An outbreak of tularemia in southwestern Turkey

• DOI: 10.3855/jidc.12312
• Publication Date: 2021-07-08T20:22:51Z
• Authors: Murat Kutlu; Çağrı Ergin; Aynur Karadenizli; Selda Sayın Kutlu
• Keywords: Tularemia; Attack rate

Tularemia has reemerged and spread throughout Turkey, the number of cases increased. In this study, we report on a waterborne outbreak tularemia in spring 2013 region which was previously disease-free, investigated reasons for outbreak.The index case, 17-year-old male, diagnosed with oropharyngeal tularemia. An investigation initiated after receiving information from other patients similar symptoms same village along Balkıca, Tavas, Denizli. epidemiological environmental conducted. Tonsil swab specimens/lymph node aspirates collected patients, water samples unchlorinated drinking sources, were cultured. Additionally, real-time polymerase chain reaction (RT-PCR) performed these samples. Serum analyzed antibody response.A total 7 found investigation. The attack rate to be 1% among people 25% patients' family members. drinking-water system contaminated F. tularensis during outbreak.Lack appropriate infrastructure sanitation primary reason Turkey. Improving source should approach preventing outbreaks.