicine, said: 'The detection of West Nile virus in even a small number of local mosquitoes is a signal that the door is now open. Whether the virus takes hold will depend on a combination of environmental, biological and human factors – including how well we prepare.'

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6 hours ago
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‘Concerning' rise of Victorian STI that can trigger heart disease, brain damage and death – are you at risk?
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The Sun
6 hours ago
- The Sun
‘Concerning' rise of Victorian STI that can trigger heart disease, brain damage and death – are you at risk?
CASES of a sexually transmitted infection that was rampant during the Victorian era have seen a "concerning" surge in England. Diagnoses of syphilis - which can trigger heart disease and brain damage in its later stages - have been on the upward trajectory, with 13,030 recorded in 2024. This figure - which includes early and late-stage syphilis diagnoses and complications from the infection - marks a 5 per cent increase from 2023, when 12,456 syphilis diagnoses were detected. Data published by the UK Health Security Agency (UKHSA) shows a 1.7 per cent rise in early-stage syphilis diagnoses between 2023 and 2024, jumping from 9,375 to 9,535. "The number of syphilis diagnoses was the largest annual number reported since 1948," the health watchdog wrote in its report. Early diagnoses of the historical STI decreased slightly among gay and bisexual men, from 6,435 to 6,330. But there was a sharp increase in infectious syphilis diagnoses among heterosexual men - rising by 23.8 per cent from 1,115 to 1,380. "However, taking into account all diagnoses of syphilis - including late stage or complications such as ocular and otosyphilis - there were an additional 850 diagnoses amongst women who have sex with men, 931 diagnoses among heterosexual men and 1,172 diagnoses among gay and bisexual men," UKHSA said. Syphilis is most commonly passed on through unprotected sex with someone who's infected. You can get the infection if you come into contact with an ulcer on their penis, vagina, bottom, or inside their mouth. It's also possible for it to be transmitted from a mum to her baby through the womb, which can increase the risk of miscarriage, premature birth and stillbirth. Symptoms of the STI can take about three weeks to appear after infection and can be subtle, coming and going over time, making them hard to spot. It can crop up as painless sores or grey-ish warty growths, most commonly on your penis, vagina or around your anus. Syphilis can also cause a rash that spreads from the hands and feet to the rest of the body, as well as white patches in the mouth, flu-like symptoms and hair loss. Sometimes the symptoms can improve or go away completely, but if you have not been treated the infection is still in your body. This means you can still pass it on and you're at risk of getting serious problems later on. Drug-resistant gonorrhoea UKHSA's report also included data on other STIs, including gonorrhoea. The health watchdog said there was a 16 per cent drop in gonorrhoea cases, with 71,802 diagnoses of the infection in 2024, compared to 85,370 in 2023. The fall has been greatest in young people aged 15 to 24 years where there was a 36 per cent reduction in diagnoses - but UKHSA noted that it is too soon to conclude whether this trend will continue. However, it flagged there has been "a concerning acceleration" in diagnoses of antibiotic-resistant gonorrhoea. While most gonorrhoea infections can be treated effectively with antibiotics, certain strains don't respond to the drugs and "present significant treatment challenges". The STI is usually treated with a single dose of the antibiotic ceftriaxone, given as an injection or tablets at GP surgeries or a sexual health clinics. But in some cases this isn't effective, as the bacteria has developed the ability to survive and multiply even when exposed to the antibiotic. "Ceftriaxone resistance is particularly concerning as this antibiotic serves as the primary treatment for gonorrhoea infections," UKHSA noted. Symptoms of syphilis and its stages The symptoms of syphilis are often mild, making them difficult to spot. They also tend to change over time, and come and go, so it is easy to presume you aren't infected, even when you are. The most common symptoms of the infection include: Small sores (ulcers) on your penis, vagina, or around your bottom (anus) – these are usually painless and you may only have one of them Sores in other areas, including in your mouth or on your lips, hands or bottom White or grey warty growths most commonly on your penis, vagina or around your anus A rash on the palms of your hands and soles of your feet that can sometimes spread all over your body – this is not usually itchy White patches in your mouth Flu-like symptoms, such as a high temperature, headaches and tiredness Swollen glands Patchy hair loss on the head, beard and eyebrows These signs may not appear until three weeks (or more) after you're infected. Sometimes the symptoms can improve or go away completely, but if you have not been treated the infection is still in your body. This means you can still pass it on and you're at risk of getting serious problems later on. Potential complications include: Heart problems like angina, aortic aneurysm and heart failure Brain problems like fits (seizures), memory problems, personality changes and dementia Nerve problems like shooting pains, pins and needles, joint pain and gradual damage the joints Problems with the skin, bones, testicles, liver and any other organ Syphilis tends to happen in stages. Primary stage - between two to 12 weeks after exposure (patients develops painless sores on the genitals that might heal on their own) Secondary stage - between one to six months after the primary stage (patients may develop itchy rashes on the skin) Latent stage (patients show no signs but remain infectious) Tertiary stage (patients may develop complications) Some of these problems may not appear for many years after being infected with syphilis. At any point in the infection, syphilis bacteria - Treponema pallidum - can invade the nervous system and affect the brain, eyes or ears. This may cause headaches, brain swelling, strokes, and mental changes. Eyes may become sensitive to light or swollen, or sight may be affected and people may also experience hearing loss, dizziness, or tinnitus if the infection reaches their ears. Source: NHS, WHO, CDC "Although numbers remain low, ceftriaxone-resistant gonorrhoea cases are being detected more frequently." It said 14 cases reported in the first five months