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TBE in South Korea 在韩国
Pub Date : 2023-05-16 DOI: 10.33442/26613980_12b31-6
Joon Young Song
Although no human case of tick-borne encephalitis (TBE) has been documented in South Korea to date, surveillance studies have been conducted to evaluate the prevalence of tick-borne encephalitis virus (TBEV) in wild ticks. Four studies collected ticks by dragging or flagging in grassland and forest, while 1 study tested wild mammals (boars and rodents) by removing ticks from them. In the wild of South Korea, Haemaphysalis spp. were the predominant species found by tick dragging, while Ixodes nipponensis became predominant when harvested from small mammals.
尽管迄今为止在韩国没有记录到人感染蜱传脑炎(TBE)的病例,但已经开展了监测研究,以评估野生蜱中蜱传脑炎病毒(TBEV)的流行情况。四项研究通过在草原和森林中拖拽或标记来收集蜱虫,而一项研究通过从野生哺乳动物(野猪和啮齿动物)身上移除蜱虫来测试它们。在韩国野外,蜱虫拖拽法发现血蜱为优势种,小型哺乳动物采集时发现日本伊蚊为优势种。
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引用次数: 0
Chapter 11: General epidemiology of TBE 第十一章:TBE的一般流行病学
Pub Date : 2023-05-16 DOI: 10.33442/26613980_11-6
Gerhard Dobler, Sergey Tkachev
Tick-borne encephalitis virus (TBEV) exists in natural foci, which are areas where TBEV is circulating among its vectors (ticks of different species and genera) and reservoir hosts (usually rodents and small mammals). Based on phylogenetic studies, four TBEV subtypes (Far-Eastern, Siberian, European, Baikalian) and two putative subtypes (Himalayan and “178-79” group) are known. Within each subtype, some genetic lineages are described. The European subtype (TBEV-EU) (formerly known also as the “Western subtype”) of TBEV is prevalent in Europe, but it was also isolated in Western and Eastern Siberia in Russia and South Korea. The Far-Eastern subtype (TBEV-FE) was preferably found in the territory of the far-eastern part of Eurasia, but some strains were isolated in other regions of Eurasia. The Siberian (TBEV-SIB) subtype is the most common and has been found in almost all TBEV habitat areas. The Baikalian subtype is prevalent around Lake Baikal and was isolated several times from ticks and rodents. In addition to the four TBEV subtypes, one single isolate of TBEV (178-79) and two genetic sequences (Himalayan) supposed to be new TBEV subtypes were described in Eastern Siberia and China. The data on TBEV seroprevalence in humans and animals can serve as an indication for the presence or absence of TBEV in studied area.
蜱传脑炎病毒(TBEV)存在于自然疫源地,即TBEV在其媒介(不同种类和属的蜱)和宿主(通常是啮齿动物和小型哺乳动物)之间传播的地区。基于系统发育研究,已知四种TBEV亚型(远东、西伯利亚、欧洲、贝加尔湖)和两种假定亚型(喜马拉雅和“178-79”群)。在每个亚型中,描述了一些遗传谱系。TBEV的欧洲亚型(TBEV- eu)(以前也称为“西方亚型”)在欧洲普遍存在,但在俄罗斯和韩国的西伯利亚西部和东部也有分离。远东亚型(TBEV-FE)主要在欧亚大陆远东地区发现,但也有部分菌株在欧亚大陆其他地区分离到。西伯利亚(TBEV- sib)亚型是最常见的,几乎在所有的TBEV栖息地都有发现。贝加尔湖周围普遍存在贝加尔湖亚型,并多次从蜱虫和啮齿动物中分离出来。除4个亚型外,在东西伯利亚和中国还发现了1个单独的TBEV分离株(178-79)和2个基因序列(喜马拉雅),推测为新的TBEV亚型。人类和动物的脑热带病血清患病率数据可作为研究地区是否存在脑热带病的指示。
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引用次数: 0
Chapter 1: A short history of TBE 第一章:大英帝国的历史简史
Pub Date : 2023-05-16 DOI: 10.33442/26613980_1-6
Olaf Kahl, Vanda V. Pogodina, Tatjana Poponnikova, Jochen Süss, Vladimir I. Zlobin
TBE virus is a flavivirus and a prominent tick-borne human pathogen occurring in parts of Asia and Europe. The virus was discovered by Lev A. Zilber and co-workers in the former USSR during an expedition in the Far Eastern taiga under the most difficult conditions in 1937. They and members of a second expedition under the leadership of the Academician Evgeny N. Pavlovsky 1938 elucidated the basic eco-epidemiology of the virus. In their natural foci, TBE virus circulates between vectors, certain ixodid ticks, and some of their hosts, so-called reservoir hosts, mostly small mammals. Five different subtypes of TBE virus have been described to date.
