First cases of coronavirus disease 2019 (COVID-19) in the WHO European Region, 24 January to 21 February 2020.
Identifieur interne : 000669 ( PubMed/Curation ); précédent : 000668; suivant : 000670First 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 ; Bruno Christian CiancioSource :
- Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin [ 1560-7917 ] ; 2020.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Chine (épidémiologie), Enfant, Enfant d'âge préscolaire, Europe (épidémiologie), Facteurs de risque, Femelle, Hospitalisation, Humains, Infections à coronavirus (diagnostic), Infections à coronavirus (épidémiologie), Jeune adulte, Mâle, Organisation mondiale de la santé, Pneumopathie virale (diagnostic), Pneumopathie virale (épidémiologie), Protéines de l'enveloppe virale (analyse), Réaction de polymérisation en chaine en temps réel, Sujet âgé, Sujet âgé de 80 ans ou plus, Surveillance de la population, Voyage.
- MESH :
- analyse : Protéines de l'enveloppe virale.
- diagnostic : Infections à coronavirus, Pneumopathie virale.
- épidémiologie : Chine, Europe, Infections à coronavirus, Pneumopathie virale.
- Adolescent, Adulte, Adulte d'âge moyen, Enfant, Enfant d'âge préscolaire, Facteurs de risque, Femelle, Hospitalisation, Humains, Jeune adulte, Mâle, Organisation mondiale de la santé, Réaction de polymérisation en chaine en temps réel, Sujet âgé, Sujet âgé de 80 ans ou plus, Surveillance de la population, Voyage.
- Wicri :
- geographic : République populaire de Chine.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Betacoronavirus (genetics), Betacoronavirus (isolation & purification), Child, Child, Preschool, China (epidemiology), Coronavirus Infections (diagnosis), Coronavirus Infections (epidemiology), Europe (epidemiology), Female, Hospitalization, Humans, Male, Middle Aged, Pneumonia, Viral (diagnosis), Pneumonia, Viral (epidemiology), Population Surveillance, Real-Time Polymerase Chain Reaction, Risk Factors, Travel, Viral Envelope Proteins (analysis), World Health Organization, Young Adult.
- MESH :
- chemical , analysis : Viral Envelope Proteins.
- geographic , epidemiology : China, Europe.
- diagnosis : Coronavirus Infections, Pneumonia, Viral.
- epidemiology : Coronavirus Infections, Pneumonia, Viral.
- genetics : Betacoronavirus.
- isolation & purification : Betacoronavirus.
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Female, Hospitalization, Humans, Male, Middle Aged, Population Surveillance, Real-Time Polymerase Chain Reaction, Risk Factors, Travel, World Health Organization, Young Adult.
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.
DOI: 10.2807/1560-7917.ES.2020.25.9.2000178
PubMed: 32156327
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Sonja Olsen<affiliation><nlm:affiliation>These authors have contributed equally to the manuscript.</nlm:affiliation>
<wicri:noCountry code="no comma">These authors have contributed equally to the manuscript.</wicri:noCountry>
</affiliation>
<affiliation><nlm:affiliation>These authors have contributed equally to the manuscript.</nlm:affiliation>
<wicri:noCountry code="no comma">These authors have contributed equally to the manuscript.</wicri:noCountry>
</affiliation>
Le document en format XML
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<author><name sortKey="Bella, Antonino" sort="Bella, Antonino" uniqKey="Bella A" first="Antonino" last="Bella">Antonino Bella</name>
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<author><name sortKey="Riutort, Antonio Nicolau" sort="Riutort, Antonio Nicolau" uniqKey="Riutort A" first="Antonio Nicolau" last="Riutort">Antonio Nicolau Riutort</name>
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<author><name sortKey="Demina, Yulia V" sort="Demina, Yulia V" uniqKey="Demina Y" first="Yulia V" last="Demina">Yulia V. Demina</name>
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<author><name sortKey="Mahieu, Romain" sort="Mahieu, Romain" uniqKey="Mahieu R" first="Romain" last="Mahieu">Romain Mahieu</name>
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<author><name sortKey="Broas, Markku" sort="Broas, Markku" uniqKey="Broas M" first="Markku" last="Broas">Markku Broas</name>
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<author><name sortKey="Schilling, Julia" sort="Schilling, Julia" uniqKey="Schilling J" first="Julia" last="Schilling">Julia Schilling</name>
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<author><name sortKey="Filleul, Laurent" sort="Filleul, Laurent" uniqKey="Filleul L" first="Laurent" last="Filleul">Laurent Filleul</name>
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<author><name sortKey="Saura, Christine" sort="Saura, Christine" uniqKey="Saura C" first="Christine" last="Saura">Christine Saura</name>
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<author><name sortKey="Mailles, Alexandra" sort="Mailles, Alexandra" uniqKey="Mailles A" first="Alexandra" last="Mailles">Alexandra Mailles</name>
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<author><name sortKey="Levy Bruhl, Daniel" sort="Levy Bruhl, Daniel" uniqKey="Levy Bruhl D" first="Daniel" last="Levy-Bruhl">Daniel Levy-Bruhl</name>
