Lyme borreliosis in south-eastern Poland: relationships with
environmental factors and medical attention standards.
Bartosik K, Lachowska-Kotowska P, Szymanska J, Pabis A, Buczek A
Ann Agric Environ Med 2011 06; 18 (1): 131-7
The aim of the study was the investigation of the dynamics of LB
prevalence in central Europe over a 12-year period and estimation of its
dependence on the environmental factors and on the level of medical
services. Epidemiological studies of LB were conducted in the years
1996-2007 in 9 regions of the Swietokrzyskie province in south-eastern
Poland (Central Europe). On the basis of patient registry, the
incidence, prevalence in various months of the year, the mean number of
cases in various seasons and the seasonality factors (SF) of LB were
calculated. Between 2000-2007, an increased borreliosis incidence was
observed in the study area. During the entire study period, the highest
incidence (25.93 and 30.66) was observed in the regions with the highest
density of Ixodes ricinus ticks - vectors of Borrelia burgdorferi
spirochetes, and where the inhabitants are offered the best available LB
diagnosis and treatment due to a sufficient number of doctors (r = 0.74)
and all medical personnel (doctors, nurses and diagnosticians) (r =
0.89). The highest LB incidence was present in the summer and autumn
seasons (SF = 113.25 and 155.18 percent) in the areas with the highest
density of nymphs and adult I. ricinus ticks (> =19/1 h of sampling).
Improved standards of public medical care as well as environmental
monitoring of tick threat may contribute to a decrease in prevalence of
LB and to its better detection.
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