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Oropharyngeal Tularemia Outbreak Associated with Drinking Contaminated Tap Water,Turkey, July–September 2013 |
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| Authors: | Dilber Aktas Bekir Celebi Mehmet Emirhan Isik Celal Tutus Huseyin Ozturk Fehminaz Temel Mecit Kizilaslan Bao-Ping Zhu |
| Institution: | Public Health Institution of Turkey, Ankara, Turkey (D. Aktas, B. Celebi, C. Tutus, H. Ozturk, F. Temel); ;Bayburt Public Hospital, Bayburt, Turkey (M.E. Isik); ;Bayburt Provincial Public Health Directorate, Bayburt (M. Kizilaslan); ;World Health Organization, European Regional Office, Turkey Country Office, Ankara (B.-P. Zhu) |
| 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. |
| Keywords: | Tularemia oropharyngeal tularemia outbreak water tap water contamination cohort studies Turkey exposure period epizootic disease intracellular coccobacilli Francisella tularensis subspecies holarctica transmission source bacteria |