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2020-02-17Zeitschriftenartikel DOI: 10.25646/6926
Epidemiological trends of notified human brucellosis in Germany, 2006–2018
dc.contributor.authorEnkelmann, Julia
dc.contributor.authorStark, Klaus
dc.contributor.authorFaber, Mirko
dc.date.accessioned2020-05-28T12:39:30Z
dc.date.available2020-05-28T12:39:30Z
dc.date.issued2020-02-17none
dc.identifier.other10.1016/j.ijid.2020.02.019
dc.identifier.urihttp://edoc.rki.de/176904/6812
dc.description.abstractObjective We describe epidemiological trends of human brucellosis in Germany over a 13 year period based on national surveillance data. Methods We analyzed demographic, clinical, laboratory and exposure information of symptomatic laboratory-confirmed brucellosis cases notified 2006–18. Using official population data, we calculated incidences and risk ratios (RR). Results From 2006 to 2018, 408 brucellosis cases were notified in Germany (mean annual incidence: 0.38/1,000,000 population), of which 75% were travel-associated. Yearly notifications peaked in 2014 (n = 47) and remained elevated compared to 2006–2013 (mean: n = 25). Asylum seekers (AS) arriving in Germany accounted for 9/44 (2015) and 15/36 (2016) cases, respectively. RR AS/non-AS 2015–2016: 28, 95% CI: 17–45. Unpasteurized milk products were most frequently notified as source of infection. Imported food and occupational exposure played a role in autochthonous cases. Conclusions The incidence of human brucellosis has markedly increased in recent years. Most of the observed rise in notifications can be explained by infections in AS. Exposure still predominantly occurs abroad. Risk factors for autochthonous infections need to be investigated further, though imported dairy products seem to play a role. Physicians should consider brucellosis as differential diagnosis in AS and people with travel to endemic regions with compatible symptoms.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subjectBrucellosiseng
dc.subjectSurveillanceeng
dc.subjectZoonosiseng
dc.subjectHumaneng
dc.subjectGermanyeng
dc.subjectFoodborne diseaseseng
dc.subjectAsylum seekerseng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleEpidemiological trends of notified human brucellosis in Germany, 2006–2018none
dc.typearticle
dc.identifier.urnurn:nbn:de:kobv:0257-176904/6812-1
dc.identifier.doihttp://dx.doi.org/10.25646/6926
dc.type.versionpublishedVersionnone
local.edoc.container-titleInternational Journal of Infectious Diseasesnone
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://www.sciencedirect.com/science/article/pii/S1201971220300771?via%3Dihubnone
local.edoc.container-publisher-nameElseviernone
local.edoc.container-volume93none
local.edoc.container-issueApril 2020none
local.edoc.container-year2020none
local.edoc.container-firstpage353none
local.edoc.container-lastpage358none
local.edoc.rki-departmentEpidemiologie und Gesundheitsmonitoringnone
dc.description.versionPeer Reviewednone

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