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Abstract

In the WHO European Region, COVID-19 surveillance was implemented 27 January 2020. We detail the first European cases. As at 21 February, nine European countries reported 47 cases. Among 38 cases studied, 21 were linked to two clusters in Germany and France, 14 were infected in China. Median case age was 42 years; 25 were male. Late detection of the clusters’ index cases delayed isolation of further local cases. As at 5 March, there were 4,250 cases.

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/content/10.2807/1560-7917.ES.2020.25.9.2000178
2020-03-05
2024-12-21
/content/10.2807/1560-7917.ES.2020.25.9.2000178
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First cases of coronavirus disease 2019 (COVID-19) in the WHO European Region, 24 January to 21 February 2020
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Gianfranco+Spiteri&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Spiteri Gianfranco</a>, <a href="/search?value1=James+Fielding&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Fielding James</a>, <a href="/search?value1=Michaela+Diercke&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Diercke Michaela</a>, <a href="/search?value1=Christine+Campese&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Campese Christine</a>, <a href="/search?value1=Vincent+Enouf&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Enouf Vincent</a>, <a href="/search?value1=Alexandre+Gaymard&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Gaymard Alexandre</a>, <a href="/search?value1=Antonino+Bella&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Bella Antonino</a>, <a href="/search?value1=Paola+Sognamiglio&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Sognamiglio Paola</a>, <a href="/search?value1=Maria+Jos%C3%A9+Sierra+Moros&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Sierra Moros Maria José</a>, <a href="/search?value1=Antonio+Nicolau+Riutort&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Riutort Antonio Nicolau</a>, <a href="/search?value1=Yulia+V.+Demina&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Demina Yulia V.</a>, <a href="/search?value1=Romain+Mahieu&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Mahieu Romain</a>, <a href="/search?value1=Markku+Broas&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Broas Markku</a>, <a href="/search?value1=Malin+Bengn%C3%A9r&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Bengnér Malin</a>, <a href="/search?value1=Silke+Buda&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Buda Silke</a>, <a href="/search?value1=Julia+Schilling&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Schilling Julia</a>, <a href="/search?value1=Laurent+Filleul&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Filleul Laurent</a>, <a href="/search?value1=Agn%C3%A8s+Lepoutre&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Lepoutre Agnès</a>, <a href="/search?value1=Christine+Saura&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Saura Christine</a>, <a href="/search?value1=Alexandra+Mailles&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Mailles Alexandra</a>, <a href="/search?value1=Daniel+Levy-Bruhl&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Levy-Bruhl Daniel</a>, <a href="/search?value1=Bruno+Coignard&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Coignard Bruno</a>, <a href="/search?value1=Sibylle+Bernard-Stoecklin&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Bernard-Stoecklin Sibylle</a>, <a href="/search?value1=Sylvie+Behillil&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Behillil Sylvie</a>, <a href="/search?value1=Sylvie+van+der+Werf&option1=author&noRedirect=true" class="nonDisambigAuthorLink">van der Werf Sylvie</a>, <a href="/search?value1=Martine+Valette&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Valette Martine</a>, <a href="/search?value1=Bruno+Lina&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Lina Bruno</a>, <a href="/search?value1=Flavia+Riccardo&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Riccardo Flavia</a>, <a href="/search?value1=Emanuele+Nicastri&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Nicastri Emanuele</a>, <a href="/search?value1=Inmaculada+Casas&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Casas Inmaculada</a>, <a href="/search?value1=Amparo+Larrauri&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Larrauri Amparo</a>, <a href="/search?value1=Magdalena++Salom+Castell&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Salom Castell Magdalena </a>, <a href="/search?value1=Francisco+Pozo&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Pozo Francisco</a>, <a href="/search?value1=Rinat+A.+Maksyutov&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Maksyutov Rinat A.</a>, <a href="/search?value1=Charlotte+Martin&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Martin Charlotte</a>, <a href="/search?value1=Marc+Van+Ranst&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Van Ranst Marc</a>, <a href="/search?value1=Nathalie+Bossuyt&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Bossuyt Nathalie</a>, <a href="/search?value1=Lotta+Siira&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Siira Lotta</a>, <a href="/search?value1=Jussi+Sane&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Sane Jussi</a>, <a href="/search?value1=Karin+Tegmark-Wisell&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Tegmark-Wisell Karin</a>, <a href="/search?value1=Maria+Palm%C3%A9rus&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Palmérus Maria</a>, <a href="/search?value1=Eeva+K.+Broberg&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Broberg Eeva K.</a>, <a href="/search?value1=Julien+Beaut%C3%A9&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Beauté Julien</a>, <a href="/search?value1=Pernille+Jorgensen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Jorgensen Pernille</a>, <a href="/search?value1=Nick+Bundle&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Bundle Nick</a>, <a href="/search?value1=Dmitriy+Pereyaslov&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Pereyaslov Dmitriy</a>, <a href="/search?value1=Cornelia+Adlhoch&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Adlhoch Cornelia</a>, <a href="/search?value1=Jukka+Pukkila&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Pukkila Jukka</a>, <a href="/search?value1=Richard+Pebody&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Pebody Richard</a>, <a href="/search?value1=Sonja+Olsen&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Olsen Sonja</a>, <a href="/search?value1=Bruno+Christian+Ciancio&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Ciancio Bruno Christian</a></span>. First cases of coronavirus disease 2019 (COVID-19) in the WHO European Region, 24 January to 21 February 2020. <a href="/content/ecdc">Euro Surveill.</a> 2020;25(9):pii=2000178. <a href="https://doi.org/10.2807/1560-7917.ES.2020.25.9.2000178" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2020.25.9.2000178</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 24 Feb 2020;&nbsp;&nbsp; <span class="generated">Accepted</span>: 05 Mar 2020 </span> </p>
/content/10.2807/1560-7917.ES.2020.25.9.2000178
/content/10.2807/1560-7917.ES.2020.25.9.2000178
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