Crimean-Congo haemorrhagic fever in a Greek worker returning from Bulgaria, June 2018.
We report a tick-borne case of severe Crimean-Congo haemorrhagic fever (CCHF) imported into Greece from Bulgaria. The patient presented severe thrombocytopenia, hemophagocytosis, haemodynamic instability, large haematomas and altered mental status. Supportive treatment and ribavirin were administered. Symptoms started one day after the tick was removed; the patient was discharged from the hospital 26 days after symptom onset. No secondary cases were observed. Phylogenetically the CCHF virus strain belongs to clade Europe 1. PMID: 30180928 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - August 1, 2018 Category: Infectious Diseases Authors: Papa A, Markatou F, Maltezou HC, Papadopoulou E, Terzi E, Ventouri S, Pervanidou D, Tsiodras S, Maltezos E Tags: Euro Surveill Source Type: research

Genomic epidemiology of meticillin-resistant Staphylococcus aureus ST22 widespread in communities of the Gaza Strip, 2009.
Discussion: The genomic diversity of Gaza ST22 isolates is not consistent with recent emergence in the region. The results indicate that two divergent Gaza clones evolved separately from susceptible isolates. Researchers should not assume that isolates identified as ST22 in the community are examples of EMRSA-15 that have escaped their healthcare roots. Future surveillance of MRSA is essential to the understanding of ST22 evolutionary dynamics and to aid efforts to slow the further spread of this lineage. PMID: 30153881 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - August 1, 2018 Category: Infectious Diseases Authors: Chang Q, Abuelaish I, Biber A, Jaber H, Callendrello A, Andam CP, Regev-Yochay G, Hanage WP, On Behalf Of The Picr Study Group Tags: Euro Surveill Source Type: research

Job vacancy at the European Centre for Disease Prevention and Control.
PMID: 30153882 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - August 1, 2018 Category: Infectious Diseases Authors: Eurosurveillance Editorial Team Tags: Euro Surveill Source Type: research

Interconnected clusters of invasive meningococcal disease due to Neisseria meningitidis serogroup C ST-11 (cc11), involving bisexuals and men who have sex with men, with discos and gay-venues hotspots of transmission, Tuscany, Italy, 2015 to 2016.
Abstract In 2015 an increased incidence of invasive meningococcal disease due to serogroup-C (MenC) occurred in Tuscany, Italy. This led the Regional Health Authority of Tuscany to implement a reactive immunisation campaign and to launch an epidemiological field investigation aiming to address targeted immunisation interventions. In 2011-14, 10 MenC cases had been reported compared with 62 cases in 2015-16. The case fatality rate was 21% (n = 13) and 51 cases (82.3%) were confirmed as C:P1.5-1,10-8:F3-6:ST-11(cc11). Overall, 17 clusters were recognised. Six discos and four gay-venues were found to ha...
Source: Euro Surveill - August 1, 2018 Category: Infectious Diseases Authors: Miglietta A, Fazio C, Neri A, Pezzotti P, Innocenti F, Azzari C, Rossolini GM, Moriondo M, Nieddu F, Iannazzo S, D'Ancona F, Maraglino FP, Guerra R, Rezza G, Voller F, Stefanelli P Tags: Euro Surveill Source Type: research

Letter to the editor: Measles cases among fully vaccinated persons.
PMID: 30153884 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - August 1, 2018 Category: Infectious Diseases Authors: Arima Y, Oishi K Tags: Euro Surveill Source Type: research

Erratum for Euro Surveill. 2018;23(31).
PMID: 30131093 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - August 1, 2018 Category: Infectious Diseases Authors: Eurosurveillance Editorial Team Tags: Euro Surveill Source Type: research

Addendum for Euro Surveill. 2018;23(6).
PMID: 30131094 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - August 1, 2018 Category: Infectious Diseases Authors: Eurosurveillance Editorial Team Tags: Euro Surveill Source Type: research

