Puumala orthohantavirus (PUUV) causes most human hantavirus disease cases in Europe. PUUV disease outbreaks are usually synchronized Germany-wide driven by beech mast-induced irruptions of its host (bank vole, Myodes glareolus). Recent data indicate high vole abundance, high PUUV prevalence and high human incidence in summer 2019 for some regions, but elsewhere values were low to moderate. This significant lack of synchrony among regions in Germany is in contrast to previous studies. Health institutions need to be informed about the heterogeneous distribution of human PUUV infection risk to initiate appropriate actions.

中文翻译：

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2019年夏季，德国流行地区的异质性Puumala正汉坦病毒情况。

肺部正痘病毒（PUUV）导致欧洲大多数人类汉坦病毒病病例。PUUV疾病暴发通常在整个德国范围内同步发生，这是由山毛榉引起的宿主（堤田鼠，Myodes glareolus）爆发引起的。最新数据表明，2019年夏季某些地区鼠疫丰度高，PUUV流行率高和人类发病率高，但其他地区的数值则低至中度。与以往的研究相比，德国各地区之间严重缺乏同步性。需要通知卫生机构有关人类PUUV感染风险的异质分布，以采取适当的措施。