Document Detail

Surveillance of vector-borne diseases in Germany: trends and challenges in the view of disease emergence and climate change.
MedLine Citation:
PMID:  19030882     Owner:  NLM     Status:  MEDLINE    
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.
Andreas Jansen; Christina Frank; Judith Koch; Klaus Stark
Publication Detail:
Type:  Journal Article     Date:  2008-11-23
Journal Detail:
Title:  Parasitology research     Volume:  103 Suppl 1     ISSN:  0932-0113     ISO Abbreviation:  Parasitol. Res.     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-25     Completed Date:  2009-04-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703571     Medline TA:  Parasitol Res     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  S11-7     Citation Subset:  IM    
Department for Infectious Diseases Epidemiology, Robert Koch Institute, Seestrasse 10, 13353, Berlin, Germany.
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MeSH Terms
Alphavirus Infections / epidemiology
Chikungunya virus / isolation & purification
Communicable Disease Control*
Communicable Diseases / epidemiology*
Dengue / epidemiology
Dengue Virus / isolation & purification
Disease Vectors*
Germany / epidemiology
Greenhouse Effect*
Hantavirus / isolation & purification
Hantavirus Infections / epidemiology
Middle Aged
Young Adult

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