Impact of the LGBT+ rights on reporting cases and deaths of Mpox globally: Relationships with the LGBT+ rights index during 2022-2024 epidemics

IC95%:0.07-0.59) of the sera.Of the subjects who tested positive, only one reported having traveled in the past week.None recalled being bitten by mosquitoes or habitually using mosquito repellents.Discussion: Mosquito-borne diseases are an emerging threat in Europe.In recent years, global climate change has been identified as a significant driver of the increased spread of the virus.In particular, increased temperatures and precipitation have played a crucial role in WNV spreading in horses and humans.The average temperature in the Apulia region in 2023 was higher than in previous years.The neuroinvasive form of WNV infection occurs in less than 1% of cases.Based on the prevalence data in blood donors (0.32%) and the Apulian population (about 4milion), it could be estimated that more than 12 thousand infections have occurred. Conclusion:Our study confirmed the wide circulation of WNV in Apulia and the potential human health concern of this emergent virus.Strengthening the integrated surveillance system is crucial to address a potential massive spread of WNV in Southern Italy.