Department of Drug Management, National Health Fund, Poland.
University of Humanities and Economics, Łódź, Poland.
Ann Agric Environ Med. 2021 Jun 14;28(2):277-282. doi: 10.26444/aaem/121056. Epub 2020 May 6.
Some fragmentary studies show that the incidence of Lyme borreliosis in Poland is increasing. It has been generally accepted that the most affected are forestry workers and farmers. The aim of the study is to compare the incidence of borreliosis in urban and rural residents in 2008-2016.
Databases on Lyme borreliosis from the National Health Fund and Central Statistical Office in Poland were analyzed. For each patient, ambulatory or discharged from every hospital, the diagnosis was compulsorily reported as encoded following the International Classification of Diseases.
A steadily increasing number of patients with borreliosis in Poland was found, which doubled in 2008 - 2016. The incidence was similar in urban and rural residents. In all the provinces in Poland, an increase in incidence of borreliosis was observed, although there were big differences between them. The highest frequency of borreliosis was in Podlasie and Warmia-Masuria provinces. The lowest incidence of borreliosis was noticed in Wielkopolska province. In the most provinces the increase in the incidence of borreliosis was steady, except Warmia-Masuria, where it was very low in 2008, and soaring since 2011. The number of cases per year between 2008 - 2016 increased in both in males and females.
The results suggest the need for higher awareness of the risk of Lyme borreliosis in urban residents, because the incidence of Lyme borreliosis is growing independently of the place of residence. Prompt measures to prevent tick bites and appropriate education are urgently needed.
一些零散的研究表明，波兰莱姆病的发病率正在上升。人们普遍认为，林业工人和农民受影响最大。本研究的目的是比较 2008 年至 2016 年城市和农村居民莱姆病的发病率。
分析了波兰国家卫生基金和中央统计局的莱姆病数据库。对于每个在门诊或从每家医院出院的患者，都必须按照国际疾病分类进行编码报告诊断。
在波兰发现莱姆病患者数量稳步增加，2008 年至 2016 年翻了一番。城市和农村居民的发病率相似。在波兰所有省份，莱姆病的发病率都有所增加，尽管它们之间存在很大差异。莱姆病发病率最高的是波德拉谢省和瓦尔米亚-马祖里省。发病率最低的是大波兰省。在大多数省份，莱姆病的发病率稳步上升，只有瓦尔米亚-马祖里省例外，2008 年发病率非常低，自 2011 年以来飙升。2008 年至 2016 年期间，每年的病例数在男性和女性中均有所增加。
研究结果表明，有必要提高城市居民对莱姆病风险的认识，因为莱姆病的发病率在不断上升，与居住地无关。迫切需要采取预防蜱虫叮咬的措施和进行适当的教育。
