Oropouche virus outbreaks in northeast Brazil between 2024–25 are characterized by sustained transmission and spread to newly affected areas

Oropouche virus (OROV) has recently expanded in Brazil, establishing transmission in non-endemic regions. This study aims to integrate epidemiological and molecular data to investigate OROV spread in Northeast (NE) Brazil between 2024 and 2025. OROV cases were analyzed regarding ecological risk factors and geographical clustering. Additionally, we sequenced 65 new OROV genomes from the Northeast states of Pernambuco, Paraíba, and Sergipe to infer the virus's spatiotemporal dynamics in NE Brazil. A total of 2,806 confirmed cases were reported between March 2024 and April 2025, affecting 170 municipalities across eight out of nine NE states, with highly heterogeneous incidence. An ecological shift was observed, with OROV transmission moving from Atlantic Forest areas in 2024 to humid Caatinga zones in 2025. Phylogenetic reconstruction revealed multiple independent viral introductions in Northeast in 2024, including two in Pernambuco. The first, originating from the central Amazonas, became the main driver of local transmission and subsequently spread to Sergipe and Paraíba, causing outbreaks in 2024 and 2025, respectively. The second introduction remained restricted within Pernambuco. While several Northeast municipalities reported high OROV incidence, Jaqueira (Pernambuco) emerged as a key hub for regional viral spread. OROV showed sustained transmission in the region over a two-year period, characterized by marked spatiotemporal displacement consistent with short-lived, rapidly spreading outbreaks, followed by cryptic transmission and subsequent dissemination to new areas, ultimately driving renewed intense outbreaks.

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Publication Details

Journal
PLoS neglected tropical diseases
Published
2026-04-01
DOI
https://doi.org/10.1371/journal.pntd.0014171
Primary Topic
Mosquito-borne diseases and control
Type
article
Field-Weighted Citation Impact
0.00

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article

Oropouche virus outbreaks in northeast Brazil between 2024–25 are characterized by sustained transmission and spread to newly affected areas

Clarice Neuenschwander Lins de Morais, Marcelo Henrique Santos Paiva, Verônica Gomes da Silva, Eduardo Bezerra et al.
PLoS neglected tropical diseases
Mosquito-borne diseases and control
article

Oropouche virus outbreaks in northeast Brazil between 2024–25 are characterized by sustained transmission and spread to newly affected areas

Clarice Neuenschwander Lins de Morais, Marcelo Henrique Santos Paiva, Verônica Gomes da Silva, Eduardo Bezerra, Gustavo Barbosa de Lima, Keilla Maria Paz e Silva, Janaina Correia Oliveira, Elisa de Almeida Neves Azevedo, Adalúcia da Silva, Diego Arruda Falcão, Suzane Melo da Silva, Matheus Filgueira Bezerra, Andreza Pâmela Vasconcelos, Thiago Franco de Oliveira Carneiro, Túlio de Lima Campos, Mayara Matias de Oliveira Marques da Costa, Letícia Welter Rother, Gabriel da Luz Wallau, Bartolomeu Acioli-Santos, Erik Matthaus de Lima Paiva, Elverson Soares de Melo
article en

Abstract

Oropouche virus (OROV) has recently expanded in Brazil, establishing transmission in non-endemic regions. This study aims to integrate epidemiological and molecular data to investigate OROV spread in Northeast (NE) Brazil between 2024 and 2025. OROV cases were analyzed regarding ecological risk factors and geographical clustering. Additionally, we sequenced 65 new OROV genomes from the Northeast states of Pernambuco, Paraíba, and Sergipe to infer the virus's spatiotemporal dynamics in NE Brazil. A total of 2,806 confirmed cases were reported between March 2024 and April 2025, affecting 170 municipalities across eight out of nine NE states, with highly heterogeneous incidence. An ecological shift was observed, with OROV transmission moving from Atlantic Forest areas in 2024 to humid Caatinga zones in 2025. Phylogenetic reconstruction revealed multiple independent viral introductions in Northeast in 2024, including two in Pernambuco. The first, originating from the central Amazonas, became the main driver of local transmission and subsequently spread to Sergipe and Paraíba, causing outbreaks in 2024 and 2025, respectively. The second introduction remained restricted within Pernambuco. While several Northeast municipalities reported high OROV incidence, Jaqueira (Pernambuco) emerged as a key hub for regional viral spread. OROV showed sustained transmission in the region over a two-year period, characterized by marked spatiotemporal displacement consistent with short-lived, rapidly spreading outbreaks, followed by cryptic transmission and subsequent dissemination to new areas, ultimately driving renewed intense outbreaks.

PLoS neglected tropical diseasesVol. 20(4)
Universidade Federal da Paraíba (BR), Universidade Federal de Pernambuco (BR), Instituto Federal de Educação Ciência e Tecnologia da Paraíba (BR), Universidade Federal de Santa Maria (BR), Instituto de Tecnologia de Pernambuco (BR), Fundação Oswaldo Cruz (BR), Universidade de Pernambuco (BR), Bernhard Nocht Institute for Tropical Medicine (DE)
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Good health and well-being
Openalex Percentile: Top 28%
Mosquito-borne diseases and control
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