An unexpected and large outbreak of Puumala virus infection in Sweden resulted in 313 nephropathia epidemica patients/100,000 persons in Västerbotten County during 2007. An increase in the rodent population, milder weather, and less snow cover probably contributed to the outbreak.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2600231PMC
http://dx.doi.org/10.3201/eid1405.071124DOI Listing

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