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[What is new in the epidemiologic characteristics of hemorrhagic fever with renal syndrome in Croatia?].
Acta Med Croatica. 2003; 57(5):399-405.AM

Abstract

AIM

The aim was to describe epidemiologic characteristics of hemorrhagic fever with renal syndrome in Croatia.

METHODS

We analyzed published data from obligatory infectious disease reports and notification of deaths due to infectious diseases, data on the hemorrhagic fever with renal syndrome epidemics in Croatia, and our own data.

RESULTS AND DISCUSSION

During the 1987-2002 period, 555 cases of hemorrhagic fever with renal syndrome were recorded in Croatia, 160 (28.8%) of them in soldiers. The mortality rate was up to 15.4% (mean 1.1%) (6/555). The highest number of cases (317) were recorded during 2002. The epidemic started in winter. The highest number of cases were recorded in June and July, i.e., during the warm season characterized by an increased activity of both animals acting as infection reservoirs and humans as hosts. The epidemic spread almost throughout Croatia. The known natural foci of hemorrhagic fever with renal syndrome are Plitvice and Slunj areas, Dinara mountain, Velika and Mala Kapela mountains, Zagreb area (Velika Gorica and Jastrebarsko), Gorski kotar area (Ogulin, Delnice), west Slavonia, and Novska area. The disease has not been recorded in the littoral area and on Adriatic Islands. The disease was also recorded in the neighboring countries of Slovenia, Bosnia and Herzegovina, Serbia and Montenegro. The identified causative agents include Dobrava and Puumala viruses of the genus Hantavirus, whereas the rodents Clethrionomys glareolus, Apodemus flavicollis, Apodemus agrarius and Apodemus sylvaticus serve as the main reservoirs of the infection in Croatia. Typical biotopes of the infection in Croatia are deciduous woods.

CONCLUSION

The 2002 epidemic confirms the presumption that almost all continental part of Croatia contains natural foci of hemorrhagic fever with renal syndrome.

Authors+Show Affiliations

Institut pomorske medicine HRM, Soltanska 1 21 000 Split. rosanda.mulic1@st.htnet.hrNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

hrv

PubMed ID

15011468

Citation

Mulić, Rosanda, et al. "[What Is New in the Epidemiologic Characteristics of Hemorrhagic Fever With Renal Syndrome in Croatia?]." Acta Medica Croatica : Casopis Hravatske Akademije Medicinskih Znanosti, vol. 57, no. 5, 2003, pp. 399-405.
Mulić R, Ropac D, Gizdić Z, et al. [What is new in the epidemiologic characteristics of hemorrhagic fever with renal syndrome in Croatia?]. Acta Med Croatica. 2003;57(5):399-405.
Mulić, R., Ropac, D., Gizdić, Z., & Sikić, N. (2003). [What is new in the epidemiologic characteristics of hemorrhagic fever with renal syndrome in Croatia?]. Acta Medica Croatica : Casopis Hravatske Akademije Medicinskih Znanosti, 57(5), 399-405.
Mulić R, et al. [What Is New in the Epidemiologic Characteristics of Hemorrhagic Fever With Renal Syndrome in Croatia?]. Acta Med Croatica. 2003;57(5):399-405. PubMed PMID: 15011468.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [What is new in the epidemiologic characteristics of hemorrhagic fever with renal syndrome in Croatia?]. AU - Mulić,Rosanda, AU - Ropac,Darko, AU - Gizdić,Zeljko, AU - Sikić,Natasa, PY - 2004/3/12/pubmed PY - 2004/4/2/medline PY - 2004/3/12/entrez SP - 399 EP - 405 JF - Acta medica Croatica : casopis Hravatske akademije medicinskih znanosti JO - Acta Med Croatica VL - 57 IS - 5 N2 - AIM: The aim was to describe epidemiologic characteristics of hemorrhagic fever with renal syndrome in Croatia. METHODS: We analyzed published data from obligatory infectious disease reports and notification of deaths due to infectious diseases, data on the hemorrhagic fever with renal syndrome epidemics in Croatia, and our own data. RESULTS AND DISCUSSION: During the 1987-2002 period, 555 cases of hemorrhagic fever with renal syndrome were recorded in Croatia, 160 (28.8%) of them in soldiers. The mortality rate was up to 15.4% (mean 1.1%) (6/555). The highest number of cases (317) were recorded during 2002. The epidemic started in winter. The highest number of cases were recorded in June and July, i.e., during the warm season characterized by an increased activity of both animals acting as infection reservoirs and humans as hosts. The epidemic spread almost throughout Croatia. The known natural foci of hemorrhagic fever with renal syndrome are Plitvice and Slunj areas, Dinara mountain, Velika and Mala Kapela mountains, Zagreb area (Velika Gorica and Jastrebarsko), Gorski kotar area (Ogulin, Delnice), west Slavonia, and Novska area. The disease has not been recorded in the littoral area and on Adriatic Islands. The disease was also recorded in the neighboring countries of Slovenia, Bosnia and Herzegovina, Serbia and Montenegro. The identified causative agents include Dobrava and Puumala viruses of the genus Hantavirus, whereas the rodents Clethrionomys glareolus, Apodemus flavicollis, Apodemus agrarius and Apodemus sylvaticus serve as the main reservoirs of the infection in Croatia. Typical biotopes of the infection in Croatia are deciduous woods. CONCLUSION: The 2002 epidemic confirms the presumption that almost all continental part of Croatia contains natural foci of hemorrhagic fever with renal syndrome. SN - 1330-0164 UR - https://www.unboundmedicine.com/medline/citation/15011468/[What_is_new_in_the_epidemiologic_characteristics_of_hemorrhagic_fever_with_renal_syndrome_in_Croatia]_ L2 - http://www.diseaseinfosearch.org/result/3317 DB - PRIME DP - Unbound Medicine ER -
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