title: Oropharyngeal Tularemia Outbreak Associated with Drinking Contaminated Tap Water, Turkey, July-September 2013.
abstract: In 2013, an oropharyngeal tularemia outbreak in Turkey affected 55 persons. Drinking tap water during the likely exposure period was significantly associated with illness (attack rate 27% vs. 11% among non-tap water drinkers). Findings showed the tap water source had been contaminated by surface water, and the chlorination device malfunctioned.
authors.forename: Dilber
authors.initials: D
authors.lastname: Aktas
authors.forename: Bekir
authors.initials: B
authors.lastname: Celebi
authors.forename: Mehmet Emirhan
authors.initials: ME
authors.lastname: Isik
authors.forename: Celal
authors.initials: C
authors.lastname: Tutus
authors.forename: Huseyin
authors.initials: H
authors.lastname: Ozturk
authors.forename: Fehminaz
authors.initials: F
authors.lastname: Temel
authors.forename: Mecit
authors.initials: M
authors.lastname: Kizilaslan
authors.forename: Bao-Ping
authors.initials: BP
authors.lastname: Zhu
mesh_terms: D000907:Antibodies, Bacterial; D004196:Disease Outbreaks; D060766:Drinking Water / Q000032:analysis / Q000382:microbiology*; D005604:Francisella tularensis / Q000472:pathogenicity*; D006801:Humans; D009960:Oropharynx / Q000382:microbiology; D014406:Tularemia / Q000453:epidemiology / Q000473:pathology / Q000635:transmission*; D014421:Turkey / Q000453:epidemiology
chemical_list: D000907:Antibodies, Bacterial; D060766:Drinking Water
keywords: Francisella tularensis subspecies holarctica; Tularemia; Turkey; bacteria; cohort studies; contamination; epizootic disease; exposure period; intracellular coccobacilli; oropharyngeal tularemia; outbreak; source; tap water; transmission; water