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In 2010, lineage 1 West Nile virus was detected in South Africa in the brain of a pregnant mare that succumbed to neurologic disease and in her aborted fetus, suggesting an association with abortion in horses. All West Nile virus strains previously detected in horses and humans in South Africa were lineage 2.

Fatal Neurologic Disease and Abortion in Mare Infected with Lineage 1 West Nile Virus, South Africa