Hannoun C
Med Trop (Mars). 1980 Sep-Oct;40(5):509-19.
Tick-borne encephalitis is the major european arbovirosis. It is observed in Soviet Union, Central and Western Europe and Scandinavian countries. In France, natural foci have been detected in Alsace (more specialy in Illkirch forest, near Strasbourg). In the United Kingdom exists a sheep encephalomyelitis (loupingill) caused by an arbovirus not much different from the tick-born encephalitis virus. The tick-born encephalitis virus is a flavivirus transmitted by tick bites. Tick is also a virus reservoir; it remains infected all along its life, through its metamorphosises and transmits the virus to its progeny. Vector-ticks belong to various species of a same genus; Ixodes persulcatus in Far-Eastern Soviet Union, Ixodes ricinus in other european foci. Small rodents (field-mouse, vole) are mainly the prime vertebrate hosts. Man is more often infected by the tick bite, more rarely by ingestion of new milk from infected domestic animals. Prognosis of the disease is under geographical variations: severe in Far-Eastern Russia and much milder in Central Europe. Natural foci are detected by serological surveys in patients recovering from neurologic diseases, human populations and in domestic animals. Natural foci beeing localized, isolation and identification of the virus from ticks and local rodents are tried. Extension and creation of new natural foci are caused by big mammalians and by migratory birds which carry over virus and vector ticks. Prophylaxis for people going to or living in registered natural foci, consists of avoiding ticks bites by wearing tight clothes and using repellents. Immunization by a recent vaccine produced in Austria from cultures on chicken embryo has given promising results.
蜱传脑炎是欧洲主要的虫媒病毒病。在苏联、中欧和西欧以及斯堪的纳维亚国家都有发现。在法国,已在阿尔萨斯(更具体地说是在斯特拉斯堡附近的伊尔基希森林)检测到自然疫源地。在英国,存在一种由虫媒病毒引起的绵羊脑脊髓炎(跳跃病),该病毒与蜱传脑炎病毒没有太大区别。蜱传脑炎病毒是一种通过蜱叮咬传播的黄病毒。蜱也是病毒储存宿主;它在整个生命周期中,通过变态过程一直保持感染状态,并将病毒传播给后代。作为传播媒介的蜱属于同一属的不同物种;在苏联远东地区为全沟硬蜱,在其他欧洲疫源地为蓖麻硬蜱。小型啮齿动物(田鼠、 vole鼠)主要是主要的脊椎动物宿主。人更多是通过蜱叮咬感染,很少通过摄入受感染家畜的新鲜牛奶感染。该疾病的预后存在地理差异:在俄罗斯远东地区较为严重,在中欧则要轻得多。通过对从神经系统疾病康复的患者、人群和家畜进行血清学调查来检测自然疫源地。确定自然疫源地位置后,尝试从蜱和当地啮齿动物中分离和鉴定病毒。大型哺乳动物和携带病毒及传播媒介蜱的候鸟会导致自然疫源地的扩大和新疫源地的形成。对于前往或居住在已登记自然疫源地的人,预防措施包括穿紧身衣服和使用驱虫剂以避免蜱叮咬。使用奥地利最近用鸡胚培养生产的疫苗进行免疫接种已取得了有希望的结果。