Paradowska-Stankiewicz Iwona, Chrześcijańska Irena
National Institute of Public Health –National Institute of Hygiene in Warsaw Department of Epidemiology
Przegl Epidemiol. 2017;71(4):513-517.
Lyme disease is the most common tick-borne disease in Poland. Borrelia burgdorferi spirochete can occur in the whole country, which, according to ECDC, should be considered as an endemic area. Borrelia strains are transmitted to humans and certain other animals by Ixodes (1). Human infection is caused by saliva or tick vomit. Reservoir spirochete are numerous species of animals, mainly rodents. Lyme disease, due to its multifocal character, rich symptomatology and diagnostic problems, is a serious challenge for clinicians and epidemiologists
The aim of this study was to assess the epidemiological situation of Lyme disease in Poland in 2015 in comparison to the previous years
The descriptive analysis was based on data retrieved from routine mandatory surveillance system and published in the annual bulletin “Infectious diseases and poisonings in Poland in 2015” (2)
Despite observed in recent years the tendency to growth of number of cases, in 2015 was marked by growth inhibition incidence of Lyme disease.In 2015, 13 625 cases were registered in Poland, ie by 0.7% less than in the previous year. The overall incidence in the country was 35.4 per 100 000 population - the highest was recorded in the Podlaskie voivodeship - 96.3 per 100 000 inhabitants. In 2015, 1905 (14%) people were hospitalized due to Lyme disease
In 2015, for the first time in a few years, the growth rate of Lyme disease has been stopped. Registered 0.7% less cases than in the previous year. There is still a need for bringing awareness of the need for diagnostic laboratory testing according to recommendations, which will improve the accuracy of the diagnosis
莱姆病是波兰最常见的蜱传疾病。伯氏疏螺旋体在波兰全国范围内都有出现，根据欧洲疾病预防控制中心（ECDC）的说法，该国应被视为疫区。伯氏疏螺旋体菌株通过硬蜱属蜱虫传播给人类和某些其他动物（1）。人类感染是由蜱虫的唾液或呕吐物引起的。储存宿主螺旋体存在于众多动物物种中，主要是啮齿动物。由于莱姆病具有多灶性特征、丰富的症状表现和诊断难题，对临床医生和流行病学家来说是一项严峻挑战。
本研究的目的是评估2015年波兰莱姆病的流行病学情况，并与前几年进行比较。
描述性分析基于从常规强制监测系统获取的数据，并发表在年度公报《2015年波兰的传染病和中毒情况》（2）中。
尽管近年来观察到病例数有增长趋势，但2015年莱姆病的发病率增长受到抑制。2015年，波兰登记了13625例病例，比上一年减少了0.7%。该国的总体发病率为每10万人口35.4例——在波德拉谢省记录的发病率最高——每10万居民中为96.3例。2015年，有1905人（14%）因莱姆病住院。
2015年，莱姆病的增长率在几年内首次停止。登记的病例数比上一年减少了0.7%。仍然需要提高人们对按照建议进行诊断实验室检测必要性的认识，这将提高诊断的准确性。
