TY - JOUR AU - Ettinger, Jakob AU - Hofmann, Jorg AU - Enders, Martin AU - Tewald, Friedemann AU - Oehme, Rainer AU - Rosenfeld, Ulrike AU - Ali, Hanan Sheikh AU - Schlegel, Mathias AU - Essbauer, Sandra AU - Osterberg, Anja AU - Jacob, Jens AU - Reil, Daniela AU - Klempa, Boris AU - Ulrich, Rainer AU - Kruger, Detlev T1 - Multiple Synchronous Outbreaks of Puumala Virus, Germany, 2010 T2 - Emerging Infectious Disease journal PY - 2012 VL - 18 IS - 9 SP - 1461 SN - 1080-6059 AB - 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. KW - hantavirus outbreak KW - hemorrhagic fever with renal syndrome KW - HFRS KW - Puumala virus KW - hantavirus KW - viruses KW - molecular epidemiology KW - Germany DO - 10.3201/eid1809.111447 UR - https://wwwnc.cdc.gov/eid/article/18/9/11-1447_article ER - End of Reference