Hepatitis A outbreak disproportionately affecting men who have sex with men (MSM) in the European Union and European Economic Area, June 2016 to May 2017.
Afonso AM, Couturier E, Klamer S, Rebolledo J, Suin V, Aberle SW, Schmid D, De Sousa R, Augusto GF, Alfonsi V, Del Manso M, Ciccaglione AR, Mellou K, Hadjichristodoulou C, Donachie A, Borg ML, Sočan M, Poljak M, Severi E, Members Of The European Hepatitis A Outbreak Investigation Team Abstract Between 1 June 2016 and 31 May 2017, 17 European Union (EU) and European Economic Area countries reported 4,096 cases associated with a multi-country hepatitis A (HA) outbreak. Molecular analysis identified three co-circulating hepatitis A virus (HAV) strains of genotype IA: VRD_521_2016, V16-25801 and RIVM-HAV16-090. We ca...
Source: Euro Surveill - August 1, 2018 Category: Infectious Diseases Authors: Ndumbi P, Freidl GS, Williams CJ, Mårdh O, Varela C, Avellón A, Friesema I, Vennema H, Beebeejaun K, Ngui SL, Edelstein M, Smith-Palmer A, Murphy N, Dean J, Faber M, Wenzel J, Kontio M, Müller L, Midgley SE, Sundqvist L, Ederth JL, Roque-Afonso AM, Cou Tags: Euro Surveill Source Type: research

Retrospective validation of whole genome sequencing-enhanced surveillance of listeriosis in Europe, 2010 to 2015.
Conclusions: These findings provide a good basis for comprehensive EU/EEA-wide, WGS-enhanced surveillance of listeriosis. Time limits should not be used for hypothesis generation during outbreak investigations, but should be for analytical studies. PMID: 30131096 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - August 1, 2018 Category: Infectious Diseases Authors: Van Walle I, Björkman JT, Cormican M, Dallman T, Mossong J, Moura A, Pietzka A, Ruppitsch W, Takkinen J, European Listeria Wgs Typing Group Tags: Euro Surveill Source Type: research

Early start of the West Nile fever transmission season 2018 in Europe.
Abstract In Europe, surveillance indicates that the 2018 West Nile fever transmission season started earlier than in previous years and with a steeper increase of locally-acquired human infections. Between 2014 and 2017, European Union/European Economic Area (EU/EEA) and EU enlargement countries notified five to 25 cases in weeks 25 to 31 compared with 168 cases in 2018. Clinicians and public health authorities should be alerted to ensure timely implementation of prevention measures including blood safety measures. PMID: 30107869 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - August 1, 2018 Category: Infectious Diseases Authors: Haussig JM, Young JJ, Gossner CM, Mezei E, Bella A, Sirbu A, Pervanidou D, Drakulovic MB, Sudre B Tags: Euro Surveill Source Type: research

An early start of West Nile virus seasonal transmission: the added value of One Heath surveillance in detecting early circulation and triggering timely response in Italy, June to July 2018.
Abstract In Italy, the 2018 West Nile virus transmission season started early with a high number of cases reported. One-Health surveillance, within the Italian West Nile national preparedness and response plan, detected viral circulation 9 days before symptom-onset of the first confirmed human case; triggering timely implementation of blood and transplant safety measures. This is an example of how functional coordination allows health authorities to use early warning triggers from surveillance systems to implement preventive measures. PMID: 30107870 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - August 1, 2018 Category: Infectious Diseases Authors: Riccardo F, Monaco F, Bella A, Savini G, Russo F, Cagarelli R, Dottori M, Rizzo C, Venturi G, Di Luca M, Pupella S, Lombardini L, Pezzotti P, Parodi P, Maraglino F, Costa AN, Liumbruno GM, Rezza G, The Working Group Tags: Euro Surveill Source Type: research

Healthcare-associated pneumonia in acute care hospitals in European Union/European Economic Area countries: an analysis of data from a point prevalence survey, 2011 to 2012.
oup Abstract An aim of the ECDC point prevalence survey (PPS) in European Union/European Economic Area acute care hospitals was to acquire standardised healthcare-associated infections (HAI) data. We analysed one of the most common HAIs in the ECDC PPS, healthcare-associated pneumonia (HAP). Standardised HAI case definitions were provided and countries were advised to recruit nationally representative subsets of hospitals. We calculated 95% confidence intervals (CIs) around prevalence estimates and adjusted for clustering at hospital level. Of 231,459 patients in the survey, 2,902 (1.3%; 95% CI: 1.2-1.3) fulfilled...
Source: Euro Surveill - August 1, 2018 Category: Infectious Diseases Authors: Walter J, Haller S, Quinten C, Kärki T, Zacher B, Eckmanns T, Abu Sin M, Plachouras D, Kinross P, Suetens C, Ecdc Pps Study Group Tags: Euro Surveill Source Type: research

