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Chapter 11: General epidemiology of TBE


          Table 1: Seroprevalence of anti-TBE anti-  Table 2: Seroprevalence of anti-TBE
          bodies in normal populations of different   antibodies in high-risk populations
          European countries                         of different European countries

                                                                           Preva-
          Country     Prevalence (%)  Literature     Country     Risk group      Literature
                                                                          lence (%)
          Bornholm                                   Bornholm     Forest                 71
                                           17
          (Denmark)        1.4     Kristiansen       (Denmark)    worker    16   Kristiansen
                                              72
          Estonia          0-5     Vasilenko et al.               Forest            78
          Aland Archipel                             Germany      worker   5.6-7.2  Satz
                                          73
          (Finland)         5      Han et al.
                                                                  Forest                  79
                                               74
          Lithuania         3      Juceviciene et al.    Alsace (France)   worker   8   Collard et al.
                                             75
          Norway           2.4     Skapaas et al.                 Forest            78
                                                     Poland (North)        20-40  Satz
          Poland (North)   4.8-6.5   Anonymous 1983               worker
                                              76
          Czech Republic   15-28   Gresikova 1988    Switzerland   Forest   4.7   Matile et al.
                                                                                          77
                                                77
          Switzerland     0.5-5.0   Matile et al. 1979            worker
                                                                  Forest              80
                                                     Hungary                3.3   Molnar
                                          78
          Hunchun (China)   10.9   Satz 2006                      worker
          clear picture of the ecological structure that is   about 30,000 years ago in Central Africa. From
          required  for  the  development  and  mainten-  there,  the  tick-borne  flavivirus  ancestors
          ance of a TBE natural focus.                migrated  east  and  arrived  in  central  Siberia
                                                      about  7,500  years  ago.  The  virus  ancestor

                                                      then  divided  into  a  western  branch  and  an
          The phylogeny and phylo-                    eastern branch. The eastern branch developed
                                                      into  the  Siberian  and  Far-Eastern  subtypes
          geography of TBEV                           plus  also  into  potentially  2  newly  identified
                                                      subtypes. This evolutionary development took
          According  to  phylogenetic  studies  at  least  3   about 3,000 years. The western branch spread
          and  possibly  6  subtypes  of  the  TBEV  can  be   to Central Europe and further evolved on the
          genetically   distinguished   by   molecular   British  Isles  into  Louping  ill  virus  and  on  the
          technologies.  At  present,  3  subtypes  of   Iberian  Peninsula  into  the  Spanish  sheep
          TBEV—the  European  (western)  subtype      encephalitis virus.
                                                                    11
          (TBEV-  EU),  the  Siberian  subtype  (TBEV-SIB),
          and  the  Far-Eastern  subtype  (TBEV-FE)—are   In  Western  Europe,  TBEV-EU  is  prevalent.
          recognized. Russian virologists have claimed 2   However, in the Baltic countries and in parts
          new  subtypes,  strain  178-19  and  strain  886-  of  Finland,  the  Siberian  and  Far-Eastern
          84, both isolated in the Lake Baikal region in   subtype  virus  strains  have  been  isolated  and
                10
          Siberia.  Also, a new putative TBEV Himalayan   identified.  So  far,  it  is  not  clear  whether  the
                                   84
          subtype was claimed in China.  The European   Siberian  subtype  in  particular  moves  in  a
          subtype differs by 4% to 6% from the other 2   western  direction.  However,  identification  of
          subtypes (amino acid sequence). The Siberian   virus strains in Siberia shows that a few of the
          and Far-Eastern subtypes also differ by 4% to   strains  circulating  in  Siberia  belong  to  the
          6% in amino acid sequence from each other.    European and Far-Eastern subtypes. According
                                                      to  results  from  Russian  investigators,  the
          Phylogenetic  analysis  shows  that  the  TBEV   Siberian subtype invaded the Baltic countries
          group  separated  from  the  other  flaviviruses


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