Cases of Crimean-Congo haemorrhagic fever in North Macedonia, July to August 2023

Published on August 25, 2023

This report describes a fatal case of autochthonous CCHF (Case 1) in North Macedonia as well as a nosocomial infection in a healthcare worker who cared for the patient (Case 2) and preliminary results from tracing of contacts.

Crimean-Congo haemorrhagic fever (CCHF) is a severe tick-borne disease caused by the CCHF virus from the Bunyaviridae family and included in the World Health Organization (WHO) list of important emerging infectious diseases with pandemic potential. The last report of CCHF in North Macedonia was more than 50 years ago, when an outbreak occurred in a village located in Polog, in the northwestern region of the country. The distribution of the CCHFV is closely linked to the presence of Hyalomma tick species, which act as the main vectors for this pathogen.

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