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Chapter 12b: TBE in Denmark


          Overview of TBE in Denmark

           Table 1: Virus, vector, transmission of TBE in Denmark
                                                                    7
           Viral subtypes, distribution   TBEV European (Western) subtype
                                               8
           Reservoir animals            Roe deer
                                          4
           Infected tick species (%)    2%
           Dairy product transmission   Not documented


           Table 2: TBE reporting and vaccine prevention in Denmark


           Mandatory TBE               TBE is not a notifiable disease in Denmark (DK) and there is no
           reporting                   mandatory reporting



                                       Statens Serum Institut (SSI) does the centralized TBE diagnostic
           Other TBE surveillance
                                       in DK and compiles line-lists of confirmed cases

                                       Bi-phasic disease. Risk groups are people that regularly spend
           Special clinical features   time in woods outside paths in areas where TBE is endemic
                                       (Bornholm)


                                       37.7% with permanent complications. No TBE deaths are
                                                         3
                                       registered in Denmark


           Available vaccines          Ticovac (Pfizer)


                                       In 2001 the Danish Health Authorities recommended TBE
                                       vaccination for a defined at-risk population in Bornholm
           Vaccination recommendations

           and reimbursement
                                       In 2009 the recommendations allowed reimbursement to
                                                                      3,5
                                       regular visitors in endemic areas in DK
           Vaccine uptake by age group/
                                       Unknown*
           risk group/general population

                                       Dept. Virology & Microbiology Diagnostic, Statens Serum
           Name, address/website of TBE
           National Reference  Center   Institut, 5 Artillerivej, DK-2300 Copenhagen S, Denmark
                                       (https://www.ssi.dk)

          *In 2001 the Danish Health Authorities recommended TBE vaccination for a defined at-risk population in
          Bornholm. The vaccine coverage is not known, but starting in 2015 a prospective registration of all vaccines is
          mandatory in Denmark, which will clarify these issues.


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