HFRSLast updated 2025-11-20

Hantavirus in Germany

Germany reports one of the highest HFRS case counts in Europe, driven by Puumala virus carried by bank voles. Outbreak years correlate strongly with beech-mast events, when abundant tree seeds fuel vole population booms.

Cumulative Cases

3,200

Deaths

15

CFR

0.5%

Global Rank

#4

by case count

Circulating Strains

  • Puumala virus (PUUV)
  • Dobrava-Belgrade virus

Primary syndrome: Hemorrhagic Fever with Renal Syndrome (HFRS).

Reservoir Species

  • Bank vole (Myodes glareolus)

Most Affected Regions

  • Baden-Württemberg
  • Bavaria
  • North Rhine-Westphalia
  • Lower Saxony

Country-specific Risk & Prevention

The Robert Koch Institute (RKI) publishes annual risk maps. Hikers and forestry workers should avoid sitting directly on the forest floor and use respirators when cleaning sheds.

General prevention: see symptoms and prevention guidance →

Field Notes

Puumala virus (PUUV). Causes nephropathia epidemica. High case years correlate with beech mast.

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