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First Expert Elicitation of Knowledge on Possible Drivers of Observed Increasing Human Cases of Tick-Borne Encephalitis in Europe

C. Saegerman, MF. Humblet, M. Leandri, G. Gonzalez, P. Heyman, H. Sprong, M. L'Hostis, S. Moutailler, SI. Bonnet, N. Haddad, N. Boulanger, SL. Leib, T. Hoch, E. Thiry, L. Bournez, J. Kerlik, A. Velay, S. Jore, E. Jourdain, E. Gilot-Fromont, K....

. 2023 ; 15 (3) : . [pub] 20230320

Jazyk angličtina Země Švýcarsko

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc23003769

Tick-borne encephalitis (TBE) is a viral disease endemic in Eurasia. The virus is mainly transmitted to humans via ticks and occasionally via the consumption of unpasteurized milk products. The European Centre for Disease Prevention and Control reported an increase in TBE incidence over the past years in Europe as well as the emergence of the disease in new areas. To better understand this phenomenon, we investigated the drivers of TBE emergence and increase in incidence in humans through an expert knowledge elicitation. We listed 59 possible drivers grouped in eight domains and elicited forty European experts to: (i) allocate a score per driver, (ii) weight this score within each domain, and (iii) weight the different domains and attribute an uncertainty level per domain. An overall weighted score per driver was calculated, and drivers with comparable scores were grouped into three terminal nodes using a regression tree analysis. The drivers with the highest scores were: (i) changes in human behavior/activities; (ii) changes in eating habits or consumer demand; (iii) changes in the landscape; (iv) influence of humidity on the survival and transmission of the pathogen; (v) difficulty to control reservoir(s) and/or vector(s); (vi) influence of temperature on virus survival and transmission; (vii) number of wildlife compartments/groups acting as reservoirs or amplifying hosts; (viii) increase of autochthonous wild mammals; and (ix) number of tick species vectors and their distribution. Our results support researchers in prioritizing studies targeting the most relevant drivers of emergence and increasing TBE incidence.

Agroscope Risk Evaluation and Risk Mitigation Schwarzenburgstrasse 3003 Bern Liebefeld Switzerland

Animal Health Department INRAE 37380 Nouzilly France

Animal Welfare and Disease Control Department of Veterinary and Animal Sciences Faculty of Health and Medical Sciences University of Copenhagen 1870 Frederiksberg Denmark

ANSES INRAE Ecole Nationale Vétérinaire d'Alfort UMR BIPAR Laboratoire de Santé Animale 94700 Maisons Alfort France

ANSES INRAE Ecole Nationale Vétérinaire d'Alfort UMR VIROLOGIE Laboratoire de Santé Animale 94700 Maisons Alfort France

ANSES Nancy Laboratory for Rabies and Wildlife 54220 Malzéville France

ANSES Risk Assessment Department 94700 Maisons Alfort France

Centre for Infectious Disease Control National Institute for Public Health and the Environment 3720 MA Bilthoven The Netherlands

Competence Center Climate and Health Austrian National Institute of Public Health 1010 Vienna Austria

Department for Occupational Protection and Hygiene Unit Biosafety Biosecurity and Environmental Licences University of Liege 4000 Liege Belgium

Department of Epidemiology Regional Authority of Public Health in Banská Bystrica 497556 Banská Bystrica Slovakia

Department of Experimental Biology Faculty of Science Masaryk University 62500 Brno Czech Republic

Department of Infectious Diseases and Preventive Medicine Veterinary Research Institute 62100 Brno Czech Republic

Department of Virology and Immunology National Institute for Health Development 11619 Tallinn Estonia

Deptartment of Animal Health Faculty of Veterinary Medicine 50013 Zaragoza Spain

Ecole Nationale Vétérinaire Agroalimentaire et de l'Alimentation Nantes Atlantique Oniris 44307 Nantes France

European Centre for Disease Prevention and Control 17183 Solna Sweden

Fundamental and Applied Research for Animal and Health Center University of Liege 4000 Liege Belgium

