Abstract
To the Editor: Old World hantaviruses (family Bunyaviridae) are rodentborne pathogens that can cause hemorrhagic fever with renal syndrome (HFRS) (1). At least 3 different pathogenic hantavirus species have been detected in Europe: Dobrava-Belgrade virus (DOBV), Tula virus, and Puumala virus (PUUV) (1–3). Most human hantavirus infections in Europe are assigned to PUUV transmitted by bank voles (Myodes glareolus, formerly Clethrionomys glareolus). Although PUUV is thought to cause a mild form of HFRS, designated as nephropathia epidemica (NE), severe courses have been described with a case-fatality ratio of up to 0.6% (3).
Highlights
Sengupta et al list ecoregions where reports of HPAI (H5N1) were concentrated. What do they infer from this? They observe regions with many reports of HPAI (H5N1) and conclude that these ecoregions are at risk
Most human hantavirus infections in Europe are assigned to Puumala virus (PUUV) transmitted by bank voles (Myodes glareolus, formerly Clethrionomys glareolus)
We report the first, to our knowledge, documented PUUV-associated urban nephropathia epidemica (NE) outbreak, which occurred in a city park in Germany
Summary
4. Gauthier-Clerc M, Lebarbenchon C, Thomas F. They observe regions with many reports of HPAI (H5N1) and conclude that these ecoregions are at risk. Ecoregional dominance in spatial distribution of avian influenza (H5N1) outbreaks.
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