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Chapter 12b



                             TBE in Ukraine





                      Wilhelm Erber and Tamara Vuković Janković


          History and Current Situation

          Available data indicate that infection with tick-  affordable for most medical institutions, these
          borne  encephalitis  virus  (TBEV)  is  the  most   reported  figures  might  highly  underestimate
          common  arbovirus  infection  in  Ukraine.   the   true   extent   of   the   disease   in
                                                             1
          Natural  TBE  foci  are  mainly  associated  with   Ukraine.   More  recent  data  are  unavailable,
          Polissya  territories  (Volyn,  Rivne,  Zhytomyr,   with  unofficial  reports  indicating  about  50
                                                                  2
          Kyiv, and Chernigiv area), as well as the Pre-  cases annually.
          Carpathian  and  Trans–Carpathian  regions;
          highly  intensive  circulation  of  TBEV  was  also   Quite recently 8 TBEV isolates were identified
          observed in the entire mountain forest zone of   from  ticks  among  6  study  sites  in  southern
          Crimea  and  in  Volinskij.  From  1980  to  1990,   Ukraine.  This  study  confirmed  TBEV-EU
          about 100 patients with TBE were recorded in   (European  subtype)  distribution  in  the
                1,2
          Crimea.                                     southern  region  of  Ukraine,  which  overlaps
                                                      with TBEV-FE (Far Eastern subtype) and TBEV-
          During  2003–2010,  223  cases  of  TBEV-   Sib  (Siberian  subtype),  showing  the  hetero-
                                                                                     3
          seropositive patients from 14 areas of Ukraine   geneity of TBEV circulating in Ukraine.
          were diagnosed. As diagnostic systems are not


                                                       6

           Figure 1: Burden of TBE in Ukraine over time


















                                       Latest raw data can be found at https://id-ea.org/tbe/tbe12b34/#data1










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