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2021-11-15Zeitschriftenartikel DOI: 10.25646/9498
Epidemiological investigation of a tularaemia outbreak after a hare hunt in Bavaria, Germany, 2018
dc.contributor.authorBöhm, Stefanie
dc.contributor.authorvom Berge, Katharina
dc.contributor.authorHierhammer, Daniela
dc.contributor.authorJacob, Daniela
dc.contributor.authorGrunow, Roland
dc.contributor.authorRiehm, Julia M.
dc.contributor.authorKonrad, Regina
dc.contributor.authorDauer, Marc
dc.contributor.authorBouschery, Berit
dc.contributor.authorHossain, Hamid
dc.contributor.authorSchichtl, Elisabeth
dc.contributor.authorBöhmer, Merle M.
dc.date.accessioned2022-01-04T08:49:34Z
dc.date.available2022-01-04T08:49:34Z
dc.date.issued2021-11-15none
dc.identifier.other10.1111/zph.12899
dc.identifier.urihttp://edoc.rki.de/176904/9207
dc.description.abstractIn November 2018, a tularaemia outbreak occurred in Bavaria, Germany, among participants of a hare hunt and butchery employees handling the hares. We con-ducted an epidemiological outbreak investigation, including a retrospective cohort study among hunting participants, to identify likely transmission routes and activi-ties associated with infection. Twelve of 41 participants were antibody- positive for Francisella (F.) tularensis (attack rate: 29%). Cases reported influenza- like symptoms (n= 11), lymphadenopathy (n= 1) and conjunctivitis (n= 1). Infection only occurred in those hunting participants present while hares were processed, while risk of infec-tion was highest when directly involved (RR = 10.0; 95%CI: 2.6–392). F. tularensiswas isolated from 1/4 hares. Only two individuals reported using some of the rec-ommended personal protective equipment (PPE). Occurrence of mainly non-specific symptoms, likely due to early treatment, was not indicative of a specific transmis-sion route. Transmissions via direct (skin/mucosa) contact and by inhalation of con-taminated aerosols seem plausible. Promoting and increasing appropriate use of PPE among people processing hares is crucial to prevent future outbreaks.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.subjectdisease outbreakseng
dc.subjectFrancisella tularensiseng
dc.subjecthareseng
dc.subjectrisk factorseng
dc.subjecttularaemiaeng
dc.subjectzoonoseseng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleEpidemiological investigation of a tularaemia outbreak after a hare hunt in Bavaria, Germany, 2018none
dc.typearticle
dc.identifier.urnurn:nbn:de:0257-176904/9207-6
dc.identifier.doihttp://dx.doi.org/10.25646/9498
dc.type.versionpublishedVersionnone
local.edoc.container-titleZoonoses and Public Healthnone
local.edoc.container-issn1863-2378none
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://onlinelibrary.wiley.com/doi/10.1111/zph.12899none
local.edoc.container-publisher-nameJohn Wiley & Sonsnone
local.edoc.container-year2021none
dc.description.versionPeer Reviewednone

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