First cases of coronavirus disease 2019 (COVID-19) in the WHO European Region, 24 January to 21 February 2020
Identifieur interne : 000843 ( Pmc/Curation ); précédent : 000842; suivant : 000844First cases of coronavirus disease 2019 (COVID-19) in the WHO European Region, 24 January to 21 February 2020
Auteurs : Gianfranco Spiteri [Suède] ; James Fielding [Danemark] ; Michaela Diercke [Allemagne] ; Christine Campese [France] ; Vincent Enouf [France] ; Alexandre Gaymard [France] ; Antonino Bella [Italie] ; Paola Sognamiglio [Italie] ; Maria José Sierra Moros [Espagne] ; Antonio Nicolau Riutort [Espagne] ; Yulia V. Demina [Russie] ; Romain Mahieu [Belgique] ; Markku Broas [Finlande] ; Malin Bengnér [Suède] ; Silke Buda [Allemagne] ; Julia Schilling [Allemagne] ; Laurent Filleul [France] ; Agnès Lepoutre [France] ; Christine Saura [France] ; Alexandra Mailles [France] ; Daniel Levy-Bruhl [France] ; Bruno Coignard [France] ; Sibylle Bernard-Stoecklin [France] ; Sylvie Behillil [France] ; Sylvie Van Der Werf [France] ; Martine Valette [France] ; Bruno Lina [France] ; Flavia Riccardo [Italie] ; Emanuele Nicastri [Italie] ; Inmaculada Casas [Espagne] ; Amparo Larrauri [Espagne] ; Magdalena Salom Castell [Espagne] ; Francisco Pozo [Espagne] ; Rinat A. Maksyutov [Russie] ; Charlotte Martin [Belgique] ; Marc Van Ranst [Belgique] ; Nathalie Bossuyt [Belgique] ; Lotta Siira [Finlande] ; Jussi Sane [Finlande] ; Karin Tegmark-Wisell [Suède] ; Maria Palmérus [Suède] ; Eeva K. Broberg [Suède] ; Julien Beauté [Suède] ; Pernille Jorgensen [Danemark] ; Nick Bundle [Suède] ; Dmitriy Pereyaslov [Danemark] ; Cornelia Adlhoch [Suède] ; Jukka Pukkila [Danemark] ; Richard Pebody [Danemark] ; Sonja Olsen [Danemark] ; Bruno Christian Ciancio [Suède]Source :
- Eurosurveillance [ 1025-496X ] ; 2020.
Abstract
In the WHO European Region, COVID-19 surveillance was implemented 27 January 2020. We detail the first European cases. As at 21 February, nine European countries reported 47 cases. Among 38 cases studied, 21 were linked to two clusters in Germany and France, 14 were infected in China. Median case age was 42 years; 25 were male. Late detection of the clusters’ index cases delayed isolation of further local cases. As at 5 March, there were 4,250 cases.
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DOI: 10.2807/1560-7917.ES.2020.25.9.2000178
PubMed: 32156327
PubMed Central: 7068164
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Spanish Ministry of Health, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Coordination Centre for Health Alerts and Emergencies. Spanish Ministry of Health, Madrid</wicri:regionArea></affiliation></author><author><name sortKey="Riutort, Antonio Nicolau" sort="Riutort, Antonio Nicolau" uniqKey="Riutort A" first="Antonio Nicolau" last="Riutort">Antonio Nicolau Riutort</name><affiliation wicri:level="1"><nlm:aff id="aff10">Servicio de Epidemiología, Dirección General de Salut Pública, Islas Baleares, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Servicio de Epidemiología, Dirección General de Salut Pública, Islas Baleares</wicri:regionArea></affiliation></author><author><name sortKey="Demina, Yulia V" sort="Demina, Yulia V" uniqKey="Demina Y" first="Yulia V." last="Demina">Yulia V. Demina</name><affiliation wicri:level="1"><nlm:aff id="aff11">Federal Service for Surveillance on Consumer Rights Protection and Human Well-being (Rospotrebnadzor), Moscow, Russia</nlm:aff><country xml:lang="fr">Russie</country><wicri:regionArea>Federal Service for Surveillance on Consumer Rights Protection and Human Well-being (Rospotrebnadzor), Moscow</wicri:regionArea></affiliation></author><author><name sortKey="Mahieu, Romain" sort="Mahieu, Romain" uniqKey="Mahieu R" first="Romain" last="Mahieu">Romain Mahieu</name><affiliation wicri:level="1"><nlm:aff id="aff12">Department of Infectious Disease Prevention and Control, Common Community Commission, Brussels-Capital Region, Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Infectious Disease Prevention and Control, Common Community Commission, Brussels-Capital Region, Brussels</wicri:regionArea></affiliation></author><author><name sortKey="Broas, Markku" sort="Broas, Markku" uniqKey="Broas M" first="Markku" last="Broas">Markku Broas</name><affiliation wicri:level="1"><nlm:aff id="aff13">Chief Physician, Infection control unit, Lapland Hospital District, Rovaniemi, Finland</nlm:aff><country xml:lang="fr">Finlande</country><wicri:regionArea>Chief Physician, Infection control unit, Lapland Hospital District, Rovaniemi</wicri:regionArea></affiliation></author><author><name sortKey="Bengner, Malin" sort="Bengner, Malin" uniqKey="Bengner M" first="Malin" last="Bengnér">Malin Bengnér</name><affiliation wicri:level="1"><nlm:aff id="aff14">County Medical Officer, Jönköping Region, Jönköping, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>County Medical Officer, Jönköping Region, Jönköping</wicri:regionArea></affiliation></author><author><name sortKey="Buda, Silke" sort="Buda, Silke" uniqKey="Buda S" first="Silke" last="Buda">Silke Buda</name><affiliation wicri:level="1"><nlm:aff id="aff3">Robert Koch Institute, Berlin, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Robert Koch Institute, Berlin</wicri:regionArea></affiliation></author><author><name sortKey="Schilling, Julia" sort="Schilling, Julia" uniqKey="Schilling J" first="Julia" last="Schilling">Julia Schilling</name><affiliation wicri:level="1"><nlm:aff id="aff3">Robert Koch Institute, Berlin, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Robert Koch Institute, Berlin</wicri:regionArea></affiliation></author><author><name sortKey="Filleul, Laurent" sort="Filleul, Laurent" uniqKey="Filleul L" first="Laurent" last="Filleul">Laurent Filleul</name><affiliation wicri:level="1"><nlm:aff id="aff15">Santé publique France – Direction des régions, Cellule régionale Nouvelle Aquitaine, Bordeaux, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Santé publique France – Direction des régions, Cellule régionale Nouvelle Aquitaine, Bordeaux</wicri:regionArea></affiliation></author><author><name sortKey="Lepoutre, Agnes" sort="Lepoutre, Agnes" uniqKey="Lepoutre A" first="Agnès" last="Lepoutre">Agnès Lepoutre</name><affiliation wicri:level="1"><nlm:aff id="aff16">Santé publique France – Direction des régions, Cellule régionale Ile-de-France, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Santé publique France – Direction des régions, Cellule régionale Ile-de-France, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Saura, Christine" sort="Saura, Christine" uniqKey="Saura C" first="Christine" last="Saura">Christine Saura</name><affiliation wicri:level="1"><nlm:aff id="aff17">Santé publique France – Direction des régions, Cellule régionale Auvergne-Rhône-Alpes, Lyon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Santé publique France – Direction des régions, Cellule régionale Auvergne-Rhône-Alpes, Lyon</wicri:regionArea></affiliation></author><author><name sortKey="Mailles, Alexandra" sort="Mailles, Alexandra" uniqKey="Mailles A" first="Alexandra" last="Mailles">Alexandra Mailles</name><affiliation wicri:level="1"><nlm:aff id="aff4">Santé Publique France – Direction des maladies infectieuses, Saint-Maurice, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Santé Publique France – Direction des maladies infectieuses, Saint-Maurice</wicri:regionArea></affiliation></author><author><name