Epidemiological study on the incidence of haemorrhagic fever with renal syndrome in five Western Balkan countries for a 10‐year period: 2006–2015

Background Large‐scale epidemics of haemorrhagic fever with renal syndrome (HFRS) have been reported mostly in Asia and Europe, with around 100,000 people affected each year. In the Southeast Europe, Balkan region, HFRS is endemic disease with approximately 100 cases per year. Our aim was to describ...

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Veröffentlicht in:Zoonoses and public health 2022-05, Vol.69 (3), p.195-206
Hauptverfasser: Štrbac, Mirjana, Vuković, Vladimir, Patić, Aleksandra, Medić, Snežana, Pustahija, Tatjana, Petrović, Vladimir, Lendak, Dajana, Ličina, Mirjana Kosanović, Bakić, Marijan, Protić, Jelena, Pranjić, Nurka, Jandrić, Ljubica, Sokolovska, Nikolina, Ristić, Mioljub
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container_title Zoonoses and public health
container_volume 69
creator Štrbac, Mirjana
Vuković, Vladimir
Patić, Aleksandra
Medić, Snežana
Pustahija, Tatjana
Petrović, Vladimir
Lendak, Dajana
Ličina, Mirjana Kosanović
Bakić, Marijan
Protić, Jelena
Pranjić, Nurka
Jandrić, Ljubica
Sokolovska, Nikolina
Ristić, Mioljub
description Background Large‐scale epidemics of haemorrhagic fever with renal syndrome (HFRS) have been reported mostly in Asia and Europe, with around 100,000 people affected each year. In the Southeast Europe, Balkan region, HFRS is endemic disease with approximately 100 cases per year. Our aim was to describe epidemiological characteristics of HFRS in five Western Balkan (WB) countries and to describe correlation between HFRS incidence and major meteorological event that hit the area in May 2014. Methods National surveillance data of HFRS from Bosnia and Herzegovina, Croatia, Montenegro, North Macedonia and Serbia obtained from 1 January 2006 to 31 December 2015 were collected and analysed. Results In a 10‐year period, a total of 1,065 HFRS patients were reported in five WB countries. Cumulative incidence rate ranged from 0.05 to 15.80 per 100.000 inhabitants (in North Macedonia and Montenegro respectively). Increasing number of HFRS cases was reported with a peak incidence in three specific years (2008, 2012, and 2014). Average incidence for the entire area was higher in males than females (5.63 and 1.90 per 100.000 inhabitants respectively). Summer was the season with the highest number of cases and an average incidence rate of 1.74/100.000 inhabitants across 10‐year period. Haemorrhagic fever with renal syndrome incidence was significantly increased (7.91/100.000 inhabitants) in 2014, when a few months earlier, severe floods affected several WB countries. A strong significant negative correlation (r = −.84, p 
doi_str_mv 10.1111/zph.12908
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In the Southeast Europe, Balkan region, HFRS is endemic disease with approximately 100 cases per year. Our aim was to describe epidemiological characteristics of HFRS in five Western Balkan (WB) countries and to describe correlation between HFRS incidence and major meteorological event that hit the area in May 2014. Methods National surveillance data of HFRS from Bosnia and Herzegovina, Croatia, Montenegro, North Macedonia and Serbia obtained from 1 January 2006 to 31 December 2015 were collected and analysed. Results In a 10‐year period, a total of 1,065 HFRS patients were reported in five WB countries. Cumulative incidence rate ranged from 0.05 to 15.80 per 100.000 inhabitants (in North Macedonia and Montenegro respectively). Increasing number of HFRS cases was reported with a peak incidence in three specific years (2008, 2012, and 2014). Average incidence for the entire area was higher in males than females (5.63 and 1.90 per 100.000 inhabitants respectively). Summer was the season with the highest number of cases and an average incidence rate of 1.74/100.000 inhabitants across 10‐year period. Haemorrhagic fever with renal syndrome incidence was significantly increased (7.91/100.000 inhabitants) in 2014, when a few months earlier, severe floods affected several WB countries. A strong significant negative correlation (r = −.84, p &lt; .01) between the monthly incidence of HFRS and the number of months after May's floods was demonstrated for the total area of WB. Conclusion Our findings demonstrate that the HFRS incidence had similar distribution (general, age, sex and seasonality) across majority of the included countries. Summer was the season with the highest recorded incidence. Common epidemic years were detected in all observed countries as well as a negative correlation between the monthly incidence of HFRS and the number of months after May's cyclone.