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<country xml:lang="fr">France</country>
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<author><name sortKey="Coignard, Bruno" sort="Coignard, Bruno" uniqKey="Coignard B" first="Bruno" last="Coignard">Bruno Coignard</name>
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<country xml:lang="fr">France</country>
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<author><name sortKey="Bernard Stoecklin, Sibylle" sort="Bernard Stoecklin, Sibylle" uniqKey="Bernard Stoecklin S" first="Sibylle" last="Bernard-Stoecklin">Sibylle Bernard-Stoecklin</name>
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<country xml:lang="fr">France</country>
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<author><name sortKey="Behillil, Sylvie" sort="Behillil, Sylvie" uniqKey="Behillil S" first="Sylvie" last="Behillil">Sylvie Behillil</name>
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<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>
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<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>
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<country xml:lang="fr">France</country>
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<author><name sortKey="Valette, Martine" sort="Valette, Martine" uniqKey="Valette M" first="Martine" last="Valette">Martine Valette</name>
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<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>
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<author><name sortKey="Lina, Bruno" sort="Lina, Bruno" uniqKey="Lina B" first="Bruno" last="Lina">Bruno Lina</name>
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<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>
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<author><name sortKey="Riccardo, Flavia" sort="Riccardo, Flavia" uniqKey="Riccardo F" first="Flavia" last="Riccardo">Flavia Riccardo</name>
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<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>
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<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:affiliation>National Centre for Microbiology, WHO-National Influenza Centre, Institute of Health Carlos III. Madrid, Spain.</nlm:affiliation>
<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:affiliation>National Centre of Epidemiology, CIBERESP, Institute of Health Carlos III. Madrid, Spain.</nlm:affiliation>
<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>
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<author><name sortKey="Pozo, Francisco" sort="Pozo, Francisco" uniqKey="Pozo F" first="Francisco" last="Pozo">Francisco Pozo</name>
<affiliation wicri:level="1"><nlm:affiliation>National Centre for Microbiology, WHO-National Influenza Centre, Institute of Health Carlos III. Madrid, Spain.</nlm:affiliation>
<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:affiliation>State Research Center of Virology and Biotechnology "Vector", Rospotrebnadzor, Moscow, Russia.</nlm:affiliation>
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<author><name sortKey="Martin, Charlotte" sort="Martin, Charlotte" uniqKey="Martin C" first="Charlotte" last="Martin">Charlotte Martin</name>
<affiliation wicri:level="1"><nlm:affiliation>St. Pierre Hospital, Brussels, Belgium.</nlm:affiliation>
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<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:affiliation>Laboratory of Clinical Virology, Department of Microbiology and Immunology, Rega Institute, KU Leuven - University of Leuven, Leuven, Belgium.</nlm:affiliation>
<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>
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<author><name sortKey="Bossuyt, Nathalie" sort="Bossuyt, Nathalie" uniqKey="Bossuyt N" first="Nathalie" last="Bossuyt">Nathalie Bossuyt</name>
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<author><name sortKey="Siira, Lotta" sort="Siira, Lotta" uniqKey="Siira L" first="Lotta" last="Siira">Lotta Siira</name>
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<wicri:regionArea>Expert Microbiology Unit, Department of Health Security, Finnish Institute for Health and Welfare (THL), Helsinki</wicri:regionArea>
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<author><name sortKey="Sane, Jussi" sort="Sane, Jussi" uniqKey="Sane J" first="Jussi" last="Sane">Jussi Sane</name>
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<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:affiliation>Public Health Agency of Sweden, Solna, Sweden.</nlm:affiliation>
<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:affiliation>Jönköping Region, Jönköping, Sweden.</nlm:affiliation>
<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:affiliation>European Centre for Disease Prevention and Control, Stockholm, Sweden.</nlm:affiliation>
<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:affiliation>European Centre for Disease Prevention and Control, Stockholm, Sweden.</nlm:affiliation>
<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:affiliation>World Health Organisation Regional Office for Europe, Copenhagen, Denmark.</nlm:affiliation>
