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Volume 31, Number 4—April 2025
CME ACTIVITY - Research

Epidemiology of Tularemia among Humans and Animals, Baden-Wuerttemberg, Germany, 2012–2022

Sabrina Nothdurfter1Comments to Author , Jörg Linde1, Reinhard Sting, Herbert Tomaso, Klaus Heuner, Maylin Meincke, Stefan O. Brockmann, and Christiane Wagner-Wiening
Author affiliation: ECDC Fellowship Programme, Field Epidemiology Path, European Centre for Disease Prevention and Control, Stockholm, Sweden (S. Nothdurfter); Baden-Wuerttemberg State Health Office, Ministry of Social Affairs, Health and Integration, Stuttgart, Germany (S. Nothdurfter, M. Meincke, S.O. Brockmann, C. Wagner-Wiening); Institute of Bacterial Infections and Zoonoses, Friedrich-Loeffler-Institute, Jena, Germany (J. Linde, H. Tomaso); Chemical and Veterinary Analysis Agency Stuttgart, Fellbach, Germany (R. Sting); Highly Pathogenic Microorganisms (ZBS 2), Centre for Biological Threats and Special Pathogens, Robert Koch Institute, Berlin, Germany (K. Heuner)

Main Article

Table 1

Characteristics of notified tularemia human cases based on surveillance data in study of epidemiology of tularemia among humans and animals, Baden-Wuerttemberg, Germany, 2012–2022*

Variable Value
Sex, n = 152
M 106 (70)
F
 46 (30)
Age group, y, n = 152
0–9 8 (5)
10–19 10 (7)
20–29 12 (8)
30–39 15 (10)
40–49 22 (14)
50–59 31 (20)
60–69 19 (12)
70–79 25 (16)
80–89 8 (5)
90–99
 2 (1)
Median age, y (IQR)
 53 (37–65)
Hospitalization, n = 128
Yes 85 (66)
No
 43 (34)
Death, n = 152
Yes 5 (3)
No
 148 (97)
Laboratory method, n = 152†
Direct pathogen detection 66 (43)
Antigen detection 5 (3)
Bacterial culture 31 (20)
Nucleic acid detection 33 (22)
Indirect pathogen detection
Antibody detection
 102 (67)
Forms of tularemia, n = 152‡
Glandular 53 (35)
Ulceroglandular 35 (23)
Pneumonic 26 (17)
Typhoidal 18 (12)
Oropharyngeal 14 (9)
Oculoglandular 5 (3)
Unknown§ 1

*Values are no. (%) except as indicated. †Multiple tests possible per case. ‡On the basis of symptoms and exposure reported by case-patients. §One case had no symptoms available; hence, the form of tularemia could not be identified.

Main Article

1These first authors contributed equally to this article.

Page created: February 07, 2025
Page updated: March 21, 2025
Page reviewed: March 21, 2025
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