Tick-borne encephalitis from eating goat cheese in a mountain region of Austria.
We report transmission of tick-borne encephalitis virus (TBEV) in July 2008 through nonpasteurized goat milk to 6 humans and 4 domestic pigs in an alpine pasture 1,500 m above sea level. This outbreak indicates the emergence of ticks and TBEV at increasing altitudes in central Europe and the efficiency of oral transmission of TBEV.
Holzmann
Heidemarie
H
Clinical Institute of Virology, Medical University of Vienna, Vienna, Austria. heidemarie.holzmann@meduniwien.ac.at
Aberle
Stephan W
SW
Stiasny
Karin
K
Werner
Philipp
P
Mischak
Andreas
A
Zainer
Bernhard
B
Netzer
Markus
M
Koppi
Stefan
S
Bechter
Elmar
E
Heinz
Franz X
FX
D000328:Adult; D000368:Aged; D000818:Animals; D001317:Austria / Q000453:epidemiology; D002611:Cheese / Q000821:virology*; D002648:Child; D004196:Disease Outbreaks; D004675:Encephalitis, Tick-Borne / Q000453:epidemiology / Q000635:transmission* / Q000821:virology; D005260:Female; D015511:Goat Diseases / Q000635:transmission / Q000821:virology; D006041:Goats; D006801:Humans; D008297:Male; D008875:Middle Aged; D008892:Milk / Q000821:virology*; D013552:Swine; D013553:Swine Diseases / Q000097:blood / Q000276:immunology / Q000635:transmission