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A waterborne tularemia outbreak

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Abstract

A waterborne tularemia outbreak is described. Forty nine cases were identified in Sansepolcro, a small Medioeval town in the province of Arezzo, Tuscany, Italy. All cases had laterocervical or sub-mandibular adenitis, and occurred within a period of three weeks during March and April 1982.

The study showed association between cases and the consumption of water from an unchlorinated water system. Francisella tularensis type 1 was isolated from wild hares captured in the area.

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References

  1. FrancisE. (1921): The occurrence of tularemia in nature as a disease of man. - Public Health Rep., 36: 1371.

    Google Scholar 

  2. YoungL.S., BicknellD.S., ArcherB.G., ClintonJ.M., LeavensL.J., FeeleyJ.C. and BrachmanP.S. (1969): Tularemia epidemic: Vermont 1968. Fortyseven cases linked to contact with muskrats. -N. Engl. J. Med., 280: 1253.

    Google Scholar 

  3. KarpoffS.P., AntonoffN.I. (1936): The spread of tularemia through water, as a new factor in its epidemiology. - J. Bact., 32: 243.

    Google Scholar 

  4. WestE.D. and MarchetteN.J. (1958): Transmission of Pasteurella tularensis among desert rodents through infective carcasses. - Science, 128: 363.

    Google Scholar 

  5. QuanS.F., McMamusA.G. and VonFintelH. (1956): Infectivity of tularemia applied to intact skin and ingested in drinking water. - Science, 123: 942.

    Google Scholar 

  6. JonesWl. (1974): Immunoserological Tests Other Than Syphilis. In: Lennette E.H., Spaulding E.H., Truant J.P. Manual of Clinical Microbiology, 2nd edition. Eds American Society for Microbiology, Washington, DC., pp. 455–460.

    Google Scholar 

  7. EigelsbachH.T. (1974): Francisella tularensis, In: Lennette E.H., Spaulding E.H., Truant J.P., Manual of Clinical Microbiology, 2nd edition, Eds American Society for Microbiology, Washington, DC, pp. 316–319.

    Google Scholar 

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Greco, D., Allegrini, G., Tizzi, T. et al. A waterborne tularemia outbreak. Eur J Epidemiol 3, 35–38 (1987). https://doi.org/10.1007/BF00145070

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