Lack of serological evidence of Middle East respiratory syndrome coronavirus infection in virus exposed camel abattoir workers in Nigeria, 2016.
Conclusion: There is a need for more studies to investigate whether or not zoonotic transmission of MERS-CoV does take place in Africa. PMID: 30107872 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - August 1, 2018 Category: Infectious Diseases Authors: So RT, Perera RA, Oladipo JO, Chu DK, Kuranga SA, Chan KH, Lau EH, Cheng SM, Poon LL, Webby RJ, Peiris M Tags: Euro Surveill Source Type: research

Job vacancy at the European Centre for Disease Prevention and Control.
PMID: 30107873 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - August 1, 2018 Category: Infectious Diseases Authors: Eurosurveillance Editorial Team Tags: Euro Surveill Source Type: research

A national measles outbreak in Ireland linked to a single imported case, April to September, 2016.
Abstract Endemic measles transmission was interrupted for the first time in Ireland in 2015. In May 2016, a case of measles was confirmed in an adult who had travelled from Hungary to Ireland (index case). Cases subsequently arose in five of the eight public health regions around the country. There were 40 confirmed cases in Ireland between April and September 2016. All sequenced cases were genotype B3. Vaccination status was known for 34 cases, of whom 31 were unvaccinated. Median age was 8 years (range: 3 months to 40 years). Ten cases were nosocomial, and three cases were infected on separate international flig...
Source: Euro Surveill - August 1, 2018 Category: Infectious Diseases Authors: Barrett P, Cotter S, Ryan F, Connell J, Cronin A, Ward M, Fitzgerald R, Lynch C, Margiotta T, On Behalf Of The Outbreak Control Team Tags: Euro Surveill Source Type: research

Epidemiology and resistance phenotypes of carbapenemase-producing Klebsiella pneumoniae in Greece, 2014 to 2016.
Of The Study Collaborators PMID: 30086819 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - August 1, 2018 Category: Infectious Diseases Authors: Galani I, Karaiskos I, Karantani I, Papoutsaki V, Maraki S, Papaioannou V, Kazila P, Tsorlini H, Charalampaki N, Toutouza M, Vagiakou H, Pappas K, Kyratsa A, Kontopoulou K, Legga O, Petinaki E, Papadogeorgaki H, Chinou E, Souli M, Giamarellou H, On Behalf Tags: Euro Surveill Source Type: research

Measles outbreak linked to insufficient vaccination coverage in Nouvelle-Aquitaine Region, France, October 2017 to July 2018.
ntorren S Abstract On 30 October 2017, an outbreak of measles started in the Nouvelle-Aquitaine (NA) region in France among Bordeaux University students before spreading to other regions. Until 1 July 2018, 1,101 cases were reported in NA, including 98 complications and two deaths. Cases were related to clusters (e.g. students, healthcare workers) in 16%; 81% of cases were not vaccinated against measles as recommended. Vaccination coverage above herd immunity threshold remains the main preventative outbreak measure. PMID: 30064543 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - July 1, 2018 Category: Infectious Diseases Authors: Bernadou A, Astrugue C, Méchain M, Le Galliard V, Verdun-Esquer C, Dupuy F, Dina J, Aït-Belghiti F, Antona D, Vandentorren S Tags: Euro Surveill Source Type: research

Risk factors for colistin-resistant Enterobacteriaceae in a low-endemicity setting for carbapenem resistance - a matched case-control study.
Conclusion: In a low-endemicity setting for carbapenem resistance, prior exposure to carbapenems was the only risk factor for colonisation or infection with colistin-resistant E. coli or K. pneumoniae. Prior exposure to colistin was not significantly associated with detection of colistin resistance, which mainly occurred in the absence of concurrent carbapenem resistance. PMID: 30064544 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - July 1, 2018 Category: Infectious Diseases Authors: Büchler AC, Gehringer C, Widmer AF, Egli A, Tschudin-Sutter S Tags: Euro Surveill Source Type: research

