Molecular Investigation of a Multisource Outbreak of Crimeancongo Hemorrhagic Fever in the United Arab Emirates

Luis L. Rodriguez Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Virology Division, U.S. Army Medical Research Institute of Infectious Diseases, Ministry of Health, Atlanta, Georgia

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Gary O. Maupin Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Virology Division, U.S. Army Medical Research Institute of Infectious Diseases, Ministry of Health, Atlanta, Georgia

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Thomas G. Ksiazek Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Virology Division, U.S. Army Medical Research Institute of Infectious Diseases, Ministry of Health, Atlanta, Georgia

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Pierre E. Rollin Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Virology Division, U.S. Army Medical Research Institute of Infectious Diseases, Ministry of Health, Atlanta, Georgia

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Ali S. Khan Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Virology Division, U.S. Army Medical Research Institute of Infectious Diseases, Ministry of Health, Atlanta, Georgia

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Tino F. Schwarz Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Virology Division, U.S. Army Medical Research Institute of Infectious Diseases, Ministry of Health, Atlanta, Georgia

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Richard S. Lofts Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Virology Division, U.S. Army Medical Research Institute of Infectious Diseases, Ministry of Health, Atlanta, Georgia

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Jonathan F. Smith Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Virology Division, U.S. Army Medical Research Institute of Infectious Diseases, Ministry of Health, Atlanta, Georgia

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Abdul M. Noor Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Virology Division, U.S. Army Medical Research Institute of Infectious Diseases, Ministry of Health, Atlanta, Georgia

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Clarence J. Peters Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Virology Division, U.S. Army Medical Research Institute of Infectious Diseases, Ministry of Health, Atlanta, Georgia

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Stuart T. Nichol Division of Viral and Rickettsial Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Virology Division, U.S. Army Medical Research Institute of Infectious Diseases, Ministry of Health, Atlanta, Georgia

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During the investigation of an outbreak of Crimean-Congo hemorrhagic fever (CCHF) in the United Arab Emirates (UAE) between 1994 and 1995, blood samples from suspected CCHF cases and ticks collected from livestock were tested for CCHF virus by antigen-capture ELISA and by a reverse transcription-polymerase chain reaction. Phylogenetic analysis of partial small (S) segment nucleotide sequences from four ticks and five human samples showed that with one exception, all the human and tick viruses clustered along with samples from Pakistan and Madagascar in one distinct lineage. Within this lineage, sequences from the UAE patients were identical or closely related to those from three Hyalomma spp. ticks obtained from livestock recently imported from Somalia. Another sequence from a UAE patient was more closely related to a CCHF virus from Nigeria. These data indicate that the 1994–1995 CCHF epidemic in the UAE was a multisource outbreak possibly associated with importation of CCHF virus-infected livestock and ticks.

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