2014
DOI: 10.3201/eid2005.130654
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Molecular Investigation of Tularemia Outbreaks, Spain, 1997–2008

Abstract: This disease has reemerged because of persistence of local reservoirs of infection.

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Cited by 35 publications
(25 citation statements)
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“…However, inside genetic clades, we could not highlight any correlation between genetic distance and geographic distance. While a previous study highlighted this type of correlation for clade B.52 in Spain (Dwibedi et al, 2016), identification this clade in France in 1988 suggests dispersal of the bacterium from France to Spain as tularemia outbreaks in Spain have first been reported since 1997 (De Mateo and Ruiz Coisin, 1998;Allue et al, 2008;Ariza-Miguel et al, 2014). Moreover, the outbreak in 1997 was associated with hunting and handling of European brown hares (L. europaeus) in northwestern Spain, which seems to coincide with a spread from France to Spain.…”
Section: Geographic Distributionmentioning
confidence: 94%
“…However, inside genetic clades, we could not highlight any correlation between genetic distance and geographic distance. While a previous study highlighted this type of correlation for clade B.52 in Spain (Dwibedi et al, 2016), identification this clade in France in 1988 suggests dispersal of the bacterium from France to Spain as tularemia outbreaks in Spain have first been reported since 1997 (De Mateo and Ruiz Coisin, 1998;Allue et al, 2008;Ariza-Miguel et al, 2014). Moreover, the outbreak in 1997 was associated with hunting and handling of European brown hares (L. europaeus) in northwestern Spain, which seems to coincide with a spread from France to Spain.…”
Section: Geographic Distributionmentioning
confidence: 94%
“…F. tularensis subsp. tularensis is recognized as the most deathful subspecies which encompasses a vast range of virulent factors [3-5]. …”
Section: Introductionmentioning
confidence: 99%
“…In Turkey, 205 cases were noted in the late 1990s associated with use of drinking water from a natural aqueduct [8]. In Spain, tularemia in humans was first reported in 1996, when 585 cases occurred associated with hare hunting [9]. In parts of Moravia, Slovakia and Austria, tularemia occurs endemically, the annual incidence varying from 1 to 5 cases per 100,000 inhabitants [10].…”
Section: Epidemiologymentioning
confidence: 99%