Tularemia Outbreak Investigation in Kosovo: Case Control and Environmental Studies
Ralf Reintjes*
, Isuf Dedushaj†, Ardiana Gjini‡, Tine Rikke Jorgensen§, Benvon Cotter¶, Alfons Lieftucht**, Fortunato D’Ancona¶, David T. Dennis††, Michael A. Kosoy, Gjyle Mulliqi-Osmani†, Roland Grunow‡‡, Ariana Kalaveshi†, Luljeta Gashi†, and Isme Humolli†
Author affiliations: *Institute of Public Health North Rhine-Westphalia, Munich, Germany; †Institute of Public Health, Pristina, Kosovo; ‡World Health Organization, Pristina, Kosovo; §World Health Organization Regional Office for Europe, Copenhagen, Denmark; §Istituto Superiore di Sanita, Rome, Italy; ¶#European Programme for Intervention Epidemiology Training, Paris, France; **PHLS Communicable Disease Surveillance Centre, London, United Kingdom; ††Centers for Disease Control and Prevention, Atlanta, Georgia, USA; ‡‡German Reference Laboratory on Tularemia, Munich, Germany;
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Figure 3
Figure 3. Epidemic curve of laboratory-confirmed tularemia cases (n = 247) in Kosovo, by month of onset of symptoms, October 1999- May 2000.
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