A Mailles1, B Garin-Bastuji2, J P Lavigne3, M Jay2, A Sotto4, M Maurin5, I Pelloux5, D O'Callaghan6, V Mick2, V Vaillant7, H De Valk7. 1. Santé publique France, French Public Health Agency, 94410 Saint-Maurice, France. Electronic address: alexandra.mailles@santepubliquefrance.fr. 2. French Agency for Food, Environmental and Occupational Health and Safety (Anses), 94700 Maisons-Alfort, France. 3. University Hospital Caremeau, Department of Microbiology, 30000 Nîmes, France; University of Montpellier, Institut National de la Santé et de la Recherche Médicale, U1047, 30000 Nîmes, France. 4. University Hospital Caremeau, Department of Microbiology, 30000 Nîmes, France; University Hospital Caremeau, Department of Infectious Diseases, 30000 Nîmes, France. 5. University Hospital and University, 38000 Grenoble, France. 6. University of Montpellier, Institut National de la Santé et de la Recherche Médicale, U1047, 30000 Nîmes, France. 7. Santé publique France, French Public Health Agency, 94410 Saint-Maurice, France.
Abstract
Brucellosis is a bacterial zoonotic disease mainly transmitted to humans by ruminants. In France, brucellosis has disappeared from ruminants herds. Human brucellosis surveillance is performed through mandatory notification and the national reference center. METHODS: We report the results of human brucellosis surveillance from 2004 to 2013 with regards to epidemiological, clinical and microbiological data. RESULTS: A total of 250 cases were notified, making an annual incidence of 0.3 cases per million inhabitants. Brucella melitensis biovar 3 was the most frequently identified bacterium (79% of isolated strains). In total, 213 (85%) cases had been contaminated abroad in endemic countries. In 2012, an episode of re-emergence of brucellosis in cattle occurred in Haute-Savoie, in the French Alps, and was responsible for 2 human cases. CONCLUSION: Brucellosis has become a disease of travelers in France. However, maintaining a stringent epidemiological surveillance is necessary to be able to early detect any local re-emergence in humans or animals. The multidisciplinary surveillance was implemented in France years ago and is a successful example of the One Health Concept. Copyright Â
Brucellosis is a bacterial zoonotic disease mainly transmitted to humans by ruminants. In France, brucellosis has disappeared from ruminants herds. Humanbrucellosis surveillance is performed through mandatory notification and the national reference center. METHODS: We report the results of humanbrucellosis surveillance from 2004 to 2013 with regards to epidemiological, clinical and microbiological data. RESULTS: A total of 250 cases were notified, making an annual incidence of 0.3 cases per million inhabitants. Brucella melitensis biovar 3 was the most frequently identified bacterium (79% of isolated strains). In total, 213 (85%) cases had been contaminated abroad in endemic countries. In 2012, an episode of re-emergence of brucellosis in cattle occurred in Haute-Savoie, in the French Alps, and was responsible for 2 human cases. CONCLUSION:Brucellosis has become a disease of travelers in France. However, maintaining a stringent epidemiological surveillance is necessary to be able to early detect any local re-emergence in humans or animals. The multidisciplinary surveillance was implemented in France years ago and is a successful example of the One Health Concept. Copyright Â
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