<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:affiliation>European Centre for Disease Prevention and Control, Stockholm, Sweden.</nlm:affiliation>
<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:affiliation>World Health Organisation Regional Office for Europe, Copenhagen, Denmark.</nlm:affiliation>
<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:affiliation>European Centre for Disease Prevention and Control, Stockholm, Sweden.</nlm:affiliation>
<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:affiliation>World Health Organisation Regional Office for Europe, Copenhagen, Denmark.</nlm:affiliation>
<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:affiliation>World Health Organisation Regional Office for Europe, Copenhagen, Denmark.</nlm:affiliation>
<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><nlm:affiliation>These authors have contributed equally to the manuscript.</nlm:affiliation>
<wicri:noCountry code="no comma">These authors have contributed equally to the manuscript.</wicri:noCountry>
</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><nlm:affiliation>These authors have contributed equally to the manuscript.</nlm:affiliation>
<wicri:noCountry code="no comma">These authors have contributed equally to the manuscript.</wicri:noCountry>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2020">2020</date>
<idno type="RBID">pubmed:32156327</idno>
<idno type="pmid">32156327</idno>
<idno type="doi">10.2807/1560-7917.ES.2020.25.9.2000178</idno>
<idno type="wicri:Area/PubMed/Corpus">000669</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000669</idno>
<idno type="wicri:Area/PubMed/Curation">000669</idno>
<idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000669</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">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:affiliation>European Centre for Disease Prevention and Control, Stockholm, Sweden.</nlm:affiliation>
<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:affiliation>World Health Organisation Regional Office for Europe, Copenhagen, Denmark.</nlm:affiliation>
<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:affiliation>Robert Koch Institute, Berlin, Germany.</nlm:affiliation>
<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:affiliation>Santé Publique France - Direction des maladies infectieuses, Saint-Maurice, France.</nlm:affiliation>
<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:affiliation>Centre national de référence Virus des infections respiratoires, dont la grippe, Institut Pasteur, Paris, France.</nlm:affiliation>
<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:affiliation>Centre national de référence Virus des infections respiratoires, dont la grippe, Hospices civils de Lyon, Lyon, France.</nlm:affiliation>
<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:affiliation>Istituto Superiore di Sanita, Rome, Italy.</nlm:affiliation>
<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:affiliation>Istituto Nazionale Malattie Infettive Lazzaro Spallanzani, Rome, Italy.</nlm:affiliation>
<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:affiliation>Coordination Centre for Health Alerts and Emergencies. Spanish Ministry of Health, Madrid, Spain.</nlm:affiliation>
<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:affiliation>Servicio de Epidemiología, Dirección General de Salut Pública, Islas Baleares, Spain.</nlm:affiliation>
<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:affiliation>Federal Service for Surveillance on Consumer Rights Protection and Human Well-being (Rospotrebnadzor), Moscow, Russia.</nlm:affiliation>
<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:affiliation>Department of Infectious Disease Prevention and Control, Common Community Commission, Brussels-Capital Region, Brussels, Belgium.</nlm:affiliation>
<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:affiliation>Chief Physician, Infection control unit, Lapland Hospital District, Rovaniemi, Finland.</nlm:affiliation>
<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:affiliation>County Medical Officer, Jönköping Region, Jönköping, Sweden.</nlm:affiliation>
<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:affiliation>Robert Koch Institute, Berlin, Germany.</nlm:affiliation>
<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:affiliation>Robert Koch Institute, Berlin, Germany.</nlm:affiliation>
<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:affiliation>Santé publique France - Direction des régions, Cellule régionale Nouvelle Aquitaine, Bordeaux, France.</nlm:affiliation>
<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:affiliation>Santé publique France - Direction des régions, Cellule régionale Ile-de-France, Paris, France.</nlm:affiliation>
<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:affiliation>Santé publique France - Direction des régions, Cellule régionale Auvergne-Rhône-Alpes, Lyon, France.</nlm:affiliation>
<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:affiliation>Santé Publique France - Direction des maladies infectieuses, Saint-Maurice, France.</nlm:affiliation>
