Hantavirus infections in The Netherlands

Abstract

During the Korean war between 1951-1953, an epidemic occurred among United Nations sanctioned military troops, characterized by fever, haemorrhages, shock and renal failure with a case fatality rate of up to 15%. This disease became known as Korean haemorrhagic fever [Smadel, 1951; Earle, 1954]. Despite extensive investigations at that time no etiologic agent could be identified. In the far east the oldest suggestive description of a similar disease had been made as early as 1000 years ago in a Chinese medicine book [Lee, 1982a]. During the American Civil War between 1862-1866 epidemics of "general dropsy" with renal involvement were noted among northern army troops. This disease was later called "Bright's disease" [Brown, 1916]. In Europe the first descriptions of the disease appeared in the early 1900's, after outbreaks in Russia and Scandinavia [Mayer, 1952; Myhrman, 1934; Zetterholm, 1934]. The Russians called the disease haemorrhagic nephroso-nephritis and the Scandinavians named it nephropathia epidemica (NE)