Surveillance for West Nile Virus in Dead Wild Birds, South Korea, 2005–2008

To investigate the possibility of West Nile virus (WNV) introduction into South Korea, the National Veterinary Research and Quarantine Service has conducted nationwide surveillance of WNV activity in dead wild birds since 2005. Surveillance conducted during 2005–2008 found no evidence of WNV activity.

To investigate the possibility of West Nile virus (WNV) introduction into South Korea, the National Veterinary Research and Quarantine Service has conducted nationwide surveillance of WNV activity in dead wild birds since 2005. Surveillance conducted during 2005-2008 found no evidence of WNV activity.

W ild birds are considered the principal hosts of West
Nile virus (WNV). In the United States, surveillance of birds for WNV is used to quickly detect outbreaks and take action against its spread. The sampling of sick or dead birds can indicate WNV in a region before human and equine cases occur (1). This approach is considered the most effective method for detecting WNV in a specifi c region. During 1999, mass deaths among wild birds indicated the emergence and rapid spread of WNV in North America.
Although WNV has not yet been detected in South Korea, the perceived threat of its arrival has been highlighted by reports of WNV infection in a dead cinereous vulture (Aegypius monachus) in the Vladivostok region of Russia, which is adjacent to the Korean peninsula (2), and in several samples from cinereous vultures and cattle egrets (Bubulcus ibis) in the Russian Far Eastern Region during 2002-2004 (3). A variety of migratory birds, such as Mandarin ducks (Aix galericulata), cinereous vultures, bean geese (Anser fabalis), and white-fronted geese (Anser albifrons), fl y from Russia to South Korea during the winter for the breeding season (4-6). Furthermore, Saito et al. recently reported that test results on several migrating birds captured in Japan were positive for fl avivirus anti-bodies (7). This fi nding suggests that the threat of WNV in South Korea is increasing because many migratory birds share fl yways over South Korea and Japan (8). Therefore, spread of the virus by migratory birds from WNV-infected areas, such as Russia, into uninfected hosts throughout the Korean peninsula is likely.

The Study
A wide variety of bird species from all regions of South Korea were tested, and particular attention was paid to susceptible species and birds with neurologic signs. Carcasses of wild birds submitted to the Conservation Genome Resource Bank for Korean Wildlife, Seoul National University, Seoul, South Korea, were used for this study.  Table (www.cdc.gov/EID/content/17/2/297-appT.htm). Samples from Ae. monachus, A. fabalis, and A. albifrons birds, which are known to migrate from the Russian Eastern Region to South Korea (4,5), were included. Samples of dead wild birds such as Corvidae spp. and raptors (Accipitridae and Strigidae spp.), which have been identifi ed as potential sources of WNV for resident birds (9,10), were also included.
Carcasses were subjected to necropsy, and brains and kidneys were obtained. Organs were homogenized in phosphate-buffered saline (10% suspension) and centrifuged. Ten 50% tissue culture infectious doses of a stock WNV were used as a control for antigen detection. WNV RNA in samples was investigated by reverse transcription-PCR with primers (Table). Information on the RNA extraction and the reverse transcription-PCR used is available in the online Technical Appendix (www.cdc.gov/EID/ content/17/2/297-Techapp.pdf).
During 2005-2008, we analyzed 1,309 organ samples (639 brain and 670 kidney) from dead birds for WNV RNA. WNV was not detected in these samples. Diagnostic examination of wild birds as a part of the nationwide surveillance has not detected patterns or clusters of birds with evidence of neurologic disease or viral encephalitides suggestive of WNV infection. Several cases of mass die-offs among wild birds were the result of chemical poisoning (11).

Conclusions
Our surveillance of wild birds conducted during 2005-2008 supports the hypothesis that WNV has not reached South Korea and corroborates fi ndings of previous reports. In a study conducted at the National Institute of Health, Korea Centers for Disease Control and Prevention, 2,275 pools of mosquitoes were tested for WNV RNA; results for all samples obtained during 2006-2008 were negative (12). The study reported that 27 cerebrospinal fl uid samples and 57 serum specimens obtained from patients who were suspected of having Japanese encephalitis and dengue fever were also negative for WNV. In another surveillance study of mosquitos and crows in Japan, a country near South Korea, no WNV RNA was detected. This study included mosquitoes obtained in a park in Tokyo during 2002-2006 and 329 captured or dead crows obtained during1994-2006 (13). In addition, antibodies against WNV antibodies were not detected in 18 crows sampled during 1995-2003. The fi rst human WNV infection in Japan was confi rmed in a person who returned from the United States in 2005 (14). However, no indigenous human or equine cases have been reported.
Although our surveillance found no evidence of WNV in South Korea, WNV could be introduced into this country in the near future. Moreover, several species of mosquitoes with the ability to transmit WNV have been identifi ed in South Korea. Turell et al. reported that mosquitoes captured in Paju County, Gyeonggi Province, South Korea, were highly susceptible to WNV infection when they fed on viremic chickens (15).
Introduction of WNV into South Korea would undoubtedly become a major public health problem. An outbreak similar to the one that occurred in New York during 1999 could result in the disease becoming endemic to the country. Continued surveillance of dead wild birds is essential to enable prompt detection of WNV. Additionally, WNV surveillance programs in South Korea should continue to examine cases of viral encephalitis in horses and mass deaths among birds. Temperature increases caused by climate change should also be taken into account, and vigilant monitoring of emerging arboviruses, in addition to WNV, will be required. Finally, increased cooperation between the government and other agencies, such as wildlife conservation organizations and horse-racing authorities, is needed for early detection of WNV disease and development of effective veterinary and public health strategies.