<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:affiliation>Santé Publique France - Direction des maladies infectieuses, Saint-Maurice, France.</nlm:affiliation>
<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:affiliation>Santé Publique France - Direction des maladies infectieuses, Saint-Maurice, France.</nlm:affiliation>
<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:affiliation>Santé Publique France - Direction des maladies infectieuses, Saint-Maurice, France.</nlm:affiliation>
<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:affiliation>Centre national de référence Virus des infections respiratoires, dont la grippe, Institut Pasteur, Paris, France.</nlm:affiliation>
<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:affiliation>Centre national de référence Virus des infections respiratoires, dont la grippe, Institut Pasteur, Paris, France.</nlm:affiliation>
<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:affiliation>Centre national de référence Virus des infections respiratoires, dont la grippe, Hospices civils de Lyon, Lyon, France.</nlm:affiliation>
<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:affiliation>Centre national de référence Virus des infections respiratoires, dont la grippe, Hospices civils de Lyon, Lyon, France.</nlm:affiliation>
<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:affiliation>Istituto Superiore di Sanita, Rome, Italy.</nlm:affiliation>
<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:affiliation>Istituto Nazionale Malattie Infettive Lazzaro Spallanzani, Rome, Italy.</nlm:affiliation>
<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:affiliation>National Centre for Microbiology, WHO-National Influenza Centre, Institute of Health Carlos III. Madrid, Spain.</nlm:affiliation>
<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:affiliation>National Centre of Epidemiology, CIBERESP, Institute of Health Carlos III. Madrid, Spain.</nlm:affiliation>
<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:affiliation>Dirección General de Salut Pública, Islas Baleares, Spain.</nlm:affiliation>
<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:affiliation>National Centre for Microbiology, WHO-National Influenza Centre, Institute of Health Carlos III. Madrid, Spain.</nlm:affiliation>
<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:affiliation>State Research Center of Virology and Biotechnology "Vector", Rospotrebnadzor, Moscow, Russia.</nlm:affiliation>
<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:affiliation>St. Pierre Hospital, Brussels, Belgium.</nlm:affiliation>
<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:affiliation>Laboratory of Clinical Virology, Department of Microbiology and Immunology, Rega Institute, KU Leuven - University of Leuven, Leuven, Belgium.</nlm:affiliation>
<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:affiliation>Epidemiology of infectious diseases, Sciensano, Brussels, Belgium.</nlm:affiliation>
<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:affiliation>Expert Microbiology Unit, Department of Health Security, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.</nlm:affiliation>
<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:affiliation>Infectious Disease Control and Vaccinations Unit, Department of Health Security, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.</nlm:affiliation>
<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:affiliation>Public Health Agency of Sweden, Solna, Sweden.</nlm:affiliation>
<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>
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<country xml:lang="fr">Suède</country>
<wicri:regionArea>Jönköping Region, Jönköping</wicri:regionArea>
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<author><name sortKey="Broberg, Eeva K" sort="Broberg, Eeva K" uniqKey="Broberg E" first="Eeva K" last="Broberg">Eeva K. Broberg</name>
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<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:affiliation>European Centre for Disease Prevention and Control, Stockholm, Sweden.</nlm:affiliation>
<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:affiliation>World Health Organisation Regional Office for Europe, Copenhagen, Denmark.</nlm:affiliation>
<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:affiliation>European Centre for Disease Prevention and Control, Stockholm, Sweden.</nlm:affiliation>
<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:affiliation>World Health Organisation Regional Office for Europe, Copenhagen, Denmark.</nlm:affiliation>
<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:affiliation>European Centre for Disease Prevention and Control, Stockholm, Sweden.</nlm:affiliation>
<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:affiliation>World Health Organisation Regional Office for Europe, Copenhagen, Denmark.</nlm:affiliation>
<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:affiliation>World Health Organisation Regional Office for Europe, Copenhagen, Denmark.</nlm:affiliation>
<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><nlm:affiliation>These authors have contributed equally to the manuscript.</nlm:affiliation>
