ECDC threat assessment for the EU
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چکیده
The information available indicates that most of the 27 cases are likely to have been exposed to body lice infestations and louse-borne relapsing fever during their journey to Europe. Symptoms of the three cases reported in Sicily occurred shortly after entry, suggesting an infection with Borrelia recurrentis near to the time they arrived in Italy. The transmission of Borrelia recurrentis to the eight cases reported in Germany is likely to have taken place towards the end of their journey in Libya or upon arrival in Italy. The Netherlands reported cases of LBRF with onset in late spring 2015. These cases used the same migration route through Libya as the German cases, favouring the hypothesis of transmission of LBRF in the countries traversed before arriving in Europe.
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