Arthropod-Borne and Rodent-Borne Infections in Peru From 1990 to 2022
Authors: Guevara Carolina , Ampuero Julia S , Schilling Megan ,   Febrile Surveillance Working Group, Shope Robert E , Travassos da Rosa Amelia P A , Tesh Robert B , Guzman Hilda , Weaver Scott C , Scott Thomas , Sun Peifang , Long Kanya C , Kocher Claudine , Gotuzzo Eduardo , Beingolea Luis , Cabezas Cesar , Gomez Jorge , Minaya Percy , Suarez Luis , Naquira Cesar , Suarez Victor , Ramirez Gladys , Palacios Ana M , Fernandez Regina , Carrion Rebeca , Pizango Melita , Godoy Nelly , Calampa Nadya , Chávez Clara , Chuquipiondo Karina , Curico Leny , Del Rio Nadia Rocio , Flores Junnelhy , Gonzales Rina , Juárez Edith , Mafaldo Xiomara , Marín Nora , Montes Nadia , Mozombite Johnni , Muñoz Sandra , Navarro Lucy , Ocmin Geraldine , Pezo Zenith , Reátegui Iris , Reategui Zoila , Ricopa Sadith , Rios Liliana , Rubio Rubiela , Ruiz Ysabel , Sotero Rosana , Tamani Rosa , Tamani Zenith , Tanchiva Moises , Tuesta Sarita , Zavaleta Carol , Custodio Julio , Valdivia Mariela , Fernandez Blgo Connie , Beltran Giovana , Campos Karen , Aguilar Yojani , Cedano Luz , Casca Gisell , Sanchez Cesar , Malca Dante , Cotrina Karen , Hernandez Tiffany , Mendocilla Claudia , Purisaca Edinson , Jordan Dr , Saldarriaga Tatiana , Macedo Silvia , Inoñan Mr Rafael , Herrera Blgo Victor , Alva-Davalos Victor , Ocaña Víctor , Cruz Eva , Holguin Carlos , Pozo Blgo Edward , Sarmiento Favio , Atencio Teodora , Montes Augusto , Cano Iliana , Valerio Michel , Chachi Zolania , Chuquirachi Francis , Razuri Hugo , Tejada Catherine , Cayetano Claudia , Ramos Julio , Chavez Ana , Corahua Flor , Cabada Miguel , Quispe Fernando , Watts Douglas M , Russell Kevin L , Kochel Tadeusz J , Halsey Eric S , Blair Patrick J , Olson James G , Williams Maya , Hontz Robert D , Jenkins Sarah A , Bausch Daniel G , Campbell Wesley R , Mores Christopher N , Grogl Max , Graf Paul C F , Graham William D , Blazes David L , Montgomery Joel M , Morrison Amy C , Forshey Brett M , Rocha Claudio , Vilcaromero Stalin , Siles Crystyan , Bazan Isabel , Jhonston Erik , Laguna-Torres V Alberto , Garcia Josefina , Villaran Manuel V , Leguia Mariana , Aguilar Patricia V , Silva Maria E , Wong Juan F , Zamalloa Hernan , Villanueva Miguel , Quintana Fernando , Sihuincha Moises , Calampa Carlos , Negrete Monica , Valderrama Yadira , Garcia M Paquita , Callahan Johnny , Rossi Cindi A , Astete Helvio , Ramal Cesar , Chincha Omayra , Duffoó Mariangela , Negrete Monica , Caceda Roxana E , Carrion Gladys , Block Karla , Huaman Alfredo , Felices Vidal , Castillo Oré Roger M , Cruz Cristhopher D , Troncos Gilda , Espejo Victoria , Popuche Dina , Ucañan Luis E , Castillo Elizabeth , Rosas Alicia , Rivera Cecilia , Ríos Jane , Sulca Juan , Zamora Jennifher , Galvan Patricia , Espinoza Angelica , Evangelista Julio , Albujar Christian , Rios Zonia , Palermo Pedro M , Juarez Diana , Alava Wieslava , Angulo Leslye , Flores Guadalupe , Gribenow Walter , Bautista Cristian , Bao Juan Perez , Centeno Ruth , Ramirez Miguel , Talledo Gloria , Gutierrez Noelia , Cifuentes Milagros , Garcia Elsa , Rengifo Ana 
Published: December 2024

Abstract
Arboviral and rodent-borne infections are considered a public health concern and pose a significant threat to military service members when deployed in austere environments. In 1990, the U.S. Naval Medical Research Unit (NAMRU) SOUTH, in collaboration with the Peruvian Ministry of Health, initiated febrile illnesses surveillance in Iquitos, Loreto, later expanding to 33 health facilities throughout the country. Additionally, different techniques were developed to maximize virus detection. The activities were crucial in identifying evidence of circulating dengue, Venezuelan equine encephalitis, Mayaro, and Oropouche viruses in the region. Subsequently, Eastern equine encephalitis, encephalomyocarditis, Guaroa, Saint Louis encephalitis, and Rio Mamore viruses, among others, were discovered through our surveillance networks. The results of 3 decades of surveillance identified 16 novel arboviruses and rodent-borne viruses, contributing to public health control and force health protection for the United States and partner nations.