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Eurosurveillance
Since 1995, Eurosurveillance has provided the European public health community with an open-access platform to exchange relevant findings on communicable disease surveillance, prevention and control. A weekly, electronic, peer-reviewed publication, Eurosurveillance aims to provide timely facts and guidance for public health professionals and decision-makers in the field of infectious disease to facilitate the implementation of effective prevention and control measures. Impact factor: 7.8. More...
Latest Issue: Volume 30, Issue 49, 11 December 2025 Latest Issue RSS feed
- Rapid communication
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Extended influenza seasons in Australia and New Zealand in 2025 due to the emergence of influenza A(H3N2) subclade K viruses
More LessIn Australia and New Zealand, late outbreaks of an A(H3N2) variant virus termed subclade K extended the 2025 influenza season. Subclade K viruses were genetically and antigenically distinct from the 2025 vaccine A(H3N2) strain A/Croatia/10136RV/2023 (H3N2)-like virus and previously circulating subclade J viruses. Subclade K viruses have since been detected in over 34 countries and appear to have spread globally, except in South America. It is thus likely that they will further expand during the northern hemisphere winter 2025/26 season.
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Rapid emergence of Trichophyton indotineae (Trichophyton mentagrophytes ITS genotype VIII) observed in the United Kingdom, up to August 2025
More LessTrichophyton indotineae is an emerging dermatophyte increasingly detected in the United Kingdom, often with antifungal resistance. We identified 363 cases between January 2017 and August 2025, with 310 cases (85%) since January 2023. Cases were mostly concentrated in major urban centres and most affected individuals were working-age adults, frequently reporting South Asian ethnicity. The importance of international importation vs domestic transmission remains unclear. Implementing enhanced surveillance would help to identify risk factors and transmission routes to focus prevention efforts.
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Lessons from an investigation of an autochthonous chikungunya outbreak in Bergerac, mainland France, June to October 2025
More LessIn 2025, an unprecedented number of autochthonous chikungunya transmission events occurred in mainland France. One of the largest outbreaks took place in Bergerac (south-west France). By 27 October, 100 locally acquired cases were identified. They had symptom onsets between June and October. Our data suggest that door-knocking surveys and vector control measures assisted in slowing the virus spread. Autochthonous outbreaks of mosquito-borne diseases are expected to become more frequent with climate change, so improving outbreak control is crucial.
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- Outbreaks
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A nosocomial outbreak of Ralstonia mannitolilytica linked to cosmetic water mist sprays in the intensive care unit of a tertiary care hospital, Switzerland, 2024
More LessRalstonia mannitolilytica is a rare emerging, multidrug-resistant, opportunistic pathogen known to cause nosocomial outbreaks associated with hospital water sources and medical devices. In June 2024, the microbiology laboratory of Lausanne University Hospital alerted the Infection Prevention and Control Unit following the detection of R. mannitolilytica in clinical samples from two intensive care unit (ICU) patients. This triggered a comprehensive epidemiological investigation, including extensive environmental sampling and whole genome sequencing of the isolates. Between May and June 2024, R. mannitolilytica was detected in three ICU patients. Activation of the Swissnoso network led to the identification of an additional case in a rehabilitation centre. Environmental investigations traced the source to commercial cosmetic water mist sprays used for patient care. The sequences confirmed a genetic match between patient and spray isolates, prompting the immediate withdrawal of this product. This nosocomial outbreak of R. mannitolilytica revealed an unexpected and seemingly innocuous source of contamination – water mist sprays – highlighting the importance of considering cosmetics products used in patient care and questioning their use in patients with risk factors, such as those in ICU or with immunosuppression.
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- Research
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Spatiotemporal trends and determinants of syphilis among heterosexual males and females in the Netherlands, 2011 to 2023
More LessBACKGROUNDSyphilis is increasing among females and heterosexual males (heterosexuals) in Europe and other Western countries. In the Netherlands, there has been an increase in syphilis positivity and diagnoses over the last 10 years. Research on syphilis among heterosexuals and on spatiotemporal syphilis trends in the Netherlands is limited.
AIMWe aimed to assess spatiotemporal trends and identify determinants of syphilis among heterosexuals in the Netherlands.
METHODSThis study used national surveillance data of all sexual health centres (SHCs) and included consultations among heterosexuals tested for syphilis between 2011 and 2023. Syphilis was defined as an infectious syphilis diagnosis (primary, secondary or early latent). Spatiotemporal trends were assessed using SaTScan, adjusting for demographic and behavioural factors. We performed a multivariate logistic regression to identify demographic and behavioural determinants of syphilis.
RESULTSWe analysed 694,698 STI consultations among heterosexuals and identified 686 syphilis diagnoses. We found an increase in syphilis positivity from 0.05% in 2011 to 0.23% in 2023. SaTScan identified two space-time clusters; one in the north (2020–23) and one in the south-west (2019–23) of the Netherlands. Living with HIV (adjusted odds ratio (aOR): 17.48; 95% CI: 11.75–25.08) and having symptoms (aOR: 2.73; 95% CI: 2.34–3.20) were most strongly associated with syphilis.
CONCLUSIONWe found an increasing trend of syphilis among heterosexuals diagnosed at SHCs in the Netherlands. Syphilis was found in all regions. Since living with HIV was the strongest risk factor for syphilis, increased testing among heterosexuals living with HIV, both at SHCs and HIV treatment clinics, is recommended.
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Recent articles
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Expansion of influenza A(H1N1)pdm09 NA:S247N viruses with reduced susceptibility to oseltamivir, Catalonia, Spain, and in Europe, July to October 2025
Narcís Saubi , Cristina Andrés , Ignasi Prats-Méndez , Alejandra González-Sánchez , Alysa Davtyan , Rodrigo Vásquez-Mercado , Ariadna Rando , Patricia Nadal , Juliana Esperalba , Maria Arnedo , Marina Vicente , Eva Balada , Jacobo Mendioroz , María Carmen Martín , Karen García-Camuñas , Raquel Vaz , Adrià Najarro , Susana Bernalte , Nieves Larrosa , Andrés Antón and on behalf of the SIVIC Infectious diseases sentinel network
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