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Surveillance of vector-borne diseases in Germany: trends and challenges in the view of disease emergence and climate change.
Parasitol Res. 2008 Dec; 103 Suppl 1:S11-7.PR

Abstract

The changing epidemiology of vector-borne diseases represents a growing threat to human health. Contemporary surveillance systems have to adapt to these changes. We describe temporal trends and geographic origins of vector-borne diseases in Germany with regard to strengths of existing disease surveillance and to areas marked for improvement. We focused on hantavirus infection (endemic in Germany), chikungunya fever (recently emerging in Europe) and dengue fever (imported from tropical regions), representing important subgroups of vector-borne infections. Routine surveillance data on demographics, origin of infection and the date of reporting were analysed. From 2001 through 2007, 3,005 symptomatic hantavirus infections, and 85 cases of chikungunya fever were reported, similarly 1,048 cases of dengue fever in 2002 through 2007. The geographic origin of hantavirus infection was reported for 95.5% of all cases (dengue virus, 98.4%; chikungunya virus, 100%). Hantavirus infections were acquired in Germany in 97.6% of cases (n = 2800). In 2007, there was a marked increase of hantavirus cases, mainly in areas known to be endemic for hantavirus. In 2006, imported cases of chikungunya fever primarily returned from several islands of the Indian Ocean, while the majority of imported cases in 2007 came from India. The reported number of dengue fever cases have increased since 2004. Thailand contributed the largest proportion of cases (17-43% in individual years), followed by India, Brazil and Indonesia. Surveillance of notifiable vector-borne diseases in Germany is able to timely detect spatial and temporal changes of autochthonous an imported infections. Geographic and temporal data obtained by routine surveillance served as a basis for public health recommendations. In addition to surveillance of vector-borne infections in humans, nationwide monitoring programs and inventory techniques for emerging and reemerging vectors and for wildlife disease are warranted.

Authors+Show Affiliations

Department for Infectious Diseases Epidemiology, Robert Koch Institute, Seestrasse 10, 13353, Berlin, Germany. JansenA@rki.deNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19030882

Citation

Jansen, Andreas, et al. "Surveillance of Vector-borne Diseases in Germany: Trends and Challenges in the View of Disease Emergence and Climate Change." Parasitology Research, vol. 103 Suppl 1, 2008, pp. S11-7.
Jansen A, Frank C, Koch J, et al. Surveillance of vector-borne diseases in Germany: trends and challenges in the view of disease emergence and climate change. Parasitol Res. 2008;103 Suppl 1:S11-7.
Jansen, A., Frank, C., Koch, J., & Stark, K. (2008). Surveillance of vector-borne diseases in Germany: trends and challenges in the view of disease emergence and climate change. Parasitology Research, 103 Suppl 1, S11-7. https://doi.org/10.1007/s00436-008-1049-6
Jansen A, et al. Surveillance of Vector-borne Diseases in Germany: Trends and Challenges in the View of Disease Emergence and Climate Change. Parasitol Res. 2008;103 Suppl 1:S11-7. PubMed PMID: 19030882.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surveillance of vector-borne diseases in Germany: trends and challenges in the view of disease emergence and climate change. AU - Jansen,Andreas, AU - Frank,Christina, AU - Koch,Judith, AU - Stark,Klaus, Y1 - 2008/11/23/ PY - 2008/04/17/received PY - 2008/05/26/accepted PY - 2008/12/17/pubmed PY - 2009/4/3/medline PY - 2008/12/17/entrez SP - S11 EP - 7 JF - Parasitology research JO - Parasitol Res VL - 103 Suppl 1 N2 - The changing epidemiology of vector-borne diseases represents a growing threat to human health. Contemporary surveillance systems have to adapt to these changes. We describe temporal trends and geographic origins of vector-borne diseases in Germany with regard to strengths of existing disease surveillance and to areas marked for improvement. We focused on hantavirus infection (endemic in Germany), chikungunya fever (recently emerging in Europe) and dengue fever (imported from tropical regions), representing important subgroups of vector-borne infections. Routine surveillance data on demographics, origin of infection and the date of reporting were analysed. From 2001 through 2007, 3,005 symptomatic hantavirus infections, and 85 cases of chikungunya fever were reported, similarly 1,048 cases of dengue fever in 2002 through 2007. The geographic origin of hantavirus infection was reported for 95.5% of all cases (dengue virus, 98.4%; chikungunya virus, 100%). Hantavirus infections were acquired in Germany in 97.6% of cases (n = 2800). In 2007, there was a marked increase of hantavirus cases, mainly in areas known to be endemic for hantavirus. In 2006, imported cases of chikungunya fever primarily returned from several islands of the Indian Ocean, while the majority of imported cases in 2007 came from India. The reported number of dengue fever cases have increased since 2004. Thailand contributed the largest proportion of cases (17-43% in individual years), followed by India, Brazil and Indonesia. Surveillance of notifiable vector-borne diseases in Germany is able to timely detect spatial and temporal changes of autochthonous an imported infections. Geographic and temporal data obtained by routine surveillance served as a basis for public health recommendations. In addition to surveillance of vector-borne infections in humans, nationwide monitoring programs and inventory techniques for emerging and reemerging vectors and for wildlife disease are warranted. SN - 0932-0113 UR - https://www.unboundmedicine.com/medline/citation/19030882/Surveillance_of_vector_borne_diseases_in_Germany:_trends_and_challenges_in_the_view_of_disease_emergence_and_climate_change_ L2 - https://dx.doi.org/10.1007/s00436-008-1049-6 DB - PRIME DP - Unbound Medicine ER -