Mount Sinai Researchers Find Significant Delays in West Nile Virus Reporting
Delays Impact Accurate Infectious Disease Forecasting
Mount Sinai researchers found significant delays in reporting human cases of West Nile virus, hampering real-time forecasting of the potentially deadly mosquito-borne disease, according to a study in the JAMA Network Open in April.
Researchers discovered that reports of human cases of West Nile virus in the United States were delayed by two to 14 weeks between illness onset and confirmation of West Nile. The lags were due to the length of time it took health departments to confirm a West Nile case or reporting delays between health care professionals and the health department.
They also found that reporting of mosquitoes testing positive for the virus were also delayed, but by a much less significant amount of time.
The study showed that accurate and reliable forecasts of West Nile outbreaks are possible using a mathematical model and real-time reports of human and mosquitoes testing positive of the disease, but it is impossible with the lags in reporting that exist. Better and more reliable forecasts would improve mosquito abatement which to tamp down the spread of the virus as well as allow public officials to issue more accurate health information to the community in real time, preventing possible illness and deaths.
“Current reporting delays impact our understanding of how an outbreak is progressing, and our research highlights areas in which disease surveillance can improve,” said lead author Nicholas DeFelice, Assistant Professor of Environmental Medicine & Public Health at Icahn School of Medicine at Mount Sinai. “With improved surveillance, there is greater potential for objective infectious disease forecasts that will allow public health officials to address infectious disease threats in a proactive fashion.”
West Nile virus is the most common domestically acquired mosquito-borne virus in the United States. Mild symptoms are flu-like and may include fever, headache, body aches and sometimes a rash. Symptoms may last from a few days to a few weeks. In some cases, severe symptoms may include high fever, stiff neck or a potentially fatal central nervous system illness causing inflammation of the brain or spinal cord. One in ten people die after falling ill to the central nervous system illness caused by the virus.
Other institutions that contributed to this work include the Department of Environmental Health Sciences at the Mailman School of Public Health at Columbia University, the Department of Epidemiology of Microbial Diseases at the Yale School of Public Health the University of California, Davis, Suffolk County Department of Health Services, Coachella Valley Mosquito and Vector Control District, Riverside County Department of Public Health, St. Tammany Parish Mosquito Abatement District, and the Chicago Department of Public Health. This study was funded supported by National Institute of Health grants GM 110748 and ES009089, National Institute of Environmental Health Sciences training grant T32ES023770 and Defense Threat Reduction Agency contract HDTRA1-15-C-0018.
About the Mount Sinai Health System
Mount Sinai Health System is one of the nation’s leading integrated academic health systems and one of the largest in the New York metropolitan area. Its comprehensive system includes seven hospitals, more than 400 outpatient practices, over 600 research and clinical laboratories, the Icahn School of Medicine at Mount Sinai, the Graduate School of Biomedical Sciences, and the Mount Sinai Phillips School of Nursing. Together, the Health System comprises approximately 48,000 employees, more than 9,000 physicians, and 8,600 nurses.
As a leading learning health system, Mount Sinai combines clinical expertise with scientific discovery to improve patient care while training the next generation of health care and biomedical leaders. The Health System provides care across every stage of life, from prenatal care through geriatrics, while advancing personalized medicine through artificial intelligence, data science, and biomedical research.
Mount Sinai is consistently recognized among the nation’s leading academic health systems for patient care, research, and education. The Mount Sinai Hospital is ranked No. 1 in New York by Newsweek and No. 5 on the magazine’s World’s Best Hospitals list. The Icahn School of Medicine at Mount Sinai ranks No. 11 among U.S. medical schools and No. 1 among freestanding medical schools for National Institutes of Health funding, reflecting the strength of its scientific enterprise and leadership in biomedical research.
Wildfire Smoke May Be More Harmful Than Other Air Pollution, Two Mount Sinai Studies Find
Sep 17, 2026 View All Press Releases
Mount Sinai Study Finds PTSD May Accelerate Brain Aging in 9/11 Responders
Dec 08, 2025 View All Press Releases
Mount Sinai Study Reveals Genetic Clues Explaining Why Obesity Affects People Differently
Sep 15, 2025 View All Press Releases
Single Hair Strand Could Provide Biomarker for ALS, Mount Sinai Study Finds
Sep 04, 2025 View All Press Releases
“Forever Chemicals” Linked to Higher Risk of Type 2 Diabetes
Jul 22, 2025 View All Press Releases