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<author><name sortKey="Ciancio, Bruno Christian" sort="Ciancio, Bruno Christian" uniqKey="Ciancio B" first="Bruno Christian" last="Ciancio">Bruno Christian Ciancio</name>
<affiliation><nlm:affiliation>These authors have contributed equally to the manuscript.</nlm:affiliation>
<wicri:noCountry code="no comma">These authors have contributed equally to the manuscript.</wicri:noCountry>
</affiliation>
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<series><title level="j">Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin</title>
<idno type="eISSN">1560-7917</idno>
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<term>Betacoronavirus (isolation & purification)</term>
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<term>Child, Preschool</term>
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<front><div type="abstract" xml:lang="en">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.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32156327</PMID>
<DateCompleted><Year>2020</Year>
<Month>03</Month>
<Day>18</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>03</Month>
<Day>25</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1560-7917</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>25</Volume>
<Issue>9</Issue>
<PubDate><Year>2020</Year>
<Month>03</Month>
</PubDate>
</JournalIssue>
<Title>Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin</Title>
<ISOAbbreviation>Euro Surveill.</ISOAbbreviation>
</Journal>
<ArticleTitle>First cases of coronavirus disease 2019 (COVID-19) in the WHO European Region, 24 January to 21 February 2020.</ArticleTitle>
<ELocationID EIdType="doi" ValidYN="Y">10.2807/1560-7917.ES.2020.25.9.2000178</ELocationID>
<Abstract><AbstractText>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.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Spiteri</LastName>
<ForeName>Gianfranco</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>European Centre for Disease Prevention and Control, Stockholm, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fielding</LastName>
<ForeName>James</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>World Health Organisation Regional Office for Europe, Copenhagen, Denmark.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Diercke</LastName>
<ForeName>Michaela</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Robert Koch Institute, Berlin, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Campese</LastName>
<ForeName>Christine</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Santé Publique France - Direction des maladies infectieuses, Saint-Maurice, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Enouf</LastName>
<ForeName>Vincent</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Centre national de référence Virus des infections respiratoires, dont la grippe, Institut Pasteur, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gaymard</LastName>
<ForeName>Alexandre</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Centre national de référence Virus des infections respiratoires, dont la grippe, Hospices civils de Lyon, Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bella</LastName>
<ForeName>Antonino</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Istituto Superiore di Sanita, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sognamiglio</LastName>
<ForeName>Paola</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Istituto Nazionale Malattie Infettive Lazzaro Spallanzani, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sierra Moros</LastName>
<ForeName>Maria José</ForeName>
<Initials>MJ</Initials>
<AffiliationInfo><Affiliation>Coordination Centre for Health Alerts and Emergencies. Spanish Ministry of Health, Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Riutort</LastName>
<ForeName>Antonio Nicolau</ForeName>
<Initials>AN</Initials>
<AffiliationInfo><Affiliation>Servicio de Epidemiología, Dirección General de Salut Pública, Islas Baleares, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Demina</LastName>
<ForeName>Yulia V</ForeName>
<Initials>YV</Initials>
<AffiliationInfo><Affiliation>Federal Service for Surveillance on Consumer Rights Protection and Human Well-being (Rospotrebnadzor), Moscow, Russia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mahieu</LastName>
<ForeName>Romain</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Department of Infectious Disease Prevention and Control, Common Community Commission, Brussels-Capital Region, Brussels, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Broas</LastName>
<ForeName>Markku</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Chief Physician, Infection control unit, Lapland Hospital District, Rovaniemi, Finland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bengnér</LastName>
<ForeName>Malin</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>County Medical Officer, Jönköping Region, Jönköping, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Buda</LastName>
<ForeName>Silke</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Robert Koch Institute, Berlin, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Schilling</LastName>
