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Epidemiology and Ecology of Tularemia in Sweden, 1984-2012
Umeå University, Faculty of Medicine, Department of Clinical Microbiology.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Umeå University, Faculty of Medicine, Department of Clinical Microbiology, Infectious Diseases. (Arcum)ORCID iD: 0000-0002-7580-6485
Umeå University, Faculty of Science and Technology, Department of Mathematics and Mathematical Statistics.
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2015 (English)In: Emerging Infectious Diseases, ISSN 1080-6040, E-ISSN 1080-6059, Vol. 21, no 1, 32-39 p.Article in journal (Refereed) Published
Abstract [en]

The zoonotic disease tularemia is endemic in large areas of the Northern Hemisphere, but research is lacking on patterns of spatial distribution and connections with ecologic factors. To describe the spatial epidemiology of and identify ecologic risk factors for tularemia incidence in Sweden, we analyzed surveillance data collected over 29 years (1984-2012). A total of 4,830 cases were notified, of which 3,524 met all study inclusion criteria. From the first to the second half of the study period, mean incidence increased 10-fold, from 0.26/100,000 persons during 1984-1998 to 2.47/100,000 persons during 1999 2012 (p<0.001). The incidence of tularemia was higher than expected in the boreal and alpine ecologic regions (p<0.001), and incidence was positively correlated with the presence of lakes and rivers (p<0.001). These results provide a comprehensive epidemiologic description of tularemia in Sweden and illustrate that incidence is higher in locations near lakes and rivers.

Place, publisher, year, edition, pages
2015. Vol. 21, no 1, 32-39 p.
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Medical and Health Sciences
URN: urn:nbn:se:umu:diva-99774DOI: 10.3201/eid2101.140916ISI: 000347503700005OAI: diva2:789252
Available from: 2015-02-18 Created: 2015-02-12 Last updated: 2016-05-23Bibliographically approved

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Desvars, AmélieFurberg, MariaVidman, LindaSjöstedt, AndersRydén, PatrikJohansson, Anders
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Department of Clinical MicrobiologyEpidemiology and Global HealthInfectious DiseasesDepartment of Mathematics and Mathematical StatisticsMolecular Infection Medicine Sweden (MIMS)
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