CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Česky / Czech version | Epidemiol. Mikrobiol. Imunol., 52, 2003, č. 2, s. 51–58 |
Epidemiological
Survey of Tick-borne Encephalitis in Southern Bohemia Luňáčková J.1, Chmelík V.2, Šípová I.3, Žampachová E.4, Bečvářová J.4 1 Okresní hygienická stanice České Budějovice 2 Infekční oddělení Nemocnice České Budějovice 3 Krajská hygienická stanice České Budějovice 4 Virologické oddělení Nemocnice České Budějovice |
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Summary: Southern Bohemia is one of the extensive natural foci of tick-borne encephalitis (TE) in the Czech
Republic. Some professionals hold the view that people living in the focus of infection acquire
naturally herd immunity and are the protected against the infection and thus it is not necessary to
vaccinate them against TE. Several serious cases of the disease in temporal sequence in Římov in
the district of České Budějovice led the authors to examine more closely the problem of TE in this
locality. Available epidemiological data were analyzed. A group of subjectswith permanent residence
in the community was assembled who were interested to participate in the trial. In these
serological examinations were made to assess antibodies against TE.
Analysis of the assembled data proved that during permanent residence in Římov 6.07% of the
investigated group during their life in Římov developed the manifest form of TE, 9.64% developed
the inapparent form and 15% subjects had antibodies after previous vaccination. The ratio of
manifest and inapparent cases is 6.07:9.64, i.e.roughly 2:3. The total seroprevalence after the disease
(manifest and inapparent) is 16%. Persons with a negative result of the examination were offered
vaccination. The vaccination rate increased due to the authors’ intervention from 15% to 65% in the
given community.
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