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Chapter 12b: TBE in Slovakia


          Overview of TBE in Slovakia


           Table 1: Virus, vector, transmission of TBE in Slovakia

                         European subtype 1

                         At present, there are around 50 known endemic TBE foci in Slovakia. A list of
                         natural foci of TBE in Slovakia was developed by the Public Health Authority of
                         Slovakia in 2002 directly on the basis of virus isolation data from ticks and
                         reservoir animals in the years 1964–1997 from the Institute of Virology, Slovak
          Viral subtypes,
                         Academy of Sciences in Bratislava as well as indirectly, by inference about the
          distribution                                                          8
                         site of infection in patients with TBE as reported during 1972–2002.
                         In recent years there has been a shift of natural TBE foci from the southern to
                                                     9
                         the northern areas of the country,  especially in the basin of the river Váh in the
                         western part of the country, but also in eastern Slovakia. Since 2006, we have
                                                                    10
                         observed a slightly increasing trend of TBE incidence.
                            Tribeč region (Jarok pri Nitre, Jelenec, Topoľčianky), 1965: Out of 46 blood
                            and brain samples kept from moles (Talpa europaea), 7 positive isolations of
                            TBEV were obtained. Therefore, moles can represent not only an important
                            host animal, but may also be considered a reservoir of TBEV in elementary
                               11
                            foci.
                            Tribeč region, 1967: Isolation of virus from the blood of Apodemus flavicollis,
                                                                     12
                            Clethrionomys glareolus, and Erinaceus roumanicus
          Reservoir        Tribeč region, 1967: 2 TBEV strains were isolated from I. ricinus collected on
          animals                        13
                            2 Turdus merula
                           Lúky pod Makytou, 1981: 5 strains of TBEV isolated from ticks and organs
                                                            14
                            of Apodemus flavicollis (in 15% infected)
                           Western Slovakia (6 localities), 1981–1986: 6 TBEV strains isolated from
                                                                                   15
                            organs of C. glareolus (4), Apodemus flavicollis (1), Sorex araneus (1)
                           Záhorská Ves, 1990–1992: 8 TBEV isolates from organs of C. glareolus (6),
                                                                   16
                            Apodemus flavicollis (1), Apodemus sylvaticus (1)
                         The number of infected ticks in endemic areas varies widely from 0.1 to 5%
                                                        18
                         depending on the season and habitat

                            Tribeč, 1964: On average, 0.2% ticks were infected by TBEV in the entire
                            Tribeč region. When only elementary foci were taken into account, this
                                                                              18
                            proportion increased to 0.4% (Topoľčianky) and 0.8% (Jelenec)
          Infected tick                                                     19
          species (%)       Záhorská Bystrica, 1965: 1.7% female ticks infected by TBEV
                                                                                 20
                            Devín, 1973: 0.1% nymphs and 1.1% female ticks infected by TBEV
                           Slovakia, 1981: In Slovakia there are 2 types of TBEV natural foci – Carpathian
                            and Pannonian. In Carpathian natural TBEV foci, there were 2.6% ticks
                            infected by TBEV. In the Pannonian natural TBEV foci, there were 0.1% ticks
                                         21
                            infected by TBEV

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