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Regions

Europe

Puumala virus dominant in Nordic countries. Dobrava-Belgrade in the Balkans. HFRS pattern, generally milder than Asian strains.

Dernière mise à jour : 2026-05-08

Endemic strains in this region

  • Puumala virus — Nordic boreal belt (Finland, Sweden, Norway); bank vole reservoir (Myodes glareolus)
  • Dobrava-Belgrade virus — Balkans (Serbia, Bosnia, Slovenia); Apodemus flavicollis reservoir, severe HFRS
  • Tula virus — sporadic across Central Europe (lower clinical impact)
  • Seoul virus — port-city sporadic detections in pet/lab rats

Reporting & case patterns

Europe records HFRS rather than HPS. Puumala in the Nordics is mild (case fatality <1%) but high-incidence — Finland reports ~1,500–3,000 cases per year. Dobrava in the Balkans is severe (case fatality 5–10%) but lower incidence. ECDC publishes annual surveillance summaries.

Regional prevention notes

Standard rodent-proofing of cabins and woodsheds. Risk peaks in autumn when bank voles enter dwellings. EU mountain hut and ski cabin operators receive specific guidance from national health authorities.

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