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. 2009 Jan 21;2009(1):CD000977. doi: 10.1002/14651858.CD000977.pub2
Country Cases Peak areas Main Ixodes vectors Vaccination
Austria 2003: 87 cases
 Incidence rate: 1.09/100,000
2007: 46 cases
 Incidence rate: 0.6/100,000
(Donoso Mantke 2008)
South‐Austrian endemic areas (Steiermark/Styria) (Beran 2004) I. ricinus 1981: voluntary immunization campaign (highly purified FSME‐IMMUN vaccine)
Czech Republic 2000: 37.4 cases/100,000 in South Bohemia
2004: 507 cases
 Incidence rate: 5.0/100,000
2007: 546 cases
 Incidence rate: 5.3/100,000
(Donoso Mantke 2008)
South Bohemia, Prague, North Moravian region, valleys of Berounka and Vltava rivers, regions around Vranov and Kninic dams in south Moravia I. ricinus Partial financial support for vaccination of children and adolescents aged < 18 years across the whole country
Finland 1990s: 10 to 20 cases per year
2000: 41 cases (Strauss 2004)
2004: 29 cases
 Incidence rate: 0.6/100,000
2007: 20 cases
 Incidence rate: 0.4/100,000
(Donoso Mantke 2008)
Coastal regions of Finland and near Saimaa Lake; Åland islands; Archipelago of Turku, the Kokkola and Lappeenranta regions I. ricinus Vaccination recommended for all people aged > 7 years living in endemic areas; thus vaccine not part of the Finnish National Immunisation Program
Germany 1991 to 2001: about 1723 cases, with mean incidence of 1.2% in Baden‐Württemberg
2001: 256 cases
2004: 274 cases
 Incidence rate: 0.3/100,000
2007: 236 cases
 Incidence rate: 0.3/100,000
(Donoso Mantke 2008)
Bayern and Baden/Württemberg regions I. ricinus Recommended for those at high risk of exposure
Hungary 1977 to 1996: average incidence of 2.5/100,000 (range 1.3 to 3.8) (Strauss 2004)
2004: 76 cases
 Incidence rate: 0.8/100,000
2007: 63 cases
 Incidence rate: 0.6/100,000
(Donoso Mantke 2008)
Counties of Zala, Somogy, Vas (western Hungary), and Nograd (northern Hungary) I. ricinus Introduced in 1977 for risk groups and offered to all since 1991
Latvia 1997 to 2000: average of 26.9/100,000
2004: 251 cases
 Incidence rate: 10.8/100,000
2007: 157 cases
 Incidence rate: 6.9/100,000
(Donoso Mantke 2008)
Region of Riga, the city park results strong contaminated; thus virus has spread in the whole country I. ricinus (active April to November in western and central Latvia), and I. persulcatus (active from March to July in east) 1994: campaign to vaccinate children started in the areas with higher risk (Lucenko 2004)
Lithuania Incidence
 1993: 5.3
 1994: 7.6
 1995: 11.5
 1996: 8.4
 1998: 14.8 (Süss 2003)
2003: 763 cases; 22/100,000
2004: 425 cases
 Incidence: 12.3/100,000
2007: 233 cases
 Incidence: 6.5/100,000
(Donoso Mantke 2008)
All districts of the country I. ricinus Vaccination recommended, but government does not provide financial assistance for this, and people have to pay the full costs themselves; coverage too low to control the disease (Asokliene 2004)
Poland 2002: incidence 0.33/100,000; 126 cases
 2003: 0.89/100,000; 339 cases
2004: 262 cases
 Incidence: 0.7/100,000
2007: 233 cases
 Incidence rate: 0.6/100,000
(Donoso Mantke 2008)
North‐east provinces (Gdansk, Elblag and Olsztyn), and east (Suwalki and Byalistok) and southern regions (Opole) (Süss 2003) I. ricinus Recommended for high‐risk groups living in endemic areas and tourists visiting endemic places
Slovenia 2001: 260 cases
 2002: 262 cases
 2003: 272 cases; incidence of 13.6/100,000
2004: 204 cases
 Incidence rate: 10.2/100,000
2006: 373 cases
 Incidence rate: 18.6/100,000
(Donoso Mantke 2008)
Central and mountainous parts I. ricinus Obligatory only for military personnel and other professional categories; recommended to anybody who spends time outdoor in the endemic areas, including short‐term visitors
Russia Average annual incidence rate exceeds 12 cases/100,000 (Süss 2003)
2004: 4221 cases
 Incidence rate: 2.9/100,000
2007: 3162
 Incidence rate: 2.2/100,000
(Donoso Mantke 2008)
Ural, Siberia, and in the Far East regions I. persulcatus (active May to mid‐June) Reccommended for high‐risk groups (Zlobin 2005)
China No precise data about morbidity available
1994: 3500 cases reported
2 foci have been identified: 1 in Hunchun area (Jilin Province) and other in western Yunnan I. ovatus (strongly related to the Far Eastern subtype) No information
Japan Only 1 severe case diagnosed in 1993 (Hokkaido Island); no other confirmed cases have since been reported None I. ovatus No information