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In order to elucidate the epidemiological importance of hemorrhagic fever with renal syndrome in Germany, the prevalence of antibodies against hantaviruses was determined in 13,358 sera from residents of various geographic regions, 1,284 sera from occupational risk groups and 287 sera from chronic hemodialysis patients. Serological investigations were performed using a highly specific transferable solid phase enzyme immunoassay based on the recombinant nucleocapsid proteins of a Hantaan and a Puumala serotype strain. The overall antibody prevalence was found to be 1.68%. In the serum panels from western and southern Germany, it was determined to be 1.83% on average in contrast to only 0.8% in the panel from eastern Germany. An endemic focus revealing an antibody prevalence of 3.12% was detected in a low-mountain area called Suebian Alb, which is located in the federal state of Baden-Württemberg. Occupational risk groups and a group of chronic hemodialysis patients showed a significantly elevated antibody prevalence ranging from 3.3% to 10%. The Puumala serotype was found to be the prevailing virus, but the percentage of sera predominantly recognizing the Hantaan nucleocapsid protein increased towards the south and the east and was significantly elevated in dialysis patients.

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The effectiveness and residual activities of permethrin-impregnated military battle dress uniforms were evaluated by comparing a new company-manufactured ready-to-use polymer-coating method with two "dipping methods" that are currently used to treat uniforms. Residual permethrin amounts and remaining contact toxicities on treated fabrics before and after up to 100 launderings were tested against Aedes aegypti (L.), Ixodes ricinus (L.), and Lepisma saccharina (L.). The residual amount of permethrin was considerably higher with the polymer-coating method: 280 mg a.i./m2 after 100 launderings, compared with 16 and 11 mg a.i./m2, respectively, obtained when using the two dipping methods. Hard ticks were most susceptible to the new polymer-coating method, resulting in prelaundering 100% knockdown times of 7.0 +/- 0.9 min, whereas equivalent times for the dipping methods were 7.9 +/- 0.35 min and 8.0 +/- 0.54 min, respectively. After 100 launderings, 100% knockdown of I. ricinus nymphs was reached at 15.2 +/- 1.04 min using the polymer-coating method, compared with 178.8 +/- 24.7 min and 231 +/- 53.6 min, respectively, using the dipping methods. Similar results were obtained for Ae. aegypti and L. saccharina, indicating that the polymer-coating method is more effective and efficient when compared with the dipping methods.