Epidemiologic situation and problems in struggle with tick-borne encephalitis in Russian Federation

Abstract

In the end of the XXth century an uncommon increase of morbidity rate of tick-borne encephalitis was registered. Current prophylactis measures do not consider modern epidemiologic situation, which is characterized first of all by changes in the structure of the disease and main risk group, now presented by non-vaccinated urban population. For the effective struggle with tick-borne encephalitis a new strategy of prophylaxis should be introduced based on massive vaccination of population of highly endemic re- gions. Special prophylaxis with immunogobulin, acaricidic measures and personal non-specific prophylaxis though may be effec- tive, can not resolve a problem of radical decrease of morbidity rate and play a secondary role. Considering a wide spread of focuses with coexistant tick-borne-infections, immediate prophylaxis is to be based on the results of differential express diagnostics in spe- cial laboratories that should be organized in endemic regions.

Keywords

• клещевой энцефалит
• заболеваемость
• эпидемиологическая обстановка
• профилактика
• tick-borne encephalitis
• morbidity rate
• epidemiologic situation
• prophylaxis