Epidemiological features of tularaemia in Central Anatolia, Turkey

Tularaemia has become a public health threat in Turkey. Our aim was to examine the epidemiological characteristics of 154 tularaemia cases reported from Kayseri, Central Anatolia, between 2010 and 2017. Clinical diagnosis was confirmed by micro-agglutination test (>= 1/160 titres). Most patients (56.5%) were residing in rural areas. The year with the highest case load was 2011 (40% of all cases). Tularaemia was reported in all seasons, but mostly in February (26.1%). Morbidity rates were higher in women and people aged >= 65 years. The tularaemia incidence in Kayseri was higher than in the whole country between 2011 and 2016, though after the initial outbreak between 2010 and 2012, it seems to have become less frequent.