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00925njm 22002777a 4500 dc Spiteri, Gianfranco author Fielding, James author Diercke, Michaela author Campese, Christine author Enouf, Vincent author Gaymard, Alexandre author Bella, Antonino author Sognamiglio, Paola author Sierra Moros, María José author Riutort, Antonio Nicolau author Demina, Yulia V author Mahieu, Romain author Broas, Markku author Bengnér, Malin author Buda, Silke author Schilling, Julia author Filleul, Laurent author Lepoutre, Agnès author Saura, Christine author Mailles, Alexandra author Levy-Bruhl, Daniel author Coignard, Bruno author Bernard-Stoecklin, Sibylle author Behillil, Sylvie author van der Werf, Sylvie author Valette, Martine author Lina, Bruno author Riccardo, Flavia author Nicastri, Emanuele author Casas Flecha, Inmaculada author Larrauri, Amparo author Salom Castell, Magdalena author Pozo Sanchez, Francisco author Maksyutov, Rinat A author Martin, Charlotte author Van Ranst, Marc author Bossuyt, Nathalie author Siira, Lotta author Sane, Jussi author Tegmark-Wisell, Karin author Palmérus, Maria author Broberg, Eeva K author Beauté, Julien author Jorgensen, Pernille author Bundle, Nick author Pereyaslov, Dmitriy author Adlhoch, Cornelia author Pukkila, Jukka author Pebody, Richard author Olsen, Sonja author Ciancio, Bruno Christian author 2020-03 In the WHO European Region, COVID-19 surveillance was implemented 27 January 2020. We detail the first European cases. As at 21 February, nine European countries reported 47 cases. Among 38 cases studied, 21 were linked to two clusters in Germany and France, 14 were infected in China. Median case age was 42 years; 25 were male. Late detection of the clusters' index cases delayed isolation of further local cases. As at 5 March, there were 4,250 cases. Euro Surveill. 2020 Mar;25(9):2000178 10.2807/1560-7917.ES.2020.25.9.2000178 1560-7917 1560-7917 Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin 32156327 http://hdl.handle.net/20.500.12105/9281 COVID-19 Novel coronavirus SARS SARS-CoV-2 Coronavirus disease 2019 First cases of coronavirus disease 2019 (COVID-19) in the WHO European Region, 24 January to 21 February 2020