{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T14:51:38Z","timestamp":1791816698238,"version":"4.3.4"},"reference-count":31,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2010,1,29]],"date-time":"2010-01-29T00:00:00Z","timestamp":1264723200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiol. Infect."],"published-print":{"date-parts":[[2010,10]]},"abstract":"<jats:title>SUMMARY<\/jats:title>\n                  <jats:p>Puumala virus (PUUV) causes mild haemorrhagic fever with renal syndrome, a rodent-borne zoonosis. To evaluate the disease burden of PUUV infections in Finland, we analysed data reported by laboratories to the National Infectious Disease Registry during 1995\u20132008 and compared these with data from other national registries (death, 1998\u20132007; hospital discharge, 1996\u20132007; occupational diseases, 1995\u20132006). A total of 22 681 cases were reported (average annual incidence 31\/100 000 population); 85% were in persons aged 20\u201364 years and 62% were males. There was an increasing trend in incidence, and the rates varied widely by season and region. We observed 13 deaths attributable to PUUV infection (case-fatality proportion 0\u00b708%). Of all cases, 9599 (52%) were hospitalized. Only 590 cases (3%) were registered as occupational disease, of which most were related to farming and forestry. The wide seasonal and geographical variation is probably related to rodent density and human behaviour.<\/jats:p>","DOI":"10.1017\/s0950268810000087","type":"journal-article","created":{"date-parts":[[2010,1,29]],"date-time":"2010-01-29T06:36:22Z","timestamp":1264746982000},"page":"1484-1492","source":"Crossref","is-referenced-by-count":93,"title":["Disease burden of Puumala virus infections, 1995\u20132008"],"prefix":"10.1017","volume":"138","author":[{"given":"P.","family":"MAKARY","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"KANERVA","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"OLLGREN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. J.","family":"VIRTANEN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"VAPALAHTI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"LYYTIK\u00c4INEN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2010,1,29]]},"reference":[{"key":"S0950268810000087_ref025","first-page":"1","article-title":"Case-control study on Puumala virus infection, Finland: smoking is a risk factor for hantavirus infection","volume":"28","author":"Vapalahti","year":"2009","journal-title":"Epidemiology and Infection"},{"key":"S0950268810000087_ref006","doi-asserted-by":"publisher","DOI":"10.1086\/340859"},{"key":"S0950268810000087_ref030","doi-asserted-by":"publisher","DOI":"10.1016\/S1286-4579(01)01474-5"},{"key":"S0950268810000087_ref014","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a009769"},{"key":"S0950268810000087_ref027","doi-asserted-by":"publisher","DOI":"10.5271\/sjweh.286"},{"key":"S0950268810000087_ref005","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.2000.00332.x"},{"key":"S0950268810000087_ref024","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268800058003"},{"key":"S0950268810000087_ref009","first-page":"864","volume-title":"Time Series Modelling of Water Resources and Environmental Systems","author":"Hipel","year":"1994"},{"key":"S0950268810000087_ref013","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2807\/ese.13.28.18925-en","article-title":"Situation of hantavirus infections and haemorrhagic fever with renal syndrome in European countries as of December 2006","volume":"13","author":"Heyman","year":"2008","journal-title":"Eurosurveillance"},{"key":"S0950268810000087_ref020","doi-asserted-by":"publisher","DOI":"10.1016\/j.epidem.2009.03.002"},{"key":"S0950268810000087_ref010","doi-asserted-by":"publisher","DOI":"10.1080\/01621459.1968.10480934"},{"key":"S0950268810000087_ref028","first-page":"306","article-title":"Seroepidemiological studies of zoonotic infections in hunters in southeastern Austria \u2013 prevalences, risk factors, and preventive methods","volume":"116","author":"Deutz","year":"2003","journal-title":"Berliner und M\u00fcnchener tier\u00e4rztliche Wochenschrift"},{"key":"S0950268810000087_ref022","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a114862"},{"key":"S0950268810000087_ref026","doi-asserted-by":"publisher","DOI":"10.1007\/BF02116523"},{"key":"S0950268810000087_ref029","doi-asserted-by":"publisher","DOI":"10.3201\/eid0911.030275"},{"key":"S0950268810000087_ref017","doi-asserted-by":"publisher","DOI":"10.3201\/eid1507.081413"},{"key":"S0950268810000087_ref015","doi-asserted-by":"publisher","DOI":"10.1586\/14787210.7.2.205"},{"key":"S0950268810000087_ref018","doi-asserted-by":"crossref","first-page":"E15","DOI":"10.2807\/esm.12.05.00712-en","article-title":"Haemorrhagic fever with renal syndrome: an analysis of the outbreaks in Belgium, France, Germany, the Netherlands and Luxembourg in 2005","volume":"12","author":"Heyman","year":"2007","journal-title":"Eurosurveillance"},{"key":"S0950268810000087_ref007","doi-asserted-by":"publisher","DOI":"10.1080\/00365549950163941"},{"key":"S0950268810000087_ref001","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(03)00774-6"},{"key":"S0950268810000087_ref031","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/13.4.736"},{"key":"S0950268810000087_ref004","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcv.2008.10.005"},{"key":"S0950268810000087_ref012","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.39.6.2146-2150.2001"},{"key":"S0950268810000087_ref011","doi-asserted-by":"publisher","DOI":"10.1080\/01621459.1979.10481038"},{"key":"S0950268810000087_ref003","doi-asserted-by":"publisher","DOI":"10.1080\/003655400750045204"},{"key":"S0950268810000087_ref008","doi-asserted-by":"crossref","first-page":"9","DOI":"10.2807\/esm.08.01.00394-en","article-title":"Patterns of Puumala virus infection in Finland","volume":"8","author":"Rose","year":"2003","journal-title":"Eurosurveillance"},{"key":"S0950268810000087_ref023","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.318.7200.1737"},{"key":"S0950268810000087_ref002","doi-asserted-by":"publisher","DOI":"10.1099\/vir.0.81643-0"},{"key":"S0950268810000087_ref016","first-page":"1","article-title":"Survey and case-control study during epidemic of Puumala virus infections in Germany 2007","volume":"17","author":"Winter","year":"2009","journal-title":"Epidemiology and Infection"},{"key":"S0950268810000087_ref019","doi-asserted-by":"publisher","DOI":"10.3201\/eid1405.071124"},{"key":"S0950268810000087_ref021","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268808000940"}],"container-title":["Epidemiology and Infection"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0950268810000087","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,20]],"date-time":"2021-10-20T22:52:10Z","timestamp":1634770330000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0950268810000087\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,1,29]]},"references-count":31,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2010,10]]}},"alternative-id":["S0950268810000087"],"URL":"https:\/\/doi.org\/10.1017\/s0950268810000087","relation":{},"ISSN":["0950-2688","1469-4409"],"issn-type":[{"value":"0950-2688","type":"print"},{"value":"1469-4409","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,1,29]]}}}