Table 1.

Human cases of tularemia in the Netherlands included in this study (2011–2017).

Basal clade	Subclade	Month/year of infection	Most likely location of infection (province)	Most likely transmission route	Clinical presentation of tularemia	Reference (if applicable)
B.6	B.11a	October 2011	Overijssel	Insect bite	Ulceroglandular	Maraha et al., 2013
B.6	B.11	July 2013	Limburg	Insect bite	Ulceroglandular	Leenders et al., 2015
B.6	B.11b	August 2015	Utrecht, possibly Overijssel	Insect bite or swimming	Ulceroglandular
B.6	NT	October 2016	Utrecht	Swimming	Glandular
B.6	B.11b	Dec 2016*	Gelderland	Direct contact with an infected hare	Ulceroglandular
B.12	B.20c	Jan 2014**	Zeeland	Direct contact with an infected hare	Glandular
B.12	B.33b	May 2016	South Holland	Insect bite	Glandular

^*One hare linked to a human case. Pathological examination not possible on this specimen because it had been eviscerated and skinned.

^**Human case linked to a hare. Genotype of the human patient identical to that in the hare linked to this case.

^aCanSNPer result (Coolen et al., 2013; Maraha et al., 2013).

^bCanSNPer identification.

^cThe clade is denoted B.20 since the first canSNP used for this branch was B.20. In this study, B.42 was used for typing which is another canSNP along the same branch. NT, not determined.