The outbreak of tularemia in Khanty-Mansiysk in 2013: clinical and epidemiological features in children

Abstract

Tularemia is a zoonotic disease. The pathogen (Francisella tularensis) is а gram negative bacteria virulent to humans and animals (rodents, hares, rabbits). The outbreak of tularemia had happened in 2013, in Khanty-Mansiysk Autonomous District, during which 1005 people became ill, including 157 children, of whom 152 people were treated at the Hospital District of Khanty-Mansiysk. The histories of inpatients and outpatients affected children had been analysed (n=152). Specialists have identified epidemiological and clinical features of children tularemia. There was ulceroglandular form of tularemia in 98.7% of cases. Purulent lymphadenitis has appeared in 5.9% of cases. 21,2% of affected children have been vaccinated and revaccinated against tularemia for 1–11 years before the disease.

Keywords

• tularemia
• children vaccination