Health and Biotechnology CSIC UCLM JCCM 13071 Ciudad Real Spain

Hoogstraat 159 5 3665 As Belgium

Institute for Infectious Diseases University of Bern 3001 Bern Switzerland

Institute of Biomedicine Department of Infectious Diseases University of Gothenburg 41685 Gothenburg Sweden

Institute of Microbiology and Immunology Faculty of Medicine University of Ljubljana Zaloška cesta 4 1000 Ljubljana Slovenia

Institute of Parasitology Biology Centre of the Czech Academy of Sciences 37005 Ceske Budejovice Czech Republic

Institute of Vertebrate Biology Czech Academy of Sciences Květná 8 60365 Brno Czech Republic

Laboratory for Food Safety ANSES University of Paris EST 94700 Maisons Alfort France

Lyme Center Apeldoorn Gelre Hospital 7300 DS Apeldoorn The Netherlands

Neurologische Klinik und Poliklinik Klinikum der Universität München LMU München Marchioninistraße 15 81377 München Germany

Oniris INRAE BIOEPAR 44300 Nantes France

Operational Direction Infectious Diseases in Animals Unit of Exotic and Vector borne Diseases Sciensano 1180 Brussels Belgium

Pôle Agroalimentaire Conservatoire National des Arts et Métiers 75003 Paris France

Reference Centre for Tick Borne Diseases Paris and Northern Region Department of Infectious Diseases General Hospital of Villeneuve Saint Georges 94100 Villeneuve Saint Georges France

Scientific Directorate of Epidemiology and Public Health Sciensano 1180 Brussels Belgium

UK Centre for Ecology and Hydrology Benson Lane Crowmarsh Gifford Oxfordshire OX10 8BB UK

UMI SOURCE Université Paris Saclay UVSQ 78000 Versailles France

UMR 2000 Institut Pasteur CNRS Université Paris Cité Ecology and Emergence of Arthropod borne Pathogens 75015 Paris France

Unité Mixte de Recherché Immunorhumathologie Moléculaire 1109 Université de Strasbourg INSERM 67000 Strasbourg France

Université Clermont Auvergne INRAE VetAgro Sup UMR EPIA Route de Theix 63122 Saint Genès Champanelle France

Université de Lyon VetAgro Sup UMR CNRS 5558 Marcy l'Etoile 69280 Lyon France

UR7290 VBP Borrelia Group France and French Reference Centre on Lyme Borreliosis CHRU Unversity of Strasbourg 67000 Strasbourg France

Zoonotic Water and Foodborne Infections The Norwegian Institute for Public Health 0213 Oslo Norway

Citace poskytuje Crossref.org

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$a Tick-borne encephalitis (TBE) is a viral disease endemic in Eurasia. The virus is mainly transmitted to humans via ticks and occasionally via the consumption of unpasteurized milk products. The European Centre for Disease Prevention and Control reported an increase in TBE incidence over the past years in Europe as well as the emergence of the disease in new areas. To better understand this phenomenon, we investigated the drivers of TBE emergence and increase in incidence in humans through an expert knowledge elicitation. We listed 59 possible drivers grouped in eight domains and elicited forty European experts to: (i) allocate a score per driver, (ii) weight this score within each domain, and (iii) weight the different domains and attribute an uncertainty level per domain. An overall weighted score per driver was calculated, and drivers with comparable scores were grouped into three terminal nodes using a regression tree analysis. The drivers with the highest scores were: (i) changes in human behavior/activities; (ii) changes in eating habits or consumer demand; (iii) changes in the landscape; (iv) influence of humidity on the survival and transmission of the pathogen; (v) difficulty to control reservoir(s) and/or vector(s); (vi) influence of temperature on virus survival and transmission; (vii) number of wildlife compartments/groups acting as reservoirs or amplifying hosts; (viii) increase of autochthonous wild mammals; and (ix) number of tick species vectors and their distribution. Our results support researchers in prioritizing studies targeting the most relevant drivers of emergence and increasing TBE incidence.
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