of 2025, which is greater than the number of cases reported for the whole of 2024 - 13 cases. "Six of the 14 cases in 2025 have been extensively drug-resistant cases, which means that they were resistant to ceftriaxone and to second-line treatment options. "Most ceftriaxone resistant cases are associated with travel to or from the Asia-Pacific region, where the prevalence of ceftriaxone resistance is high." UKHSA warned early this year that treatment-resistant STIs run the risk of one day becoming "untreatable". Despite infections of some STIs dipping, cases still remain high and continue to significantly impact young people, gay and bisexual men, and some minority ethnic groups, UKHSA said. It urged people to use condoms with new or casual partners to use a condom and get tested regularly, whatever their age or sexual orientation. As many STIs don't cause noticeable symptoms, people often pass them on without realising it. STIs are usually easily treated with antibiotics, but many can cause serious health issues if left untreated. Chlamydia and gonorrhoea can cause infertility and pelvic inflammatory disease, while syphilis can cause serious, irreversible and potentially life-threatening problems with your brain, heart, or nerves. Dr Hamish Mohammed, consultant epidemiologist at UKHSA, said: 'Levels of STIs in this country remain a big threat to sexual wellbeing. "These infections can have a major impact on your health and that of any sexual partners – particularly if they are antibiotic resistant. "If you've had condomless sex with new or casual partners – either in the UK or overseas - get tested for STIs and HIV at least yearly, even if you don't have symptoms. "Regular testing protects both you and those you're having sex with. 'From August, eligible people will also be offered vaccination to reduce the risk of gonorrhoea and we expect to see the immunisation programme have an impact on diagnoses of this infection in coming years – please take up the vaccine if you are offered it.' How to avoid STIs In general, sexually transmitted infections are highly preventable. The only method guaranteed to prevent STIs is to avoid any kind of sexual contact, but this method probably won't appeal to everyone! There are things you can do to limit the risk of exposure to infections while still enjoying an active sex life. The best way to avoid most STIs is to use a condom when you have vaginal or anal sex, as well as condoms and dental dams during oral sex. Below are some other things you can do to reduce the chances: Talking honestly with potential partners about your sexual history Getting tested, along with your new partner, before having sex Getting tested once a year Avoiding sex when under the influence of alcohol or drugs Completing a full course of treatment if you or your partner are diagnosed with an STI Not sharing sex toys, or washing them a covering them with a new condom if you do Where appropriate, getting vaccinated against HPV and hepatitis B


The Independent
6 hours ago
- The Independent
Expert warns of spread of super-gonorrhoea resistant to antibiotics
Health officials have issued a warning over a "concerning jump" in cases of gonorrhoea that are resistant to strong antibiotics. New data from the UK Health Security Agency (UKHSA) reveals that the number of cases of the sexually transmitted infection (STI) gonorrhoea, which are resistant to the antibiotic ceftriaxone, has already surpassed the total number of cases recorded in the previous year. While overall gonorrhoea cases in England saw a 16 per cent decrease in 2024, with 71,802 diagnoses compared to 85,370 in 2023, the rise in antibiotic-resistant strains remains a significant concern for health authorities. However, ceftriaxone-resistant gonorrhoea cases are being detected more frequently – with 14 in the first five months of 2025 compared with 13 in the whole of the previous year. Six of the 14 cases this year have been 'extensively drug-resistant', which means that they were resistant to ceftriaxone and then to second-line treatment options, according to the UKHSA. Ceftriaxone is a strong antibiotic and the main treatment for gonorrhoea. Experts are therefore concerned when infections fail to respond to it. Most of these drug-resistant cases are linked with travel to or from the Asia-Pacific region, where the prevalence of ceftriaxone resistance is high. Elsewhere, among people in England, early-stage syphilis diagnoses rose 1.7%, from 9,375 in 2023 to 9,535 in 2024. The overall figure for syphilis, including late-stage syphilis or complications from the infection, increased 5% from 12,456 in 2023 to 13,030 in 2024. Chlamydia fell 13%, from 194,143 diagnoses in 2023 to 168,889 in 2024, while people diagnosed for the first time with genital warts also dropped. Among women aged 15 to 24 who are recommended to be screened through the National Chlamydia Screening Programme (NCSP), there was a 10.7% decrease in the number of chlamydia tests carried out, from 673,102 to 601,295. Dr Hamish Mohammed, consultant epidemiologist at UKHSA, said: 'Levels of STIs in this country remain a big threat to sexual wellbeing. 'These infections can have a major impact on your health and that of any sexual partners – particularly if they are antibiotic resistant. 'If you've had condomless sex with new or casual partners – either in the UK or overseas – get tested for STIs and HIV at least yearly, even if you don't have symptoms. Regular testing protects both you and those you're having sex with. 'From August, eligible people will also be offered vaccination to reduce the risk of gonorrhoea and we expect to see the immunisation programme have an impact on diagnoses of this infection in coming years – please take up the vaccine if you are offered it.' Professor Matt Phillips, president of the British Association for Sexual Health and HIV, said: 'Whilst it is encouraging to see a fall in the total number of STI diagnoses this year, we nonetheless continue to see historically high rates of sexual infection, with particularly worrying continued increases in infections such as syphilis, which are at their highest-ever levels, and the continued spread of antibiotic-resistant disease. 'It is vital that clear steps are put in place to reverse these trends. He added: 'Sexual health services remain under immense pressure and these new tools risk being deployed into overstretched systems unable to support them effectively. 'We find ourselves at a critical point for securing the long-term viability of sexual health services in this country. 'Only a joined-up, ambitious national strategy can ensure that we are prepared not just for today's sexual health challenges, but for those we know are coming.'