Fig. 3.

Number of cases of brucellosis reported each year in the EU/EEA. Data is shown for every country with >50 total cases reported between 2007 and 2016. In most European Member States, the notification of brucellosis in humans is mandatory. The exceptions are the UK (where only animal infection is notifiable), Belgium, and Denmark. Voluntary surveillance systems have full national coverage in the former two, but in Denmark brucellosis remains non-notifiable, with no surveillance system in place [48]. Brucellosis prevalence is highest in Italy and Greece; Italy consistently reports the highest average cases per year, but Greece has the highest incidence in its population, with on average 12 in 100,000 Greeks reporting a case of brucellosis each year, four times more than Italians. Despite high incidence of brucellosis in Spain at the start of Atlas data records, this has generally fallen from over 200 reported cases in 2007 to only 37 cases reported in 2016. Bulgaria had an outbreak in 2015 with 36 cases, compared to the yearly average of just six. 2008 had the highest number of cases of brucellosis across the EU/EEA between 2007 and 2016, with a total of 735 cases. This is 37% higher than the average total number of cases per year over that period. Dataset provided by ECDC based on data provided by WHO and Ministries of Health from the affected countries [10]. Figure generated using GraphPad Prism v.6.0.1.