Page 239 - TBE_Book_V2_2019
P. 239

Chapter 12b



                          TBE by country –




                                country data



              Gerhard Dobler, Wilhelm Erber and Heinz-Josef Schmitt



          While  TBE  is  listed  as  a  “communicable   The scientific appropriate methodology would
          disease”  in  the  EU  since  2012,  each  country   be  to  document  that  >80%  of  subjects  with
          implements  reporting  nationally  with  own   meningitis/encephalitis  are  tested  for  TBE  in
          resources and methods.                      an endemic region.

          In  most  instances,  reporting  of  TBE  cases  is   As  this  is  not  accomplished  anywhere,  the
          based on passive surveillance and thus largely   data shown for  individual countries in Chapter
          depend on disease awareness with physicians   12b  are 1) not necessarily comparable to each
          and on availability, cost, and use of serological   other and 2) underestimate the real burden of
          tests for TBE diagnosis.                    disease  and  indicate  just  the  minimum  num-
                                                      ber of cases.
          Systematic, regular  use of TBE serology in the
          appropriate  clinical  setting  is  in  place  in  few
          countries only, despite the fact that it would
          be  a  necessary    prerequisite  to  gain  reliable
          data  on  the  true  incidence  of  TBE  in  a  given
          country.

































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