{"title":"第13章:作为公共卫生问题的be","authors":"Michael Kunze, Wilhelm Erber, Martin Haditsch","doi":"10.33442/26613980_13-6","DOIUrl":null,"url":null,"abstract":"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.","PeriodicalId":477308,"journal":{"name":"Tick-borne encephalitis - The Book","volume":"54 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Chapter 13: TBE as a matter of public health\",\"authors\":\"Michael Kunze, Wilhelm Erber, Martin Haditsch\",\"doi\":\"10.33442/26613980_13-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"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.\",\"PeriodicalId\":477308,\"journal\":{\"name\":\"Tick-borne encephalitis - The Book\",\"volume\":\"54 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-05-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Tick-borne encephalitis - The Book\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.33442/26613980_13-6\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Tick-borne encephalitis - The Book","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.33442/26613980_13-6","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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.