Surveillance of tularaemia in Kosovo*, 2001 to 2010

摘要: Tularaemia, caused by Francisella tularensis, had not been registered in Kosovo before an outbreak 1999 and 2000. A national surveillance system has implemented since 2000 to monitor a number of diseases, including tularaemia. Antibody detection human sera was used for laboratory diagnosis tularaemia F. tularensis lipopolysaccharide antigen as marker infection. The purpose this study is describe the incidence after 1999-00 outbreak. In 2001 2002, second occurred, with 327 serologically confirmed cases. From 2010, 25-327 cases were per year, giving mean annual 5.2 100,000 population. most likely sources infection contaminated drinking water food. dominant clinical manifestations glandular (79%) ulcero-glandular (21%) forms. By disease spread throughout Kosovo. Presumably result war subsequent environmental disruption, mass population displacement breakdown sanitation hygiene, two major outbreaks resulted establishment active endemic area