Behavioural responses to perceived risk of tick-borne encephalitis: vaccination and avoidance in the Baltics and Slovenia

Vaccine
D SumiloS E Randolph

Abstract

Tick-borne encephalitis (TBE) incidence increased markedly in the Baltics and Slovenia in the early 1990s, but then declined again in some places. Our analyses of temporal and spatial data on TBE incidence and vaccination revealed that over 1970-2005 up-take of vaccination varied in both time and space according to incidence, i.e. was apparently responsive to perceived risk. Since 1999, however, decreases in incidence in many counties within each country have far exceeded vaccination rates or immunity through natural exposure, and in Latvia and Lithuania these changes are correlated with previous incidence. Survey data on human activities in Latvia revealed that people in socio-economic groups whose behaviour put them at highest risk of exposure to ticks in forests, including people with lower education and lowest incomes, are least likely to be vaccinated. We conclude that risk avoidance through changing human behaviour has driven incidence-dependent decreases in TBE infection, but targeted vaccination campaigns could provide more secure protection.

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Citations

May 23, 2014·Vector Borne and Zoonotic Diseases·Eva R KallioPhillip C Watts
Mar 17, 2011·Parasites & Vectors·Elinor R Godfrey, Sarah E Randolph
Jun 1, 2011·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·Christopher P QuineDavid Uzzell
Dec 4, 2012·Lancet·A Marm Kilpatrick, Sarah E Randolph
Feb 19, 2013·PloS One·Andrea E GaughanAndrew J Tatem
Nov 3, 2009·Vector Borne and Zoonotic Diseases·Sophie O VanwambekeSarah E Randolph
Oct 30, 2010·Vector Borne and Zoonotic Diseases·Emina DurmišiTatjana Avšič-Županc
Mar 15, 2011·European Journal of Public Health·Marta Grgic-Vitek, Irena Klavs
Aug 30, 2008·Current Opinion in Infectious Diseases·Sarah E Randolph
Aug 6, 2013·International Journal for Parasitology·Miriam PfäffleTrevor N Petney
Mar 22, 2012·International Journal of Health Geographics·Catherine Linard, Andrew J Tatem
Oct 26, 2010·Travel Medicine and Infectious Disease·Eckhardt PetriOlaf Zent
May 28, 2011·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·G KarelisM Donaghy
May 8, 2009·The Journal of General Virology·K L MansfieldT Solomon
Dec 15, 2010·Vaccine·Pawel StefanoffUNKNOWN VENICE project gatekeepers, contact persons group
Jan 22, 2009·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·D SumiloS Randolph
Jul 19, 2013·International Journal of Environmental Health Research·A TrájerA Páldy
Sep 21, 2016·Zdravstveno Varstvo·Maja SočanJaroslav Lajovic
Apr 8, 2010·Nature Reviews. Microbiology·Sarah E Randolph, David J Rogers
Mar 1, 2019·Central European Journal of Public Health·Andrea BušováTomáš Csank
Dec 15, 2010·Experimental & Applied Acarology·Zafer KaraerAytac Akcay
Nov 16, 2012·Expert Review of Vaccines·Herwig KollaritschAlan Barrett

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