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Surveillance and outbreak report Open Access
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Abstract

Since 2012, tick-borne encephalitis (TBE) is a notifiable in the European Union. The European Centre for Disease Prevention and Control annually collects data from 28 countries plus Iceland and Norway, based on the EU case definition. Between 2012 and 2016, 23 countries reported 12,500 TBE cases (Ireland and Spain reported none), of which 11,623 (93.0%) were confirmed cases and 878 (7.0%) probable cases. Two countries (Czech Republic and Lithuania) accounted for 38.6% of all reported cases, although their combined population represented only 2.7% of the population under surveillance. The annual notification rate fluctuated between 0.41 cases per 100,000 population in 2015 and 0.65 in 2013 with no significant trend over the period. Lithuania, Latvia and Estonia had the highest notification rates with 15.6, 9.5 and 8.7 cases per 100,000 population, respectively. At the subnational level, six regions had mean annual notification rates above 15 cases per 100,000 population, of which five were in the Baltic countries. Approximately 95% of cases were hospitalised and the overall case fatality ratio was 0.5%. Of the 11,663 cases reported with information on importation status, 156 (1.3%) were reported as imported. Less than 2% of cases had received two or more doses of TBE vaccine.

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/content/10.2807/1560-7917.ES.2018.23.45.1800201
2018-11-08
2024-03-28
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2018.23.45.1800201
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References

  1. Lindquist L, Vapalahti O. Tick-borne encephalitis. Lancet. 2008;371(9627):1861-71.  https://doi.org/10.1016/S0140-6736(08)60800-4  PMID: 18514730 
  2. Jääskeläinen A, Tonteri E, Pieninkeroinen I, Sironen T, Voutilainen L, Kuusi M, et al. Siberian subtype tick-borne encephalitis virus in Ixodes ricinus in a newly emerged focus, Finland. Ticks Tick Borne Dis. 2016;7(1):216-23.  https://doi.org/10.1016/j.ttbdis.2015.10.013  PMID: 26548609 
  3. Golovljova I, Vene S, Sjölander KB, Vasilenko V, Plyusnin A, Lundkvist A. Characterization of tick-borne encephalitis virus from Estonia. J Med Virol. 2004;74(4):580-8.  https://doi.org/10.1002/jmv.20224  PMID: 15484275 
  4. Jääskeläinen AE, Sironen T, Murueva GB, Subbotina N, Alekseev AN, Castrén J, et al. Tick-borne encephalitis virus in ticks in Finland, Russian Karelia and Buryatia. J Gen Virol. 2010;91(11):2706-12.  https://doi.org/10.1099/vir.0.023663-0  PMID: 20660147 
  5. Taba P, Schmutzhard E, Forsberg P, Lutsar I, Ljøstad U, Mygland Å, et al. EAN consensus review on prevention, diagnosis and management of tick-borne encephalitis. Eur J Neurol. 2017;24(10):1214-e61.  https://doi.org/10.1111/ene.13356  PMID: 28762591 
  6. Mansfield KL, Johnson N, Phipps LP, Stephenson JR, Fooks AR, Solomon T. Tick-borne encephalitis virus - a review of an emerging zoonosis. J Gen Virol. 2009;90(8):1781-94.  https://doi.org/10.1099/vir.0.011437-0  PMID: 19420159 
  7. Demicheli V, Debalini MG, Rivetti A. Vaccines for preventing tick-borne encephalitis. Cochrane Database Syst Rev. 2009; (1):CD000977. PMID: 19160184 
