Hantaviruses occur around the world and cause a number of severe diseases. The pathogens are transmitted to humans via rodents such as mice and rats, and in Germany mostly by the bank vole. Various rodents spread different types of the virus, usually without falling ill themselves. The number of cases in humans fluctuates from year to year, probably depending on the rodent population and on how many animals carry the virus.
The viruses are excreted by infected rodents in their spittle, faeces and urine. Even when dried, the pathogens are infectious for several days. Direct contact with the affected rodents is not necessary for infection. Usually, hantaviruses are inhaled, e.g. together with swirled up dust that contains the pathogens. Infection is possible by an animal bite as well. Viruses from contaminated earth may enter the body through small skin injuries, e.g. to the hands, when working in the garden. An infection from food that has become contaminated with excrement from infected rodents is also possible.
Important: The pathogen types occurring in our area are not passed on from person to person.
The severity of disease progression can depend on the type of virus. Sometimes it will run its course unnoticed and without any symptoms.
The most common form in Germany usually starts out with sudden-onset fever persisting for about 3 to 4 days, accompanied by flu-like symptoms such as headaches, muscle pain and aching limbs. Additionally, there may be a reddening of the throat, coughing or visual problems as well as heightened sensitivity of the eyes to light. After a few days, patients frequently experience severe stomach pain with diarrhoea and vomiting. Cardiovascular problems are also possible. As the disease progresses, there may be temporary limitations to kidney function. The form of the disease observed in Germany usually heals without lasting damage and deaths are very rare.
As a rule, the first symptoms appear 2 to 4 weeks after infection.
Patients are not contagious as transfer from person to person is not expected in the virus types occurring in Germany.
Persons in risk areas (see below) are particularly endangered during the following work:
In Germany, the danger of infection is higher in rural areas than in most urban areas. This also applies to the South and West of the Federal Republic. There, the probability of catching hantavirus is higher than in other parts of the country.
Areas with increased risk of catching hantavirus include:
There is no effective vaccine against hantavirus yet.
Your local health authority can provide you with further advice and information. Since hantavirus infections must bereported, they will also have the latest information and be very experienced in dealing with the disease.
More (specialist) information is also available online from the Robert Koch Institute (www.rki.de/hantaviren) and the Friedrich-Loeffler-Institute (www.fli.bund.de). For information on how hygiene can guard against infection, please visit the Federal Centre for Health Education website (www.infektionsschutz.de).