脑炎病毒是一种黄病毒,是发生在亚洲和欧洲部分地区的一种主要的蜱传人类病原体。1937年,前苏联的列夫·a·齐伯(Lev A. Zilber)和他的同事在最艰苦的条件下对远东针叶林进行考察时发现了这种病毒。他们和叶夫根尼·n·帕夫洛夫斯基院士1938年领导的第二次考察队的成员阐明了该病毒的基本生态流行病学。在它们的自然疫源地,乙脑病毒在媒介、某些粘蜱和它们的一些宿主(所谓的宿主,主要是小型哺乳动物)之间传播。迄今为止,已经描述了五种不同的乙脑病毒亚型。
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引用次数: 0
Chapter 13: TBE as a matter of public health 第13章:作为公共卫生问题的be
Pub Date : 2023-05-16 DOI: 10.33442/26613980_13-6
Michael Kunze, Wilhelm Erber, Martin Haditsch
The incidence of TBE ranges from ‘only single sporadic cases’ to >50/105 per year depending on the region and on the year of analysis; it is usually 1-10/105 in endemic regions in central Europe. This number may be considered as ‘low’ – not only as an individual risk but also from a public health perspective. If an individual does contract TBE, however, the disease may deeply change her/his life due to the need for acute hospital care and due to potentially severe and long-term sequelae. In 1–2% (-20%) of cases, TBE may even result in death. No specific treatments exist for TBE. The severity of the disease and high frequency of long-term sequelae result in high public awareness and concerns about tick bites in endemic areas. Public health officials in TBE-endemic areas need to address these concerns; moreover, they need to address the concerns of travelers at risk. The principal public health measures aim at reducing TBE cases by reduction of exposure and preventive vaccination. Recommendation/reimbursement of TBE vaccination still is under discussion from side of healthcare payer perspective as well as from the individuals perspective considering long term sequelae.
根据地区和分析年份的不同,脑炎的发病率从每年“仅有单个散发病例”到每年50/105例不等;在中欧流行地区通常为1-10/105。这一数字可能被认为是“低的”——不仅从个人风险角度,而且从公共卫生角度来看也是如此。然而,如果一个人确实感染了TBE,由于需要紧急住院治疗和潜在的严重和长期后遗症,这种疾病可能会深刻地改变他/她的生活。在1-2%(-20%)的病例中,TBE甚至可能导致死亡。目前还没有专门的治疗方法。该病的严重程度和长期后遗症的高频率导致公众对流行地区蜱虫叮咬的高度认识和关注。tbe流行地区的公共卫生官员需要解决这些问题;此外,他们需要解决处于危险中的旅行者的担忧。主要的公共卫生措施旨在通过减少接触和预防性接种来减少脑炎病例。从医疗保健支付者的角度以及从考虑长期后遗症的个人角度来看,建议/报销破伤风疫苗接种仍在讨论中。
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引用次数: 0
TBE in France be在法国
Pub Date : 2023-05-16 DOI: 10.33442/26613980_12b12-6
Yves Hansmann, Aurélie Velay
The first human case of tick-borne encephalitis virus (TBEV) infection in France was reported in 1968 in Alsace, an eastern region next to the German border: a gamekeeper working in a forest near Strasbourg. Between 1970 and 1974, an extensive research survey confirmed the presence of TBEV in ticks and rodents in this French region. Eight percent of adult tick batches collected were infected (Ixodes ricinus) by the TBEV. Tick collection occurred in a forest near Strasbourg, the main city in the region. Nymphs were more rarely infected (1.6% of the collected lots). These data were confirmed in 2011 in Alsace in Guebwiller’s Valley, a middle altitude forest, with identification of western (European) subtype TBEV (TBEV-EU).
