EurosurveillancePub Date : 2025-08-01DOI: 10.2807/1560-7917.ES.2025.30.34.2500069
Ingrid Hm Friesema, Helga Waap, Arno Swart, Adriana Györke, Delphine Le Roux, Francisco Md Evangelista, Furio Spano, Gereon Schares, Gunita Deksne, Maria João Gargaté, Rafael Calero-Bernal, Pikka Jokelainen, Frank Seeber, Jacek Sroka, Anna Lundén, Oda van den Berg, Solveig Jore, Henk J Wisselink, Filip Dámek, Lasse S Vestergaard, Marieke Opsteegh
{"title":"Systematic review and modelling of <i>Toxoplasma gondii</i> seroprevalence in humans, Europe, 2000 to 2021.","authors":"Ingrid Hm Friesema, Helga Waap, Arno Swart, Adriana Györke, Delphine Le Roux, Francisco Md Evangelista, Furio Spano, Gereon Schares, Gunita Deksne, Maria João Gargaté, Rafael Calero-Bernal, Pikka Jokelainen, Frank Seeber, Jacek Sroka, Anna Lundén, Oda van den Berg, Solveig Jore, Henk J Wisselink, Filip Dámek, Lasse S Vestergaard, Marieke Opsteegh","doi":"10.2807/1560-7917.ES.2025.30.34.2500069","DOIUrl":"10.2807/1560-7917.ES.2025.30.34.2500069","url":null,"abstract":"<p><p>BACKGROUND<i>Toxoplasma gondii</i> is a zoonotic protozoan capable of infecting warm-blooded animal species and humans. Although toxoplasmosis presents mostly as mild or asymptomatic infection in immunocompetent individuals, in unborn children and people with weakened immune systems, the disease can be severe with ocular, neurological or multi-systemic manifestations and even death.AIMWe aimed to collate and analyse data on <i>T. gondii</i> seroprevalence in humans to model and compare age-dependent prevalence in geographic regions in Europe.METHODSA systematic review identified 1,822 scientific publications, from which seroprevalence data were extracted from 69 studies. Data were analysed using a Bayesian hierarchical model.RESULTSThe modelling of the seroprevalence indicated the highest incidence rates in eastern (50%) and western (48%) Europe, with the lowest estimates in northern Europe (18%) and the United Kingdom (UK) (18%). Eastern and western Europe were regions where <i>T. gondii</i> infections occurred earliest in life, with half of the population expected to be seropositive by the age of 44 and 47 years, respectively. In contrast, in northern Europe and the UK the modelled median time to infection exceeded 170 years.CONCLUSIONResults of the study provide a robust baseline for future epidemiological research on human <i>T. gondii</i> infections in Europe and may be useful to validate subsequent research, such as risk assessment studies.</p>","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":"30 34","pages":""},"PeriodicalIF":7.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12397722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EurosurveillancePub Date : 2025-08-01DOI: 10.2807/1560-7917.ES.2025.30.34.2500605
Neta S Zuckerman, Yaniv Lustig, Danit Sofer, Lester M Shulman, Leah Weiss, Rinat Vasserman, Reut Gabai, Keren Friedman, Hagar Eliyahu, Noa Bar-Liss, Tatyana Kushnir, Ira Aguvaev, Tal Butensky, Daniel Avhar, Alex Aydenzon, Oran Erster, Itay Bar-Or, Merav Weil
{"title":"Early detection of a circulating pre-vaccine-derived poliovirus type 1 (pre-VDPV1) variant linked to an acute flaccid polio case prior to VDPV1 emergence, Israel, 2024 to 2025.","authors":"Neta S Zuckerman, Yaniv Lustig, Danit Sofer, Lester M Shulman, Leah Weiss, Rinat Vasserman, Reut Gabai, Keren Friedman, Hagar Eliyahu, Noa Bar-Liss, Tatyana Kushnir, Ira Aguvaev, Tal Butensky, Daniel Avhar, Alex Aydenzon, Oran Erster, Itay Bar-Or, Merav Weil","doi":"10.2807/1560-7917.ES.2025.30.34.2500605","DOIUrl":"https://doi.org/10.2807/1560-7917.ES.2025.30.34.2500605","url":null,"abstract":"<p><p>We report the emergence and evolution of a circulating vaccine-derived poliovirus type 1 (cVDPV1) outbreak in Israel, linked to a vaccine-associated paralytic poliomyelitis case. Whole genome sequencing revealed a strong genetic link between the Sabin-like poliovirus type 1 variant from the case and pre-VDPV1 and VDPV1 isolated from environmental samples collected in October 2024-April 2025, mostly in Jerusalem. Early detection was made possible by Israel's robust environmental surveillance and advanced sequencing technologies, enabling a rapid public health response.