Peri-urbanisation, counter-urbanisation, and an extension of residential exposure to ticks: a clue to the trends in Lyme borreliosis incidence in the Czech Republic?
Jazyk angličtina Země Nizozemsko Médium print-electronic
Typ dokumentu časopisecké články
PubMed
25113985
DOI
10.1016/j.ttbdis.2014.07.006
PII: S1877-959X(14)00125-3
Knihovny.cz E-zdroje
- Klíčová slova
- Amenity migrants, Counter-urbanisation, Disease emergence, Lyme borreliosis, Suburbanisation,
- MeSH
- Borrelia fyziologie MeSH
- dítě MeSH
- dospělí MeSH
- incidence MeSH
- klíšťata mikrobiologie MeSH
- kojenec MeSH
- lidé středního věku MeSH
- lidé MeSH
- lymeská nemoc epidemiologie mikrobiologie MeSH
- městské obyvatelstvo MeSH
- mladiství MeSH
- mladý dospělý MeSH
- nemoci přenášené klíšťaty epidemiologie mikrobiologie MeSH
- předškolní dítě MeSH
- roční období MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- venkovské obyvatelstvo MeSH
- zvířata MeSH
- Check Tag
- dítě MeSH
- dospělí MeSH
- kojenec MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika epidemiologie MeSH
The incidence of tick-borne human diseases (TBD) in the Czech Republic (CZ) is on the increase, driven by infections increasingly acquired in residential locations, earlier in spring and later in autumn, and among children and the elderly. To interpret these trends, data on Lyme borreliosis (LB) incidence between 1997 and 2010 were analysed in the context of population migration flows registered in the CZ during the same period. Analysis showed that a migration stream of families with children, and of the elderly, flowed from more urbanized and densely populated localities to those more rural and less populated, where the chance of acquiring LB in the home vicinity was greater than in the urban settings. By contrast, a stream of people in the life phase between early adulthood and family formation flowed reversely, corresponding to a prominent absence of this age category from the patient spectrum. The data further showed that the more the residential exposure became prevalent, the more people were in year-round (rather than in summertime only) contact with ticks, which accounts for an extension of the cases' seasonal distribution as well as for an overall increase in case numbers. Finally, the fact that majority of the urban-to-rural migrants could be categorised as wealthier people could explain the previously noticed lack of low-status people among TBD patients in the CZ.
Medical Laboratories Konevova 205 13000 Prague 3 Czech Republic
National Institute of Public Health Srobarova 48 10042 Prague 10 Czech Republic
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