sortKey="Levy Bruhl, Daniel" sort="Levy Bruhl, Daniel" uniqKey="Levy Bruhl D" first="Daniel" last="Levy-Bruhl">Daniel Levy-Bruhl</name><affiliation wicri:level="1"><nlm:aff id="aff4">Santé Publique France – Direction des maladies infectieuses, Saint-Maurice, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Santé Publique France – Direction des maladies infectieuses, Saint-Maurice</wicri:regionArea></affiliation></author><author><name sortKey="Coignard, Bruno" sort="Coignard, Bruno" uniqKey="Coignard B" first="Bruno" last="Coignard">Bruno Coignard</name><affiliation wicri:level="1"><nlm:aff id="aff4">Santé Publique France – Direction des maladies infectieuses, Saint-Maurice, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Santé Publique France – Direction des maladies infectieuses, Saint-Maurice</wicri:regionArea></affiliation></author><author><name sortKey="Bernard Stoecklin, Sibylle" sort="Bernard Stoecklin, Sibylle" uniqKey="Bernard Stoecklin S" first="Sibylle" last="Bernard-Stoecklin">Sibylle Bernard-Stoecklin</name><affiliation wicri:level="1"><nlm:aff id="aff4">Santé Publique France – Direction des maladies infectieuses, Saint-Maurice, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Santé Publique France – Direction des maladies infectieuses, Saint-Maurice</wicri:regionArea></affiliation></author><author><name sortKey="Behillil, Sylvie" sort="Behillil, Sylvie" uniqKey="Behillil S" first="Sylvie" last="Behillil">Sylvie Behillil</name><affiliation wicri:level="1"><nlm:aff id="aff5">Centre national de référence Virus des infections respiratoires, dont la grippe, Institut Pasteur, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Centre national de référence Virus des infections respiratoires, dont la grippe, Institut Pasteur, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Van Der Werf, Sylvie" sort="Van Der Werf, Sylvie" uniqKey="Van Der Werf S" first="Sylvie" last="Van Der Werf">Sylvie Van Der Werf</name><affiliation wicri:level="1"><nlm:aff id="aff5">Centre national de référence Virus des infections respiratoires, dont la grippe, Institut Pasteur, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Centre national de référence Virus des infections respiratoires, dont la grippe, Institut Pasteur, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Valette, Martine" sort="Valette, Martine" uniqKey="Valette M" first="Martine" last="Valette">Martine Valette</name><affiliation wicri:level="1"><nlm:aff id="aff6">Centre national de référence Virus des infections respiratoires, dont la grippe, Hospices civils de Lyon, Lyon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Centre national de référence Virus des infections respiratoires, dont la grippe, Hospices civils de Lyon, Lyon</wicri:regionArea></affiliation></author><author><name sortKey="Lina, Bruno" sort="Lina, Bruno" uniqKey="Lina B" first="Bruno" last="Lina">Bruno Lina</name><affiliation wicri:level="1"><nlm:aff id="aff6">Centre national de référence Virus des infections respiratoires, dont la grippe, Hospices civils de Lyon, Lyon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Centre national de référence Virus des infections respiratoires, dont la grippe, Hospices civils de Lyon, Lyon</wicri:regionArea></affiliation></author><author><name sortKey="Riccardo, Flavia" sort="Riccardo, Flavia" uniqKey="Riccardo F" first="Flavia" last="Riccardo">Flavia Riccardo</name><affiliation wicri:level="1"><nlm:aff id="aff7">Istituto Superiore di Sanita, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Istituto Superiore di Sanita, Rome</wicri:regionArea></affiliation></author><author><name sortKey="Nicastri, Emanuele" sort="Nicastri, Emanuele" uniqKey="Nicastri E" first="Emanuele" last="Nicastri">Emanuele Nicastri</name><affiliation wicri:level="1"><nlm:aff id="aff8">Istituto Nazionale Malattie Infettive Lazzaro Spallanzani, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Istituto Nazionale Malattie Infettive Lazzaro Spallanzani, Rome</wicri:regionArea></affiliation></author><author><name sortKey="Casas, Inmaculada" sort="Casas, Inmaculada" uniqKey="Casas I" first="Inmaculada" last="Casas">Inmaculada Casas</name><affiliation wicri:level="1"><nlm:aff id="aff18">National Centre for Microbiology, WHO-National Influenza Centre, Institute of Health Carlos III. Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>National Centre for Microbiology, WHO-National Influenza Centre, Institute of Health Carlos III. Madrid</wicri:regionArea></affiliation></author><author><name sortKey="Larrauri, Amparo" sort="Larrauri, Amparo" uniqKey="Larrauri A" first="Amparo" last="Larrauri">Amparo Larrauri</name><affiliation wicri:level="1"><nlm:aff id="aff19">National Centre of Epidemiology, CIBERESP, Institute of Health Carlos III. Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>National Centre of Epidemiology, CIBERESP, Institute of Health Carlos III. Madrid</wicri:regionArea></affiliation></author><author><name sortKey="Salom Castell, Magdalena" sort="Salom Castell, Magdalena" uniqKey="Salom Castell M" first="Magdalena" last="Salom Castell">Magdalena Salom Castell</name><affiliation wicri:level="1"><nlm:aff id="aff20">Dirección General de Salut Pública, Islas Baleares, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Dirección General de Salut Pública, Islas Baleares</wicri:regionArea></affiliation></author><author><name sortKey="Pozo, Francisco" sort="Pozo, Francisco" uniqKey="Pozo F" first="Francisco" last="Pozo">Francisco Pozo</name><affiliation wicri:level="1"><nlm:aff id="aff18">National Centre for Microbiology, WHO-National Influenza Centre, Institute of Health Carlos III. Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>National Centre for Microbiology, WHO-National Influenza Centre, Institute of Health Carlos III. Madrid</wicri:regionArea></affiliation></author><author><name sortKey="Maksyutov, Rinat A" sort="Maksyutov, Rinat A" uniqKey="Maksyutov R" first="Rinat A." last="Maksyutov">Rinat A. Maksyutov</name><affiliation wicri:level="1"><nlm:aff id="aff21">State Research Center of Virology and Biotechnology “Vector”, Rospotrebnadzor, Moscow, Russia</nlm:aff><country xml:lang="fr">Russie</country><wicri:regionArea>State Research Center of Virology and Biotechnology “Vector”, Rospotrebnadzor, Moscow</wicri:regionArea></affiliation></author><author><name sortKey="Martin, Charlotte" sort="Martin, Charlotte" uniqKey="Martin C" first="Charlotte" last="Martin">Charlotte Martin</name><affiliation wicri:level="1"><nlm:aff id="aff22">St. Pierre Hospital, Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>St. Pierre Hospital, Brussels</wicri:regionArea></affiliation></author><author><name sortKey="Van Ranst, Marc" sort="Van Ranst, Marc" uniqKey="Van Ranst M" first="Marc" last="Van Ranst">Marc Van Ranst</name><affiliation wicri:level="1"><nlm:aff id="aff23">Laboratory of Clinical Virology, Department of Microbiology and Immunology, Rega Institute, KU Leuven - University of Leuven, Leuven, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Laboratory of Clinical Virology, Department of Microbiology and Immunology, Rega Institute, KU Leuven - University of Leuven, Leuven</wicri:regionArea></affiliation></author><author><name sortKey="Bossuyt, Nathalie" sort="Bossuyt, Nathalie" uniqKey="Bossuyt N" first="Nathalie" last="Bossuyt">Nathalie Bossuyt</name><affiliation wicri:level="1"><nlm:aff id="aff24">Epidemiology of infectious