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Chapter 12b: TBE in Slovenia



          Table 2: TBE reporting and vaccine prevention in Slovenia


                                     Reporting is mandatory. Only confirmed cases are reported from
                                     clinicians. Clinically diagnosed CNS infection of TBE must be
                                     confirmed by at least one of the following: 13,14
                                     Case definition: laboratory-confirmed patient
                                      The presence of specific serum IgM and IgG antibodies
          Mandatory TBE reporting
                                      The presence of specific IgM antibodies in cerebrospinal fluid
                                       (CSF)
                                      IgG seroconversion to TBEV
                                      The presence of the TBEV genome in the clinical specimen
                                      Isolation of TBEV from the clinical specimen.

          Other TBE surveillance     Information not available
          Special clinical features   Information not available
                                                           15
          Available vaccines         FSME-Immun and Encepur

                                     TBE vaccination was introduced in 1986. A national TBE
                                     vaccination policy and recommendation has been implemented
                                     only for high-risk groups: 16,17,18
                                      Since 1986, mandatory for high-risk workers (e.g., foresters,
                                       hunters, farmers, gardeners, soldiers, laboratory workers) –
          Vaccination recommendations   reimbursed by employers
          and reimbursement           Since 1990, mandatory for students at high risk (e.g., forestry,
                                       wood processing ) – reimbursed within compulsory national
                                       health insurance
                                      Since 1991, recommended for all individuals living in or
                                       travelling to endemic areas including children from 1 year of age
                                       – paid by vaccinated individuals themselves.

                                     In 2007, the estimated proportion of the general population age
          Vaccine uptake by age group/  15 years and older who reported to have ever been vaccinated
          risk group/ general population  against TBE was 12.4%. No further estimations of vaccine coverage
                                                       18
                                     have been performed.
          Name, address/website of TBE  National Institute of Public Health of Slovenia
          National Reference Center   http://www.nijz.si/en













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