North Macedonia health authorities announced five fatalities linked to West Nile virus infections, according to official reports released on Saturday. The Balkan country has registered 43 total viral infections, with the vast majority recorded during a three-week window.
Twenty patients are currently receiving treatment at the infectious diseases clinic in Skopje, according to clinic director Fadil Cana. The city’s municipal authorities declared an epidemic status in multiple Skopje districts at the beginning of August as case numbers escalated. Health Minister Saszo Klekovszki urged residents to drain private swimming pools and report any dead birds discovered on their properties, noting that avian species act as primary virus reservoirs.
Municipal workers have intensified mosquito control operations throughout Skopje and surrounding areas over recent weeks.
Historical Context and Wider European Spread
West Nile virus is not entirely new to the region. The pathogen previously circulated in North Macedonia in 2011, and late last year, authorities documented 54 human cases across the country.

Did you know? Twelve European nations have reported human West Nile virus cases to the European Centre for Disease Prevention and Control (ECDC) this year, highlighting a continent-wide vector challenge.
Data compiled by the ECDC shows that infections have been detected in 12 European countries this season: Albania, Austria, France, Germany, Greece, Italy, Kosovo, the Netherlands, North Macedonia, Romania, Serbia, and Spain.
Frequently Asked Questions
What practical steps are health officials recommending?
North Macedonia’s Health Minister Saszo Klekovszki advises residents to drain private swimming pools and report dead birds to local authorities to help track and control potential viral reservoirs.
Which European countries have reported cases to the ECDC?
According to the European Centre for Disease Prevention and Control, 12 nations have reported cases this year, including Albania, Austria, France, Germany, Greece, Italy, Kosovo, the Netherlands, North Macedonia, Romania, Serbia, and Spain.
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