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- W2562017237 abstract "Purpose: The surveillance pyramid for vector-borne diseases is used to describe the epidemiological situation of Lyme borreliosis in Belgium. Methods & Materials: Three sources contribute to routine surveillance of Lyme disease in Belgium. A network of sentinel laboratories performs laboratory surveillance by weekly reporting the number of positive serological tests for Borrelia burgdorferi. The yearly number of persons hospitalized for Lyme disease is monitored through the hospitals’ minimum clinical datasets. Finally, the incidence of erythema migrans (EM) is estimated based on repeated studies carried out by a sentinel network of general practitioners (GP). In addition, a seroprevalence study on 3200 serum samples representative of the Belgian population was carried out in 2015 and surveillance of the vector of Lyme disease in Belgium was initiated in June 2015, with the launch of an online citizen-based platform (TiquesNet) for the reporting of tick bites. Results: Since 2007, between 1200 and 2300 positive serological results are reported every year, with a stable positivity rate of about 2%. The consultation incidence for EM at a GP in 2015 was estimated at 10.3 (95% CI 8.8-12.1) per 10 000 patients and did not significantly increase compared to 2003-2004. From 2003 to 2013, between 200 to 300 patients are hospitalized for Lyme disease every year. We estimated the overall seroprevalence of Borrelia IgG in the general population at 1.06% (95% CI: 0.67-1.67%), using a 2-tiered strategy. Finally, TiquesNet registered over 5000 tick bites between July and December 2015, spread over the country but with highest incidence in the provinces with the most suitable habitat for ticks and reservoir hosts. Conclusion: Because of their complex nature, monitoring of vector-borne diseases needs to integrate different strategies, in which surveillance of both the disease and the vector are important. In Belgium, surveillance systems are in place at a national level for all levels of the surveillance pyramid of Lyme disease in humans. Up to 2015, none of the routine surveillance sources identified a significant increase in the incidence of Lyme disease. However, surveillance and research activities for the vector part are scarce and fragmented, and should be further developed." @default.
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- W2562017237 date "2016-12-01" @default.
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- W2562017237 title "Surveillance strategies of Lyme borreliosis in Belgium" @default.
- W2562017237 doi "https://doi.org/10.1016/j.ijid.2016.11.383" @default.
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