Crimean-Congo hemorrhagic fever: Seroprevalence and risk factors among humans in Achaia, western Greece

International Journal of Infectious Diseases

Volumn 17, Issue 12, 2013, Pages

  Sargianou, Maria ^a,b   Panos, George ^a   Tsatsaris, Andreas ^c   Gogos, Charalambos ^a   Papa, Anna ^b  

^a UNIVERSITY GENERAL HOSPITAL OF PATRAS   (Greece)

^b ARISTOTLE UNIVERSITY OF THESSALONIKI   (Greece)

^c UNIVERSITY OF WEST ATTICA   (Greece)

Author keywords

Crimean Congo hemorrhagic fever; Epidemiology; Greece; Risk factors; Seroprevalence

Indexed keywords

IMMUNOGLOBULIN G ANTIBODY;

ADULT; AGED; AGRICULTURAL WORKER; ALTITUDE; ANIMAL HUSBANDRY; ANTIBODY BLOOD LEVEL; ARTICLE; CRIMEAN CONGO HEMORRHAGIC FEVER; CROSS-SECTIONAL STUDY; DISEASE ASSOCIATION; FEMALE; GREECE; GROUPS BY AGE; HUMAN; INFECTION RISK; LAND USE; MAJOR CLINICAL STUDY; MALE; NAIRO VIRUS; NONHUMAN; OCCUPATIONAL DISEASE; OCCUPATIONAL EXPOSURE; PROSPECTIVE STUDY; RURAL AREA; SEROPREVALENCE; TICK BITE; URBAN AREA;

CRIMEAN-CONGO HEMORRHAGIC FEVER; EPIDEMIOLOGY; GREECE; RISK FACTORS; SEROPREVALENCE;

AGED; AGED, 80 AND OVER; ANTIBODIES, VIRAL; CROSS-SECTIONAL STUDIES; FEMALE; GEOGRAPHY, MEDICAL; GREECE; HEMORRHAGIC FEVER VIRUS, CRIMEAN-CONGO; HEMORRHAGIC FEVER, CRIMEAN; HUMANS; IMMUNOGLOBULIN G; MALE; MIDDLE AGED; ODDS RATIO; RISK FACTORS; SEROEPIDEMIOLOGIC STUDIES;

EID: 84888440962     PISSN: 12019712     EISSN: 18783511     Source Type: Journal    
DOI: 10.1016/j.ijid.2013.07.015     Document Type: Article

References (26)

