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. 2011 Nov 23;120(3):385–392. doi: 10.1289/ehp.1103805

Table 2.

General changes in insect-, tick-, or rodent-borne diseases in European countries over the last decade, according to infectious disease experts, 2009/2010.a

Disease Geographic distribution Seasonality Altitude Latitude
Total + No change Total + No change Total + No change Total + No change
Borreliosis (Lyme disease) 22 11/22 11/22 0 21 9/21 12/21 0 16 5/16 11/16 0 17 3/17 14/17 0
Chikungunya fever 12 2/12 10/12 0 12 2/12 10/12 0 11 0 11/11 0 12 1/12 11/12 0
Hantavirus infections 17 8/17 9/17 0 16 3/16 13/16 0 14 1/14 13/14 0 12 2/12 10/12 0
Leishmaniasis 18 8/18 10/18 1/18 17 3/17 14/17 0 15 1/15 14/15 0 14 3/14 11/14 0
TBE 17 11/17 6/17 0 17 5/17 12/17 0 14 5/14 9/14 0 13 3/13 10/13 0
West Nile fever 16 6/16 10/16 0 14 2/14 12/14 0 12 2/12 10/12 0 13 3/13 10/13 0
Abbreviations: +, range expansion; –, range contraction. Values shown are number of countries reporting change or no change/total number of respondents for each survey item. Data are based on the following survey question: “Have you observed general changes of insect‑, tick‑, or rodent-borne disease in your country over the last 10 years?” Responses were recorded on a scale with five response options: strong increase; increase; no change; decrease; strong decrease. The first two responses (strong increase and increase) were grouped to reflect a positive response and the last two responses (decrease and strong decrease) were grouped to reflect a negative response. Both range expansion and contraction were documented for leishmaniasis in Portugal. Data were not available for 2007.