Authors' correction for Euro Surveill. 2018;23(29).
PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - July 1, 2018 Category: Infectious Diseases Authors: Authors' correction for Euro Surveill. 2018;23(29). Tags: Euro Surveill Source Type: research

Authors' correction for Euro Surveill. 2018;23(5).
[PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - July 1, 2018 Category: Infectious Diseases Authors: Authors' correction for Euro Surveill. 2018;23(5). Tags: Euro Surveill Source Type: research

Authors' correction for Euro Surveill. 2018;23(29).
PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - July 1, 2018 Category: Infectious Diseases Authors: Authors' correction for Euro Surveill. 2018;23(29). Tags: Euro Surveill Source Type: research

Addendum for Euro Surveill. 2018;23(5).
PMID: 30064548 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - July 1, 2018 Category: Infectious Diseases Authors: Eurosurveillance Editorial Team Tags: Euro Surveill Source Type: research

Retrospective clinical case series study in 2017 identifies Plasmodium knowlesi as most frequent Plasmodium species in returning travellers from Thailand to Germany.
This study highlights the importance of this Plasmodium species in this patient subgroup. Whenever malaria is suspected in a returning traveller from Thailand, P. knowlesi should be taken into consideration and a differential PCR be executed as currently the unequivocal diagnosis of P. knowlesi is based on nuclear amplification techniques. PMID: 30043723 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - July 1, 2018 Category: Infectious Diseases Authors: Froeschl G, Nothdurft HD, von Sonnenburg F, Bretzel G, Polanetz R, Kroidl I, Seilmaier M, Orth HM, Jordan S, Kremsner P, Vygen-Bonnet S, Pritsch M, Hoelscher M, Rothe C Tags: Euro Surveill Source Type: research

Erratum for Euro Surveill. 2018;23(28).
PMID: 30043724 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - July 1, 2018 Category: Infectious Diseases Authors: Eurosurveillance Editorial Team Tags: Euro Surveill Source Type: research

Outbreak of vancomycin-resistant Enterococcus faecium clone ST796, Switzerland, December 2017 to April 2018.
i N Abstract A large outbreak of vancomycin-resistant enterococci (VRE) is affecting four hospitals in the Canton of Bern, Switzerland, since December 2017. Of 89 cases identified as carriers, 77 (86.5%) VRE isolates were virtually indistinguishable using whole genome sequencing, and identified as multilocus sequence type (MLST) ST796. This clone, previously only described in Australia and New Zealand, is characterised by rapid spread and the ability to cause bloodstream infections. It requires a multifaceted infection prevention effort. PMID: 30043725 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - July 1, 2018 Category: Infectious Diseases Authors: Wassilew N, Seth-Smith HM, Rolli E, Fietze Y, Casanova C, Führer U, Egli A, Marschall J, Buetti N Tags: Euro Surveill Source Type: research

Experimental risk assessment for chikungunya virus transmission based on vector competence, distribution and temperature suitability in Europe, 2018.
Conclusion: The current risk of CHIKV transmission in Europe is not primarily restricted by temperature, which allows extrinsic incubation of the virus, but rather by the vector distribution. Accordingly, all European countries with established populations of Ae. albopictus should implement respective entomological surveillance and monitoring systems, as basis for suitable control measures. PMID: 30043726 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - July 1, 2018 Category: Infectious Diseases Authors: Heitmann A, Jansen S, Lühken R, Helms M, Pluskota B, Becker N, Kuhn C, Schmidt-Chanasit J, Tannich E Tags: Euro Surveill Source Type: research