法国第一例人类感染蜱传脑炎病毒(TBEV)的病例于1968年在靠近德国边境的东部地区阿尔萨斯报告:一名在斯特拉斯堡附近森林工作的猎场看守。1970年至1974年间,一项广泛的研究调查证实,在法国这一地区的蜱虫和啮齿动物中存在TBEV。收集到的成虫蜱中有8%被TBEV感染(蓖麻伊蚊)。蜱虫收集发生在该地区主要城市斯特拉斯堡附近的森林中。若虫感染较少(1.6%)。这些数据于2011年在阿尔萨斯的格布维勒谷(Guebwiller’s Valley)中海拔森林得到证实,并鉴定出西部(欧洲)亚型TBEV (TBEV- eu)。
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引用次数: 0
TBE in Switzerland and Liechtenstein 在瑞士和列支敦士登
Pub Date : 2023-05-16 DOI: 10.33442/26613980_12b33-6
Daniel Desgrandchamps, Klara M. Posfay-Barbe
The first serological reports of tick-borne encephalitis (TBE) in Switzerland date back to the early 1970s [T. Krech. Dissertation, University of Berne, 1980]. Surveillance started in 1984, and TBE became a notifiable disease in 1988. Most cases are reported between April and October with a tick bite exposure below an altitude of 1500–2000 meters.
瑞士最早的蜱传脑炎(TBE)血清学报告可以追溯到20世纪70年代早期。Krech。论文,伯尔尼大学,1980]。1984年开始监测,1988年成为一种法定疾病。大多数病例报告发生在4月至10月期间,暴露于海拔1500-2000米以下的蜱虫叮咬。
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引用次数: 0
TBE in Sweden 瑞典的be
Pub Date : 2023-05-16 DOI: 10.33442/26613980_12b32-6
Åke Lundkvist
Tick-borne encephalitis virus (TBEV) was isolated for the first time in Sweden in 1958 (from ticks and from 1 tick-borne encephalitis [TBE] patient). In 2003, Haglund and colleagues reported the isolation and antigenic and genetic characterization of 14 TBEV strains from Swedish patients (samples collected 1991–1994). The first serum sample, from which TBEV was isolated, was obtained 2–10 days after onset of disease and found to be negative for anti-TBEV immunoglobulin M (IgM) by enzyme-linked immunosorbent assay (ELISA), whereas TBEV-specific IgM (and TBEV-specific immunoglobulin G/cerebrospinal fluid [IgG/CSF] activity) was demonstrated in later serum samples taken during the second phase of the disease.
1958年在瑞典首次分离出蜱传脑炎病毒(TBEV)(从蜱和1例蜱传脑炎患者身上)。2003年,Haglund及其同事报告了从瑞典患者(1991-1994年收集的样本)中分离出的14株TBEV菌株的抗原和遗传特征。在发病后2-10天获得第一个血清样本,从中分离出TBEV,通过酶联免疫吸附试验(ELISA)发现抗TBEV免疫球蛋白M (IgM)呈阴性,而在疾病第二阶段采集的后来的血清样本中发现了TBEV特异性IgM(以及TBEV特异性免疫球蛋白G/脑脊液[IgG/CSF]活性)。
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引用次数: 0
TBE in Moldova 摩尔多瓦的be
Pub Date : 2023-05-16 DOI: 10.33442/26613980_12b21-6
Wilhelm Erber, Tamara Vuković-Janković
Although there are no reliable data on the number of tick-borne encephalitis (TBE) cases or the percentage of infected ticks, based on the geography and the presence of TBE virus (TBEV) in all neighboring countries, it must be assumed that TBEV is present somewhere in Moldova.
虽然没有关于蜱传脑炎(TBE)病例数量或受感染蜱的百分比的可靠数据,但基于地理位置和所有邻国中存在的TBEV,必须假设在摩尔多瓦的某个地方存在TBEV。
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引用次数: 0
TBE in Finland 芬兰的be
Pub Date : 2023-05-16 DOI: 10.33442/26613980_12b11-6
Anu Jääskeläinen, Heidi Åhman
Finland is at the northernmost edge of the TBE endemic area in Europe. Here TBE is focally endemic. An aseptic encephalitis disease has been known in Kumlinge Island in Åland Islands since the 1940s. TBE is also known in Finland by name Kumlinge disease.
芬兰位于欧洲流行性感冒流行地区的最北端。在这里,be是局部地方性的。自20世纪40年代以来,在Åland群岛的Kumlinge岛发现了一种无菌性脑炎疾病。这种病在芬兰也被称为Kumlinge病。
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引用次数: 0
Chapter 12c: Risk Map For TBEV 第12c章:TBEV的风险图
Pub Date : 2023-05-16 DOI: 10.33442/26613980_12c-6
Gerhard Dobler, Wilhelm Erber, Michael Bröker, Lidia Chitimia-Dobler, Heinz-Josef Schmitt
TBE Risk Map.
风险图。
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引用次数: 0
期刊
Tick-borne encephalitis - The Book
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