Haemorrhagic fever with renal syndrome in Montenegro, 2004-14

Zoran Vratnica1, Luca Busani2, Željka Zekovic1

  • 1Center for Medical Microbiology, National Institute of Public Health, Podgorica, Montenegro.

Insights

Human haemorrhagic fever with renal syndrome (HFRS) cases in Montenegro peaked in 2014, primarily affecting males in summer. Environmental factors like temperature and rainfall changes may influence HFRS incidence, warranting further study.

Area of Science:

  • Epidemiology
  • Environmental Health
  • Infectious Diseases

Background:

  • Human haemorrhagic fever with renal syndrome (HFRS) is a zoonotic disease.
  • Rodents are the primary reservoirs for HFRS-causing viruses.
  • Understanding HFRS epidemiology is crucial for public health interventions.

Purpose of the Study:

  • To analyze HFRS incidence trends in Montenegro from 2004 to 2014.
  • To investigate potential environmental and climatic factors associated with HFRS.
  • To identify high-risk demographics and geographical areas.

Main Methods:

  • Retrospective analysis of 106 notified HFRS cases.
  • Correlation analysis with meteorological data (temperature, rainfall) and land cover.
  • Geographical and temporal distribution analysis.

Main Results:

  • A total of 106 HFRS cases were reported between 2004-2014, with a peak in 2014.
  • Cases predominantly occurred in summer in northeastern and central hilly/mountainous regions.
  • Male cases (71) were more common, often linked to outdoor activities.

Conclusions:

  • HFRS incidence in Montenegro shows a temporal and geographical clustering.
  • Increased average annual temperatures and decreased rainfall correlated with HFRS.
  • Further research is needed to understand climate and environmental impacts on HFRS trends.

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