Epidemiology and Infection

Review Article

Emerging zoonoses and vector-borne infections affecting humans in Europe

R. M. VOROUa1 c1, V. G. PAPAVASSILIOUa1 and S. TSIODRASa1a2

a1 Hellenic Center for Disease Control and Prevention, Athens, Greece

a2 Fourth University Department of Internal Medicine, University of Athens Medical School, Athens, Greece

SUMMARY

The purpose of this study was to assess and describe the current spectrum of emerging zoonoses between 2000 and 2006 in European countries. A computerized search of the Medline database from January 1966 to August 2006 for all zoonotic agents in European countries was performed using specific criteria for emergence. Fifteen pathogens were identified as emerging in Europe from 2000 to August 2006: Rickettsiae spp., Anaplasma phagocytophilum, Borrelia burgdorferi, Bartonella spp., Francisella tularensis, Crimean Congo Haemorrhagic Fever Virus, Hantavirus, Toscana virus, Tick-borne encephalitis virus group, West Nile virus, Sindbis virus, Highly Pathogenic Avian influenza, variant Creutzfeldt–Jakob disease, Trichinella spp., and Echinococus multilocularis. Main risk factors included climatic variations, certain human activities as well as movements of animals, people or goods. Multi-disciplinary preventive strategies addressing these pathogens are of public health importance. Uniform harmonized case definitions should be introduced throughout Europe as true prevalence and incidence estimates are otherwise impossible.

(Accepted March 22 2007)

(Online publication April 20 2007)

Correspondence:

c1 Author for correspondence: Dr R. M. Vorou, 34 Ipirou Str, Halandri, 15231, Athens, Greece. (Email: vorou@keelpno.gr)

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