diseases, Sciensano, Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Epidemiology of infectious diseases, Sciensano, Brussels</wicri:regionArea></affiliation></author><author><name sortKey="Siira, Lotta" sort="Siira, Lotta" uniqKey="Siira L" first="Lotta" last="Siira">Lotta Siira</name><affiliation wicri:level="1"><nlm:aff id="aff25">Expert Microbiology Unit, Department of Health Security, Finnish Institute for Health and Welfare (THL), Helsinki, Finland</nlm:aff><country xml:lang="fr">Finlande</country><wicri:regionArea>Expert Microbiology Unit, Department of Health Security, Finnish Institute for Health and Welfare (THL), Helsinki</wicri:regionArea></affiliation></author><author><name sortKey="Sane, Jussi" sort="Sane, Jussi" uniqKey="Sane J" first="Jussi" last="Sane">Jussi Sane</name><affiliation wicri:level="1"><nlm:aff id="aff26">Infectious Disease Control and Vaccinations Unit, Department of Health Security, Finnish Institute for Health and Welfare (THL), Helsinki, Finland</nlm:aff><country xml:lang="fr">Finlande</country><wicri:regionArea>Infectious Disease Control and Vaccinations Unit, Department of Health Security, Finnish Institute for Health and Welfare (THL), Helsinki</wicri:regionArea></affiliation></author><author><name sortKey="Tegmark Wisell, Karin" sort="Tegmark Wisell, Karin" uniqKey="Tegmark Wisell K" first="Karin" last="Tegmark-Wisell">Karin Tegmark-Wisell</name><affiliation wicri:level="1"><nlm:aff id="aff27">Public Health Agency of Sweden, Solna, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Public Health Agency of Sweden, Solna</wicri:regionArea></affiliation></author><author><name sortKey="Palmerus, Maria" sort="Palmerus, Maria" uniqKey="Palmerus M" first="Maria" last="Palmérus">Maria Palmérus</name><affiliation wicri:level="1"><nlm:aff id="aff28">Jönköping Region, Jönköping, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Jönköping Region, Jönköping</wicri:regionArea></affiliation></author><author><name sortKey="Broberg, Eeva K" sort="Broberg, Eeva K" uniqKey="Broberg E" first="Eeva K." last="Broberg">Eeva K. Broberg</name><affiliation wicri:level="1"><nlm:aff id="aff1">European Centre for Disease Prevention and Control, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>European Centre for Disease Prevention and Control, Stockholm</wicri:regionArea></affiliation></author><author><name sortKey="Beaute, Julien" sort="Beaute, Julien" uniqKey="Beaute J" first="Julien" last="Beauté">Julien Beauté</name><affiliation wicri:level="1"><nlm:aff id="aff1">European Centre for Disease Prevention and Control, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>European Centre for Disease Prevention and Control, Stockholm</wicri:regionArea></affiliation></author><author><name sortKey="Jorgensen, Pernille" sort="Jorgensen, Pernille" uniqKey="Jorgensen P" first="Pernille" last="Jorgensen">Pernille Jorgensen</name><affiliation wicri:level="1"><nlm:aff id="aff2">World Health Organisation Regional Office for Europe, Copenhagen, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>World Health Organisation Regional Office for Europe, Copenhagen</wicri:regionArea></affiliation></author><author><name sortKey="Bundle, Nick" sort="Bundle, Nick" uniqKey="Bundle N" first="Nick" last="Bundle">Nick Bundle</name><affiliation wicri:level="1"><nlm:aff id="aff1">European Centre for Disease Prevention and Control, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>European Centre for Disease Prevention and Control, Stockholm</wicri:regionArea></affiliation></author><author><name sortKey="Pereyaslov, Dmitriy" sort="Pereyaslov, Dmitriy" uniqKey="Pereyaslov D" first="Dmitriy" last="Pereyaslov">Dmitriy Pereyaslov</name><affiliation wicri:level="1"><nlm:aff id="aff2">World Health Organisation Regional Office for Europe, Copenhagen, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>World Health Organisation Regional Office for Europe, Copenhagen</wicri:regionArea></affiliation></author><author><name sortKey="Adlhoch, Cornelia" sort="Adlhoch, Cornelia" uniqKey="Adlhoch C" first="Cornelia" last="Adlhoch">Cornelia Adlhoch</name><affiliation wicri:level="1"><nlm:aff id="aff1">European Centre for Disease Prevention and Control, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>European Centre for Disease Prevention and Control, Stockholm</wicri:regionArea></affiliation></author><author><name sortKey="Pukkila, Jukka" sort="Pukkila, Jukka" uniqKey="Pukkila J" first="Jukka" last="Pukkila">Jukka Pukkila</name><affiliation wicri:level="1"><nlm:aff id="aff2">World Health Organisation Regional Office for Europe, Copenhagen, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>World Health Organisation Regional Office for Europe, Copenhagen</wicri:regionArea></affiliation></author><author><name sortKey="Pebody, Richard" sort="Pebody, Richard" uniqKey="Pebody R" first="Richard" last="Pebody">Richard Pebody</name><affiliation wicri:level="1"><nlm:aff id="aff2">World Health Organisation Regional Office for Europe, Copenhagen, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>World Health Organisation Regional Office for Europe, Copenhagen</wicri:regionArea></affiliation></author><author><name sortKey="Olsen, Sonja" sort="Olsen, Sonja" uniqKey="Olsen S" first="Sonja" last="Olsen">Sonja Olsen</name><affiliation wicri:level="1"><nlm:aff id="aff2">World Health Organisation Regional Office for Europe, Copenhagen, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>World Health Organisation Regional Office for Europe, Copenhagen</wicri:regionArea></affiliation><affiliation><nlm:aff id="aff29">These authors have contributed equally to the manuscript</nlm:aff></affiliation></author><author><name sortKey="Ciancio, Bruno Christian" sort="Ciancio, Bruno Christian" uniqKey="Ciancio B" first="Bruno Christian" last="Ciancio">Bruno Christian Ciancio</name><affiliation wicri:level="1"><nlm:aff id="aff1">European Centre for Disease Prevention and Control, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>European Centre for Disease Prevention and Control, Stockholm</wicri:regionArea></affiliation><affiliation><nlm:aff id="aff29">These authors have contributed equally to the manuscript</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">32156327</idno><idno type="pmc">7068164</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068164</idno><idno type="RBID">PMC:7068164</idno><idno type="doi">10.2807/1560-7917.ES.2020.25.9.2000178</idno><date when="2020">2020</date><idno type="wicri:Area/Pmc/Corpus">000843</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000843</idno><idno type="wicri:Area/Pmc/Curation">000843</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000843</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">First cases of coronavirus disease 2019 (COVID-19) in the WHO European Region, 24 January to 21 February 2020</title><author><name sortKey="Spiteri, Gianfranco" sort="Spiteri, Gianfranco" uniqKey="Spiteri G" first="Gianfranco" last="Spiteri">Gianfranco Spiteri</name><affiliation wicri:level="1"><nlm:aff id="aff1">European Centre for Disease Prevention and Control, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>European Centre for Disease Prevention and Control, Stockholm</wicri:regionArea></affiliation></author><author><name sortKey="Fielding, James" sort="Fielding, James" uniqKey="Fielding J" first="James" last="Fielding">James Fielding</name><affiliation wicri:level="1"><nlm:aff