Most outbreak cases were reported during the summer months (Figure 1). Due to reporting delays, additional cases are expected to be reported with onset in recent months.
A total of 112 confirmed or historical-confirmed cases were reported with travel history in an EU country during the incubation period and therefore were likely infected there. Countries where infections likely took place were Poland (25 cases identified from 2016 to 2018), Bulgaria (22 cases from 2015 to 2018), Cyprus (14 cases in 2016 and 2018), Portugal (11 cases from 2015 to 2017) and Hungary (10 cases from 2016 to 2018). Additional travel-associated cases were also reported (<10 cases per country) with travel history to Austria, Belgium, Greece, Italy, the Netherlands, Romania, Slovenia and Spain.
Figure 1. Distribution of cases by month of onset* and case classification (n=1 412; 4 cases missing any date of report), EU/EEA, January 2012 to October 2018, as of 12 November 2018