01777nas a2200229   4500000000100000008004100001260001600042653001700058653002400075653002100099653002500120100001600145700001400161700001400175700001300189700001500202245008300217300001100300490000800311520121400319022001401533       2020                            d  bElsevier BV10aParasitology10aInfectious Diseases10aGeneral Medicine10aDisease surveillance1 aBuchwald AG1 aHayden MH1 aDadzie SK1 aPaull SH1 aCarlton EJ00aAedes-borne disease outbreaks in West Africa: A call for enhanced surveillance  a1054680 v2093 aArboviruses transmitted by Aedes mosquitoes are a growing global concern; however, there remain large gaps in surveillance of both arboviruses and their vectors in West Africa. We reviewed over 50 years of data including outbreak reports, peer-reviewed literature, and prior data compilations describing Zika, dengue, and chikungunya, and their vectors in West Africa. Large outbreaks of dengue, Zika, and chikungunya have recently occurred in the region with over 27,000 cases of Aedes-borne disease documented since 2007. Recent arboviral outbreaks have become more concentrated in urban areas, and Aedes albopictus, recently documented in the region, has emerged as an important vector in several areas. Seroprevalence surveys suggest reported cases are a gross underestimate of the underlying arboviral disease burden. These findings indicate a shifting epidemiology of arboviral disease in West Africa and highlight a need for increased research and implementation of vector and disease control. Rapid urbanization and climate change may further alter disease patterns, underscoring the need for improved diagnostic capacity, and vector and disease surveillance to address this evolving health challenge.  a0001-706X