  8. Heinz FX, Stiasny K, Holzmann H, Grgic-Vitek M, Kriz B, Essl A, et al. Vaccination and tick-borne encephalitis, central Europe. Emerg Infect Dis. 2013;19(1):69-76.  https://doi.org/10.3201/eid1901.120458  PMID: 23259984 
  9. Vaccines against tick-borne encephalitis: WHO position paper. Wkly Epidemiol Rec. 2011;86(24):241-56. PMID: 21661276 
  10. European Centre for Disease Prevention and Control. Tick-borne encephalitis. In: ECDC. Annual epidemiological report for 2016. Stockholm: ECDC; 2018. Available from: https://ecdc.europa.eu/sites/portal/files/documents/AER_for_2016-TBE.pdf
  11. European Centre for Disease Prevention and Control (ECDC). Epidemiological situation of tick-borne encephalitis in the European Union and European Free Trade Association countries. Stockholm: ECDC; 2012.Available from: https://ecdc.europa.eu/sites/portal/files/media/en/publications/Publications/TBE-in-EU-EFTA.pdf
  12. Süss J. Tick-borne encephalitis 2010: epidemiology, risk areas, and virus strains in Europe and Asia-an overview. Ticks Tick Borne Dis. 2011;2(1):2-15.  https://doi.org/10.1016/j.ttbdis.2010.10.007  PMID: 21771531 
  13. Randolph SE, Asokliene L, Avsic-Zupanc T, Bormane A, Burri C, Gern L, et al. Variable spikes in tick-borne encephalitis incidence in 2006 independent of variable tick abundance but related to weather. Parasit Vectors. 2008;1(1):44.  https://doi.org/10.1186/1756-3305-1-44  PMID: 19068106 
  14. Jahfari S, de Vries A, Rijks JM, Van Gucht S, Vennema H, Sprong H, et al. Tick-Borne Encephalitis Virus in Ticks and Roe Deer, the Netherlands. Emerg Infect Dis. 2017;23(6):1028-30.  https://doi.org/10.3201/eid2306.161247  PMID: 28518024 
  15. Roelandt S, Suin V, Riocreux F, Lamoral S, Van der Heyden S, Van der Stede Y, et al. Autochthonous tick-borne encephalitis virus-seropositive cattle in Belgium: a risk-based targeted serological survey. Vector Borne Zoonotic Dis. 2014;14(9):640-7.  https://doi.org/10.1089/vbz.2014.1576  PMID: 25229702 
  16. de Graaf JA, Reimerink JH, Voorn GP, Bij de Vaate EA, de Vries A, Rockx B, et al. First human case of tick-borne encephalitis virus infection acquired in the Netherlands, July 2016. Euro Surveill. 2016;21(33):30318.  https://doi.org/10.2807/1560-7917.ES.2016.21.33.30318  PMID: 27562931 
  17. Amato-Gauci A, Zeller H. Tick-borne encephalitis joins the diseases under surveillance in the European Union. Euro Surveill. 2012;17(42):20299. PMID: 23098821 
  18. European Commission. Commission Regulation (EC). Commission Implementing Decision 2012/506/EU of 8 August 2012 amending Decision 2002/253/EC laying down case definitions for reporting communicable diseases to the Community network under Decision No 2119/98/EC of the European Parliament and of the Council. Luxembourg: Publication Office of the European Union. Available from: https://publications.europa.eu/en/publication-detail/-/publication/10ed460f-0711-11e2-8e28-01aa75ed71a1/language-en
  19. European Commission. Commission regulation (EC). No 1059/2003 establishing the common classification of territorial units for statistics (NUTS). Luxembourg: Publication Office of the European Union. Available from: https://eur-lex.europa.eu/legal-content/EN/TXT/?qid=1535630753511&uri=CELEX:32003R1059
  20. Velay A, Solis M, Kack-Kack W, Gantner P, Maquart M, Martinot M, et al. A new hot spot for tick-borne encephalitis (TBE): A marked increase of TBE cases in France in 2016. Ticks Tick Borne Dis. 2018;9(1):120-5.  https://doi.org/10.1016/j.ttbdis.2017.09.015  PMID: 28988602 
