Abstract
Yellow fever virus (YFV) continues to threaten human and wildlife populations in the Americas, yet its transmission at the forest–urban interface remains unclear. Here we integrate ground- and canopy-level mosquito surveillance, systematic monitoring of non-human primate carcasses and viral metagenomics to describe the dynamics of a sylvatic YFV outbreak in a 186-hectare Atlantic Forest fragment embedded within metropolitan São Paulo, Brazil, between 2017 and 2018. Our analyses reveal that transmission was primarily driven by a single genetic cluster introduced during a period of high abundance of the main vector, Haemagogus leucocelaenus mosquitoes. A near-complete hepatitis A virus genome was detected in a YFV-infected howler monkey, suggesting potential co-infections at the human–wildlife interface. Phylogenetic and epidemiological modelling estimated a basic reproduction number, R0, for sylvatic yellow fever of 8.2 (95% CI 5.1–12.2), substantially higher than previous estimates for urban outbreaks. Our findings demonstrate that multisource surveillance could provide actionable early warnings in regions at risk for zoonotic spillover.
| Original language | English |
|---|---|
| Pages (from-to) | 877-891 |
| Number of pages | 15 |
| Journal | Nature Microbiology |
| Volume | 11 |
| Issue number | 4 |
| DOIs | |
| State | Published - Apr 2026 |
Bibliographical note
Publisher Copyright:© The Author(s) 2026.
Funding
We thank the São Paulo State Secretariat for the Environment (2017–2018), including M. Brusadin, L. A. Bucci (Director of PEAL) and P. R. da Silva, for logistical support at PEAL; the Environmental Military Police of São Paulo State and the Metropolitan Civil Guard for operational assistance, particularly during the CADDE Workshop on Viral Metagenomics for Public Health (March 2023) held at PEAL and at the Institute of Tropical Medicine (USP), where preliminary findings were presented; R. Cardoso de Paula (Municipal Health Department of São Paulo) and R. Spinola and H. Sato (State Health Department of São Paulo) for leadership in YFV surveillance and vaccination; D. Fonseca Jr., A. Nepomuceno Duarte (SUCEN, São Paulo State Health Department) and the SUCEN field team for their essential contributions to entomological collections, and P. R. Urbinatti and R. M. Marques Sá de Almeida (Entomology Laboratory of the School of Public Health - USP) for support with taxonomic identification. We acknowledge the use of ERA5-Land meteorological data (Muñoz Sabater, 2019) accessed via the Copernicus Climate Change Service Climate Data Store. The results incorporate modified Copernicus Climate Change Service information (2023); neither the European Commission nor ECMWF is responsible for any use of this information. This work was supported by the Wellcome Trust Digital Technology Development Award (226075/Z/22/Z) (W.M.d.S., N.R.F.); the UK Medical Research Council (MRC) and FAPESP (MRC MR/S0195/1; FAPESP 18/14389-0) (I.M.C., M.B., E.C.S., N.R.F.); the International Pathogen Surveillance Network Catalytic Grant Fund (RT-MeTA, FRMM, ICL, N.R.F.); and the Wellcome Trust Dengue and Zika Immunology and Genomics Multi-Country Network (DeZi Network) (316633/Z/24/Z) (N.R.F., E.C.S.). We also acknowledge support from the MRC Centre for Global Infectious Disease Analysis (MR/X020258/1), funded by the UK MRC (N.R.F.); this UK-funded award is delivered within the Global Health EDCTP3 Joint Undertaking.
| Funders | Funder number |
|---|---|
| FRMM | |
| UK Medical Research Council, Engineering and Physical Sciences Research Council | |
| Entomology Laboratory of the School of Public Health | |
| São Paulo State Health Department | |
| Secretaria Municipal da Saúde Cicade de São Paulo | |
| European Commission | |
| São Paulo State Secretariat for the Environment | |
| Metropolitan Civil Guard | |
| RT-MeTA | |
| WHO International Pathogen Surveillance Network Catalytic Grant Fund | |
| Institut de Cancérologie de Lorraine | MR/X020258/1, 316633/Z/24/Z |
| Wellcome Trust | 226075/Z/22/Z |
| Fundação de Amparo à Pesquisa do Estado de São Paulo | 18/14389-0, MR/S0195/1 |
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
ASJC Scopus subject areas
- Microbiology
- Immunology
- Applied Microbiology and Biotechnology
- Genetics
- Microbiology (medical)
- Cell Biology
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