id="aff2">World Health Organisation Regional Office for Europe, Copenhagen, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>World Health Organisation Regional Office for Europe, Copenhagen</wicri:regionArea></affiliation></author><author><name sortKey="Diercke, Michaela" sort="Diercke, Michaela" uniqKey="Diercke M" first="Michaela" last="Diercke">Michaela Diercke</name><affiliation wicri:level="1"><nlm:aff id="aff3">Robert Koch Institute, Berlin, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Robert Koch Institute, Berlin</wicri:regionArea></affiliation></author><author><name sortKey="Campese, Christine" sort="Campese, Christine" uniqKey="Campese C" first="Christine" last="Campese">Christine Campese</name><affiliation wicri:level="1"><nlm:aff id="aff4">Santé Publique France – Direction des maladies infectieuses, Saint-Maurice, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Santé Publique France – Direction des maladies infectieuses, Saint-Maurice</wicri:regionArea></affiliation></author><author><name sortKey="Enouf, Vincent" sort="Enouf, Vincent" uniqKey="Enouf V" first="Vincent" last="Enouf">Vincent Enouf</name><affiliation wicri:level="1"><nlm:aff id="aff5">Centre national de référence Virus des infections respiratoires, dont la grippe, Institut Pasteur, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Centre national de référence Virus des infections respiratoires, dont la grippe, Institut Pasteur, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Gaymard, Alexandre" sort="Gaymard, Alexandre" uniqKey="Gaymard A" first="Alexandre" last="Gaymard">Alexandre Gaymard</name><affiliation wicri:level="1"><nlm:aff id="aff6">Centre national de référence Virus des infections respiratoires, dont la grippe, Hospices civils de Lyon, Lyon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Centre national de référence Virus des infections respiratoires, dont la grippe, Hospices civils de Lyon, Lyon</wicri:regionArea></affiliation></author><author><name sortKey="Bella, Antonino" sort="Bella, Antonino" uniqKey="Bella A" first="Antonino" last="Bella">Antonino Bella</name><affiliation wicri:level="1"><nlm:aff id="aff7">Istituto Superiore di Sanita, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Istituto Superiore di Sanita, Rome</wicri:regionArea></affiliation></author><author><name sortKey="Sognamiglio, Paola" sort="Sognamiglio, Paola" uniqKey="Sognamiglio P" first="Paola" last="Sognamiglio">Paola Sognamiglio</name><affiliation wicri:level="1"><nlm:aff id="aff8">Istituto Nazionale Malattie Infettive Lazzaro Spallanzani, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Istituto Nazionale Malattie Infettive Lazzaro Spallanzani, Rome</wicri:regionArea></affiliation></author><author><name sortKey="Sierra Moros, Maria Jose" sort="Sierra Moros, Maria Jose" uniqKey="Sierra Moros M" first="Maria José" last="Sierra Moros">Maria José Sierra Moros</name><affiliation wicri:level="1"><nlm:aff id="aff9">Coordination Centre for Health Alerts and Emergencies. Spanish Ministry of Health, Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Coordination Centre for Health Alerts and Emergencies. Spanish Ministry of Health, Madrid</wicri:regionArea></affiliation></author><author><name sortKey="Riutort, Antonio Nicolau" sort="Riutort, Antonio Nicolau" uniqKey="Riutort A" first="Antonio Nicolau" last="Riutort">Antonio Nicolau Riutort</name><affiliation wicri:level="1"><nlm:aff id="aff10">Servicio de Epidemiología, Dirección General de Salut Pública, Islas Baleares, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Servicio de Epidemiología, Dirección General de Salut Pública, Islas Baleares</wicri:regionArea></affiliation></author><author><name sortKey="Demina, Yulia V" sort="Demina, Yulia V" uniqKey="Demina Y" first="Yulia V." last="Demina">Yulia V. Demina</name><affiliation wicri:level="1"><nlm:aff id="aff11">Federal Service for Surveillance on Consumer Rights Protection and Human Well-being (Rospotrebnadzor), Moscow, Russia</nlm:aff><country xml:lang="fr">Russie</country><wicri:regionArea>Federal Service for Surveillance on Consumer Rights Protection and Human Well-being (Rospotrebnadzor), Moscow</wicri:regionArea></affiliation></author><author><name sortKey="Mahieu, Romain" sort="Mahieu, Romain" uniqKey="Mahieu R" first="Romain" last="Mahieu">Romain Mahieu</name><affiliation wicri:level="1"><nlm:aff id="aff12">Department of Infectious Disease Prevention and Control, Common Community Commission, Brussels-Capital Region, Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Infectious Disease Prevention and Control, Common Community Commission, Brussels-Capital Region, Brussels</wicri:regionArea></affiliation></author><author><name sortKey="Broas, Markku" sort="Broas, Markku" uniqKey="Broas M" first="Markku" last="Broas">Markku Broas</name><affiliation wicri:level="1"><nlm:aff id="aff13">Chief Physician, Infection control unit, Lapland Hospital District, Rovaniemi, Finland</nlm:aff><country xml:lang="fr">Finlande</country><wicri:regionArea>Chief Physician, Infection control unit, Lapland Hospital District, Rovaniemi</wicri:regionArea></affiliation></author><author><name sortKey="Bengner, Malin" sort="Bengner, Malin" uniqKey="Bengner M" first="Malin" last="Bengnér">Malin Bengnér</name><affiliation wicri:level="1"><nlm:aff id="aff14">County Medical Officer, Jönköping Region, Jönköping, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>County Medical Officer, Jönköping Region, Jönköping</wicri:regionArea></affiliation></author><author><name sortKey="Buda, Silke" sort="Buda, Silke" uniqKey="Buda S" first="Silke" last="Buda">Silke Buda</name><affiliation wicri:level="1"><nlm:aff id="aff3">Robert Koch Institute, Berlin, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Robert Koch Institute, Berlin</wicri:regionArea></affiliation></author><author><name sortKey="Schilling, Julia" sort="Schilling, Julia" uniqKey="Schilling J" first="Julia" last="Schilling">Julia Schilling</name><affiliation wicri:level="1"><nlm:aff id="aff3">Robert Koch Institute, Berlin, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Robert Koch Institute, Berlin</wicri:regionArea></affiliation></author><author><name sortKey="Filleul, Laurent" sort="Filleul, Laurent" uniqKey="Filleul L" first="Laurent" last="Filleul">Laurent Filleul</name><affiliation wicri:level="1"><nlm:aff id="aff15">Santé publique France – Direction des régions, Cellule régionale Nouvelle Aquitaine, Bordeaux, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Santé publique France – Direction des régions, Cellule régionale Nouvelle Aquitaine, Bordeaux</wicri:regionArea></affiliation></author><author><name sortKey="Lepoutre, Agnes" sort="Lepoutre, Agnes" uniqKey="Lepoutre A" first="Agnès" last="Lepoutre">Agnès Lepoutre</name><affiliation wicri:level="1"><nlm:aff id="aff16">Santé publique France – Direction des régions, Cellule régionale Ile-de-France, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Santé publique France – Direction des régions, Cellule régionale Ile-de-France, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Saura, Christine" sort="Saura, Christine" uniqKey="Saura C" first="Christine" last="Saura">Christine Saura</name><affiliation wicri:level="1"><nlm:aff id="aff17">Santé publique France – Direction des régions, Cellule régionale Auvergne-Rhône-Alpes, Lyon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Santé publique France – Direction des régions, Cellule régionale Auvergne-Rhône-Alpes, Lyon</wicri:regionArea></affiliation></author><author><name sortKey="Mailles, Alexandra" sort="Mailles, Alexandra" uniqKey="Mailles A" first="Alexandra" last="Mailles">Alexandra Mailles</name><affiliation wicri:level="1"><nlm:aff id="aff4">Santé Publique France – Direction des maladies infectieuses, Saint-Maurice, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Santé Publique France – Direction des maladies infectieuses, Saint-Maurice</wicri:regionArea></affiliation></author><author><name sortKey="Levy Bruhl, Daniel" sort="Levy Bruhl, Daniel" uniqKey="Levy Bruhl D" first="Daniel" last="Levy-Bruhl">Daniel Levy-Bruhl</name><affiliation wicri:level="1"><nlm:aff id="aff4">Santé Publique France – Direction des maladies infectieuses, Saint-Maurice, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Santé Publique France – Direction des maladies infectieuses, Saint-Maurice</wicri:regionArea></affiliation></author><author><name sortKey="Coignard, Bruno" sort="Coignard, Bruno" uniqKey="Coignard B" first="Bruno" last="Coignard">Bruno Coignard</name><affiliation wicri:level="1"><nlm:aff id="aff4">Santé Publique France – Direction des maladies infectieuses, Saint-Maurice, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Santé Publique France – Direction des maladies infectieuses, Saint-Maurice</wicri:regionArea></affiliation></author><author><name sortKey="Bernard Stoecklin, Sibylle" sort="Bernard Stoecklin, Sibylle" uniqKey="Bernard Stoecklin S" first="Sibylle" last="Bernard-Stoecklin">Sibylle Bernard-Stoecklin</name><affiliation wicri:level="1"><nlm:aff id="aff4">Santé Publique France – Direction des maladies infectieuses, Saint-Maurice, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Santé Publique France – Direction des maladies infectieuses, Saint-Maurice</wicri:regionArea></affiliation></author><author><name sortKey="Behillil, Sylvie" sort="Behillil, Sylvie" uniqKey="Behillil S" first="Sylvie" last="Behillil">Sylvie Behillil</name><affiliation wicri:level="1"><nlm:aff id="aff5">Centre national de référence Virus des infections respiratoires, dont la grippe, Institut Pasteur, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Centre national de référence Virus des infections respiratoires, dont la grippe, Institut Pasteur, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Van Der Werf, Sylvie" sort="Van Der Werf, Sylvie" uniqKey="Van Der Werf S" first="Sylvie" last="Van Der Werf">Sylvie Van Der Werf</name><affiliation wicri:level="1"><nlm:aff id="aff5">Centre national de référence Virus des infections respiratoires, dont la grippe, Institut Pasteur, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Centre national de référence Virus des infections respiratoires, dont la grippe, Institut Pasteur, Paris</wicri:regionArea></affiliation></author><author><name sortKey="Valette, Martine" sort="Valette, Martine" uniqKey="Valette M" first="Martine" last="Valette">Martine Valette</name><affiliation wicri:level="1"><nlm:aff id="aff6">Centre national de référence Virus des infections respiratoires, dont la grippe, Hospices civils de Lyon, Lyon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Centre national de référence Virus des infections respiratoires, dont la grippe, Hospices civils de Lyon, Lyon</wicri:regionArea></affiliation></author><author><name sortKey="Lina, Bruno" sort="Lina, Bruno" uniqKey="Lina B" first="Bruno" last="Lina">Bruno Lina</name><affiliation wicri:level="1"><nlm:aff id="aff6">Centre national de référence Virus des infections respiratoires, dont la grippe, Hospices civils de Lyon, Lyon, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Centre national de référence Virus des infections respiratoires, dont la grippe, Hospices civils de Lyon, Lyon</wicri:regionArea></affiliation></author><author><name sortKey="Riccardo, Flavia" sort="Riccardo, Flavia" uniqKey="Riccardo F" first="Flavia" last="Riccardo">Flavia Riccardo</name><affiliation wicri:level="1"><nlm:aff id="aff7">Istituto Superiore di Sanita, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Istituto Superiore di Sanita, Rome</wicri:regionArea></affiliation></author><author><name sortKey="Nicastri, Emanuele" sort="Nicastri, Emanuele" uniqKey="Nicastri E" first="Emanuele" last="Nicastri">Emanuele Nicastri</name><affiliation wicri:level="1"><nlm:aff id="aff8">Istituto Nazionale Malattie Infettive Lazzaro Spallanzani, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Istituto Nazionale Malattie Infettive Lazzaro Spallanzani, Rome</wicri:regionArea></affiliation></author><author><name sortKey="Casas, Inmaculada" sort="Casas, Inmaculada" uniqKey="Casas I" first="Inmaculada" last="Casas">Inmaculada Casas</name><affiliation wicri:level="1"><nlm:aff id="aff18">National Centre for Microbiology, WHO-National Influenza Centre, Institute of Health Carlos III. Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>National Centre for Microbiology, WHO-National Influenza Centre, Institute of Health Carlos III. Madrid</wicri:regionArea></affiliation></author><author><name sortKey="Larrauri, Amparo" sort="Larrauri, Amparo" uniqKey="Larrauri A" first="Amparo" last="Larrauri">Amparo Larrauri</name><affiliation wicri:level="1"><nlm:aff id="aff19">National Centre of Epidemiology, CIBERESP, Institute of Health Carlos III. Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>National Centre of Epidemiology, CIBERESP, Institute of Health Carlos III. Madrid</wicri:regionArea></affiliation></author><author><name sortKey="Salom Castell, Magdalena" sort="Salom Castell, Magdalena" uniqKey="Salom Castell M" first="Magdalena" last="Salom Castell">Magdalena Salom Castell</name><affiliation wicri:level="1"><nlm:aff id="aff20">Dirección General de Salut Pública, Islas Baleares, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Dirección General de Salut Pública, Islas Baleares</wicri:regionArea></affiliation></author><author><name sortKey="Pozo, Francisco" sort="Pozo, Francisco" uniqKey="Pozo F" first="Francisco" last="Pozo">Francisco Pozo</name><affiliation wicri:level="1"><nlm:aff id="aff18">National Centre for Microbiology, WHO-National Influenza Centre, Institute of Health Carlos III. Madrid, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>National Centre for Microbiology, WHO-National Influenza Centre, Institute of Health Carlos III. Madrid</wicri:regionArea></affiliation></author><author><name sortKey="Maksyutov, Rinat A" sort="Maksyutov, Rinat A" uniqKey="Maksyutov R" first="Rinat A." last="Maksyutov">Rinat A. Maksyutov</name><affiliation wicri:level="1"><nlm:aff id="aff21">State Research Center of Virology and Biotechnology “Vector”, Rospotrebnadzor, Moscow, Russia</nlm:aff><country xml:lang="fr">Russie</country><wicri:regionArea>State Research Center of Virology and Biotechnology “Vector”, Rospotrebnadzor, Moscow</wicri:regionArea></affiliation></author><author><name sortKey="Martin, Charlotte" sort="Martin, Charlotte" uniqKey="Martin C" first="Charlotte" last="Martin">Charlotte Martin</name><affiliation wicri:level="1"><nlm:aff id="aff22">St. Pierre Hospital, Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>St. Pierre Hospital, Brussels</wicri:regionArea></affiliation></author><author><name sortKey="Van Ranst, Marc" sort="Van Ranst, Marc" uniqKey="Van Ranst M" first="Marc" last="Van Ranst">Marc Van Ranst</name><affiliation wicri:level="1"><nlm:aff id="aff23">Laboratory