Need for additional capacity and improved capability for molecular detection of yellow fever virus in European Expert Laboratories: External Quality Assessment, March 2018.
Abstract An external quality assessment of yellow fever virus (YFV) molecular detection in European laboratories was organised in rapid response to an increase in human cases in Brazil in 2018 with risk of import to Europe. Detection of YFV was assessed among 32 laboratories in 23/31 European Union (EU) and European Economic Area (EEA) countries and two laboratories in one non-EU/EEA country. Adequate capabilities were lacking in 10/23 countries; five did not participate as they lacked implemented assays. PMID: 30017021 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - July 1, 2018 Category: Infectious Diseases Authors: Domingo C, Ellerbrok H, Koopmans M, Nitsche A, Leitmeyer K, Charrel RN, Reusken CBEM Tags: Euro Surveill Source Type: research

Community outbreak of serogroup B invasive meningococcal disease in Beaujolais, France, February to June 2016: from alert to targeted vaccination.
Abstract In February and March 2016, four cases of serogroup B invasive meningococcal disease (IMD) occurred over 3 weeks in a small area north of Lyon in the Auvergne-Rhône-Alpes region, France. There were no deaths but two cases had sequelae. This community outbreak was caused by a rare meningococcal strain of the clonal complex ST-32, covered by the 4CMenB/Bexsero vaccine. The incidence rate for serogroup B IMD in this area was 22.5 per 100,000 inhabitants, which is above the epidemic threshold (10/100,000). The number of cases observed was significantly higher than expected in the age group of 0-24 year-...
Source: Euro Surveill - July 1, 2018 Category: Infectious Diseases Authors: Thabuis A, Tararbit K, Taha MK, Dejour-Salamanca D, Ronin V, Parent du Chatelet I, Spaccaferri G Tags: Euro Surveill Source Type: research

Screening for infectious diseases in newly arrived migrants in Europe: the context matters.
PMID: 30017023 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - July 1, 2018 Category: Infectious Diseases Authors: Panagiotopoulos T Tags: Euro Surveill Source Type: research

Challenging measles case definition: three measles outbreaks in three Health Regions of Portugal, February to April 2018.
We report three simultaneous measles outbreaks with 112 confirmed cases in three Health Regions of Portugal, from February to April 2018. The mean age of cases was 30 years, 79% worked in a healthcare setting and 87% were vaccinated. Genotype B3 was identified in 84 cases from the three outbreaks. Primary cases in each outbreak were imported. Several cases presented with modified measles, highlighting the importance of rethinking the measles case definition for vaccinated cases. PMID: 30017024 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - July 1, 2018 Category: Infectious Diseases Authors: Augusto GF, Cruz D, Silva A, Pereira N, Aguiar B, Leça A, Serrada E, Valente P, Fernandes T, Guerra F, Palminha P, Vinagre E, Lopo S, Cordeiro R, Sáez-López E, Neto M, Nogueira PJ, Freitas G Tags: Euro Surveill Source Type: research

Two concurrent outbreaks of hepatitis A highlight the risk of infection for non-immune travellers to Morocco, January to June 2018.
r L Abstract From January to June 2018, two ongoing hepatitis A outbreaks affected travellers returning from Morocco and cases in Europe without travel history, resulting in 163 patients in eight European countries. Most interviewed travel-related cases were unaware of the hepatitis A risk in Morocco. Molecular analysis revealed two distinct hepatitis A virus (HAV) strains (subgenotype IA DK2018_231; subgenotype IB V18-16428). Vaccination recommendations should be emphasised to increase awareness among non-immune travellers to Morocco and HAV-endemic countries. PMID: 29991381 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - July 1, 2018 Category: Infectious Diseases Authors: Gassowski M, Michaelis K, Wenzel JJ, Faber M, Figoni J, Mouna L, Friesema IH, Vennema H, Avellon A, Varela C, Sundqvist L, Lundberg Ederth J, Plunkett J, Balogun K, Ngui SL, Midgley SE, Gillesberg Lassen S, Müller L Tags: Euro Surveill Source Type: research

Letter to the editor: Applying incidence-based disability-adjusted life years (DALYs) disease burden estimates to foster change in national vaccination policy, Slovenia, 2017 to 2018.
PMID: 29991382 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - July 1, 2018 Category: Infectious Diseases Authors: Fafangel M, Grgič Vitek M, Klavs I Tags: Euro Surveill Source Type: research

