title: Multiple synchronous outbreaks of Puumala virus, Germany, 2010.
abstract: To investigate 2,017 cases of hantavirus disease in Germany, we compared 38 new patient-derived Puumala virus RNA sequences identified in 2010 with bank vole-derived small segment RNA sequences. The epidemic process was driven by outbreaks of 6 Puumala virus clades comprising strains of human and vole origin. Each clade corresponded to a different outbreak region.
authors.affiliation: Charité Medical School and Labor Berlin Charité-Vivantes GmbH, Berlin, Germany.
authors.forename: Jakob
authors.initials: J
authors.lastname: Ettinger
authors.forename: Jorg
authors.initials: J
authors.lastname: Hofmann
authors.forename: Martin
authors.initials: M
authors.lastname: Enders
authors.forename: Friedemann
authors.initials: F
authors.lastname: Tewald
authors.forename: Rainer M
authors.initials: RM
authors.lastname: Oehme
authors.forename: Ulrike M
authors.initials: UM
authors.lastname: Rosenfeld
authors.forename: Hanan Sheikh
authors.initials: HS
authors.lastname: Ali
authors.forename: Mathias
authors.initials: M
authors.lastname: Schlegel
authors.forename: Sandra
authors.initials: S
authors.lastname: Essbauer
authors.forename: Anja
authors.initials: A
authors.lastname: Osterberg
authors.forename: Jens
authors.initials: J
authors.lastname: Jacob
authors.forename: Daniela
authors.initials: D
authors.lastname: Reil
authors.forename: Boris
authors.initials: B
authors.lastname: Klempa
authors.forename: Rainer G
authors.initials: RG
authors.lastname: Ulrich
authors.forename: Detlev H
authors.initials: DH
authors.lastname: Kruger
mesh_terms: D004196:Disease Outbreaks; D005858:Germany / Q000453:epidemiology; D006480:Hemorrhagic Fever with Renal Syndrome / Q000453:epidemiology*; D006801:Humans; D010802:Phylogeny; D029262:Puumala virus / Q000145:classification / Q000235:genetics*; D012367:RNA, Viral
chemical_list: D012367:RNA, Viral