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September 3, 2026Infectious Disease ReportsOpen Access

Powassan Virus in the United States: An AI-Integrative One Health Scoping Review of Ecological Drivers, Zoonotic Interactions, Symptom Profiles, and Public Health Implications

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Authors

SMSarah P. MaxwellCMConnie L. McNeelyJHJames R. Harrington

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Overview

Scoping review uncovers rising Powassan virus neuroinvasive disease and rapid transmission across the United States, highlighting an urgent need for coordinated cross-sector surveillance.

Key Points

  • To evaluate the ecological drivers, transmission dynamics, clinical spectrum, and public health reporting gaps of Powassan virus in the United States using a One Health approach.
  • Conducted a scoping review following PRISMA-ScR guidelines across PubMed/MEDLINE, CDC surveillance databases, state health department records, and public health archives through early 2026.
  • Integrated literature searches with the GIDEON database and Claude (Anthropic) to synthesize over 200 peer-reviewed and human-curated archival sources.
  • Annual reported U.S. cases grew from fewer than two before 2005 to a record 60 in 2024, with neuroinvasive disease exhibiting a 10% to 15% case fatality rate and lasting neurological sequelae in approximately 50% of survivors.
  • The virus features a transmission window as brief as 15 minutes, lacks a characteristic rash, displays complete antibiotic resistance, and disproportionately impacts older males in the Northeast and Great Lakes regions.
  • Public health surveillance is fragmented, with only seven of 48 surveyed states actively publishing Powassan virus tracking data.

Cite This Study

Maxwell et al. (2026) studied this question.

synapsesocial.com/papers/6a9935e5636c6408cfa7e80ahttps://doi.org/10.3390/idr18050096
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