Kunze Ursula
Center for Public Health, Institute for Social Medicine, Medical University of Vienna, Vienna, Austria.
Wien Med Wochenschr. 2010 May;160(9-10):252-5. doi: 10.1007/s10354-010-0798-x.
The International Scientific Working Group on Tick-Borne Encephalitis (ISW-TBE) held its 12th Annual Meeting in January 2010. The international awareness among the issue of TBE is on the rise, as the European Center for Disease Control considers TBE of high relevance and has launched a series of activities aimed at improving awareness of this tick-transmissible infection and also the World Health Organization has taken up the cause of TBE. The epidemiology of TBE in Europe is characterized by two distinct trends, i.e., a consistent expansion of risk areas on the one hand and major fluctuations in case numbers on the other. TBE risk areas have spread both northward and to higher altitudes - a development thought to be attributable to climate changes having created more favorable living conditions for ticks. Social, political, ecological, economic, and demographic factors also have a role in this development. Preliminary data from 12 European countries show that TBE case numbers in 2009 amounted to 95.8% of those reported in 2006 when Russia is included and to 88% of 2006 data when Russia is excluded. Overall, the level of knowledge of TBE in endemic countries is quite high, but actual vaccination coverage has not kept pace.
国际蜱传脑炎科学工作组（ISW-TBE）于2010年1月召开了第12届年会。由于欧洲疾病控制中心认为蜱传脑炎具有高度相关性并开展了一系列旨在提高对这种蜱传播感染认识的活动，且世界卫生组织也已着手处理蜱传脑炎问题，国际上对蜱传脑炎问题的关注度正在上升。欧洲蜱传脑炎的流行病学呈现出两种不同趋势，一方面是危险区域持续扩大，另一方面是病例数大幅波动。蜱传脑炎危险区域已向北和向更高海拔地区蔓延——这种发展被认为归因于气候变化为蜱创造了更有利的生存条件。社会、政治、生态、经济和人口因素在这一发展过程中也发挥了作用。来自12个欧洲国家的初步数据显示，2009年蜱传脑炎病例数在纳入俄罗斯时相当于2006年报告病例数的95.8%，在排除俄罗斯时相当于2006年数据的88%。总体而言，流行国家对蜱传脑炎的了解程度相当高，但实际疫苗接种覆盖率并未跟上。
