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Chapter 11



                  General epidemiology



                                         of TBE





                    Gerhard Dobler and Sergey Tkachev

          Key Points


           • Tick-borne encephalitis virus (TBEV) exists in natural foci, which are areas where TBEV is
            circulating among its vectors (ticks of different species and genera) and reservoir hosts
            (usually rodents and small mammals).
           • Based on phylogenetic studies, four TBEV subtypes (Far-Eastern, Siberian, European,
            Baikalian) and two putative subtypes (Himalayan and “178-79” group) are known. Within
            each subtype, some genetic lineages are described.
           • The European subtype (TBEV-EU) (formerly known also as the “Western subtype”) of TBEV is
            prevalent in Europe, but it was also isolated in Western and Eastern Siberia in Russia and
            South Korea.
           • The Far-Eastern subtype (TBEV-FE) was preferably found in the territory of the far-eastern part
            of Eurasia, but some strains were isolated in other regions of Eurasia.

           • The Siberian (TBEV-SIB) subtype is the most common and has been found in almost all TBEV
            habitat  areas.
           • The Baikalian subtype is prevalent around Lake Baikal and was isolated several times from ticks
            and rodents.
           • In addition to the four TBEV subtypes, one single isolate of TBEV (178-79) and two genetic
            sequences (Himalayan) supposed to be new TBEV subtypes were described in Eastern Siberia and
            China.
           • The data on TBEV seroprevalence in humans and animals can serve as an indication for the
            presence or absence of TBEV in studied area.





          In  the  early  1920s,  reports  surfaced   an  expedition  was  organized  to  detect  the
          concerning  a  severe  form  of  brain  disease  in   origin of this unusual disease. During this first
          woodcutters, topographers, road construction   Taiga  expedition  to  identify  the  etiology  of  a
          workers,  and  residents  of  newly  founded   newly occurring form of encephalitis, Zil’ber et
                                                        1
          villages  in  the  Taiga  forest  in  the  far  eastern   al.   showed  that  the  etiologic  agent  of  this
          region  of  the  former  Soviet  Union.  The   disease  seemed  to  be  a  filterable  pathogen
          severity of the disease was such that in 1937   that  was  transmitted  by  ticks  of  the  genera


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