Multiple Synchronous Outbreaks of Puumala Virus, Germany, 2010

J. Ettinger,J. Hofmann,M. Enders,F. Tewald,R. Oehme,U. Rosenfeld,H. S. Ali,Mathias Schlegel,S. Essbauer,Anja Osterberg,J. Jacob,D. Reil,B. Klempa,R. Ulrich,D. Kruger

Published 2012 in Emerging Infectious Diseases

ABSTRACT

To investigate 2,017 cases of hantavirus disease in Germany, we compared 38 new patient-derived Puumala virus RNA sequences identified in 2010 with bank vole–derived small segment RNA sequences. The epidemic process was driven by outbreaks of 6 Puumala virus clades comprising strains of human and vole origin. Each clade corresponded to a different outbreak region.

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