Incidence and management of presumption of Lyme borreliosis in Belgium: recent data from the sentinel network of general practitioners

Vanthomme, Katrien; Bossuyt, Nathalie; Boffin, Nicole; Casteren, Viviane Van

doi:10.1007/s10096-012-1580-3

Cited by 30 publications

(32 citation statements)

References 13 publications

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“…In the Czech Republic in 2006, it was 42.6 per 100,000, close to the national incidence in France. In Belgium, it was 16 per 100,000 in 2005 [9], whereas the Belgian network of sentinel GP estimated the incidence rate of erythema migrans at 90.2 per 100,000 in 2009 [22]. The incidence rate was below 1 per 100,000 in Italy and Portugal in 2005 [9].…”

Section: Discussionmentioning

confidence: 99%

Borréliose de Lyme : recensement des cas adultes hospitalisés en Indre-et-Loire, à partir du PMSI (1999–2006)

Penev

Laurent

Baron

et al. 2010

Revue d'Épidémiologie et de Santé Publique

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Section: Discussionmentioning

confidence: 99%

Borréliose de Lyme : recensement des cas adultes hospitalisés en Indre-et-Loire, à partir du PMSI (1999–2006)

Penev

Laurent

Baron

et al. 2010

Revue d'Épidémiologie et de Santé Publique

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“…Data can be collected through repeated cross-sectional retrospective surveys, as has been implemented in the Netherlands and some other countries by means of GP surveys [5,11-15]. Other options would be implementation through prospective or retrospective sentinels among hospitals and GP practices [16-18]. These options work mainly on a voluntary basis and are shown to provide high response rates and good regional and national estimates to identify temporal and spatial trends [12].…”

Section: Surveillance Scenariosmentioning

confidence: 99%

Surveillance perspective on Lyme borreliosis across the European Union and European Economic Area

et al. 2017

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Lyme borreliosis (LB) is the most prevalent tick-borne disease in Europe. Erythema migrans (EM), an early, localised skin rash, is its most common presentation. Dissemination of the bacteria can lead to more severe manifestations including skin, neurological, cardiac, musculoskeletal and ocular manifestations. Comparison of LB incidence rates in the European Union (EU)/European Economic Area (EEA) and Balkan countries are difficult in the absence of standardised surveillance and reporting procedures. We explored six surveillance scenarios for LB surveillance in the EU/EEA, based on the following key indicators: (i) erythema migrans, (ii) neuroborreliosis, (iii) all human LB manifestations, (iv) seroprevalence, (v) tick bites, and (vi) infected ticks and reservoir hosts. In our opinion, neuroborreliosis seems most feasible and useful as the standard key indicator, being one of the most frequent severe LB manifestations, with the possibility of a specific case definition. Additional surveillance with erythema migrans as key indicator would add value to the surveillance of neuroborreliosis and lead to a more complete picture of LB epidemiology in the EU/EEA. The other scenarios have less value as a basis for EU-level surveillance, but can be considered periodically and locally, as they could supply complementary insights.

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“…In Belgium, only Lyme borreliosis is regularly diagnosed. In 2009, official numbers of cases varied from 500 to 1500 [10] or 9000 cases [11] according to the source. In the Netherlands, 22000 cases were recorded for that same year [2].…”

Section: Introductionmentioning

confidence: 99%

Spatial disaggregation of tick occurrence and ecology at a local scale as a preliminary step for spatial surveillance of tick-borne diseases: general framework and health implications in Belgium

et al. 2013

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BackgroundThe incidence of tick-borne diseases is increasing in Europe. Sub national information on tick distribution, ecology and vector status is often lacking. However, precise location of infection risk can lead to better targeted prevention measures, surveillance and control.MethodsIn this context, the current paper compiled geolocated tick occurrences in Belgium, a country where tick-borne disease has received little attention, in order to highlight the potential value of spatial approaches and draw some recommendations for future research priorities.ResultsMapping of 89,289 ticks over 654 sites revealed that ticks such as Ixodes ricinus and Ixodes hexagonus are largely present while Dermacentor reticulatus has a patchy distribution. Suspected hot spots of tick diversity might favor pathogen exchanges and suspected hot spots of I. ricinus abundance might increase human-vector contact locally. This underlines the necessity to map pathogens and ticks in detail. While I. ricinus is the main vector, I. hexagonus is a vector and reservoir of Borrelia burgdorferi s.l., which is active the whole year and is also found in urban settings. This and other nidiculous species bite humans less frequently, but seem to harbour pathogens. Their role in maintaining a pathogenic cycle within the wildlife merits investigation as they might facilitate transmission to humans if co-occurring with I. ricinus. Many micro-organisms are found abroad in tick species present in Belgium. Most have not been recorded locally but have not been searched for. Some are transmitted directly at the time of the bite, suggesting promotion of tick avoidance additionally to tick removal.ConclusionThis countrywide approach to tick-borne diseases has helped delineate recommendations for future research priorities necessary to design public health policies aimed at spatially integrating the major components of the ecological cycle of tick-borne diseases. A systematic survey of tick species and associated pathogens is called for in Europe, as well as better characterisation of species interaction in the ecology of tick-borne diseases, those being all tick species, pathogens, hosts and other species which might play a role in tick-borne diseases complex ecosystems.

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Incidence and management of presumption of Lyme borreliosis in Belgium: recent data from the sentinel network of general practitioners

Cited by 30 publications

References 13 publications

Borréliose de Lyme : recensement des cas adultes hospitalisés en Indre-et-Loire, à partir du PMSI (1999–2006)

Borréliose de Lyme : recensement des cas adultes hospitalisés en Indre-et-Loire, à partir du PMSI (1999–2006)

Surveillance perspective on Lyme borreliosis across the European Union and European Economic Area

Spatial disaggregation of tick occurrence and ecology at a local scale as a preliminary step for spatial surveillance of tick-borne diseases: general framework and health implications in Belgium

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