Tularemia: una década en la provincia de Soria

Aldea-Mansilla, Carmen; Nebreda, Teresa; Cruz, Susana García de; Dodero, Eduardo; Escudero, Raquel; Anda, Pedro; Campos, Ángel

doi:10.1016/j.eimc.2008.11.017

Cited by 6 publications

(1 citation statement)

References 9 publications

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“…A frequent at-risk exposure among patients was direct contact with hares. Hares are known to be a major reservoir of Francisella and a source of infection for humans in North America and several European countries [4,[17][18][19]. By contrast with outdoor activities, handling hares is a rare at-risk exposure in the general population but is frequent among tularaemia cases and can therefore be considered a likely cause of infection when reported.…”

Section: Discussionmentioning

confidence: 99%

10 years of surveillance of human tularaemia in France

Mailles

Vaillant

2014

Eurosurveillance

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Tularaemia has been mandatorily notifiable in France since October 2002. The surveillance aims to detect early any infection possibly due to bioterrorism and to follow up disease trends. We report the results of national surveillance from 2002 to 2012. A case is defined as a patient with clinical presentation suggestive of tularaemia and biological confirmation of infection or an epidemiological link with a biologically confirmed case. Clinical, biological and epidemiological data are collected using a standardised notification form. From 2002 to 2012, 433 cases were notified, with a median age of 49 years (range 2 to 95 years) and a male-female sex ratio of 1.8. Most frequent clinical presentations were glandular tularaemia (n=200; 46%) and ulceroglandular tularaemia (n=113; 26%). Most frequent at-risk exposures were handling hares (n=179; 41%) and outdoor leisure exposure to dust aerosols (n=217; 50%). Tick bites were reported by 82 patients (19%). Ten clusters (39 cases) were detected over the 10-year period, as well as a national outbreak during winter 2007/2008. The tularaemia surveillance system is able to detect small clusters as well as major outbreaks. Surveillance data show exposure to dust aerosols during outdoor leisure activities to be a major source of contamination in France.

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Section: Discussionmentioning

confidence: 99%

10 years of surveillance of human tularaemia in France

Mailles

Vaillant

2014

Eurosurveillance

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A comparison of methods for estimating common vole (Microtus arvalis) abundance in agricultural habitats

Jareño

Viñuela

Luque‐Larena

et al. 2014

Ecological Indicators

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The status of tularemia in Europe in a one-health context: a review

et al. 2014

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SUMMARYThe bacterium Francisella tularensis causes the vector-borne zoonotic disease tularemia, and may infect a wide range of hosts including invertebrates, mammals and birds. Transmission to humans occurs through contact with infected animals or contaminated environments, or through arthropod vectors. Tularemia has a broad geographical distribution, and there is evidence which suggests local emergence or re-emergence of this disease in Europe. This review was developed to provide an update on the geographical distribution of F. tularensis in humans, wildlife, domestic animals and vector species, to identify potential public health hazards, and to characterize the epidemiology of tularemia in Europe. Information was collated on cases in humans, domestic animals and wildlife, and on reports of detection of the bacterium in arthropod vectors, from 38 European countries for the period 1992-2012. Multiple international databases on human and animal health were consulted, as well as published reports in the literature. Tularemia is a disease of complex epidemiology that is challenging to understand and therefore to control. Many aspects of this disease remain poorly understood. Better understanding is needed of the epidemiological role of animal hosts, potential vectors, mechanisms of maintenance in the different ecosystems, and routes of transmission of the disease.

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Tularemia: una década en la provincia de Soria

Cited by 6 publications

References 9 publications

10 years of surveillance of human tularaemia in France

10 years of surveillance of human tularaemia in France

A comparison of methods for estimating common vole (Microtus arvalis) abundance in agricultural habitats

The status of tularemia in Europe in a one-health context: a review

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