RESEARCH PAPER
 
KEYWORDS
TOPICS
ABSTRACT
Introduction and objective:
Some fragmentary studies show that the incidence of Lyme borreliosis in Poland is increasing. It has been generally accepted that the most affected are forestry workers and farmers. The aim of the study is to compare the incidence of borreliosis in urban and rural residents in 2008–2016.

Material and methods:
Databases on Lyme borreliosis from the National Health Fund and Central Statistical Office in Poland were analyzed. For each patient, ambulatory or discharged from every hospital, the diagnosis was compulsorily reported as encoded following the International Classification of Diseases.

Results:
A steadily increasing number of patients with borreliosis in Poland was found, which doubled in 2008 – 2016. The incidence was similar in urban and rural residents. In all the provinces in Poland, an increase in incidence of borreliosis was observed, although there were big differences between them. The highest frequency of borreliosis was in Podlasie and Warmia-Masuria provinces. The lowest incidence of borreliosis was noticed in Wielkopolska province. In the most provinces the increase in the incidence of borreliosis was steady, except Warmia-Masuria, where it was very low in 2008, and soaring since 2011. The number of cases per year between 2008 – 2016 increased in both in males and females.

Conclusions:
The results suggest the need for higher awareness of the risk of Lyme borreliosis in urban residents, because the incidence of Lyme borreliosis is growing independently of the place of residence. Prompt measures to prevent tick bites and appropriate education are urgently needed.

REFERENCES (22)
1.
Bleyenheuft C, Lernout T, Berger N, Rebolledo J, Leroy M, Robert A, et al. Epidemiological situation of Lyme borreliosis in Belgium, 2003 to 2012. Archives of Public Health 2015; 73: 33–41.
 
2.
Pancewicz SA, Garlicki AM, Moniuszko-Malinowska A, Zajkowska J, Kondrusik M, Grygorczuk S, et al. Polish Society of Epidemiology and Infectious Diseases. Diagnosis and treatment of tick-borne diseases recommendations of the Polish Society of Epidemiology and Infectious Diseases. Przegl Epidemiol 2015; 69(2) :309–16, 421–8 [In Polish].
 
3.
Stanek G, Fingerle V, Hunfeld KP, et al. Lyme borreliosis: clinical case definitions for diagnosis and management in Europe. Clin Microbiol Infect. 2011; 17(1): 69–79.
 
4.
Schwartz AM, Hinckley AF, Mead PS, et al. Surveillance for Lyme Disease – United States, 2008–2015. MMWR Surveill Summ. 2017; 66(22): 1–12.
 
5.
 
6.
Stricker RB, Middelveen MJ. Sexual transmission of Lyme disease: challenging the tickborne disease paradigm. Expert Rev Anti Infect Ther. 2015; 13(11): 1303–1306.
 
7.
Van den Wijngaard CC, Hofhuis A, Simoes M, Rood E, van Peit W, Zeller H, et al. Survaillance perspective on Lyme borreliosis across the European Union and European Economic Area. Euro Surveill 2017; 22(27).
 
8.
Paradowska-Stankiewicz I, Chrześcijańska I. Lyme disease in Poland in 2012. Przegl Epidemiol. 2014; 68(2): 275–7, 375–7 [In Polish].
 
9.
Czupryna P, Moniuszko-Malinowska A, Pancewicz S, Garkowski A, Gościk J, Siemieniako A, et al. Lyme disease in Poland – A serious problem? Adv Med Sci. 2016; 61(1): 96–100.
 
10.
Dessau RB, van Dam AP, Fingerle V, et al. To test or not to test? Laboratory support for the diagnosis of Lyme borreliosis: a position paper of ESGBOR, the ESCMID study group for Lyme borreliosis. Clinical Microbiology and Infection: The Official Publication of the European Society of Clinical Microbiology and Infectious Diseases. https://doi.org/10.1016/j.cmi….
 
11.
Hofhuis A, Harms M, van den Wijngaard C, Sprong H, van Pelt W, et al. Continuing increase of tick bites and Lyme disease between 1994 and 2009. Ticks Tick Borne Dis. 2015; 6(1): 69–74.
 
12.
Zeman P, Benes C. Spatial distribution of a population at risk: an important factor for understanding the recent rise in tick-borne diseases (Lyme borreliosis and tick-borne encephalitis in the Czech Republic). Ticks Tick Borne Dis. 2013; 4(6): 522–30.
 
13.
Kmieciak W, Ciszewski M, Szewczyk EM. Tick-borne diseases in Poland: Prevalence and difficulties in diagnostics. Med Pr. 2016; 67(1): 73–87 [In Polish].
 
14.
Kiewra D, Zalesny G. Relationship between temporal abundance of ticks and incidence of Lyme borreliosis in Lower Silesia regions of Poland. J Vector Ecol. 2013; 38(2): 345–52.
 
15.
Strzelczyk JK, Gazdzicka J, Cuber P, Asman M, Trapp G, Gołabek K, et al. Prevalence of Borrelia burgdorferi sensu lato in Ixodes ricinus ticks collected from southern Poland. Acta Parasitol. 2015; 60(4): 666–74.
 
16.
Buczek A, Ciura D, Bartosik K, Zajac Z, Kulisz J, et al. Threat of attacks of Ixodes ricinus ticks (Ixodida: Ixodidae) and Lyme borreliosis within urban heat islands in south-western Poland. Parasites & Vectors 2014; 7: 562–71.
 
17.
Wojcik-Fatla A, Zając V, Sawczyn A, Sroka J, Cisak E, Dutkiewicz J, et al. Infections and mixed infections with the selected species of Borrelia burgdorferi sensu lato complex in Ixodes ricinus ticks collected in eastern Poland: a significant increase in the course of 5 years. Exp Appl Acarol. 2016; 68(2): 197–212.
 
18.
Berger S. Lyme disease: global status. Gideon e-book series. Gideon Informatics, Inc. Los Angeles, California, USA, 2017.18.
 
19.
Asman M, Nowak-Chmura M, Solarz K, et al. Anaplasma phago-cyto philum, Babesia microti, Borrelia burgdorferi sensu lato, and Toxoplasma gondii in Ixodes ricinus (Acari, Ixodida) ticks collected from Slowinski National Park (Northern Poland). J Vector Ecol. 2017; 42(1): 200–202.
 
20.
Dunaj J, Moniuszko-Malinowska A, Swiecicka I, et al. Tick-borne infections and co-infections in patients with non-specific symptoms in Poland: Adv Med Sci. 2017; 63(1): 167–172.
 
21.
Berglund J, Eitrem R, Ornstein K, et al. An epidemiologic study of Lyme disease in southern Sweden. New Engl J Med. 1995; 333(20): 1319–1327.
 
22.
Sykes RA, Makiello P. An estimate of Lyme borreliosis incidence in Western Europe. J Public Health (Oxf) 2016; 39(1): 74–81.
 
eISSN:1898-2263
ISSN:1232-1966
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