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The last report of Crimean-Congo haemorrhagic fever (CCHF) in North Macedonia was more than 50 years ago in the northwest. We report on a fatal CCHF case following a tick bite in the east of the country in July 2023. Tracing of 67 contacts identified CCHF in one healthcare worker (HCW) providing care for the patient. Monitoring of contacts is concluded (including further 11 HCW contacts), thus far 28 days after the death of the case no additional cases were identified.


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  1. World Health Organization (WHO). Prioritizing diseases for research and development in emergency contexts. Geneva: WHO; 24 March 2023. [Accessed 1 Aug 2023]. Available from: https://www.who.int/activities/prioritizing-diseases-for-research-and-development-in-emergency-contexts
  2. Fanelli A, Schnitzler JC, De Nardi M, Donachie A, Capua I, Lanave G, et al. Epidemic intelligence data of Crimean-Congo haemorrhagic fever, European Region, 2012 to 2022: a new opportunity for risk mapping of neglected diseases. Euro Surveill. 2023 ;28(16) :2200542.  https://doi.org/10.2807/1560-7917.ES.2023.28.16.2200542  PMID: 37078883 
  3. Institute of Public Health of the Republic of North Macedonia (IPHNM). Информација за потврден случај на Конго-Кримска хеморагична треска. [Information on a confirmed case of Crimean-Congo haemorrhagic fever]. Skopje: IPHNM; 2023. Macedonian. Available from: https://www.iph.mk/informacija-2/
  4. MSF (Medicins sans frontières). Clinical guidelines – diagnosis and treatment manual. Chapter 8 Viral diseases – Viral haemorrhagic fevers. Geneva: MSF. [Accessed: 26 July 2023]. Available from: https://medicalguidelines.msf.org/en/viewport/CG/nglish/viral-haemorrhagic-fevers-16690024.html
  5. Hawman DW, Feldmann H. Crimean-Congo haemorrhagic fever virus. Nat Rev Microbiol. 2023;21(7):463-77.  https://doi.org/10.1038/s41579-023-00871-9  PMID: 36918725 
  6. Katanić R, Katanić N, Mirić D, Kisić B, Bojović K, Odalović D, et al. Krimska Kongo hemoragijska groznica: prikaz porodičnih epidemija. [Crimean-Congo haemorrhagic fever – description of a family epidemic]. Biomedicinska Istraživanja.2013;4(1):68-74. Bosnian.
  7. Djokic M, Vojic I, Mikić D, Begović V, Božović B, Djurcic P, et al. Krimska-kongo hemoragijska grozinica. [Crimean-Congo hemorrhagic fever]. Vojnosanit Pregl. 2000;57(4):467-71.Serbian.  PMID: 11521472 
  8. Ahmeti S, Berisha L, Halili B, Ahmeti F, von Possel R, Thomé-Bolduan C, et al. Crimean-Congo hemorrhagic fever, Kosovo, 2013-2016. Emerg Infect Dis. 2019;25(2):321-4.  https://doi.org/10.3201/eid2502.171999  PMID: 30666932 
  9. Papa A, Bino S, Papadimitriou E, Velo E, Dhimolea M, Antoniadis A. Suspected Crimean Congo haemorrhagic fever cases in Albania. Scand J Infect Dis. 2008;40(11-12):978-80.  https://doi.org/10.1080/00365540802144125  PMID: 18609200 
  10. Christova I, Gladnishka T, Taseva E, Kalvatchev N, Tsergouli K, Papa A. Seroprevalence of Crimean-Congo hemorrhagic fever virus, Bulgaria. Emerg Infect Dis. 2013;19(1):177-9.  https://doi.org/10.3201/eid1901.120299  PMID: 23260369 
  11. Kunchev A, Kojouharova M. Probable cases of Crimean-Congo-haemorrhagic fever in Bulgaria: a preliminary report. Euro Surveill. 2008;13(17):18845.  https://doi.org/10.2807/ese.13.17.18845-en  PMID: 18445449 
  12. Satrovic L, Softic A, Zuko A, Kustura A, Koro A, Goletic S, et al. First evidence of Crimean-Congo haemorrhagic fever virus circulation in Bosnia and Herzegovina. Vet Med Sci. 2022;8(3):1271-5.  https://doi.org/10.1002/vms3.781  PMID: 35263508 
  13. Bratuleanu B, Anita A, Temmam S, Dascalu A, Crivei L, Cozma A, et al. Seroprevalence of Crimean-Congo hemorrhagic fever among small ruminants from southern Romania. Vector Borne Zoonotic Dis. 2022;22(7):397-401.  https://doi.org/10.1089/vbz.2021.0091  PMID: 35772004 
  14. Magyar N, Kis Z, Barabás É, Nagy A, Henczkó J, Damjanova I, et al. New geographical area on the map of Crimean-Congo hemorrhagic fever virus: First serological evidence in the Hungarian population. Ticks Tick Borne Dis. 2021;12(1):101555.  https://doi.org/10.1016/j.ttbdis.2020.101555  PMID: 33022559 
  15. Földvári G, Szabó É, Tóth GE, Lanszki Z, Zana B, Varga Z, et al. Emergence of Hyalomma marginatum and Hyalomma rufipes adults revealed by citizen science tick monitoring in Hungary. Transbound Emerg Dis. 2022;69(5):e2240-8.  https://doi.org/10.1111/tbed.14563  PMID: 35436033 
  16. Mertens M, Vatansever Z, Mrenoshki S, Krstevski K, Stefanovska J, Djadjovski I, et al. Circulation of Crimean-Congo Hemorrhagic Fever Virus in the former Yugoslav Republic of Macedonia revealed by screening of cattle sera using a novel enzyme-linked immunosorbent assay. PloS Negl Trop Dis. 2015 ;9(3) :e0003519.  https://doi.org/10.1371/journal.pntd.0003519  PMID: 25742017 

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