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ISW TBE Int. Press Workshop 28.01.2010. F.X.Heinz Changing endemic areas – proven effectiveness of TBE vaccination in the field. Kokkola. S-Norway 1998. Endemic areas of TBE virus in Europe. Skane 2001. Zealand 2009. Saarland 1994. Alps. Friuli 2003. Alpine valleys Higher altidudes.
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ISW TBE Int. Press Workshop28.01.2010 F.X.Heinz Changing endemic areas – proven effectiveness of TBE vaccination in the field
Kokkola S-Norway 1998 Endemic areas of TBE virus in Europe Skane 2001 Zealand 2009 Saarland 1994 Alps Friuli 2003
Alpine valleys Higher altidudes Goat cheese transmission > 1,500 m altitude TBE in Austria: New sites of infection 2005 -2009
Field effectiveness of vaccination against tick-borne encephalitisFranz X. Heinz*, Heidemarie Holzmann, Astrid Essl, Michael Kundi*Institute of Virology, Medical University of Vienna, Austria Vaccine 25: 7559-7567 (2007)
Field effectiveness (FE) of TBE vaccination in different age groups within the regular vaccination schedule (Austria 2000 to 2006) A. best case Unvaccinated Regularly vaccinated Age group Incidence/100,000 Incidence/100,000 FE 95% CI 0-15 y 1.435 0.043 97.0 86.81-99.02 16-49 y 4.964 0.009 99.8 99.52-99.90 50-59 y 6.444 0.059 99.1 97.25-99.57 60+ y 6.790 0.075 98.9 97.88-99.32 Total 5.922 0.039 99.3 98.92-99.56 B. worst case Unvaccinated Regularly vaccinated Age group Incidence/100,000 Incidence/100,000 FE 95% CI 0-15 y 1.435 0.057 96.0 84.24-98.67 16-49 y 4.964 0.039 99.2 98.29-99.59 50-59 y 6.444 0.118 98.2 95.29-99.14 60+ y 6.790 0.113 98.3 96.99-98.97 5.922 0.079 98.7 97.98-99.09 Total FE ~ 99%
Estimated number of TBE cases prevented by vaccination in Austria 2000 – 2006 Regularly vaccinated Irregularly vaccinated Cases in unvaccinated Prevented by vaccination Expected cases Observed cases Observed cases Expected cases Age group 0-15 y 22 3 101 1 22 119 16-49 y 157 2 11 349 1,132 1,486 50-59 y 71 3 327 3 120 441 60+ y 189 6 542 12 248 772 Total 2,102 27 739 2,800 439 14
TBE in Austria and Czech Republic 1979-2009 Percent vaccinated No. of TBE cases Czech Republic (Nat. Ref. Center of Epidemiol., Prague) Austria Vaccination coverage in Austria (at least 1 vaccination)