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Chapter 12b: TBE in Belgium


          Table 2: TBE reporting and vaccine prevention in Belgium
          Mandatory TBE reporting   None


                                   1. A national reference center (NRC) for TBE has been established
                                     since 2011. This center performs laboratory confirmation in
                                     suspected human cases and reports to Sciensano.

                                      From 2011 to 2015: Sciensano, Brussels, Belgium
                                      From 2016 to 2019: Institute of Tropical Medicine (ITM), Antwerp,
                                      Belgium

                                   2. Human surveillance via NRC
                                      From 2011 to 2015: Sciensano, Brussels, Belgium
          Other TBE surveillance
                                      From 2016 to 2019: ITM, Antwerpen, Belgium
                                   3. Animal surveillance (2011 to present): Sciensano, Brussels,
                                           3-7
                                     Belgium
                                   4. Tick surveillance (2018 to present): ITM, Antwerp, Belgium and
                                     Sciensano, Brussels, Belgium (2018)
                                   Case definition as described in https://eur-lex.europa.eu/LexUriServ/
                                   LexUriServ.do?uri=OJ:L:2012:262:0001:0057:EN:PDF. Confirmed case:
                                   symptoms of TBE and immunoglobulin M (IgM) and/or ribonucleic
                                   acid-positive.


          Special clinical features   No information available
                                   FSME-IMMUN
          Available vaccines
                                   (Purchased from Baxter by Pfizer in 2014)

                                   Vaccination is recommended for travelers to endemic regions doing
                                   outdoor activities in forested areas (such as hiking, camping,
          Vaccination              mushroom picking, …) during tick season (spring, summer and
          recommendations and      autumn) and for people handling TBEV in laboratory setting.
          reimbursement
                                   Updated recommendations are awaited in 2019
                                   (Superior Health Council, Belgium).
          Vaccine uptake by age
          group/risk group/general   No data available.
          population
          Name, address/website of   ITM, Antwerpen, Belgium, https://www.itg.be
          TBE NRC

          Note: No information available on TBVE burden or distribution as up to now there have been no TBE cases.
          Also, no TBEV has been isolated to date and no autochthonous cases have been identified in Belgium.


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