Gonorrhoea treatment failure caused by a Neisseria gonorrhoeae strain with combined ceftriaxone and high-level azithromycin resistance, England, February 2018.
We describe a gonorrhoea case with combined high-level azithromycin resistance and ceftriaxone resistance. In February 2018, a heterosexual male was diagnosed with gonorrhoea in the United Kingdom following sexual intercourse with a locally resident female in Thailand and failed treatment with ceftriaxone plus doxycycline and subsequently spectinomycin. Resistance arose from two mechanisms combining for the first time in a genetic background similar to a commonly circulating strain. Urgent action is essential to prevent further spread. PMID: 29991383 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - July 1, 2018 Category: Infectious Diseases Authors: Eyre DW, Sanderson ND, Lord E, Regisford-Reimmer N, Chau K, Barker L, Morgan M, Newnham R, Golparian D, Unemo M, Crook DW, Peto TE, Hughes G, Cole MJ, Fifer H, Edwards A, Andersson MI Tags: Euro Surveill Source Type: research

Sharing more than friendship - transmission of NDM-5 ST167 and CTX-M-9 ST69 Escherichia coli between dogs and humans in a family, Finland, 2015.
Conclusion: To our knowledge, canine clinical NDM-5 E. coli in Europe, and confirmed CPE transmission between dogs and humans have not been previously reported. The screening of veterinary Enterobacteriaceae isolates for carbapenem resistance is highly recommended. PMID: 29991384 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - July 1, 2018 Category: Infectious Diseases Authors: Grönthal T, Österblad M, Eklund M, Jalava J, Nykäsenoja S, Pekkanen K, Rantala M Tags: Euro Surveill Source Type: research

Use of an ingredient-based analysis to investigate a national outbreak of Escherichia coli O157, United Kingdom, July 2016.
Abstract Public Health England was alerted to a national outbreak of Shiga toxin-producing Escherichia coli O157 PT34 in July 2016. Early investigations suggested that the likely source was a salad item consumed outside of the home. A number of cases reported consuming meals at a staff canteen (Venue A) and a garden café (Venue B). Both venues shared a common salad supplier. An investigation was undertaken to measure associations between salad items and illness using an 'ingredient-based analysis'. A retrospective case-control study was conducted using an online questionnaire to collect information on menu ...
Source: Euro Surveill - June 1, 2018 Category: Infectious Diseases Authors: Gardiner D, Gobin M, Verlander NQ, Oliver I, Hawker J Tags: Euro Surveill Source Type: research

In the national epidemiological bulletins - a selection from recent issues.
PMID: 29970218 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - June 1, 2018 Category: Infectious Diseases Authors: Eurosurveillance Editorial Team Tags: Euro Surveill Source Type: research

Spatio-temporal patterns of highly pathogenic avian influenza virus subtype H5N8 spread, France, 2016 to 2017.
Conclusion: HPAI-H5N8 infections varied over time and space in France. Intense transmission events occurred at the early stages of the epidemic, followed by long-range jumps in the disease spread towards its end. Findings support strict control strategies in poultry production as well as the maintenance of high biosecurity standards for poultry holdings. Factors and mechanisms driving HPAI spread need to be further investigated. PMID: 29970219 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - June 1, 2018 Category: Infectious Diseases Authors: Guinat C, Nicolas G, Vergne T, Bronner A, Durand B, Courcoul A, Gilbert M, Guérin JL, Paul MC Tags: Euro Surveill Source Type: research

The potential value of crowdsourced surveillance systems in supplementing sentinel influenza networks: the case of France.
Conclusion: Evaluation of the epidemic intensity from crowdsourced data requires epidemic and intensity threshold estimations from several consecutive seasons. The study provides a standardised analytical framework for crowdsourced surveillance showing high sensitivity in detecting influenza-related changes in the population. It contributes to improve the comparability of epidemics across seasons and with sentinel systems. In France, GrippeNet.fr may supplement the ILI sentinel network after ARI surveillance discontinuation in 2014. PMID: 29945696 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - June 1, 2018 Category: Infectious Diseases Authors: Guerrisi C, Turbelin C, Souty C, Poletto C, Blanchon T, Hanslik T, Bonmarin I, Levy-Bruhl D, Colizza V Tags: Euro Surveill Source Type: research

