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Spread of Puumala Hantavirus to New Areas in a Large Croatian Outbreak of Hemorrhagic Fever with Renal Syndrome, 2021 期刊论文

编号：

549E0D1F25DA10DDAA35D61256BF6220
作者：

Tomljenovic, Morana^[1,2];Lakoseljac, Danijela^[2,3];Knezevic, Lucija^[2];Batista, Marko^[2];VilibicCavlek, Tatjana^[4,5]Kaic, Bernad^[6];Hansen, Lisa^[7];Rode, Oktavija Dakovic^[8,9];
语种：

英文
期刊：

VECTOR-BORNE AND ZOONOTIC DISEASES ISSN：1530-3667 2024 年 ; 2024 JUL 11
疾病分类：

流行性出血热
关键词：

Croatia disease outbreaks hantavirus infections hemorrhagic fever with renal syndrome orthhantavirus puumala virus
摘要：

Background: The largest documented outbreak of hemorrhagic fever with renal syndrome occurred in Primorje-Gorski Kotar County, Croatia, in 2021, marking the first-time cases of hantavirus infection recorded outside of the known endemic region in the north of the county.Aim: To identify the factors contributing to the spread of the outbreak and to compare risk factors for acquiring hantavirus infection in the endemic and newly affected regions.Methods and Results: A total of 189 cases were confirmed by positive Puumala IgM/IgG antibodies (93.6%), and 13 probable cases were identified by clinical and epidemiological data (6.4%) using a structured questionnaire. Of the 179 cases with available clinical data, 59 (33.0%) were hospitalized. Three cases received hemodialysis, and no deaths were reported. Among 170 cases with information on exposures, 66 (38.8%) reported occupational risk. Cases in the northern part of county were more likely to have been infected in early spring (OR 27.1, 95% CI 2.93-250.7), to report seeing a rodent (OR 6.5; 95%CI 2.3-18.4), and to know someone with hemorrhagic fever with renal syndrome (HFRS) (OR 3.0; 95%CI 1.2-8.0) than cases from the southern part of the county. Data from Croatian Forests Ltd. suggested that an unusually good production of beech seeds in 2020 may have contributed to an increased rodent population in 2021. However, average temperature, rainfall, and humidity data from 2021 did not illustrate a significant difference from previous years (Kruskal-Wallis p = 0.837, p = 0.999, p = 0.108).Conclusion: The 2021 HFRS outbreak was likely fueled by an abundant rodent population and virus transmission in rodent hosts. Human activity, environmental factors, and the ensuing animal-human interactions have spread hantavirus infection from Croatia''s mountainous region to a previously nonendemic coastal area with a Mediterranean climate.
推荐引用方式
GB/T 7714：

Tomljenovic Morana,Lakoseljac Danijela,Knezevic Lucija, et al. Spread of Puumala Hantavirus to New Areas in a Large Croatian Outbreak of Hemorrhagic Fever with Renal Syndrome, 2021 [J].VECTOR-BORNE AND ZOONOTIC DISEASES,2024.
APA：

Tomljenovic Morana,Lakoseljac Danijela,Knezevic Lucija,Batista Marko,&Rode Oktavija Dakovic.(2024).Spread of Puumala Hantavirus to New Areas in a Large Croatian Outbreak of Hemorrhagic Fever with Renal Syndrome, 2021 .VECTOR-BORNE AND ZOONOTIC DISEASES.
MLA：

Tomljenovic Morana, et al. "Spread of Puumala Hantavirus to New Areas in a Large Croatian Outbreak of Hemorrhagic Fever with Renal Syndrome, 2021" .VECTOR-BORNE AND ZOONOTIC DISEASES(2024).
数据来源自科睿唯安Web of Science核心合集
入库时间：

2024/10/24 22:59:57
更新时间：

2024/10/25 0:43:27

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