ArticleEmerging infectious diseases2009
Landscape epidemiology of tularemia outbreaks in Sweden.
Article in Emerging infectious diseases, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.
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Who cites it
51 citing papers in PubMed, 1 synthesis or guideline pooled it, 95 citations in OpenAlex.
- Ecology and transmission of Buruli ulcer disease: a systematic review.PLoS neglected tropical diseases · 2010Pooled it
- Animal modelling with theMicrobiology (Reading, England) · 2025Article
- Prosthetic joint infection as an unusual presentation ofIDCases · 2025Article
- Targeting Tularemia: Clinical, Laboratory, and Treatment Outcomes From an 11-year Retrospective Observational Cohort in Northern Sweden.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024Observational
- Tularemia treatment: experimental and clinical data.Frontiers in microbiology · 2023Review
- Phylogeography ofFrontiers in microbiology · 2023Article
- Genetic Traces of theMicroorganisms · 2020Article
- Outbreak of Tularemia in a Group of Hunters in Germany in 2018-Kinetics of Antibody and Cytokine Responses.Microorganisms · 2020Article
- Review
- Using affinity propagation clustering for identifying bacterial clades and subclades with whole-genome sequences of Francisella tularensis.PLoS neglected tropical diseases · 2020Article
- Epidemiologic and Epizootic Data of Tularemia in the Past and in the Recent History in Croatia.Microorganisms · 2020Review
- Early detection of viable Francisella tularensis in environmental matrices by culture-based PCR.BMC microbiology · 2020Article
- Genetic Diversity and Spatial Segregation ofFrontiers in cellular and infection microbiology · 2019Article
- Tularemia as a waterborne disease: a review.Emerging microbes & infections · 2019Review
- A Single Mechanosensitive Channel Protects Francisella tularensis subsp. holarctica from Hypoosmotic Shock and Promotes Survival in the Aquatic Environment.Applied and environmental microbiology · 2018Article
- Phylogenetic Lineages ofFrontiers in cellular and infection microbiology · 2018Review
- RevisitingFrontiers in microbiology · 2018Article
- Tularemia in Germany-A Re-emerging Zoonosis.Frontiers in cellular and infection microbiology · 2018Review
- Spatio-temporal pattern analysis for evaluation of the spread of human infections with avian influenza A(H7N9) virus in China, 2013-2014.BMC infectious diseases · 2017Article
- High-risk regions and outbreak modelling of tularemia in humans.Epidemiology and infection · 2017Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Summer outbreaks of tularemia that occurred from 1995 through 2005 in 2 locations in Sweden affected 441 persons. We performed an epidemiologic investigation of these outbreaks using a novel strategy, involving high-resolution genotyping of Francisella tularensis isolates obtained from 136 patients (using 18 genetic markers developed from 6 F. tularensis genome sequences) and interviews with the patients. Strong spatial associations were found between F. tularensis subpopulations and the places of disease transmission; infection by some subpopulations occurred within areas as small as 2 km(2), indicating unidentified environmental point sources of tularemia. In both locations, disease clusters were associated with recreational areas beside water, and genetic subpopulations were present throughout the tularemia season and persisted over years. High-resolution genotyping in combination with patients' statements about geographic places of disease transmission provided valuable indications of likely sources of infection and the causal genotypes during these tularemia outbreaks.
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Registered trials
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