  21. Tonteri E, Kurkela S, Timonen S, Manni T, Vuorinen T, Kuusi M, et al. Surveillance of endemic foci of tick-borne encephalitis in Finland 1995-2013: evidence of emergence of new foci. Euro Surveill. 2015;20(37):30020.  https://doi.org/10.2807/1560-7917.ES.2015.20.37.30020  PMID: 26535471 
  22. Radzišauskienė D, Žagminas K, Ašoklienė L, Jasionis A, Mameniškienė R, Ambrozaitis A, et al. Epidemiological patterns of tick-borne encephalitis in Lithuania and clinical features in adults in the light of the high incidence in recent years: a retrospective study. Eur J Neurol. 2018;25(2):268-74.  https://doi.org/10.1111/ene.13486  PMID: 29053888 
  23. Heinz FX, Stiasny K, Holzmann H, Kundi M, Sixl W, Wenk M, et al. Emergence of tick-borne encephalitis in new endemic areas in Austria: 42 years of surveillance. Euro Surveill. 2015;20(13):9-16.  https://doi.org/10.2807/1560-7917.ES2015.20.13.21077  PMID: 25860391 
  24. Lindgren E, Gustafson R. Tick-borne encephalitis in Sweden and climate change. Lancet. 2001;358(9275):16-8.  https://doi.org/10.1016/S0140-6736(00)05250-8  PMID: 11454371 
  25. Randolph SE, Rogers DJ. Fragile transmission cycles of tick-borne encephalitis virus may be disrupted by predicted climate change. Proc Biol Sci. 2000;267(1454):1741-4.  https://doi.org/10.1098/rspb.2000.1204  PMID: 12233771 
  26. Lindquist L. Tick-borne encephalitis. Handb Clin Neurol. 2014;123:531-59.  https://doi.org/10.1016/B978-0-444-53488-0.00025-0  PMID: 25015503 
  27. Heinz FX, Holzmann H, Essl A, Kundi M. Field effectiveness of vaccination against tick-borne encephalitis. Vaccine. 2007;25(43):7559-67.  https://doi.org/10.1016/j.vaccine.2007.08.024  PMID: 17869389 
  28. Andersson CR, Vene S, Insulander M, Lindquist L, Lundkvist A, Günther G. Vaccine failures after active immunisation against tick-borne encephalitis. Vaccine. 2010;28(16):2827-31.  https://doi.org/10.1016/j.vaccine.2010.02.001  PMID: 20167301 
  29. Lindblom P, Wilhelmsson P, Fryland L, Matussek A, Haglund M, Sjöwall J, et al. Factors determining immunological response to vaccination against tick-borne encephalitis virus in older individuals. PLoS One. 2014;9(6):e100860.  https://doi.org/10.1371/journal.pone.0100860  PMID: 24967619 
  30. Jacob L, Kostev K. Compliance with vaccination against tick-borne encephalitis virus in Germany. Clin Microbiol Infect. 2017;23(7):460-3.  https://doi.org/10.1016/j.cmi.2017.01.012  PMID: 28143786 
  31. Slunge D. The Willingness to Pay for Vaccination against Tick-Borne Encephalitis and Implications for Public Health Policy: Evidence from Sweden. PLoS One. 2015;10(12):e0143875.  https://doi.org/10.1371/journal.pone.0143875  PMID: 26641491 
  32. Donoso Mantke O, Schädler R, Niedrig M. A survey on cases of tick-borne encephalitis in European countries. Euro Surveill. 2008;13(17):18848. PMID: 18445446 
  33. Haditsch M, Kunze U. Tick-borne encephalitis: a disease neglected by travel medicine. Travel Med Infect Dis. 2013;11(5):295-300.  https://doi.org/10.1016/j.tmaid.2013.07.003  PMID: 23916617 
  34. Steffen R. Epidemiology of tick-borne encephalitis (TBE) in international travellers to Western/Central Europe and conclusions on vaccination recommendations. J Travel Med. 2016;23(4):taw018. PMID: 27087558 
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