Resurgence risk for measles, mumps and rubella in France in 2018 and 2020.
Conclusions: The high risk for teenagers and young adults is of concern in view of their vulnerability to more severe measles, mumps and rubella disease and complications. PMID: 29945697 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - June 1, 2018 Category: Infectious Diseases Authors: Béraud G, Abrams S, Beutels P, Dervaux B, Hens N Tags: Euro Surveill Source Type: research

Uptake and impact of vaccinating primary school-age children against influenza: experiences of a live attenuated influenza vaccine programme, England, 2015/16.
Abstract The 2015/16 influenza season was the third season of the introduction of an intra-nasally administered live attenuated influenza vaccine (LAIV) for children in England. All children aged 2‒6 years were offered LAIV, and in addition, a series of geographically discrete areas piloted vaccinating school-age children 7‒11 years old. Influenza A(H1N1)pdm09 was the dominant circulating strain during 2015/16 followed by influenza B. We measured influenza vaccine uptake and the overall and indirect effect of vaccinating children of primary school -age, by comparing cumulative disease incidence in targeted and...
Source: Euro Surveill - June 1, 2018 Category: Infectious Diseases Authors: Pebody RG, Sinnathamby MA, Warburton F, Andrews N, Boddington NL, Zhao H, Yonova I, Ellis J, Tessier E, Donati M, Elliot AJ, Hughes HE, Pathirannehelage S, Byford R, Smith GE, de Lusignan S, Zambon M Tags: Euro Surveill Source Type: research

Reducing demand for antibiotic prescriptions: evidence from an online survey of the general public on the interaction between preferences, beliefs and information, United Kingdom, 2015.
This study aimed to investigate what drives patient expectations of antibiotics for ILI and particularly whether AMR awareness, risk preferences (attitudes to taking risks with health) or time preferences (the extent to which people prioritise good health today over good health in the future) play a role. METHODS: In 2015, a representative online panel survey of 2,064 adults in the United Kingdom was asked about antibiotic use and effectiveness for ILI. Explanatory variables in multivariable regression included AMR awareness, risk and time preferences and covariates. RESULTS: The tendency not to prioritise immedi...
Source: Euro Surveill - June 1, 2018 Category: Infectious Diseases Authors: Roope LSJ, Tonkin-Crine S, Butler CC, Crook D, Peto T, Peters M, Walker AS, Wordsworth S Tags: Euro Surveill Source Type: research

Transmission potential of modified measles during an outbreak, Japan, March ‒May 2018.
Transmission potential of modified measles during an outbreak, Japan, March‒May 2018. Euro Surveill. 2018 Jun;23(24): Authors: Mizumoto K, Kobayashi T, Chowell G Abstract A recent outbreak of measles in Okinawa Prefecture, Japan ended with 33 measles cases whose symptoms were masked because of insufficient protection against the disease (modified measles). Using quantitative modelling, we determined the transmission potential of measles by clinical presentation (classic vs modified measles). We found low ascertainment probabilities among modified measles cases, indicating that intensified public hea...
Source: Euro Surveill - June 1, 2018 Category: Infectious Diseases Authors: Mizumoto K, Kobayashi T, Chowell G Tags: Euro Surveill Source Type: research

Increased risk for autochthonous vector-borne infections transmitted by Aedes albopictus in continental Europe.
Abstract Autochthonous outbreaks of chikungunya and dengue during the past decade showed that continental Europe is vulnerable to Aedes albopictus-borne infections. Ae. albopictus has spread geographically, resulting in more people exposed to risk. Timely application of adequate mosquito suppression measures may delay, or even prevent, the vector population from crossing the potential epidemic abundance threshold should a pathogen be introduced. Health authorities should be on alert to detect early cases to prevent autochthonous outbreaks. PMID: 29921345 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - June 1, 2018 Category: Infectious Diseases Authors: Gossner CM, Ducheyne E, Schaffner F Tags: Euro Surveill Source Type: research