of Clinical Virology, Department of Microbiology and Immunology, Rega Institute, KU Leuven - University of Leuven, Leuven, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Laboratory of Clinical Virology, Department of Microbiology and Immunology, Rega Institute, KU Leuven - University of Leuven, Leuven</wicri:regionArea></affiliation></author><author><name sortKey="Bossuyt, Nathalie" sort="Bossuyt, Nathalie" uniqKey="Bossuyt N" first="Nathalie" last="Bossuyt">Nathalie Bossuyt</name><affiliation wicri:level="1"><nlm:aff id="aff24">Epidemiology of infectious diseases, Sciensano, Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Epidemiology of infectious diseases, Sciensano, Brussels</wicri:regionArea></affiliation></author><author><name sortKey="Siira, Lotta" sort="Siira, Lotta" uniqKey="Siira L" first="Lotta" last="Siira">Lotta Siira</name><affiliation wicri:level="1"><nlm:aff id="aff25">Expert Microbiology Unit, Department of Health Security, Finnish Institute for Health and Welfare (THL), Helsinki, Finland</nlm:aff><country xml:lang="fr">Finlande</country><wicri:regionArea>Expert Microbiology Unit, Department of Health Security, Finnish Institute for Health and Welfare (THL), Helsinki</wicri:regionArea></affiliation></author><author><name sortKey="Sane, Jussi" sort="Sane, Jussi" uniqKey="Sane J" first="Jussi" last="Sane">Jussi Sane</name><affiliation wicri:level="1"><nlm:aff id="aff26">Infectious Disease Control and Vaccinations Unit, Department of Health Security, Finnish Institute for Health and Welfare (THL), Helsinki, Finland</nlm:aff><country xml:lang="fr">Finlande</country><wicri:regionArea>Infectious Disease Control and Vaccinations Unit, Department of Health Security, Finnish Institute for Health and Welfare (THL), Helsinki</wicri:regionArea></affiliation></author><author><name sortKey="Tegmark Wisell, Karin" sort="Tegmark Wisell, Karin" uniqKey="Tegmark Wisell K" first="Karin" last="Tegmark-Wisell">Karin Tegmark-Wisell</name><affiliation wicri:level="1"><nlm:aff id="aff27">Public Health Agency of Sweden, Solna, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Public Health Agency of Sweden, Solna</wicri:regionArea></affiliation></author><author><name sortKey="Palmerus, Maria" sort="Palmerus, Maria" uniqKey="Palmerus M" first="Maria" last="Palmérus">Maria Palmérus</name><affiliation wicri:level="1"><nlm:aff id="aff28">Jönköping Region, Jönköping, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Jönköping Region, Jönköping</wicri:regionArea></affiliation></author><author><name sortKey="Broberg, Eeva K" sort="Broberg, Eeva K" uniqKey="Broberg E" first="Eeva K." last="Broberg">Eeva K. Broberg</name><affiliation wicri:level="1"><nlm:aff id="aff1">European Centre for Disease Prevention and Control, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>European Centre for Disease Prevention and Control, Stockholm</wicri:regionArea></affiliation></author><author><name sortKey="Beaute, Julien" sort="Beaute, Julien" uniqKey="Beaute J" first="Julien" last="Beauté">Julien Beauté</name><affiliation wicri:level="1"><nlm:aff id="aff1">European Centre for Disease Prevention and Control, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>European Centre for Disease Prevention and Control, Stockholm</wicri:regionArea></affiliation></author><author><name sortKey="Jorgensen, Pernille" sort="Jorgensen, Pernille" uniqKey="Jorgensen P" first="Pernille" last="Jorgensen">Pernille Jorgensen</name><affiliation wicri:level="1"><nlm:aff id="aff2">World Health Organisation Regional Office for Europe, Copenhagen, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>World Health Organisation Regional Office for Europe, Copenhagen</wicri:regionArea></affiliation></author><author><name sortKey="Bundle, Nick" sort="Bundle, Nick" uniqKey="Bundle N" first="Nick" last="Bundle">Nick Bundle</name><affiliation wicri:level="1"><nlm:aff id="aff1">European Centre for Disease Prevention and Control, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>European Centre for Disease Prevention and Control, Stockholm</wicri:regionArea></affiliation></author><author><name sortKey="Pereyaslov, Dmitriy" sort="Pereyaslov, Dmitriy" uniqKey="Pereyaslov D" first="Dmitriy" last="Pereyaslov">Dmitriy Pereyaslov</name><affiliation wicri:level="1"><nlm:aff id="aff2">World Health Organisation Regional Office for Europe, Copenhagen, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>World Health Organisation Regional Office for Europe, Copenhagen</wicri:regionArea></affiliation></author><author><name sortKey="Adlhoch, Cornelia" sort="Adlhoch, Cornelia" uniqKey="Adlhoch C" first="Cornelia" last="Adlhoch">Cornelia Adlhoch</name><affiliation wicri:level="1"><nlm:aff id="aff1">European Centre for Disease Prevention and Control, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>European Centre for Disease Prevention and Control, Stockholm</wicri:regionArea></affiliation></author><author><name sortKey="Pukkila, Jukka" sort="Pukkila, Jukka" uniqKey="Pukkila J" first="Jukka" last="Pukkila">Jukka Pukkila</name><affiliation wicri:level="1"><nlm:aff id="aff2">World Health Organisation Regional Office for Europe, Copenhagen, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>World Health Organisation Regional Office for Europe, Copenhagen</wicri:regionArea></affiliation></author><author><name sortKey="Pebody, Richard" sort="Pebody, Richard" uniqKey="Pebody R" first="Richard" last="Pebody">Richard Pebody</name><affiliation wicri:level="1"><nlm:aff id="aff2">World Health Organisation Regional Office for Europe, Copenhagen, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>World Health Organisation Regional Office for Europe, Copenhagen</wicri:regionArea></affiliation></author><author><name sortKey="Olsen, Sonja" sort="Olsen, Sonja" uniqKey="Olsen S" first="Sonja" last="Olsen">Sonja Olsen</name><affiliation wicri:level="1"><nlm:aff id="aff2">World Health Organisation Regional Office for Europe, Copenhagen, Denmark</nlm:aff><country xml:lang="fr">Danemark</country><wicri:regionArea>World Health Organisation Regional Office for Europe, Copenhagen</wicri:regionArea></affiliation><affiliation><nlm:aff id="aff29">These authors have contributed equally to the manuscript</nlm:aff></affiliation></author><author><name sortKey="Ciancio, Bruno Christian" sort="Ciancio, Bruno Christian" uniqKey="Ciancio B" first="Bruno Christian" last="Ciancio">Bruno Christian Ciancio</name><affiliation wicri:level="1"><nlm:aff id="aff1">European Centre for Disease Prevention and Control, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>European Centre for Disease Prevention and Control, Stockholm</wicri:regionArea></affiliation><affiliation><nlm:aff id="aff29">These authors have contributed equally to the manuscript</nlm:aff></affiliation></author></analytic><series><title level="j">Eurosurveillance</title><idno type="ISSN">1025-496X</idno><idno type="eISSN">1560-7917</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>In the WHO European Region, COVID-19 surveillance was implemented 27 January 2020. We detail the first European cases. As at 21 February, nine European countries reported 47 cases. Among 38 cases studied, 21 were linked to two clusters in Germany and France, 14 were infected in China. Median case age was 42 years; 25 were male. Late detection of the clusters’ index cases delayed isolation of further local cases. As at 5 March, there