<ForeName>Julia</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Robert Koch Institute, Berlin, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Filleul</LastName>
<ForeName>Laurent</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Santé publique France - Direction des régions, Cellule régionale Nouvelle Aquitaine, Bordeaux, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lepoutre</LastName>
<ForeName>Agnès</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Santé publique France - Direction des régions, Cellule régionale Ile-de-France, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Saura</LastName>
<ForeName>Christine</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Santé publique France - Direction des régions, Cellule régionale Auvergne-Rhône-Alpes, Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mailles</LastName>
<ForeName>Alexandra</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Santé Publique France - Direction des maladies infectieuses, Saint-Maurice, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Levy-Bruhl</LastName>
<ForeName>Daniel</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>Santé Publique France - Direction des maladies infectieuses, Saint-Maurice, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Coignard</LastName>
<ForeName>Bruno</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Santé Publique France - Direction des maladies infectieuses, Saint-Maurice, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bernard-Stoecklin</LastName>
<ForeName>Sibylle</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Santé Publique France - Direction des maladies infectieuses, Saint-Maurice, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Behillil</LastName>
<ForeName>Sylvie</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Centre national de référence Virus des infections respiratoires, dont la grippe, Institut Pasteur, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>van der Werf</LastName>
<ForeName>Sylvie</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Centre national de référence Virus des infections respiratoires, dont la grippe, Institut Pasteur, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Valette</LastName>
<ForeName>Martine</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Centre national de référence Virus des infections respiratoires, dont la grippe, Hospices civils de Lyon, Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lina</LastName>
<ForeName>Bruno</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Centre national de référence Virus des infections respiratoires, dont la grippe, Hospices civils de Lyon, Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Riccardo</LastName>
<ForeName>Flavia</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Istituto Superiore di Sanita, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Nicastri</LastName>
<ForeName>Emanuele</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Istituto Nazionale Malattie Infettive Lazzaro Spallanzani, Rome, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Casas</LastName>
<ForeName>Inmaculada</ForeName>
<Initials>I</Initials>
<AffiliationInfo><Affiliation>National Centre for Microbiology, WHO-National Influenza Centre, Institute of Health Carlos III. Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Larrauri</LastName>
<ForeName>Amparo</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>National Centre of Epidemiology, CIBERESP, Institute of Health Carlos III. Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Salom Castell</LastName>
<ForeName>Magdalena</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Dirección General de Salut Pública, Islas Baleares, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pozo</LastName>
<ForeName>Francisco</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>National Centre for Microbiology, WHO-National Influenza Centre, Institute of Health Carlos III. Madrid, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Maksyutov</LastName>
<ForeName>Rinat A</ForeName>
<Initials>RA</Initials>
<AffiliationInfo><Affiliation>State Research Center of Virology and Biotechnology "Vector", Rospotrebnadzor, Moscow, Russia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Martin</LastName>
<ForeName>Charlotte</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>St. Pierre Hospital, Brussels, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Van Ranst</LastName>
<ForeName>Marc</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Laboratory of Clinical Virology, Department of Microbiology and Immunology, Rega Institute, KU Leuven - University of Leuven, Leuven, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bossuyt</LastName>
<ForeName>Nathalie</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Epidemiology of infectious diseases, Sciensano, Brussels, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Siira</LastName>
<ForeName>Lotta</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Expert Microbiology Unit, Department of Health Security, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sane</LastName>
