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Chapter 1



                   A short history of TBE




                   Olaf Kahl, Vanda Vatslavovna Pogodina, Tatyana
              Poponnikova, Jochen Süss and Vladimir Igorevich Zlobin


          Key Points

          •  TBE virus is a flavivirus and a prominent tick-borne human pathogen occurring in parts of Asia
             and Europe.
          •  The  virus  was  discovered  by  Lev  A.  Zilber  and  co-workers  in  the  former  USSR  during  an
             expedition in the Far Eastern taiga under the most difficult conditions in 1937.
          •  They and members of a second expedition under the leadership of the Academician Evgeny N.
             Pavlovsky 1938 elucidated the basic eco-epidemiology of the virus.
          •  In their natural foci, TBE virus circulates between vectors, certain ixodid ticks, and some of their
             hosts, so-called reservoir hosts, mostly small mammals.
          •  Five different subtypes of TBE virus have been described to date.

          Introduction

          Tick-borne  encephalitis  virus  (TBEV)  is  an  ar-  gers,  as  the  region  began  to  develop  in  the
                                                        th
          thropod-borne  human  pathogen,  ecologically   19  century.
                             1
          known as an arbovirus.  Taxonomically, it is a      4
          member of the genus Flavivirus together with   Schneider  was the first to give a medical de-
          other  medically  relevant  arboviruses  (e.g.,   scription of the ‘Epidemische akute Meningitis
          Yellow fever virus, Dengue virus). The virus is   serosa’ (also known as  ‘Schneidersche Krank- 5
          endemic in Asia and Europe where it circulates   heit’ in Austria), which was in fact TBE. Panov
          between  its  principal  vectors,  usually  hard   gave the first detailed description of the clini-
          ticks  of  the  genus  Ixodes,  and  certain  small   cal picture of the so-called ‘summer encephali-
          mammals, referred  to as ‘reservoir hosts’, fed   tis’ in the Far East.
          on  by  virus-infected  vector  ticks.  The  bite  of
          infected vector ticks is also the common route   This  chapter  presents  a  brief  synopsis  of  the
          of  infection  for  humans.  Each  year  several   major  milestones  in  TBE  and  TBEV  research,
          thousand people fall ill with TBE. Long before   beginning  with  the  discovery  of  the  virus  in
                           2
          Smith and Kilbourne  discovered that ticks can   the former USSR.
          transmit pathogens to their hosts and before
          TBEV  was  discovered,  the  disease  had  been   Discovery of TBEV in different
          mentioned  in  the  literature.  Parish  records   regions of Eurasia
          from the Åland islands (Finland) contain case
          descriptions of a disease at least similar to TBE   Molecular  biological  data  indicate  that  TBEV
                           3
                  th
          in  the  18   century.   ‘Taiga  encephalitis’  or   has its origins in Western Siberia approximate-
          ‘biphasic  meningoencephalitis’  had  been  ob-  ly  3100  [1800–4900]  years  ago.   From  there
                                                                                 6
          served  in  eastern  parts  of  the  former  USSR   the  eastern  TBEV  groups  spread  to  the  east
          mostly  in  soldiers,  railway  workers  and  log-
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