</description><identifier>ISSN: 1863-1959</identifier><identifier>EISSN: 1863-2378</identifier><identifier>DOI: 10.1111/zph.12908</identifier><identifier>PMID: 34989483</identifier><language>eng</language><publisher>Germany: Blackwell Publishing Ltd</publisher><subject>Age composition ; Animals ; Balkans ; China - epidemiology ; Correlation ; Epidemics ; Epidemiologic Studies ; Epidemiology ; Female ; Fever ; Floods ; Haemorrhage ; Haemorrhagic fever with renal syndrome ; Hemorrhagic fever with renal syndrome ; Hemorrhagic Fever with Renal Syndrome - epidemiology ; Hemorrhagic Fever with Renal Syndrome - veterinary ; Humans ; Incidence ; Inhabitants ; Kidneys ; Male ; national surveillance data ; Seasonal variations ; Seasonality ; Serbia ; Sex differences ; Summer</subject><ispartof>Zoonoses and public health, 2022-05, Vol.69 (3), p.195-206</ispartof><rights>2022 Wiley‐VCH GmbH</rights><rights>2022 Wiley-VCH GmbH.</rights><rights>Copyright © 2022 Wiley‐VCH GmbH</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3538-ad2a225cf5fa4799619f4175e5719a02ce619907d2a4cd6169847508c771bf383</citedby><cites>FETCH-LOGICAL-c3538-ad2a225cf5fa4799619f4175e5719a02ce619907d2a4cd6169847508c771bf383</cites><orcidid>0000-0002-9561-7825</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fzph.12908$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fzph.12908$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,782,786,1419,27931,27932,45581,45582</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34989483$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Štrbac, Mirjana</creatorcontrib><creatorcontrib>Vuković, Vladimir</creatorcontrib><creatorcontrib>Patić, Aleksandra</creatorcontrib><creatorcontrib>Medić, Snežana</creatorcontrib><creatorcontrib>Pustahija, Tatjana</creatorcontrib><creatorcontrib>Petrović, Vladimir</creatorcontrib><creatorcontrib>Lendak, Dajana</creatorcontrib><creatorcontrib>Ličina, Mirjana Kosanović</creatorcontrib><creatorcontrib>Bakić, Marijan</creatorcontrib><creatorcontrib>Protić, Jelena</creatorcontrib><creatorcontrib>Pranjić, Nurka</creatorcontrib><creatorcontrib>Jandrić, Ljubica</creatorcontrib><creatorcontrib>Sokolovska, Nikolina</creatorcontrib><creatorcontrib>Ristić, Mioljub</creatorcontrib><title>Epidemiological study on the incidence of haemorrhagic fever with renal syndrome in five Western Balkan countries for a 10‐year period: 2006–2015</title><title>Zoonoses and public health</title><addtitle>Zoonoses Public Health</addtitle><description>Background Large‐scale epidemics of haemorrhagic fever with renal syndrome (HFRS) have been reported mostly in Asia and Europe, with around 100,000 people affected each year. In the Southeast Europe, Balkan region, HFRS is endemic disease with approximately 100 cases per year. Our aim was to describe epidemiological characteristics of HFRS in five Western Balkan (WB) countries and to describe correlation between HFRS incidence and major meteorological event that hit the area in May 2014. Methods National surveillance data of HFRS from Bosnia and Herzegovina, Croatia, Montenegro, North Macedonia and Serbia obtained from 1 January 2006 to 31 December 2015 were collected and analysed. Results In a 10‐year period, a total of 1,065 HFRS patients were reported in five WB countries. Cumulative incidence rate ranged from 0.05 to 15.80 per 100.000 inhabitants (in North Macedonia and Montenegro respectively). Increasing number of HFRS cases was reported with a peak incidence in three specific years (2008, 2012, and 2014). Average incidence for the entire area was higher in males than females (5.63 and 1.90 per 100.000 inhabitants respectively). Summer was the season with the highest number of cases and an average incidence rate of 1.74/100.000 inhabitants across 10‐year period. Haemorrhagic fever with renal syndrome incidence was significantly increased (7.91/100.000 inhabitants) in 2014, when a few months earlier, severe floods affected several WB countries. A strong significant negative correlation (r = −.84, p &lt; .01) between the monthly incidence of HFRS and the number of months after May's floods was demonstrated for the total area of WB. Conclusion Our findings demonstrate that the HFRS incidence had similar distribution (general, age, sex and seasonality) across majority of the included countries. Summer was the season with the highest recorded incidence. Common epidemic years were detected in all observed countries as well as a negative correlation between the monthly incidence of HFRS and the number of months after May's cyclone.