</p>","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":"30 34","pages":""},"PeriodicalIF":7.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12397726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EurosurveillancePub Date : 2025-08-01DOI: 10.2807/1560-7917.ES.2025.30.33.2500565
Fiona Költringer, Maria Koreny, Dirk Werber, Florian Heger, Alena Chalupka, Sabine Schweiger, Georg Brunner, Ursula Tuch, Ursula Karnthaler, Senia Rosales Klintz, Csaba Ködmön, Andreas Hoefer, Richard Anthony, Stefan Kroeger, Teresa Domaszewska, Lena Boes, Stefan Niemann, Teresa Walz, Martin Kuhns, Sarah Jackson, Margaret Fitzgibbon, Vanessa Mathys, Vinciane Sizaire, Daniela Maria Cirillo, Monica Sane Schepisi, Janne Oseberg Rønning, Laura Herrera-Leon, Pere-Joan Cardona, Ramona Groenheit, Mikael Mansjö, Viktória Szél, Erik Alm, Adriana Cabal
{"title":"Cross-border investigation of a tuberculosis outbreak in Vienna linked to a multi-country cluster among foreign-born individuals, Europe, 2021 to 2025.","authors":"Fiona Költringer, Maria Koreny, Dirk Werber, Florian Heger, Alena Chalupka, Sabine Schweiger, Georg Brunner, Ursula Tuch, Ursula Karnthaler, Senia Rosales Klintz, Csaba Ködmön, Andreas Hoefer, Richard Anthony, Stefan Kroeger, Teresa Domaszewska, Lena Boes, Stefan Niemann, Teresa Walz, Martin Kuhns, Sarah Jackson, Margaret Fitzgibbon, Vanessa Mathys, Vinciane Sizaire, Daniela Maria Cirillo, Monica Sane Schepisi, Janne Oseberg Rønning, Laura Herrera-Leon, Pere-Joan Cardona, Ramona Groenheit, Mikael Mansjö, Viktória Szél, Erik Alm, Adriana Cabal","doi":"10.2807/1560-7917.ES.2025.30.33.2500565","DOIUrl":"https://doi.org/10.2807/1560-7917.ES.2025.30.33.2500565","url":null,"abstract":"<p><p>Collaborative genomic and epidemiological investigations identified a tuberculosis outbreak in Vienna as part of a multi-country cluster comprising 57 foreign-born cases of <i>Mycobacterium tuberculosis</i> ST215/Beijing 2.2.1 notified 2021-2025. While 14 of 16 cases in Vienna were considered autochthonous, the diverse geographic origin of clustered cases across nine European countries suggests a common transmission source, possibly linked to migratory routes. Cross-border data exchange and integrated genomic analysis are essential for identifying transmission dynamics in tuberculosis clusters affecting mobile populations.</p>","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":"30 33","pages":""},"PeriodicalIF":7.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EurosurveillancePub Date : 2025-08-01DOI: 10.2807/1560-7917.ES.2025.30.31.2500509
Helen Campbell, Jay Lucidarme, Stephen A Clark, Emma J Heymer, Sonia Ribeiro, Xilian Bai, Shazaad Ahmad, Mary E Ramsay, Ray Borrow, Shamez N Ladhani