were 4,250 cases. </p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Reusken, Cbem" uniqKey="Reusken C">CBEM Reusken</name></author><author><name sortKey="Broberg, Ek" uniqKey="Broberg E">EK Broberg</name></author><author><name sortKey="Haagmans, B" uniqKey="Haagmans B">B Haagmans</name></author><author><name sortKey="Meijer, A" uniqKey="Meijer A">A Meijer</name></author><author><name sortKey="Corman, Vm" uniqKey="Corman V">VM Corman</name></author><author><name sortKey="Papa, A" uniqKey="Papa A">A Papa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bernard Stoecklin, S" uniqKey="Bernard Stoecklin S">S Bernard Stoecklin</name></author><author><name sortKey="Rolland, P" uniqKey="Rolland P">P Rolland</name></author><author><name sortKey="Silue, Y" uniqKey="Silue Y">Y Silue</name></author><author><name sortKey="Mailles, A" uniqKey="Mailles A">A Mailles</name></author><author><name sortKey="Campese, C" uniqKey="Campese C">C Campese</name></author><author><name sortKey="Simondon, A" uniqKey="Simondon A">A Simondon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Backer, Ja" uniqKey="Backer J">JA Backer</name></author><author><name sortKey="Klinkenberg, D" uniqKey="Klinkenberg D">D Klinkenberg</name></author><author><name sortKey="Wallinga, J" uniqKey="Wallinga J">J Wallinga</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Euro Surveill</journal-id><journal-id journal-id-type="iso-abbrev">Euro Surveill</journal-id><journal-id journal-id-type="publisher-id">ES</journal-id><journal-title-group><journal-title>Eurosurveillance</journal-title></journal-title-group><issn pub-type="ppub">1025-496X</issn><issn pub-type="epub">1560-7917</issn><publisher><publisher-name>European Centre for Disease Prevention and Control (ECDC)</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">32156327</article-id><article-id pub-id-type="pmc">7068164</article-id><article-id pub-id-type="publisher-id">2000178</article-id><article-id pub-id-type="doi">10.2807/1560-7917.ES.2020.25.9.2000178</article-id><article-id pub-id-type="publisher-id">2000178</article-id><article-categories><subj-group subj-group-type="heading"><subject>Rapid Communication</subject></subj-group></article-categories><title-group><article-title>First cases of coronavirus disease 2019 (COVID-19) in the WHO European Region, 24 January to 21 February 2020</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Spiteri</surname><given-names>Gianfranco</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Fielding</surname><given-names>James</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Diercke</surname><given-names>Michaela</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Campese</surname><given-names>Christine</given-names></name><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>Enouf</surname><given-names>Vincent</given-names></name><xref ref-type="aff" rid="aff5"><sup>5</sup></xref></contrib><contrib contrib-type="author"><name><surname>Gaymard</surname><given-names>Alexandre</given-names></name><xref ref-type="aff" rid="aff6"><sup>6</sup></xref></contrib><contrib contrib-type="author"><name><surname>Bella</surname><given-names>Antonino</given-names></name><xref ref-type="aff" rid="aff7"><sup>7</sup></xref></contrib><contrib contrib-type="author"><name><surname>Sognamiglio</surname><given-names>Paola</given-names></name><xref ref-type="aff" rid="aff8"><sup>8</sup></xref></contrib><contrib contrib-type="author"><name><surname>Sierra Moros</surname><given-names>Maria José</given-names></name><xref ref-type="aff" rid="aff9"><sup>9</sup></xref></contrib><contrib contrib-type="author"><name><surname>Riutort</surname><given-names>Antonio Nicolau</given-names></name><xref ref-type="aff" rid="aff10"><sup>10</sup></xref></contrib><contrib contrib-type="author"><name><surname>Demina</surname><given-names>Yulia V.</given-names></name><xref ref-type="aff" rid="aff11"><sup>11</sup></xref></contrib><contrib contrib-type="author"><name><surname>Mahieu</surname><given-names>Romain</given-names></name><xref ref-type="aff" rid="aff12"><sup>12</sup></xref></contrib><contrib contrib-type="author"><name><surname>Broas</surname><given-names>Markku</given-names></name><xref ref-type="aff" rid="aff13"><sup>13</sup></xref></contrib><contrib contrib-type="author"><name><surname>Bengnér</surname><given-names>Malin</given-names></name><xref ref-type="aff" rid="aff14"><sup>14</sup></xref></contrib><contrib contrib-type="author"><name><surname>Buda</surname><given-names>Silke</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Schilling</surname><given-names>Julia</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Filleul</surname><given-names>Laurent</given-names></name><xref ref-type="aff" rid="aff15"><sup>15</sup></xref></contrib><contrib contrib-type="author"><name><surname>Lepoutre</surname><given-names>Agnès</given-names></name><xref ref-type="aff" rid="aff16"><sup>16</sup></xref></contrib><contrib contrib-type="author"><name><surname>Saura</surname><given-names>Christine</given-names></name><xref ref-type="aff" rid="aff17"><sup>17</sup></xref></contrib><contrib contrib-type="author"><name><surname>Mailles</surname><given-names>Alexandra</given-names></name><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>Levy-Bruhl</surname><given-names>Daniel</given-names></name><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>Coignard</surname><given-names>Bruno</given-names></name><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>Bernard-Stoecklin</surname><given-names>Sibylle</given-names></name><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>Behillil</surname><given-names>Sylvie</given-names></name><xref ref-type="aff" rid="aff5"><sup>5</sup></xref></contrib><contrib contrib-type="author"><name><surname>van der Werf</surname><given-names>Sylvie</given-names></name><xref ref-type="aff" rid="aff5"><sup>5</sup></xref></contrib><contrib contrib-type="author"><name><surname>Valette</surname><given-names>Martine</given-names></name><xref ref-type="aff" rid="aff6"><sup>6</sup></xref></contrib><contrib contrib-type="author"><name><surname>Lina</surname><given-names>Bruno</given-names></name><xref ref-type="aff" rid="aff6"><sup>6</sup></xref></contrib><contrib contrib-type="author"><name><surname>Riccardo</surname><given-names>Flavia</given-names></name><xref ref-type="aff" rid="aff7"><sup>7</sup></xref></contrib><contrib contrib-type="author"><name><surname>Nicastri</surname><given-names>Emanuele</given-names></name><xref ref-type="aff" rid="aff8"><sup>8</sup></xref></contrib><contrib contrib-type="author"><name><surname>Casas</surname><given-names>Inmaculada</given-names></name><xref ref-type="aff" rid="aff18"><sup>18</sup></xref></contrib><contrib contrib-type="author"><name><surname>Larrauri</surname><given-names>Amparo</given-names></name><xref ref-type="aff" rid="aff19"><sup>19</sup></xref></contrib><contrib contrib-type="author"><name><surname>Salom Castell</surname><given-names>Magdalena</given-names></name><xref ref-type="aff" rid="aff20"><sup>20</sup></xref></contrib><contrib contrib-type="author"><name><surname>Pozo</surname><given-names>Francisco</given-names></name><xref ref-type="aff" rid="aff18"><sup>18</sup></xref></contrib><contrib contrib-type="author"><name><surname>Maksyutov</surname><given-names>Rinat A.