Minár J
Státní zdravotní ústav, Praha.
Cesk Epidemiol Mikrobiol Imunol. 1992 Oct;41(5):307-13.
Based on reports of the hygiene service on the morbidity from tick-borne encephalitis during the period of 1953-1987, data in the literature and results of the authors' field research on the incidence of ticks, the authors defined foci of the disease. In Bohemia there is an extensive important focus of tick-borne encephalitis in the Central Bohemian region in the Krivoklát area, along the Berounka river, along the mid Vltava river and lower Sázava river, in the area of the Brdy mountains and Czech Karst, linked in the South along the Vltava river to foci in the South Bohemian region in the districts of Písek and Ceské Budĕjovice and in the West linked along the Berounka river with the focus in the central part of the West Bohemian region. In the North Bohemian region and East Bohemian region, only minor separate relict foci of tick-borne encephalitis were found. In Moravia there are extensive foci of tick-borne encephalitis in the North Moravian region in the districts of Opava and Bruntál, in the South Moravian region in its central and southern parts. The foci in Bohemia are separated from foci in neighbouring countries, foci in Moravia are continuous with those in Poland and Austria. It was proved that ticks and the revealed foci of tick-borne encephalitis in the Czech Republic are in areas of original oak groves. Areas of beech woods, even those which are below areas where ticks are found, i.e. lower that 700 m above sea level, do not offer favourable conditions for ticks andare not foci of tick-borne encephalitis. Assessment of areas with regard to the prevailing flora and fauna proved a useful method of prediction of the occurrence of ticks and foci of disease they transmit.
根据1953 - 1987年期间卫生服务部门关于蜱传脑炎发病率的报告、文献数据以及作者对蜱虫发生率的实地研究结果,作者确定了该病的疫源地。在波希米亚,中波希米亚地区的克里沃克拉特地区、沿着贝龙卡河、伏尔塔瓦河中游和萨扎瓦河下游、布尔迪山脉和捷克喀斯特地区存在广泛且重要的蜱传脑炎疫源地,在南部沿着伏尔塔瓦河与南波希米亚地区皮塞克和切斯克布杰约维采区的疫源地相连,在西部沿着贝龙卡河与西波希米亚地区中部的疫源地相连。在北波希米亚地区和东波希米亚地区,仅发现了蜱传脑炎的一些较小的孤立残留疫源地。在摩拉维亚,北摩拉维亚地区奥帕瓦和布伦塔尔区、南摩拉维亚地区中部和南部存在广泛的蜱传脑炎疫源地。波希米亚的疫源地与邻国的疫源地分隔开来,摩拉维亚的疫源地与波兰和奥地利的疫源地相连。事实证明,捷克共和国的蜱虫以及已发现的蜱传脑炎疫源地位于原始橡树林地区。山毛榉林地区,即使是那些低于发现蜱虫的地区(即海拔低于700米),也不为蜱虫提供有利条件,不是蜱传脑炎的疫源地。根据主要动植物群对区域进行评估,证明是预测蜱虫及其传播疾病疫源地发生情况的一种有用方法。