{"title":"Increase in serogroup W invasive meningococcal disease in England associated with pilgrimage to Saudi Arabia, January 2024 to June 2025.","authors":"Helen Campbell, Jay Lucidarme, Stephen A Clark, Emma J Heymer, Sonia Ribeiro, Xilian Bai, Shazaad Ahmad, Mary E Ramsay, Ray Borrow, Shamez N Ladhani","doi":"10.2807/1560-7917.ES.2025.30.31.2500509","DOIUrl":"10.2807/1560-7917.ES.2025.30.31.2500509","url":null,"abstract":"<p><p>England is experiencing an increase in serogroup W invasive meningococcal disease (IMD) caused by 'strain A' of the meningococcal sequence type 11 clonal complex (MenW:cc11) Hajj strain sublineage. Travel-associated and non-travel-associated meningococci from four strain A substrains (A1-A4) accounted for 32 of 59 MenW IMD cases between January 2024 and June 2025, 14 in people returning from Saudi Arabia or household contacts; eight of 14 linked to Umrah pilgrimage. Communications about MenACWY vaccination for pilgrims year-round should be reinforced.</p>","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":"30 31","pages":""},"PeriodicalIF":7.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12333490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144798503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EurosurveillancePub Date : 2025-08-01DOI: 10.2807/1560-7917.ES.2025.30.32.2500545
Lucie Fournier, Guillaume André Durand, Amandine Cochet, Elise Brottet, Caroline Fiet, Quiterie Mano, Catarina Krug, Laura Verdurme, Thomas Blanchot, Rémi Fournier, Marie-Claire Paty, Gilda Grard, Florian Franke, Clémentine Calba
{"title":"Multiple early local transmissions of chikungunya virus, Mainland France, from May 2025.","authors":"Lucie Fournier, Guillaume André Durand, Amandine Cochet, Elise Brottet, Caroline Fiet, Quiterie Mano, Catarina Krug, Laura Verdurme, Thomas Blanchot, Rémi Fournier, Marie-Claire Paty, Gilda Grard, Florian Franke, Clémentine Calba","doi":"10.2807/1560-7917.ES.2025.30.32.2500545","DOIUrl":"10.2807/1560-7917.ES.2025.30.32.2500545","url":null,"abstract":"<p><p>In 2025, a large outbreak of chikungunya occurred in Réunion Island (France). By 10 July, 1,911 imported cases were notified in Mainland France, most (89%) were associated with travel to Réunion Island. Ten autochthonous outbreaks in five French regions involving 27 cases were identified between May and mid-July and outbreaks occurred earlier than in previous years. <i>Aedes albopictus,</i> the mosquito vector, is endemic in large parts of France. Transmission events early in the vector active season is concerning.</p>","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":"30 32","pages":""},"PeriodicalIF":7.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12355907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EurosurveillancePub Date : 2025-08-01DOI: 10.2807/1560-7917.ES.2025.30.33.250821a
{"title":"Addendum for Euro Surveill. 2025;30(30).","authors":"","doi":"10.2807/1560-7917.ES.2025.30.33.250821a","DOIUrl":"https://doi.org/10.2807/1560-7917.ES.2025.30.33.250821a","url":null,"abstract":"","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":"30 33","pages":""},"PeriodicalIF":7.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Epidemiological and clinical characteristics of patients in the alveolar echinococcosis registry, France, 1982 to 2021.","authors":"Jenny Knapp, Florent Demonmerot, Houssein Gbaguidi-Haore, Carine Richou, Dominique Angèle Vuitton, Anne-Pauline Bellanger, Solange Bresson-Hadni, Laurence Millon","doi":"10.2807/1560-7917.ES.2025.30.32.2500041","DOIUrl":"10.2807/1560-7917.ES.2025.30.32.2500041","url":null,"abstract":"<p><p>BACKGROUND<i>Echinococcus multilocularis</i> is a parasite causing alveolar echinococcosis (AE), a severe disease affecting primarily the liver. Surveillance of this non-notifiable disease in France is performed by the National Reference Center for Echinococcoses (NRC-E).AIMWe aimed to analyse changes in epidemiological, clinical and survival data of patients with AE over time.METHODSWe described and analysed data from 906 AE patients reported to the NRC-E over three periods: 1982-1999, 2000-2010 and 2011-2021, using