Upsurge of tick-borne encephalitis in the Baltic States at the time of political transition, independent of changes in public health practices

D Sumilo, A Bormane, V Vasilenko, I Golovljova, L Asokliene, M Zygutiene, S Randolph

Research output: Contribution to journalArticlepeer-review

15 Citations (Scopus)

Abstract

Despite evidence that socio-economic factors associated with political transition played a major causal role in the abrupt upsurge in tick-borne encephalitis (TBE) in the newly independent Baltic States, doubts are still repeatedly expressed about the importance of these factors relative to changes in public health practices that may have affected merely the registration of cases. In response to these doubts, evidence of relevant practices of surveillance, registration, diagnosis, awareness and immunization is presented as taken from archived data and interviews with experienced medical practitioners. There were changes that could have had neutral, negative or positive impacts on recorded TBE incidence, but the variable timing in these changes at both national and regional levels is not consistent with their having been responsible for the epidemiological patterns observed in the early 1990 s.

Original languageEnglish
Pages (from-to)75-80
Number of pages6
JournalClinical Microbiology and Infection
Volume15
Issue number1
DOIs
Publication statusPublished - Jan 2009
Externally publishedYes

Keywords

  • Baltic States
  • Encephalitis, Tick-Borne
  • Politics
  • Population Surveillance
  • Public Health Practice
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Viral Vaccines
  • Journal Article
  • Research Support, Non-U.S. Gov't

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