<ForeName>Jussi</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Infectious Disease Control and Vaccinations Unit, Department of Health Security, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Tegmark-Wisell</LastName>
<ForeName>Karin</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Public Health Agency of Sweden, Solna, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Palmérus</LastName>
<ForeName>Maria</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Jönköping Region, Jönköping, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Broberg</LastName>
<ForeName>Eeva K</ForeName>
<Initials>EK</Initials>
<AffiliationInfo><Affiliation>European Centre for Disease Prevention and Control, Stockholm, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Beauté</LastName>
<ForeName>Julien</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>European Centre for Disease Prevention and Control, Stockholm, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Jorgensen</LastName>
<ForeName>Pernille</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>World Health Organisation Regional Office for Europe, Copenhagen, Denmark.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bundle</LastName>
<ForeName>Nick</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>European Centre for Disease Prevention and Control, Stockholm, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pereyaslov</LastName>
<ForeName>Dmitriy</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>World Health Organisation Regional Office for Europe, Copenhagen, Denmark.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Adlhoch</LastName>
<ForeName>Cornelia</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>European Centre for Disease Prevention and Control, Stockholm, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pukkila</LastName>
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<AffiliationInfo><Affiliation>World Health Organisation Regional Office for Europe, Copenhagen, Denmark.</Affiliation>
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<Author ValidYN="Y"><LastName>Pebody</LastName>
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<Initials>R</Initials>
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<Author ValidYN="Y"><LastName>Olsen</LastName>
<ForeName>Sonja</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>These authors have contributed equally to the manuscript.</Affiliation>
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<AffiliationInfo><Affiliation>World Health Organisation Regional Office for Europe, Copenhagen, Denmark.</Affiliation>
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<Author ValidYN="Y"><LastName>Ciancio</LastName>
<ForeName>Bruno Christian</ForeName>
<Initials>BC</Initials>
<AffiliationInfo><Affiliation>These authors have contributed equally to the manuscript.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>European Centre for Disease Prevention and Control, Stockholm, Sweden.</Affiliation>
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<NlmUniqueID>100887452</NlmUniqueID>
<ISSNLinking>1025-496X</ISSNLinking>
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<MeshHeading><DescriptorName UI="D060888" MajorTopicYN="N">Real-Time Polymerase Chain Reaction</DescriptorName>
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<MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
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<MeshHeading><DescriptorName UI="D014195" MajorTopicYN="N">Travel</DescriptorName>
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<MeshHeading><DescriptorName UI="D014759" MajorTopicYN="N">Viral Envelope Proteins</DescriptorName>
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<Keyword MajorTopicYN="Y">Novel coronavirus</Keyword>
<Keyword MajorTopicYN="Y">SARS</Keyword>
<Keyword MajorTopicYN="Y">SARS-COV-2</Keyword>
<Keyword MajorTopicYN="Y">coronavirus disease 2019</Keyword>
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<PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year>
<Month>3</Month>
<Day>12</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="pubmed"><Year>2020</Year>
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<Day>12</Day>
<Hour>6</Hour>
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<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>3</Month>
<Day>19</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">32156327</ArticleId>
<ArticleId IdType="doi">10.2807/1560-7917.ES.2020.25.9.2000178</ArticleId>
<ArticleId IdType="pmc">PMC7068164</ArticleId>
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<ReferenceList><Reference><Citation>Euro Surveill. 2020 Feb;25(6):</Citation>
<ArticleIdList><ArticleId IdType="pubmed">32046815</ArticleId>
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<ReferenceList><Reference><Citation>Euro Surveill. 2020 Feb;25(5):</Citation>
<ArticleIdList><ArticleId IdType="pubmed">32046819</ArticleId>
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</Reference>
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<ReferenceList><Reference><Citation>Euro Surveill. 2020 Feb;25(6):</Citation>
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