regression methods and survival analysis methods.RESULTSAt diagnosis, the median age of the patients was 60.0 years, most (770; 85.0%) resided in an endemic region and 483 (53.3%) in a rural area. The percentage of asymptomatic patients increased significantly from 19.1% (48/251) in 1982-1999 to 56.2% (209/372) in 2011-2021 (p < 0.001). The number of patients with weakened immune systems increased significantly in 2000-2021 (p < 0.001). Most (761/836; 91.0%) patients were treated with antiparasitic drugs and 402 (44.4%) underwent surgery. The number of surgical interventions decreased significantly during the study period (p = 0.007). Palliative surgery decreased, curative hepatic resection became more commonly performed (p < 0.001). Multivariate analysis showed a lower risk of death in the first 10-year follow-up in patients diagnosed after 2000 and those receiving benzimidazoles (sub-distribution hazard ratio (SHR) = 0.43; 95% confidence interval (CI): 0.28-0.66; p < 0.001).CONCLUSIONInternational recommendations for treating all patients with benzimidazoles and favouring curative hepatic resection, whenever possible, were generally followed and associated with better survival. We recommend national and European-wide registries to ensure effective surveillance of AE.</p>","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":"30 32","pages":""},"PeriodicalIF":7.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12355909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EurosurveillancePub Date : 2025-08-01DOI: 10.2807/1560-7917.ES.2025.30.34.2500062
Francesco Nieddu, Francesca Quaranta, Marina Vignoli, Matilde Peri, Valentina Guarnieri, Caterina Pelosi, Emanuela Ferraro, Lorenzo Lodi, Silvia Ricci, Giuseppe Indolfi, Chiara Azzari, Maria Moriondo
{"title":"<i>Bordetella pertussis</i> in hospitalised children and adolescents: the impact of vaccination delay, Tuscany, Italy, 2016 to 2024.","authors":"Francesco Nieddu, Francesca Quaranta, Marina Vignoli, Matilde Peri, Valentina Guarnieri, Caterina Pelosi, Emanuela Ferraro, Lorenzo Lodi, Silvia Ricci, Giuseppe Indolfi, Chiara Azzari, Maria Moriondo","doi":"10.2807/1560-7917.ES.2025.30.34.2500062","DOIUrl":"https://doi.org/10.2807/1560-7917.ES.2025.30.34.2500062","url":null,"abstract":"<p><p>BACKGROUNDPertussis is a highly contagious respiratory infection caused by <i>Bordetella pertussis</i>. Vaccination against pertussis is included in the Italian vaccination programme with three doses administered at 3, 5 and 11 months, booster doses at 6 and 12-18 years, and every 10 years. Vaccination coverage in Tuscany is high among infants (97.7% vs 94.7% national average at 24 months) and adolescents (75.8% vs 68.4% national average at 16 years).AIMWe aimed to investigate case numbers, vaccination status and time points for vaccination of children and adolescents hospitalised for pertussis.METHODSWe collected data on children and adolescents aged ≤ 16 years and hospitalised for laboratory-confirmed pertussis in 2016-2024 at a tertiary hospital in Tuscany.RESULTSA total of 384 children and adolescents were hospitalised in 2016-2024. Annual case numbers increased from an average of 28.2 cases in 2016-2019 to 259 cases in 2024, with 136 (52.5%) cases in adolescents. Of the 107 cases aged 12-16 years, 93 (86.9%) were unvaccinated or had not received the second booster. A considerable time gap between the earliest eligible day for vaccination and hospitalisation was observed. In infants, a median of 31 days (interquartile range (IQR): 10-131 days) was noticed for the first dose, 44 days (IQR: 22-70 days) for the second and 53 days for the third. In 12-16-year-olds, a median of 395 days (IQR: 236-717) was seen for the second booster.CONCLUSIONAdministering adolescent booster doses earlier, vaccinating at the earliest eligible time points, and promoting timely vaccination through targeted communication campaigns may reduce pertussis-related hospitalisations.</p>","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":"30 34","pages":""},"PeriodicalIF":7.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12397724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EurosurveillancePub Date : 2025-08-01DOI: 10.2807/1560-7917.ES.2025.30.32.2500543
