West Nile virus (WNV) and Usutu virus (USUV) are mosquito-borne flaviviruses that have been associated with neurological diseases in humans and wild birds. Wild bird rescue centers are potential significant hot spots for avian infection surveillance, as recognized in the Italian Integrate National Surveillance Plan for Arboviruses. Here we report the results of a post-mortem active monitoring study conducted from November 2017 to October 2020 on animals hosted in five wild bird rescue centers of Central Italy. Five hundred seventy-six (n = 576) wild birds were tested by real-time polymerase chain reaction (RT-PCR) for the presence of WNV or USUV RNA fragments. No birds tested positive for USUV RNA (n = 0; 0.00%). Evidence of WNV RNA (Ct value = 34.36) was found in one bird (n = 1; 0.17%), an adult little grebe (Tachybaptus ruficollis subsp. ruficollis), that tested WNV positive in December 2019. This study highlights the strategic role of wildlife rescue centers in monitoring both the introduction and circulation of avian emerging zoonotic diseases. In addition, the presence of WNV during the cold season evidences the possible role of birds in overwintering mechanisms in the Italian territory and requires further investigations.

The high morphological variability of Viola arvensis may hinder the proper identification of the closely related species with an implication for biodiversity surveys. Variation in floral and vegetative morphology was explored in V. arvensis, compared to V. kitaibeliana, based upon 14 wild Italian populations, to provide new insights into their diagnostic features. Species were characterized using 32 morphological descriptors assessed on 272 flowers and as many leaves and scored as quantitative and categorical variables. Statistical methods, including Linear Discriminant Analysis (LDA), were applied to test species delimitation. Data highlighted variations in sepal size, petal size, leaves shape, stylar dark spot, and pollen magazine higher within V. arvensis than between V. arvensis and V. kitaibeliana. LDA partitioned the V. arvensis samples into two distinct clusters; no clear distinction was found between the cluster combining individuals from grasslands and V. kitaibeliana. The separation of V. arvensis and V. kitaibeliana from V. tricolor, included as a reference, was noticeable. Correlations were found in all species between the flower/leaf position on the stem and some floral and vegetative features. The shape and margin of the lower sepal, the stylar flap, and the lamina margin and apex were diagnostic in field identification. The results support the recognition of an undescribed V. arvensis eco-phenotype linked to seminatural dry grasslands, easily distinguishable from the field-grown type of V. arvensis but hardly distinguishable from the dwarf pansy. Data further corroborate the assumption of general deep-rooted confusion in ascribing poorly developed individuals of V. arvensis to the rare and locally threatened V. kitaibeliana, leading to potential implications for its conservation.

Legionella is considered one of the most important causes of potentially preventable morbid-ity and mortality. These microorganisms are ubiquitous, but incomplete information is available on the geographic distribution of Legionella species in our region.
For the mentioned reasons, in this work the distribution of Legionella spp. in non-hospital facilities of the urban area of Pesaro-Urbino (Central Italy), including public fountains, residential build-ings, public and private offices and retirement homes, was investigated.
A total of 298 water samples were collected from the different facilities and subjected to standard Legionella isolation and identification protocols.
As reported, 17.8% of the collected water samples resulted positive for Legionella spp. (28.6% from retirement homes, 21.3% from residential buildings, 15.3% from private and public offices). The highest per-centage of positive samples (14.4%) was found in hot water from retirements homes (58.8%) and residential buildings (31.8%); the most frequent isolated serogroups were L. pneumophila 2-14 (71.7%).
This work is the first describing the distribution of Legionella spp. in non-hospital facilities in the province of Pesaro-Urbino, and highlights a condition of potential risk for susceptible categories. From our data, we can point that a regular and constant control to prevent microbiological risk from legionellosis, particularly in facilities housing the elderly, is recommended.

General Practitioners (GPs) have good knowledge of health status and sociocultural backgrounds of their patients, thus could be decisive in early detection of cases of asbestos-related diseases (ARDs). In this cross-sectional pilot study, we investigated perception and knowledge on asbestos risk amongst a sample of GPs practicing in Molise region, central Italy, who have anonymously completed a 29-items questionnaire specifically developed for this research. Based on GPs\' answers, we obtained scores and classified awareness and knowledge into four percentage quartile classes including inadequate (0-24%), poor (25-49%), moderate (50-74%) and high (75-100%), and scarce (0-24%), sufficient (25-49%), good (50-74%) and optimal (75-100%), respectively. Twenty-eight GPs (median age 63 years; 82% male) participated. Perception and knowledge among participants varied from 62 to 84% and from 18 to 42%, respectively, with 65 and 42% showing an adequate level, respectively. Our survey revealed a satisfactory perception and knowledge of general features about this topic, while a poor awareness of detailed aspects, underlining the need of continuing medical education in the field of occupational medicine. The study remarks that criteria for ARDs diagnosis should be better specified, introducing a detailed list to harmonize medical protocols for symptoms identification and patients\' examination. Hence, increasing awareness of asbestos risk and ARDs among GPs represents a crucial opportunity, because of their prominent position to promptly take care of patients and provide targeted information.