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On 31 of July 2019, the Public Health Agency of Sweden was alerted about an increasing number of tularaemia cases in Gävleborg, a county in central Sweden. The number of cases increased thereafter peaking at about 150 reports of illnesses every week. As at 6 October, a total of 979 cases (734 laboratory-confirmed) have been reported, mainly from counties in central Sweden. The outbreak is now considered over (as at 14 October).


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  1. Kampen H, Walther D. Vector potential of mosquito species (Diptera: Culicidae) occurring in central Europe. Mosquito-borne Diseases. Implications for public health. Parasitology Research Monographs 10. Springer. Eds: Benelli, G. and Mehlhorn, H. Springer International Publishing. 2018.
  2. Statens Veterinärmedicinska anstalt (SVA). Surveillance of infectious diseses in animials and humans in Sweden. Uppsala: SVA; [accessed 7 Oct 2019]. Swedish. Available from: https://www.sva.se/om-sva/publikationer/sjukdomsovervakning/rapport-surveillance-of-infectious-diseases
  3. Mörner T. The ecology of tularaemia. Rev Sci Tech. 1992;11(4):1123-30.  https://doi.org/10.20506/rst.11.4.657  PMID: 1305858 
  4. European Centre for Disease Prevention and Control (ECDC). Tularaemia. Factsheet. Stockholm: ECDC; [Accessed 7 Oct 2019]. Available from: https://ecdc.europa.eu/en/tularaemia/facts
  5. Cross AR, Baldwin VM, Roy S, Essex-Lopresti AE, Prior JL, Harmer NJ. Zoonoses under our noses. Microbes Infect. 2019;21(1):10-9.  https://doi.org/10.1016/j.micinf.2018.06.001  PMID: 29913297 
  6. Payne L, Arneborn M, Tegnell A, Giesecke J. Endemic tularemia, Sweden, 2003. Emerg Infect Dis. 2005;11(9):1440-2.  https://doi.org/10.3201/eid1109.041189  PMID: 16229776 
  7. Hjertqvist M, Ahlm C, Klingström J. Sex patterns in diagnoses of tularaemia, Sweden 1997-2008. J Infect. 2010;60(2):186-7.  https://doi.org/10.1016/j.jinf.2009.11.012  PMID: 20004687 
  8. Tärnvik A, Sandström G, Sjöstedt A. Epidemiological analysis of tularemia in Sweden 1931-1993. FEMS Immunol Med Microbiol. 1996;13(3):201-4.  https://doi.org/10.1111/j.1574-695X.1996.tb00237.x  PMID: 8861029 
  9. Hjertqvist M, Arneborn M, Bäck E. Emergence of tularaemia in Sweden - an epidemiological survey of the last 35 years. 2006. Master thesis in Communicable Diseases and Infection Control.
  10. Statens Veterinärmedicinska anstalt (SVA). Karta över harpest. Uppsala: SVA; [Accessed 14 Oct 2019]. Swedish. Available from: https://www.sva.se/smittlage/karta-over-harpest
  11. Larssen KW, Bergh K, Heier BT, Vold L, Afset JE. All-time high tularaemia incidence in Norway in 2011: report from the national surveillance. Eur J Clin Microbiol Infect Dis. 2014;33(11):1919-26.  https://doi.org/10.1007/s10096-014-2163-2  PMID: 24874046 
  12. Eliasson H, Broman T, Forsman M, Bäck E. Tularemia: current epidemiology and disease management. Infect Dis Clin North Am. 2006;20(2):289-311, ix.  https://doi.org/10.1016/j.idc.2006.03.002  PMID: 16762740 
  13. Rydén P, Björk R, Schäfer ML, Lundström JO, Petersén B, Lindblom A, et al. Outbreaks of tularemia in a boreal forest region depends on mosquito prevalence. J Infect Dis. 2012;205(2):297-304.  https://doi.org/10.1093/infdis/jir732  PMID: 22124130 

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