Analysis of consumer food purchase data used for outbreak investigations, a review.
Conclusions: Several of the outbreaks were unlikely to have been solved without the use of consumer purchase datasets. The method is potentially powerful and with future improved access to big data purchase information, may become a widely applicable tool for outbreak investigations, enabling investigators to quickly find hypotheses and at the same time estimate odds ratios or relative risks hereof. We suggest using the term 'consumer purchase data' to refer to the approach in the future. PMID: 29921346 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - June 1, 2018 Category: Infectious Diseases Authors: Møller FT, Mølbak K, Ethelberg S Tags: Euro Surveill Source Type: research

Potential adjustment methodology for missing data and reporting delay in the HIV Surveillance System, European Union/European Economic Area, 2015.
Abstract Accurate case-based surveillance data remain the key data source for estimating HIV burden and monitoring prevention efforts in Europe. We carried out a literature review and exploratory analysis of surveillance data regarding two crucial issues affecting European surveillance for HIV: missing data and reporting delay. Initial screening showed substantial variability of these data issues, both in time and across countries. In terms of missing data, the CD4+ cell count is the most problematic variable because of the high proportion of missing values. In 20 of 31 countries of the European Union/European Eco...
Source: Euro Surveill - June 1, 2018 Category: Infectious Diseases Authors: Rosinska M, Pantazis N, Janiec J, Pharris A, Amato-Gauci AJ, Quinten C, Ecdc Hiv/Aids Surveillance Network Tags: Euro Surveill Source Type: research

Spillover of a hepatitis A outbreak among men who have sex with men (MSM) to the general population, the Netherlands, 2017.
Abstract Since 2015, outbreaks of hepatitis A among men who have sex with men (MSM) have been reported worldwide. To examine the impact of these MSM outbreaks in the Netherlands, we combined notification and epidemiological data with sequence analysis. Our results show the hazards of outbreaks within risk-groups spilling over into the largely susceptible general population. One third of the outbreak-related hepatitis A virus genotypes were detected in non-MSM cases. PMID: 29897040 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - June 1, 2018 Category: Infectious Diseases Authors: Friesema IH, Sonder GJ, Petrignani MW, Meiberg AE, van Rijckevorsel GG, Ruijs WL, Vennema H Tags: Euro Surveill Source Type: research

Persistence of an outbreak of gonorrhoea with high-level resistance to azithromycin in England, November 2014 ‒May 2018.
Persistence of an outbreak of gonorrhoea with high-level resistance to azithromycin in England, November 2014‒May 2018. Euro Surveill. 2018 Jun;23(23): Authors: Smolarchuk C, Wensley A, Padfield S, Fifer H, Lee A, Hughes G Abstract Between November 2014 and May 2018, 118 laboratory-confirmed cases of high-level azithromycin resistant Neisseria gonorrhoeae were identified in England. Cases emerged among heterosexuals in Leeds but spread across England and into sexual networks of men who have sex with men as the outbreak progressed. The few epidemiological links identified indicate substantial under-d...
Source: Euro Surveill - June 1, 2018 Category: Infectious Diseases Authors: Smolarchuk C, Wensley A, Padfield S, Fifer H, Lee A, Hughes G Tags: Euro Surveill Source Type: research

Dengue serosurvey after a 2-month long outbreak in N îmes, France, 2015: was there more than met the eye?
Conclusion: This serosurvey confirms the potential for arboviral diseases to cause outbreaks - albeit limited for now - in France and Europe. PMID: 29897042 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - June 1, 2018 Category: Infectious Diseases Authors: Succo T, Noël H, Nikolay B, Maquart M, Cochet A, Leparc-Goffart I, Catelinois O, Salje H, Pelat C, de Crouy-Chanel P, de Valk H, Cauchemez S, Rousseau C Tags: Euro Surveill Source Type: research

Erratum for Euro Surveill. 2018;23(21).
PMID: 29871717 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - May 1, 2018 Category: Infectious Diseases Authors: Eurosurveillance Editorial Team Tags: Euro Surveill Source Type: research

Job vacancy at the European Centre for Disease Prevention and Control.
PMID: 29871718 [PubMed - in process] (Source: Euro Surveill)
Source: Euro Surveill - May 1, 2018 Category: Infectious Diseases Authors: Eurosurveillance Editorial Team Tags: Euro Surveill Source Type: research