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

Hestvik, G.; Warns-Petit, E.; Smith, L. A.; Fox, N. J.; Uhlhorn, H.; Artois, M.; Hannant, D.; Hutchings, M. R.; Mattsson, R.; Yon, L.; Gavier-Widen, D.

Authors

G. Hestvik

E. Warns-Petit

L. A. Smith

N. J. Fox

H. Uhlhorn

M. Artois

D. Hannant

M. R. Hutchings

R. Mattsson

LISA YON lisa.yon@nottingham.ac.uk
Associate Professor

D. Gavier-Widen



Abstract

The 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.

Journal Article Type Article
Publication Date 2015-07
Journal Epidemiology and Infection
Print ISSN 0950-2688
Electronic ISSN 1469-4409
Publisher Cambridge University Press (CUP)
Peer Reviewed Peer Reviewed
Volume 143
Issue 10
Pages 2137-2160
APA6 Citation Hestvik, G., Warns-Petit, E., Smith, L. A., Fox, N. J., Uhlhorn, H., Artois, M., …Gavier-Widen, D. (2015). The status of tularemia in Europe in a one-health context: a review. Epidemiology and Infection, 143(10), 2137-2160. doi:10.1017/s0950268814002398
DOI https://doi.org/10.1017/s0950268814002398
Publisher URL https://www.cambridge.org/core/journals/epidemiology-and-infection/article/status-of-tularemia-in-europe-in-a-onehealth-context-a-review/C400F85DE471711A14E3D418016447E1
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