Page 251 - TBE_Book_V2_2019
P. 251

Chapter 12b



                        TBE in Bosnia and




                                Herzegovina




                      Wilhelm Erber and Tamara Vuković Janković

          History and Current Situation

          Very limited information is available for Bosnia   The  only  official  TBE  case  report  data  so  far
          showing the occurrence of TBE. 7            are  from  the  Centralized  Information  System
                                                      for  Infectious  Diseases  ((CISID)  –  WHO:
          Even though there have been some elder case   incidence of tick-borne encephalitis)  where 1
          reports  in  the  northern  parts  of  the  country,   case was reported in 2001, and 2 cases were
          including  alimentary  infections,  details  have   reported in in 20106, and additionally 5 cases
                          3
          not been published.                         of alimentary outbreak were reported in 2014
                                                      by  the  Institute  of  Public  Health  in  Serbia
          In  early  1996  United  States  military  forces   (Institute  of  Public  Health  FBIH  https://
          were deployed to Bosnia as part of Operation
                                                      www.zzjzfbih.ba/biblioteka/)  [Accessed:  Oct,
          Joint  Endeavor.  Only  4  (0.42%)  unvaccinated
                                                      2016].
          individuals,  all  males,  demonstrated  a  4-fold
          seroconversion. All 4 seemingly were infected   However, proven record about the spread of
          with  TBE  virus  (or  a  closely-related  variant)   the TBE virus in Bosnia and Herzegovina is the
          during their 6–9-month deployment period in   isolation  of  five  strains  of  the  TBEV-Sib
          Bosnia, but did not report with symptoms to   genotype 3 in Ixodes ricinus.
                                                                             1,2
          any health care provider. 2,4,5

          Figure 1: Burden of TBE in Bosnia and Herzegovina over time 2,4,5,6























                                        Latest raw data can be found at https://id-ea.org/tbe/tbe12b4/#data1


                                                  246
   246   247   248   249   250   251   252   253   254   255   256