Fever with Thrombocytopenia associated with a novel Bunyavirus in ChinaArchived
Heightened surveillance of acute febrile illness in China since 2009 has led to the identification of a severe fever with thrombocytopenia syndrome (SFTS).
Xue-Jie Yu, Mi-Fang Liang, Shou-Yin Zhang, et al. N Engl J Med 2011;364:1523-32
After intensive research on subjects with a compatible clinical picture, a novel virus has been isolated designated SFTS bunyavirus (SFTSV). This pathogen is a member of genus Phlebovirus in the Bunyaviridae family. The clinical symptoms of SFTS were nonspecific, being fever (100%) and gastrointestinal complaints (50%) the most common. Regional lymphadenopathy was also frequently observed. The most common abnormalities on laboratory testing were thrombocytopenia (95%) and leukocytopenia (86%). Mortality reached 12%. SFTSV RNA was detected in some ticks in the Ixodidae family of the species Haemaphysalis longicornis that were obtained from animals, and these ticks may be a candidate vector of SFTSV. Serologic assays showed a virus-specific immune response in all 35 pairs of serum samples collected from patients during the acute and convalescent phases of the illness.
ECDC comment: A new emerging virus has appeared in China as a cause of severe acute disease mainly in rural areas. Tick bites could be the mode of transmission. However, although the authors include epidemiologic data, clinical, and laboratory findings and several lines of evidence that include virus isolation, viral RNA detection, and molecular and serologic analyses, understanding the cycle of virus transmission and risk for spread will require further field investigations. This syndrome has to be kept in mind by those giving travel advice to travellers to rural areas of China, as well as by those attending febrile patients returning from China and perhaps other countries of the Asia-Pacific region where the potential vector is widely distributed.
ECDC comment: European Commission updates communicable disease surveillance list - Lyme neuroborreliosis now under EU/EEA surveillance
2 Aug 2018 - ECDC will start monitoring disease distribution in the EU and collecting EU data through the epidemiological surveillance network comprising the European Commission, ECDC and national authorities for epidemiological surveillance.
European Commission decision to add tick-borne encephalitis to the list of communicable diseases to be covered by epidemiological surveillanceArchived
18 Sep 2012 - On 5 September 2012 the European Commission decision amending Decision 2000/96/EC as regards tick-borne encephalitis was published. As a result tick-borne encephalitis is added to the list of diseases to be covered by epidemiological surveillance within the Community.
High burden of tick-borne encephalitis in Slovenia-Challenge for vaccination policyArchived
11 Nov 2011 - Slovenia is one of the countries with the highest reported incidence rates of tick-borne encephalitis (TBE). Vaccination uptake is low, estimated to be 12.4%. TBE surveillance data for the last 20 years were analysed.