title: A waterborne tularemia outbreak.
abstract: A waterborne tularemia outbreak is described. Forty nine cases were identified in Sansepolcro, a small Medioeval town in the province of Arezzo, Tuscany, Italy. All cases had laterocervical or sub-mandibular adenitis, and occurred within a period of three weeks during March and April 1982. The study showed association between cases and the consumption of water from an unchlorinated water system. Francisella tularensis type 1 was isolated from wild hares captured in the area.
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D002648:Child; D004196:Disease Outbreaks; D005260:Female; D005604:Francisella tularensis / Q000302:isolation & purification; D006801:Humans; D007558:Italy; D007793:Lagomorpha / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D014406:Tularemia / Q000453:epidemiology* / Q000635:transmission; D014871:Water Microbiology; D014881:Water Supply