1. Papa A. Crimean-Congo hemorrhagic fever and hantavirus infections. Tropical and emerging infectious diseases 2010, 49-73. Research Signpost, India. H.C. Maltezou, A. Gikas (Eds.).
2. Mardani M., Rahnavardi M., Rajaeinejad M., Naini K.H., Chinikar S., Pourmalek F., et al. Crimean-Congo hemorrhagic fever among health care workers in Iran: a seroprevalence study in two endemic regions. Am J Trop Med Hyg 2007, 76:443-445.
3. Izadi S., Naieni K.H., Madjdzadeh S.R., Nadim A. Crimean-Congo hemorrhagic fever in Sistan and Baluchestan Province of Iran, a case-control study on epidemiological characteristics. Int J Infect Dis 2004, 8:299-306.
4. Ergonul O., Zeller H., Kilic S., Kutlu S., Kutlu M., Cavusoglu S., et al. Zoonotic infections among veterinarians in Turkey: Crimean-Congo hemorrhagic fever and beyond. Int J Infect Dis 2006, 10:465-469.
5. Yilmaz G.R., Buzgan T., Irmak H., Safran A., Uzun R., Cevik M.A., et al. The epidemiology of Crimean-Congo hemorrhagic fever in Turkey, 2002-2007. Int J Infect Dis 2009, 13:380-386.
6. Sisman A. Epidemiologic features and risk factors of Crimean-Congo hemorrhagic fever in Samsun Province, Turkey. J Epidemiol 2013, 23:95-102. Epub ahead of print.
7. Vatansever Z., Uzun R., Estrada-Pena A., Ergonul O. Crimean-Congo hemorrhagic fever in Turkey. Crimean-Congo hemorrhagic fever: a global perspective 2007, 59-74. Springer, Netherlands. O. Ergonul, C.A. Whitehouse (Eds.).
8. Grard G., Drexler J.F., Fair J., Muyembe J.J., Wolfe N.D., Drosten C., et al. Re-emergence of Crimean-Congo hemorrhagic fever virus in Central Africa. PLoS Negl Trop Dis 2011, 5:e1350.
9. Papa A., Christova I., Papadimitriou E., Antoniadis A. Crimean-Congo hemorrhagic fever in Bulgaria. Emerg Infect Dis 2004, 10:1465-1467.
10. Papa A., Velo E., Papadimitriou E., Cahani G., Kota M., Bino S. Ecology of the Crimean-Congo hemorrhagic fever endemic area in Albania. Vector Borne Zoonotic Dis 2009, 9:713-716.
11. Christova I., Di Caro A., Papa A., Castilletti C., Andonova L., Kalvatchev N., et al. Crimean-Congo hemorrhagic fever, southwestern Bulgaria. Emerg Infect Dis 2009, 15:983-985.
12. Papadopoulos O., Koptopoulos G. Crimean-Congo hemorrhagic fever (CCHF) in Greece: isolation of the virus from Rhipicephalus bursa ticks and a preliminary serological survey. Zentbl Bakteriol Hyg 1980, 1:189-193.
13. Papa A., Dalla V., Papadimitriou E., Kartalis G.N., Antoniadis A. Emergence of Crimean-Congo haemorrhagic fever in Greece. Clin Microbiol Infect 2010, 16:843-847.
14. Sidira P., Maltezou H.C., Haidich A.B., Papa A. Seroepidemiological study of Crimean-Congo haemorrhagic fever in Greece, 2009-2010. Clin Microbiol Infect 2012, 18:E16-E19.
15. Papa A., Tzala E., Maltezou H.C. Crimean-Congo hemorrhagic fever virus, northeastern Greece. Emerg Infect Dis 2011, 17:141-143.
16. Hellenic Statistical Authority. Announcement Census 2011-resident population. Piraeus, Greece; 2012. Available at: (Last accessed 20 March 2013). http://www.statistics.gr/portal/page/portal/ESYE/BUCKET/A1602/PressReleases/A1602_SAM01_DT_DC_00_2011_02_F_EN.pdf.
17. Hoogstraal H. The epidemiology of tick-borne Crimean-Congo hemorrhagic fever in Asia, Europe, and Africa. J Med Entomol 1979, 15:307-417.
18. KTADA in collaboration with the National Observatory of Athens. Annual climatological summary, Chalandritsa, 2012. Available at: (Last accessed 20 March 2013). http://penteli.meteo.gr/stations/chalandritsa/NOAAPRYR.TXT.
19. National Observatory of Athens. Annual climatological summary, Patras, 2012. Available at: (Last accessed 20 March 2013). http://penteli.meteo.gr/stations/patra/NOAAPRYR.TXT.
20. Butenko A.M., Karganova G.G. Crimean-Congo hemorrhagic fever in Russia and other countries of the former Soviet Union. Crimean-Congo hemorrhagic fever: a global perspective 2007, 99-114. Springer, Netherlands. O. Ergonul, C.A. Whitehouse (Eds.).
21. Gunes T., Engin A., Poyraz O., Elaldi N., Kaya S., Dokmetas I., et al. Crimean-Congo hemorrhagic fever virus in high-risk population, Turkey. Emerg Infect Dis 2009, 15:461-464.
22. Christova I., Gladnishka T., Taseva E., Kalvatchev N., Tsergouli K., Papa A. Seroprevalence of Crimean-Congo hemorrhagic fever virus, Bulgaria. Emerg Infect Dis 2013, 19:177-179.
23. Ertugrul B., Kirdar S., Ersoy O.S., Ture M., Erol N., Ozturk B., et al. The seroprevalence of Crimean-Congo haemorrhagic fever among inhabitants living in the endemic regions of Western Anatolia. Scand J Infect Dis 2012, 44:276-281.
24. Papa A., Chaligiannis I., Xanthopoulou K., Papaioakim M., Papanastasiou S., Sotiraki S. Ticks parasitizing humans in Greece. Vector Borne Zoonotic Dis 2011, 11:539-542.
25. Bodur H., Akinci E., Ascioglu S., Öngürü P., Uyar Y. Subclinical infections with Crimean-Congo hemorrhagic fever virus, Turkey. Emerg Infect Dis 2012, 18:640-642.
26. Midilli K., Gargili A., Ergonul O., Elevli M., Ergin S., Turan N., et al. The first clinical case due to AP92 like strain of Crimean-Congo hemorrhagic fever virus and a field survey. BMC Infect Dis 2009, 9:90.