</given-names></name><xref ref-type="aff" rid="aff21"><sup>21</sup></xref></contrib><contrib contrib-type="author"><name><surname>Martin</surname><given-names>Charlotte</given-names></name><xref ref-type="aff" rid="aff22"><sup>22</sup></xref></contrib><contrib contrib-type="author"><name><surname>Van Ranst</surname><given-names>Marc</given-names></name><xref ref-type="aff" rid="aff23"><sup>23</sup></xref></contrib><contrib contrib-type="author"><name><surname>Bossuyt</surname><given-names>Nathalie</given-names></name><xref ref-type="aff" rid="aff24"><sup>24</sup></xref></contrib><contrib contrib-type="author"><name><surname>Siira</surname><given-names>Lotta</given-names></name><xref ref-type="aff" rid="aff25"><sup>25</sup></xref></contrib><contrib contrib-type="author"><name><surname>Sane</surname><given-names>Jussi</given-names></name><xref ref-type="aff" rid="aff26"><sup>26</sup></xref></contrib><contrib contrib-type="author"><name><surname>Tegmark-Wisell</surname><given-names>Karin</given-names></name><xref ref-type="aff" rid="aff27"><sup>27</sup></xref></contrib><contrib contrib-type="author"><name><surname>Palmérus</surname><given-names>Maria</given-names></name><xref ref-type="aff" rid="aff28"><sup>28</sup></xref></contrib><contrib contrib-type="author"><name><surname>Broberg</surname><given-names>Eeva K.</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Beauté</surname><given-names>Julien</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Jorgensen</surname><given-names>Pernille</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Bundle</surname><given-names>Nick</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Pereyaslov</surname><given-names>Dmitriy</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Adlhoch</surname><given-names>Cornelia</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Pukkila</surname><given-names>Jukka</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Pebody</surname><given-names>Richard</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Olsen</surname><given-names>Sonja</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref><xref ref-type="aff" rid="aff29"><sup>29</sup></xref></contrib><contrib contrib-type="author"><name><surname>Ciancio</surname><given-names>Bruno Christian</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff29"><sup>29</sup></xref></contrib><aff id="aff1"><label>1</label>European Centre for Disease Prevention and Control, Stockholm, Sweden</aff><aff id="aff2"><label>2</label>World Health Organisation Regional Office for Europe, Copenhagen, Denmark</aff><aff id="aff3"><label>3</label>Robert Koch Institute, Berlin, Germany</aff><aff id="aff4"><label>4</label>Santé Publique France – Direction des maladies infectieuses, Saint-Maurice, France</aff><aff id="aff5"><label>5</label>Centre national de référence Virus des infections respiratoires, dont la grippe, Institut Pasteur, Paris, France</aff><aff id="aff6"><label>6</label>Centre national de référence Virus des infections respiratoires, dont la grippe, Hospices civils de Lyon, Lyon, France</aff><aff id="aff7"><label>7</label>Istituto Superiore di Sanita, Rome, Italy</aff><aff id="aff8"><label>8</label>Istituto Nazionale Malattie Infettive Lazzaro Spallanzani, Rome, Italy</aff><aff id="aff9"><label>9</label>Coordination Centre for Health Alerts and Emergencies. Spanish Ministry of Health, Madrid, Spain</aff><aff id="aff10"><label>10</label>Servicio de Epidemiología, Dirección General de Salut Pública, Islas Baleares, Spain</aff><aff id="aff11"><label>11</label>Federal Service for Surveillance on Consumer Rights Protection and Human Well-being (Rospotrebnadzor), Moscow, Russia</aff><aff id="aff12"><label>12</label>Department of Infectious Disease Prevention and Control, Common Community Commission, Brussels-Capital Region, Brussels, Belgium</aff><aff id="aff13"><label>13</label>Chief Physician, Infection control unit, Lapland Hospital District, Rovaniemi, Finland</aff><aff id="aff14"><label>14</label>County Medical Officer, Jönköping Region, Jönköping, Sweden</aff><aff id="aff15"><label>15</label>Santé publique France – Direction des régions, Cellule régionale Nouvelle Aquitaine, Bordeaux, France</aff><aff id="aff16"><label>16</label>Santé publique France – Direction des régions, Cellule régionale Ile-de-France, Paris, France</aff><aff id="aff17"><label>17</label>Santé publique France – Direction des régions, Cellule régionale Auvergne-Rhône-Alpes, Lyon, France</aff><aff id="aff18"><label>18</label>National Centre for Microbiology, WHO-National Influenza Centre, Institute of Health Carlos III. Madrid, Spain</aff><aff id="aff19"><label>19</label>National Centre of Epidemiology, CIBERESP, Institute of Health Carlos III. Madrid, Spain</aff><aff id="aff20"><label>20</label>Dirección General de Salut Pública, Islas Baleares, Spain</aff><aff id="aff21"><label>21</label>State Research Center of Virology and Biotechnology “Vector”, Rospotrebnadzor, Moscow, Russia</aff><aff id="aff22"><label>22</label>St. Pierre Hospital, Brussels, Belgium</aff><aff id="aff23"><label>23</label>Laboratory of Clinical Virology, Department of Microbiology and Immunology, Rega Institute, KU Leuven - University of Leuven, Leuven, Belgium</aff><aff id="aff24"><label>24</label>Epidemiology of infectious diseases, Sciensano, Brussels, Belgium</aff><aff id="aff25"><label>25</label>Expert Microbiology Unit, Department of Health Security, Finnish Institute for Health and Welfare (THL), Helsinki, Finland</aff><aff id="aff26"><label>26</label>Infectious Disease Control and Vaccinations Unit, Department of Health Security, Finnish Institute for Health and Welfare (THL), Helsinki, Finland</aff><aff id="aff27"><label>27</label>Public Health Agency of Sweden, Solna, Sweden</aff><aff id="aff28"><label>28</label>Jönköping Region, Jönköping, Sweden</aff><aff id="aff29"><label>29</label>These authors have contributed equally to the manuscript</aff></contrib-group><author-notes><fn id="afn1"><p>Correspondence: Gianfranco Spiteri (<email xlink:href="Gianfranco.spiteri@ecdc.europa.eu">Gianfranco.spiteri@ecdc.europa.eu</email>)</p></fn></author-notes><pub-date pub-type="ppub"><day>05</day><month>3</month><year>2020</year></pub-date><volume>25</volume><issue>9</issue><elocation-id>2000178</elocation-id><history><date date-type="received"><day>24</day><month>2</month><year>2020</year></date><date date-type="accepted"><day>05</day><month>3</month><year>2020</year></date></history><permissions><copyright-statement>This article is copyright of the authors or their affiliated institutions, 2020.</copyright-statement><copyright-year>2020</copyright-year><copyright-holder>The authors or their affiliated institutions</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.</license-p></license></permissions><abstract><p>In the WHO European Region, COVID-19 surveillance was implemented 27 January 2020. We detail the first European cases. As at 21 February, nine European countries reported 47 cases. Among 38 cases studied, 21 were linked to two clusters in Germany and France, 14 were infected in China. Median case age was 42 years; 25 were male. Late detection of the clusters’ index cases delayed isolation of further local cases. As at 5 March, there were 4,250 cases. </p></abstract><kwd-group><title>Keywords: </title><kwd>COVID-19</kwd><kwd>Novel coronavirus</kwd><kwd>SARS-COV-2</kwd><kwd>SARS</kwd><kwd>coronavirus disease 2019</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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