Early Warning Impact of Temperature and Rainfall Anomalies onto West Nile Virus Human Cases

West Nile Virus (WNV) is transmitted among amplifying hosts and transferred through the bites of mosquitoes; humans and other mammals may become infected. The overwintering of infected mosquitoes is important for next season’s circulation of the virus. In this study, we combined the available climatic and entomological data at the municipality level to identify the impact of the wintertime climatic anomalies on the survival ability of diapausing mosquitoes in Central Macedonia, a region with great epidemiological interest in Greece. The analysis indicated a strong dependence of the mosquito abundances with spring temperature and winter precipitation, depending on the land use type and the geomorphology of the municipalities.