The status of tularemia in Europe in a one-health context: a review.

摘要: The bacterium Francisella tularensis causes the vector-borne zoonotic disease tularemia, and may infect a wide range of hosts including invertebrates, mammals birds. Transmission to humans occurs through contact with infected animals or contaminated environments, arthropod vectors. Tularemia has broad geographical distribution, there is evidence which suggests local emergence re-emergence this in Europe. This review was developed provide an update on distribution F. humans, wildlife, domestic vector species, identify potential public health hazards, characterize epidemiology tularemia Information collated cases reports detection vectors, from 38 European countries for period 1992-2012. Multiple international databases human animal were consulted, as well published literature. complex that challenging understand therefore control. Many aspects remain poorly understood. Better understanding needed epidemiological role hosts, mechanisms maintenance different ecosystems, routes transmission disease.