CRIMEAN-CONGO HEMORRHAGIC FEVER – EUROPE (05): NORTH MACEDONIA
Source: 360 degrees – North Macedonia [in Macedonian, machine trans.,
A 3rd case of Crimean-Congo hemorrhagic fever has been confirmed in
the country. The patient is a 42-year-old man from Veles, informed by
the Institute of Public Health (IJZ). He is hospitalized at the Clinic
for Infectious Diseases and Febrile Conditions in Skopje and is in a
stable general condition.
The authorities say that the patient had an elevated temperature up to
38 deg C [100.4 F], headache, body pain, malaise and profuse sweating.
He was initially admitted to the General Hospital in Veles.
“In the late evening hours of 12 Aug 2023, the Department of
Epidemiology of Infectious Diseases of IJZ [Institute of Public
Health] was notified by phone of a positive result of Congo-Crimean
hemorrhagic fever from tests performed on material obtained from the
Clinic for Infectious Diseases and Febrile Conditions. The tests were
done at the Department of Virology at the IJZ. The sick person is a
42-year-old man from Veles, transferred to the Clinic from Veles
General Hospital on the same day. Five days before the examination at
the hospital, the symptoms started — elevated temperature up to 38
deg C [100.4 F], headache, body pain, malaise and profuse sweating,”
The Institute of Public Health – Veles was immediately notified, which
formed a team for an epidemiological survey of the patient, risk
assessment in the family and the persons who were in contact in the
“In the context of the ‘One Health’ approach, the Agency for Food and
Veterinary Medicine was contacted for additional research in the
field. The Department of Epidemiology of Infectious Diseases at IJZ is
in communication with CJZ Veles and monitors the situation, and if
there is a change, it will inform accordingly.”
The 1st case of Crimean-Congo hemorrhagic fever was confirmed in a
27-year-old woman from Kuchica village, Shtip, who died. She was
bitten by a tick. The 2nd infected case is a nurse who was in contact
with the woman from Shtipsko during her stay at the Clinic for
Infectious Diseases in Skopje.
According to the information available on the website of the Institute
of Public Health, the virus is transmitted to humans primarily by
ticks on domestic animals. Human-to-human transmission can occur as a
result of close contact with the blood, secretions, organs, or other
body fluids of infected individuals. Mortality reaches up to 40%.