Historical cases and outbreaks of CCHF

[This is a large table - for ease of navigation, please click on one of the geographic regions below]

1. Southeastern Europe and Russian Federation
2. Asia
3. Middle East
4. Africa

Location	Local area	Year	Number of cases	Occupation/Exposure
Southeast Europe and Russian Federation
Albania	Kukes	2001 2003-6	7 16	Agricultural and health care
Bulgaria	(central, southeast, and northeast regions)	1953-74 1975-96 1997-06 ongoing	1105 279 156 sporadic	Agricultural and health care Agricultural Agricultural
Ukraine (Crimea)		1944-45	200	Military
Serbia and Montenegro (Kosovo)		1991-2 2001 2004 2010	81 18 17 75
Turkey	Northern regions including Anatolia	2002-6 (ongoing)	700	Livestock, agricultural and health care
Greece	Alexandroupoli	2008	2	first cases reported
Macedonia		1976	10
Russian Federation	Southern Federal District including Astrakhan, Stavropol, Rostov	1953-63 1963-69 1999-06 (ongoing)	104 323 "hundreds"	Agricultural Agricultural Agricultural
Asia				Back to top
China	Xinjiang Province	1965-94 1997 2001 (ongoing)	260 26 ~50 sporadic
Kazakhstan	South central areas, including South and Zhambyl Provinces Turkestan	1948-68 1990 1999 Since 2000 2009	75 90 10 sporadic 5	Agricultural workers Healthcare
Tajikistan	Khatlon region	1943-70 ongoing	97 sporadic	Agricultural and rural Agricultural and rural
Afghanistan	Takar province Herat province Nimroz province	1998 2000 2002	19 27 5	Villagers (refugees in Iran)
Pakistan	Rawalpindi Baluchistan Peshwar Karachi Baluchistan Sindh Province North-west Frontier Province	1976 1978-98 1999 2000 2000-6 ongoing 2005 2006	14 "tens" 6 >100 >45 sporadic 18	Rural, livestock, agricultural, health care etc.
Middle East				Back to top
Iran	Khorassan Sistan-Balochistan (countrywide)	1978 1999-04 ongoing	255 ~50/yr	Slaughterhouse, butcher, farmer, housewife
Iraq	Baghdad, Ramadi areas	1979-80	55	Agriculture
Oman		1995-6	sporadic	Livestock/tick exposure
Saudi Arabia	Western Province	1990-97	sporadic	Livestock
United Arab Emirates	Dubai Sharjah north-eastern area	1979 1980 1994-5	6 1 35	Livestock, healthcare Livestock, abattoir
Africa				Back to top
Mauritania	Guidimakha southwestern area Trarza (Nouakchott) and Brakna regions	1983 1988 2003	1 6 35	Livestock Livestock, healthcare
Democratic Republic Congo (Zaire)	Kisangani Lumbumbashi	1956 1985	2 1	Livestock, clinician Livestock
Uganda	Entebbe	1958-77	12	Unknown, healthcare
Burkina Faso	Ougadougou	1983	1
South Africa	Transvaal Many areas Oudtshoorn Karoo, the Western Free State, the Northern Cape and North West province	1981 1981-02 1996 ongoing	1 171 17 sporadic	Livestock, farmers, hunters Ostrich farm/abattoir Farmers, farm labourers, hunters, abattoir workers
Namibia	widespread locations	1986-2006	15
Kenya	western	2000	1	farmer
Senegal	Popenguine (nr Dakar) Saly-Portudal (nr Dakar)	2003 2004	1 1	shepherd French volounteer, no obvious exposure
Sudan	Kordufan	2008	12 (8 confimed)	butcher, family, healthcare workers (these were the country's first confirmed cases)
Tanzania	Kigoma area (west)	1985 1986	1 1	tickbite
Zimbabwe	Harare area	1997	1 (traveller, diagnosed in UK)

Last reviewed: 22 December 2010

Historical cases and outbreaks of CCHF

Southeast Europe and Russian Federation

Asia

Middle East

Africa