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Chapter 12b: TBE in Slovakia



           Continuation of Table 2: TBE reporting and vaccine prevention in Slovakia

                           In most TBE cases (85.9%) there was a recovery observed. In 6 cases,
                           permanent consequences (palsy, neurological complications) were recorded.
                           Three cases resulted in death (0.3% mortality). In 2 cases, an infectious cause
          Special clinical   was involved; in 1 case death was from another cause. In 13.2% of cases the
                                                           10
          features         impact of the disease was not specified.

                           In a study, we have diagnosed post-encephalitic syndrome in 27.2% of
                           patients who most often reported headache, tremor of upper limbs, fatigue,
                                                28
                           and lack of concentration.
          Available vaccines  FSME-IMMUN; FSME-IMMUN junior


                           According to the law, employees of the virology laboratories in Slovakia that
                           work with TBEV must be vaccinated 6 (§ 8, section 5)

                           Vaccination is recommended in persons who are professionally exposed to
                           increased risk of selected diseases such TBE. Physicians usually vaccinate
                           subjects who are forestry and water management (including students of
          Vaccination      forestry schools) employees, agricultural workers, surveyors, geologists, tourist
          recommendations   path guides, employees of the mountain hunts and lifts, employees of
          and              recreation facilities, members of police forces and customs officers,
          reimbursement
                           professional soldiers and reserve soldiers called for extraordinary service, and
                           employees performing work associated with the operation and maintenance
                           of the tracks. 6 (§ 10, section 2)

                           Recently, 1 insurance company started to partially reimburse for TBE
                                                                                  7
                           vaccination, paying, for example, half the price for each dose (2015).

                           TBE immunization data on the Slovak population are not available, but
                           according to numbers of sold vaccine doses and child immunization control,
          Vaccine uptake by   the estimated vaccination coverage in Slovakia is 1% (1.3/100 000) 10
          age group/risk
          group/general    None of the TBE patients seen in the country during the period 2007–2016 has
          population       had all 3 vaccine doses. Most cases were not vaccinated (98.8%). In 9 (0.9%)
                           cases, a vaccination record was not found or was not available. Partial
                                                        10
                           vaccination was recorded in 3 cases.

                           NRC for arboviruses and haemorrhagic fevers
                           Public Health Authority of Slovakia
          Name, address/
                           Trnavská cesta 52
          website of TBE
                           826 45 Bratislava
          NRC
                           Slovakia
                           elena.ticha@uvzsr.sk





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