</description><subject>Age composition</subject><subject>Animals</subject><subject>Balkans</subject><subject>China - epidemiology</subject><subject>Correlation</subject><subject>Epidemics</subject><subject>Epidemiologic Studies</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Fever</subject><subject>Floods</subject><subject>Haemorrhage</subject><subject>Haemorrhagic fever with renal syndrome</subject><subject>Hemorrhagic fever with renal syndrome</subject><subject>Hemorrhagic Fever with Renal Syndrome - epidemiology</subject><subject>Hemorrhagic Fever with Renal Syndrome - veterinary</subject><subject>Humans</subject><subject>Incidence</subject><subject>Inhabitants</subject><subject>Kidneys</subject><subject>Male</subject><subject>national surveillance data</subject><subject>Seasonal variations</subject><subject>Seasonality</subject><subject>Serbia</subject><subject>Sex differences</subject><subject>Summer</subject><issn>1863-1959</issn><issn>1863-2378</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc9qFTEUh4MotlYXvoAE3OjitvkzmSTutFQrFHShCG6GNHPipM4k02SmZVz1EQTxBfskZrxXF4LZnJDznY8cfgg9puSQlnP0bewOKdNE3UH7VNV8w7hUd3d3qoXeQw9yviBECE3kfbTHK610pfg--nky-hYGH_v4xVvT4zzN7YJjwFMH2AdbusECjg53BoaYUmcKiB1cQcLXfupwgrDOLaFNcVhnsPNXgD9BniAF_Mr0X03ANs5hSh4ydjFhgym5vfm-gEl4hORj-wIzQurbmx-MUPEQ3XOmz_BoVw_Qx9cnH45PN2fv3rw9fnm2sVxwtTEtM4wJ64QzldS6ptpVVAoQkmpDmIXyUjYuWGXbmtZaVVIQZaWk544rfoCebb1jipdz-XAz-Gyh702AOOeG1VQyqWtBC_r0H_QizqlsvlKVqrXmbBU-31I2xZwTuGZMfjBpaShp1qyaklXzO6vCPtkZ5_MB2r_kn3AKcLQFrn0Py_9Nzef3p1vlL15Knq4</recordid><startdate>202205</startdate><enddate>202205</enddate><creator>Štrbac, Mirjana</creator><creator>Vuković, Vladimir</creator><creator>Patić, Aleksandra</creator><creator>Medić, Snežana</creator><creator>Pustahija, Tatjana</creator><creator>Petrović, Vladimir</creator><creator>Lendak, Dajana</creator><creator>Ličina, Mirjana Kosanović</creator><creator>Bakić, Marijan</creator><creator>Protić, Jelena</creator><creator>Pranjić, Nurka</creator><creator>Jandrić, Ljubica</creator><creator>Sokolovska, Nikolina</creator><creator>Ristić, Mioljub</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7T2</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>F1W</scope><scope>H94</scope><scope>H95</scope><scope>K9.</scope><scope>L.G</scope><scope>M7N</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9561-7825</orcidid></search><sort><creationdate>202205</creationdate><title>Epidemiological study on the incidence of haemorrhagic fever with renal syndrome in five Western Balkan countries for a 10‐year period: 2006–2015</title><author>Štrbac, Mirjana ; Vuković, Vladimir ; Patić, Aleksandra ; Medić, Snežana ; Pustahija, Tatjana ; Petrović, Vladimir ; Lendak, Dajana ; Ličina, Mirjana Kosanović ; Bakić, Marijan ; Protić, Jelena ; Pranjić, Nurka ; Jandrić, Ljubica ; Sokolovska, Nikolina ; Ristić, Mioljub</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3538-ad2a225cf5fa4799619f4175e5719a02ce619907d2a4cd6169847508c771bf383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Age composition</topic><topic>Animals</topic><topic>Balkans</topic><topic>China - epidemiology</topic><topic>Correlation</topic><topic>Epidemics</topic><topic>Epidemiologic Studies</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Fever</topic><topic>Floods</topic><topic>Haemorrhage</topic><topic>Haemorrhagic fever with renal syndrome</topic><topic>Hemorrhagic fever with renal syndrome</topic><topic>Hemorrhagic Fever with Renal Syndrome - epidemiology</topic><topic>Hemorrhagic Fever with Renal Syndrome - veterinary</topic><topic>Humans</topic><topic>Incidence</topic><topic>Inhabitants</topic><topic>Kidneys</topic><topic>Male</topic><topic>national surveillance data</topic><topic>Seasonal variations</topic><topic>Seasonality</topic><topic>Serbia</topic><topic>Sex differences</topic><topic>Summer</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Štrbac, Mirjana</creatorcontrib><creatorcontrib>Vuković, Vladimir</creatorcontrib><creatorcontrib>Patić, Aleksandra</creatorcontrib><creatorcontrib>Medić, Snežana</creatorcontrib><creatorcontrib>Pustahija, Tatjana</creatorcontrib><creatorcontrib>Petrović, Vladimir</creatorcontrib><creatorcontrib>Lendak, Dajana</creatorcontrib><creatorcontrib>Ličina, Mirjana