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Volume 21, Number 12—December 2015

Oropharyngeal Tularemia Outbreak Associated with Drinking Contaminated Tap Water, Turkey, July–September 2013

Dilber AktasComments to Author , Bekir Celebi, Mehmet Emirhan Isik, Celal Tutus, Huseyin Ozturk, Fehminaz Temel, Mecit Kizilaslan, and Bao-Ping Zhu1
Author affiliations: Public Health Institution of Turkey, Ankara, Turkey (D. Aktas, B. Celebi, C. Tutus, H. Ozturk, F. Temel); Bayburt Public Hospital, Bayburt, Turkey (M.E. Isik); Bayburt Provincial Public Health Directorate, Bayburt (M. Kizilaslan); World Health Organization, European Regional Office, Turkey Country Office, Ankara (B.-P. Zhu)

Main Article


Risk for acquiring oropharyngeal tularemia among persons who drank water from different sources, Sancaktepe Village, Turkey, July–August 2013*

Source of water consumed No. cases/total no. exposed (%) No. cases/total no. not exposed (%) Relative risk (95% CI)
Tap 46/173 (27) 9/85 (11) 2.5 (1.3–4.9)
Well 2/8 (25) 53/250 (21) 1.2 (0.35–4.00)
Underground spring 25/136 (18) 30/122 (25) 0.75 (0.47–1.2)
Bottled 5/31 (16) 50/227 (22) 0.73 (0.32–1.70)
Other 2/8 (25) 53/250 (21) 1.20 (0.35–4.00)

*The outbreak was associated with Ramadan, which occurred during July 8–August 7, 2013.

Main Article

1Current affiliation: US Centers for Disease Control and Prevention, Kampala, Uganda.

Page created: November 17, 2015
Page updated: November 17, 2015
Page reviewed: November 17, 2015
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