Changing epidemiology of human brucellosis, Germany, 1962-2005.
dc.contributor.author | Dahouk, Sascha Al | |
dc.contributor.author | Neubauer, Heinrich | |
dc.contributor.author | Hensel, Andreas | |
dc.contributor.author | Schöneberg, Irene | |
dc.contributor.author | Nöckler, Karsten | |
dc.contributor.author | Alpers, Katharina | |
dc.contributor.author | Merzenich, Hiltrud | |
dc.contributor.author | Stark, Klaus | |
dc.contributor.author | Jansen, Andreas | |
dc.date.accessioned | 2018-05-07T13:33:03Z | |
dc.date.available | 2018-05-07T13:33:03Z | |
dc.date.created | 2009-12-16 | |
dc.date.issued | 2007-12-01 | none |
dc.identifier.other | http://edoc.rki.de/oa/articles/reesAGAtIQPY/PDF/24wQ2FDIXIek.pdf | |
dc.identifier.uri | http://edoc.rki.de/176904/533 | |
dc.description.abstract | Trends in the epidemiology of human brucellosis in Germany were investigated by analyzing national surveillance data (1962-2005) complemented by a questionnaire-based survey (1995-2000). After a steady decrease in brucellosis incidence from 1962 to the 1980s, a persistent number of cases has been reported in recent years, with the highest incidence in Turkish immigrants (0.3/100,000 Turks vs. 0.01/100,000 in the German population; incidence rate ratio 29). Among cases with reported exposure risks, 59% were related to the consumption of unpasteurized cheese from brucellosis-endemic countries. The mean diagnostic delay was 2.5 months. Case fatality rates increased from 0.4% (1978-1981) to a maximum of 6.5% (1998-2001). The epidemiology of brucellosis in Germany has evolved from an endemic occupational disease among the German population into a travel-associated foodborne zoonosis, primarily affecting Turkish immigrants. Prolonged diagnostic delays and high case fatality call for targeted public health measures. | eng |
dc.language.iso | eng | |
dc.publisher | Robert Koch-Institut, Infektionsepidemiologie | |
dc.subject | Adolescent | eng |
dc.subject | Preschool | eng |
dc.subject | Newborn | eng |
dc.subject | Humans | eng |
dc.subject | Female | eng |
dc.subject | Germany/epidemiology | eng |
dc.subject | Male | eng |
dc.subject | Middle Aged | eng |
dc.subject | Incidence | eng |
dc.subject | Child | eng |
dc.subject | Adult | eng |
dc.subject | Aged | eng |
dc.subject | Infant | eng |
dc.subject | Time Factors | eng |
dc.subject | Brucellosis/epidemiology | eng |
dc.subject.ddc | 610 Medizin | |
dc.title | Changing epidemiology of human brucellosis, Germany, 1962-2005. | |
dc.type | periodicalPart | |
dc.identifier.urn | urn:nbn:de:0257-1003589 | |
dc.identifier.doi | http://dx.doi.org/10.25646/458 | |
local.edoc.container-title | Emerging Infectious Diseases | |
local.edoc.fp-subtype | Artikel | |
local.edoc.type-name | Zeitschriftenartikel | |
local.edoc.container-type | periodical | |
local.edoc.container-type-name | Zeitschrift | |
local.edoc.container-url | http://www.cdc.gov/eid/content/13/12/1895.htm | |
local.edoc.container-publisher-name | Centers for Disease Control and Prevention | |
local.edoc.container-volume | 13 | |
local.edoc.container-issue | 12 | |
local.edoc.container-year | 2007 |