Tularemia - possible increase and new risk factors

Posautz, A. and Gyuranecz, M. and Dénes, B. and Knauer, F. and Dier, H. (2019) Tularemia - possible increase and new risk factors. In: International Meeting on Emerging Diseases and Surveillance 2018, 2018. november 9-12., Vienna, Austria.

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Abstract

Purpose: Tularemia is a zoonotic disease caused by the bacterium Francisella tularensis. In Europe each year approximately 1200 human cases are reported. Four subspecies are currently known: tularensis (the most virulent form), holarctica (the most widespread form), mediasiatic, and novicida. In Austria Francisella tularensis supsp. holarctica is endemic in the eastern part of the country (Lower Austria and Burgenland), and is known to have a 5-year cycle. Zoonotic transmission from pet species in Europe has only been described in Norway due to a cat bite, as well as after an accidental exposure to the disease while spaying a cat. In 2014 first reports of clinically ill dogs were reported from Norway. Methods & Materials: As hunting with dogs has a long tradition in Austria, and as there are endemic areas for the disease a first serological screening of 80 hunting dogs used in the hunt for European brown hares (Lepus europaeus) was conducted. Results: Of these 80 dogs 5 tested positive for tularemia (6.25%, CI 2.1% - 14%). One positive dog had shown some clinical symptoms, however this female dog also tested positive for Brucella canis. Conclusion: This result shows that dogs not only have contact to the pathogen, but also seroconvert. The occurrence of the disease is thought to increase in the next years due to our changing climate, and this year there is a new hotspot of the disease in Austria (i.e. Salzburg). These changes, as well as the result of this study highlight the need to raise the awareness level of the disease, its possible increase and new risk factors.

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