Kosanović</creatorcontrib><creatorcontrib>Bakić, Marijan</creatorcontrib><creatorcontrib>Protić, Jelena</creatorcontrib><creatorcontrib>Pranjić, Nurka</creatorcontrib><creatorcontrib>Jandrić, Ljubica</creatorcontrib><creatorcontrib>Sokolovska, Nikolina</creatorcontrib><creatorcontrib>Ristić, Mioljub</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ASFA: Aquatic Sciences and Fisheries Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Aquatic Science &amp; Fisheries Abstracts (ASFA) 1: Biological Sciences &amp; Living Resources</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Aquatic Science &amp; Fisheries Abstracts (ASFA) Professional</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Zoonoses and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Štrbac, Mirjana</au><au>Vuković, Vladimir</au><au>Patić, Aleksandra</au><au>Medić, Snežana</au><au>Pustahija, Tatjana</au><au>Petrović, Vladimir</au><au>Lendak, Dajana</au><au>Ličina, Mirjana Kosanović</au><au>Bakić, Marijan</au><au>Protić, Jelena</au><au>Pranjić, Nurka</au><au>Jandrić, Ljubica</au><au>Sokolovska, Nikolina</au><au>Ristić, Mioljub</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidemiological study on the incidence of haemorrhagic fever with renal syndrome in five Western Balkan countries for a 10‐year period: 2006–2015</atitle><jtitle>Zoonoses and public health</jtitle><addtitle>Zoonoses Public Health</addtitle><date>2022-05</date><risdate>2022</risdate><volume>69</volume><issue>3</issue><spage>195</spage><epage>206</epage><pages>195-206</pages><issn>1863-1959</issn><eissn>1863-2378</eissn><abstract>Background Large‐scale epidemics of haemorrhagic fever with renal syndrome (HFRS) have been reported mostly in Asia and Europe, with around 100,000 people affected each year. In the Southeast Europe, Balkan region, HFRS is endemic disease with approximately 100 cases per year. Our aim was to describe epidemiological characteristics of HFRS in five Western Balkan (WB) countries and to describe correlation between HFRS incidence and major meteorological event that hit the area in May 2014. Methods National surveillance data of HFRS from Bosnia and Herzegovina, Croatia, Montenegro, North Macedonia and Serbia obtained from 1 January 2006 to 31 December 2015 were collected and analysed. Results In a 10‐year period, a total of 1,065 HFRS patients were reported in five WB countries. Cumulative incidence rate ranged from 0.05 to 15.80 per 100.000 inhabitants (in North Macedonia and Montenegro respectively). Increasing number of HFRS cases was reported with a peak incidence in three specific years (2008, 2012, and 2014). Average incidence for the entire area was higher in males than females (5.63 and 1.90 per 100.000 inhabitants respectively). Summer was the season with the highest number of cases and an average incidence rate of 1.74/100.000 inhabitants across 10‐year period. Haemorrhagic fever with renal syndrome incidence was significantly increased (7.91/100.000 inhabitants) in 2014, when a few months earlier, severe floods affected several WB countries. A strong significant negative correlation (r = −.84, p &lt; .01) between the monthly incidence of HFRS and the number of months after May's floods was demonstrated for the total area of WB. Conclusion Our findings demonstrate that the HFRS incidence had similar distribution (general, age, sex and seasonality) across majority of the included countries. Summer was the season with the highest recorded incidence. Common epidemic years were detected in all observed countries as well as a negative correlation between the monthly incidence of HFRS and the number of months after May's cyclone.</abstract><cop>Germany</cop><pub>Blackwell Publishing Ltd</pub><pmid>34989483</pmid><doi>10.1111/zph.12908</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-9561-7825</orcidid></addata></record>
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subjects Age composition
Animals
Balkans
China - epidemiology
Correlation
Epidemics
Epidemiologic Studies
Epidemiology
Female
Fever
Floods
Haemorrhage
Haemorrhagic fever with renal syndrome
Hemorrhagic fever with renal syndrome
Hemorrhagic Fever with Renal Syndrome - epidemiology
Hemorrhagic Fever with Renal Syndrome - veterinary
Humans
Incidence
Inhabitants
Kidneys
Male
national surveillance data
Seasonal variations
Seasonality
Serbia
Sex differences
Summer
title Epidemiological study on the incidence of haemorrhagic fever with renal syndrome in five Western Balkan countries for a 10‐year period: 2006–2015
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