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Peer reviewedOpen accessHemorrhagic Fever

Two autochthonous cases of Crimean-Congo haemorrhagic fever and the One Health response, Thessaly, Greece, 2025

Eurosurveillance·

Danai Pervanidou, Sara Georgiadou, Elisavet Stavropoulou, Aggelos Stefos, Katerina Tsioka, Chrysovalantou Niki Kefaloudi, Nikolaos Gatselis, Konstantinos Makaritsis, Demosthenes Makris, Parisi Kyriaki, Sofia Chatzianastasiou, Antonios Maragkos, Theano Georgakopoulou, Dimitra Paraskeva, Dimitrios Paraskevis, Olga Papachristou, Styliani Papatheodorou, Spyridoula Damaskou, Varvara Kaouna, Smaragda Sotiraki, Anastasios Saratsis, Aggeliki Liakata, Dimitrios Papasteriou, Evangelos Kartsoulis, Zacharoula Bogogiannidou, Stamatia Kokkali, Ioanna Voulgaridi, Styliani Sarrou, Konstantina Stoikou, Styliani Pappa, Ourania Tsakalidou, Varvara Mouchtouri, Katerina Marinou, Ilektra A Fragkou, Dimitrios Hatzigeorgiou, Anna Papa, George N Dalekos, Christos Hadjichristodoulou

DOI
10.2807/1560-7917.es.2025.30.50.2500717
PMID
41414932
PMCID
PMC12719936
OpenAlex
W4417524976
Study type
Journal article
Publisher
European Centre for Disease Control and Prevention (ECDC)
Article type
journal-article
Integrity
current

Why this research matters now

The occurrence of autochthonous transmission in a previously non-endemic country highlights the need for enhanced surveillance, vigilance, and multisectoral collaboration for Crimean-Congo haemorrhagic fever, particularly in countries bordering endemic regions.

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Structured evidence summary

Research question

This report describes the investigation and public health response to two autochthonous Crimean-Congo haemorrhagic fever cases in Thessaly, Greece, in June 2025.

Study design

Outbreak investigation and response report documenting case investigation, contact tracing, infection prevention and control measures, field investigation, vector and animal host interventions, and awareness-raising activities.

Population and setting

The cases occurred in Thessaly, Greece, involving a fatal index case and a healthcare worker who was secondarily infected. Greece had reported only one previous autochthonous case in 2008 and is considered non-endemic, though neighboring countries have endemic transmission.

Main findings

Two autochthonous Crimean-Congo haemorrhagic fever cases were identified in June 2025, including a fatal index case and a secondary infection in a healthcare worker. The event was characterized as unexpected given Greece's non-endemic status and triggered a multisectoral One Health response.

Public-health relevance

The occurrence of autochthonous transmission in a previously non-endemic country highlights the need for enhanced surveillance, vigilance, and multisectoral collaboration for Crimean-Congo haemorrhagic fever, particularly in countries bordering endemic regions.

Important limitations

This summary is limited to the supplied single-article abstract and bibliographic metadata. Full interpretation of study methods, completeness of the outbreak investigation, and detailed findings requires review of the original published article.

GIDS interpretation

This article would be discoverable through disease classifiers for hemorrhagic fever, geographic classifiers for Greece, and topic classifiers for One Health, outbreak investigation, and surveillance. The report provides context for understanding emergence of Crimean-Congo haemorrhagic fever in previously non-endemic settings.

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Related GIDS surveillance

Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.

03

Evidence relationships

This article has 9 auditable classifier relationships to diseases, places, topics, and study design.

about diseaseaddresses topicaddresses topicaddresses topichas pathogen typestudied instudied population settingstudies populationuses study design