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- Volume 30, Issue 26, 03/Jul/2025
Eurosurveillance - Volume 30, Issue 26, 03 July 2025
Volume 30, Issue 26, 2025
- Editorial
- Rapid communication
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Autochthonous transmission of Trichophyton indotineae through sexual contact, France, 2024
Trichophyton indotineae is an emerging difficult to diagnose dermatophyte species associated with terbinafine resistance, which was initially described in South-Asian and Middle-Eastern countries. We report four cases of sexually transmitted dermatophytosis caused by T. indotineae in two female sex-workers, including one transgender woman, and two men who have sex with men. All four cases were acquired in Europe, highlighting the risk of pathogen spread through sexual contact outside initial endemic areas.
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Exploring all-cause mortality surveillance during the Iberian Peninsula power outage, Spain, 28 April 2025
A general power outage affected the Iberian Peninsula on 28 April 2025. We explored all-cause mortality in Spain using the monitoring system MoMo. Starting 28 April, over 3 days, 147 excess deaths (95% CI: − 35 to 330) appeared to occur in the country, corresponding to a 4.2% increase over expected mortality. A larger significant 7.9% increase was estimated in 65–84-year-olds (94 excess deaths; 95% CI: 63 to 125). While MoMo cannot attribute such excesses to specific causes, findings highlight the usefulness of real-time surveillance systems for assessing large-scale emergencies.
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- Top
- Outbreaks
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Concurrent Cryptosporidium parvum outbreaks: molecular characterisation supporting epidemiological investigations leads to identification of different implicated food items, Sweden, 2019
In Sweden, an increase in the number of notified cases of cryptosporidiosis was observed 1 October–31 December 2019 (462 domestic cases). Although a single national outbreak was initially suspected, molecular and epidemiological analyses revealed two concurrent national outbreaks and three local outbreaks. Cryptosporidium parvum subtype IIdA22G1c and IIdA24G1 were identified as the cause of the national outbreaks and subtype IIdA20G1e and IIdA21G1 as the cause of the local outbreaks. A case-case study comparing exposures in IIdA22G1c to IIdA24G1 revealed that cases with subtype IIdA22G1c (n = 48) were associated with consumption of a fresh fruit-and-vegetable juice (adjusted odds ratio (aOR) = 17; 95% confidence interval (CI): 1.8–169; p = 0.002). In the local outbreaks with subtype IIdA20G1e and IIdA21G1, cohort studies suggested that cases were associated with consumption of salads. Several coinciding outbreaks with different C. parvum subtypes explained the increase of cryptosporidiosis, and molecular typing was crucial in guiding relevant cross-disciplinary collaboration.
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Cross-border outbreak of Yersinia enterocolitica bioserotype 2/O:9 infections associated with consumption of French unpasteurised soft goat’s milk cheese, 2024
In March 2024, the French genomic surveillance of enteric yersiniosis identified a cluster of lineage 2/3–9b Yersinia enterocolitica isolates, corresponding to bioserotype 2/O:9. An outbreak investigation was conducted to identify the source and implement control measures. A total of 175 confirmed cases were identified in France with sampling dates between 27 January and 23 August. Case interviews and trace-back investigations identified unpasteurised soft goat’s milk cheese from one manufacturer in France as the probable source of the outbreak. Yersinia enterocolitica belonging to the same cluster as the case isolates was isolated from 23 samples from the manufacturer and a goat farm supplying milk to the dairy. Cheeses from the manufacturer were recalled in France. A Rapid Alert System for Food and Feed (RASFF) notification was issued, allowing the identification of cheese distribution from the manufacturer to 29 countries. An Epipulse alert led to the identification of seven additional cases in Belgium, Luxembourg and Norway, illustrating the value of international warning systems. This outbreak demonstrates risks with consumption of unpasteurised cheese and emphasises the need of rigorous good hygiene practices on dairy farms and dairies, especially when milk is processed without pasteurisation.
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- Research
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Emergent informal use of doxycycline post- and pre-exposure prophylaxis among men who have sex with men and transgender and gender diverse people, the Netherlands, 2024
BACKGROUNDDoxycycline post-exposure and pre-exposure prophylaxis (doxyPEP/PrEP) to prevent sexually transmitted infections (STIs) is not part of standard practice in the Netherlands but may be used informally (without prescription).
AIMWe assessed informal use and intention to use doxyPEP/PrEP among men who have sex with men (MSM) and transgender and gender diverse people in the Netherlands.
METHODSBetween 26 February and 6 May 2024, we conducted an online survey on informal doxyPEP/PrEP use in the preceding 6 months and intention to use. We assessed the determinants of recent informal use and high intention to use using risk ratio regression.
RESULTSOf the 1,633 participating individuals (96.7% MSM) 246 (15%) reported doxyPEP/PrEP use in the preceding 6 months. Informal use was more common among participants who used HIV PrEP or were living with HIV, had ≥ 15 anonymous sexual partners, engaged in chemsex, wanted to protect themselves, got advice from others to use doxyPEP/PrEP and believed doxyPEP/PrEP is safe. High intention to use (n = 1,063 (65%) participants) was more common among participants using HIV PrEP or living with HIV, who wanted to have condomless sex, who wanted to protect others from STIs and who perceived doxyPEP/PrEP as effective and safe.
CONCLUSIONAlthough doxyPEP/PrEP is not formally recommended in the Netherlands, survey participants reported informal use and a high intention to use. These findings, combined with the global increase of antimicrobial resistance (AMR), stress the need for close monitoring and further research on the AMR effects of doxyPEP/PrEP use.
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Volumes & issues
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Volume 30 (2025)
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Volume 29 (2024)
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Volume 28 (2023)
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Volume 27 (2022)
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Volume 26 (2021)
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Volume 25 (2020)
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Volume 24 (2019)
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Volume 23 (2018)
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Volume 22 (2017)
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Volume 21 (2016)
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Volume 20 (2015)
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Volume 19 (2014)
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Volume 18 (2013)
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Volume 17 (2012)
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Volume 16 (2011)
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Volume 15 (2010)
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Volume 14 (2009)
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Volume 13 (2008)
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Volume 12 (2007)
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Volume 11 (2006)
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Volume 10 (2005)
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Volume 9 (2004)
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Volume 8 (2003)
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Volume 7 (2002)
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Volume 6 (2001)
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Volume 5 (2000)
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Volume 4 (1999)
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Volume 3 (1998)
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Volume 2 (1997)
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Volume 1 (1996)
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Volume 0 (1995)
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