Susan L Hills, Rebekah A Sutter, Elaine R Miller, Edwin J Asturias, Lin H Chen, Beth P Bell, Michael M McNeil, Jeffrey Rakickas, Melinda Wharton, Sarah Meyer, J Erin Staples
{"title":"Surveillance for adverse events following use of live attenuated chikungunya vaccine, United States, 2024, and the associated public health response in 2024 and 2025.","authors":"Susan L Hills, Rebekah A Sutter, Elaine R Miller, Edwin J Asturias, Lin H Chen, Beth P Bell, Michael M McNeil, Jeffrey Rakickas, Melinda Wharton, Sarah Meyer, J Erin Staples","doi":"10.2807/1560-7917.ES.2025.30.32.2500543","DOIUrl":"10.2807/1560-7917.ES.2025.30.32.2500543","url":null,"abstract":"<p><p>A live attenuated chikungunya vaccine (IXCHIQ) received licensure in the United States (US) for ≥ 18-year-olds in November 2023. Post-licensure safety surveillance identified 28 adverse events in 2024 among US persons, including six neurological or cardiac serious adverse events (SAEs) in males ≥ 65 years. In early 2025, providers were alerted, a precaution for older persons was issued and vaccine guidance was updated. In May, following 11 additional SAEs reported outside the US, use in older persons was temporarily paused until 6 August 2025.</p>","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":"30 32","pages":""},"PeriodicalIF":7.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12355908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EurosurveillancePub Date : 2025-08-01DOI: 10.2807/1560-7917.ES.2025.30.33.2500539
Imme Friederike Roewer de Porto, Alexandra Dangel, Lena Schneider, Aleksandra A Zasada, Jonas Haller, Inas Abdelgawad, Claudia Siffczyk, Iwona Paradowska-Stankiewicz, Ole Wichmann, Franziska Badenschier, Anja Berger, Cornelius Rau, Andreas Sing
{"title":"Two diphtheria sub-clusters with autochthonous cases in Germany and Poland within a <i>Corynebacterium diphtheriae</i> ST-574 outbreak, 2022 to July 2025.","authors":"Imme Friederike Roewer de Porto, Alexandra Dangel, Lena Schneider, Aleksandra A Zasada, Jonas Haller, Inas Abdelgawad, Claudia Siffczyk, Iwona Paradowska-Stankiewicz, Ole Wichmann, Franziska Badenschier, Anja Berger, Cornelius Rau, Andreas Sing","doi":"10.2807/1560-7917.ES.2025.30.33.2500539","DOIUrl":"https://doi.org/10.2807/1560-7917.ES.2025.30.33.2500539","url":null,"abstract":"<p><p>Within a <i>Corynebacterium diphtheriae</i> ST-574 outbreak comprising mostly migration-associated cases since 2022, Germany detected two sub-clusters in 2025. Among sub-cluster cases with travel information (24/26), 22 were acquired autochthonously. One of two imported cases came from a Polish voivodeship having an additional case. Sub-cluster 1 included 16 cutaneous cases, sub-cluster 2 included six cutaneous and five respiratory cases. One unvaccinated child and two older adults died. Of 27 cases, 12 experienced homelessness. Strengthened immunisation, improved wound care and international surveillance are needed.</p>","PeriodicalId":12161,"journal":{"name":"Eurosurveillance","volume":"30 33","pages":""},"PeriodicalIF":7.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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