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Nachdem Covid19 aus medizinischer Sicht "durch" ist, hier jetzt also wieder das Thema Impfen in ganzer Breite...
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FSME - Studie der ECDC findet wenig echte Risikogebiete in Deutschland

Eine internationale Studie, die die Entwicklung der FSME in Europa während der Zeit zwischen 2021 und 2020 untersucht, bestätigt: STIKO und RKI gehen mit ihren bunten Risikokarten und den daraus zurechtgebogenen Impfempfehlungen meilenweit über international übliches Risikomanagement hinaus.

Die Studie zitiert ausdrücklich die WHO-Position einer allgemeinen Impfempfehlung bei Inzidenzen ≥ 5 Fälle/100.000 Einwohner/Jahr, findet diese Werte aber buchstäblich nur in einer Handvoll deutscher Landkreise erreicht.

Auch die international übliche - von der STIKO-Empfehlung abweichende - Strategie einer booster-Impfung frühestens nach 10 Jahren wird von den Autoren ausdrücklich gestützt.

Ebenfalls bestätigen die Autoren die geringe Sterblichkeit der FSME in Europa und die geringe Rate schwerer Verläufe mit bleibenden Komplikationen - relativieren letzteres aber als wahrscheinlich methodenbedingte Untererfassung ("bias")

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Eurosurveillance | Spatiotemporal spread of tick-borne encephalitis in the EU/EEA, 2012 to 2020

Background Tick-borne encephalitis (TBE) is a vaccine-preventable disease involving the central nervous system. TBE became a notifiable disease on the EU/EEA level in 2012. Aim We aimed to provide an updated epidemiological assessment of TBE in the EU/EEA, focusing on spatiotemporal changes. Methods We performed a descriptive analysis of case characteristics, time and location using data of human TBE cases reported by EU/EEA countries to the European Centre for Disease Prevention and Control with disease onset in 2012–2020. We analysed data at EU/EEA, national, and subnational levels and calculated notification rates using Eurostat population data. Regression models were used for temporal analysis. Results From 2012 to 2020, 19 countries reported 29,974 TBE cases, of which 24,629 (98.6%) were autochthonous. Czechia, Germany and Lithuania reported 52.9% of all cases. The highest notification rates were recorded in Lithuania, Latvia, and Estonia (16.2, 9.5 and 7.5 cases/100,000 population, respectively). Fifty regions from 10 countries, had a notification rate ≥ 5/100,000. There was an increasing trend in number of cases during the study period with an estimated 0.053 additional TBE cases every week. In 2020, 11.5% more TBE cases were reported than predicted based on data from 2016 to 2019. A geographical spread of cases was observed, particularly in regions situated north-west of known endemic regions. Conclusion A close monitoring of ongoing changes to the TBE epidemiological situation in Europe can support the timely adaption of vaccination recommendations. Further analyses to identify populations and geographical areas where vaccination programmes can be of benefit are needed.
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