title: Tick-borne encephalitis transmitted by unpasteurised cow milk in western Hungary, September to October 2011.
abstract: In October 2011, a cluster of four tick-borne encephalitis (TBE) cases was identified in Hungary. Initial investigations revealed a possible link with consumption of unpasteurised cow milk sold by a farmer without authorisation. We performed a cohort study including all regular customers of the farmer. Overall, eleven cases (seven confirmed and four suspected) were identified. Customers who had consumed the farmer’s unpasteurised cow milk had more than a two-fold increased risk for being a TBE case, although not at statistically significant level.
authors.affiliation: European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
authors.forename: S
authors.initials: S
authors.lastname: Caini
authors.forename: K
authors.initials: K
authors.lastname: Szomor
authors.forename: E
authors.initials: E
authors.lastname: Ferenczi
authors.forename: A
authors.initials: A
authors.lastname: Szekelyne Gaspar
authors.forename: A
authors.initials: A
authors.lastname: Csohan
authors.forename: K
authors.initials: K
authors.lastname: Krisztalovics
authors.forename: Z
authors.initials: Z
authors.lastname: Molnar
authors.forename: Jk
authors.initials: J
authors.lastname: Horvath
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D000914:Antibodies, Viral / Q000097:blood*; D002417:Cattle; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D004196:Disease Outbreaks; D004669:Encephalitis Viruses, Tick-Borne / Q000276:immunology / Q000302:isolation & purification*; D004675:Encephalitis, Tick-Borne / Q000097:blood / Q000635:transmission* / Q000821:virology; D005260:Female; D019084:Fluorescent Antibody Technique, Indirect; D005506:Food Contamination; D005516:Food Microbiology; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D007223:Infant; D008297:Male; D008875:Middle Aged; D008892:Milk / Q000821:virology*; D012307:Risk Factors; D055815:Young Adult
chemical_list: D000914:Antibodies, Viral