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2022-03-23Zeitschriftenartikel
Tick-Borne Encephalitis Risk Increases with Dog Ownership, Frequent Walks, and Gardening: A Case-Control Study in Germany 2018–2020
dc.contributor.authorNygren, Teresa Marie
dc.contributor.authorPilic, Antonia
dc.contributor.authorBöhmer, Merle Margarete
dc.contributor.authorWagner-Wiening, Christiane
dc.contributor.authorWichmann, Ole
dc.contributor.authorHarder, Thomas
dc.contributor.authorHellenbrand, Wiebke
dc.date.accessioned2022-08-16T07:10:33Z
dc.date.available2022-08-16T07:10:33Z
dc.date.issued2022-03-23none
dc.identifier.other10.3390/microorganisms10040690
dc.identifier.urihttp://edoc.rki.de/176904/10046
dc.description.abstractIn Germany, tick-borne encephalitis (TBE) infections mainly occur in southern regions. Despite recent increases in incidence, TBE vaccination coverage remains low, necessitating additional preventive strategies against TBE. Our case-control study in Southern Germany from 2018 to 2020 mapped knowledge/application of tick-protective strategies and identified TBE risk factors. We calculated odds ratios (OR), with 95% confidence intervals (CI). We interviewed 581 cases and 975 matched controls. Most participants recalled lifetime tick bites, mainly while walking, gardening, or hiking. However, only 45% of cases noticed ticks during exposure time; another 12% reported unpasteurized milk intake. While tick-protection knowledge was satisfactory, application lagged behind. Risk factors included dog ownership (OR = 2.45, 95% CI: 1.85–3.24), walks ≥ 4×/week (OR = 2.11, 95% CI: 1.42–3.12), gardening ≥ 4×/week (OR = 1.83, 95% CI: 1.11–3.02), and garden proximity < 250 m of forests (OR = 2.54, 95% CI: 1.82–3.56). Applying ≥2 tick-protective strategies (OR = 0.52, 95% CI: 0.40–0.68) and keeping lawns mowed (OR = 0.63, 95% CI: 0.43–0.91) were inversely associated with TBE. In 2020 (likely pandemic-related), cases reported significantly more walks than previously, potentially explaining the record high case numbers. Our findings provide guidance on targets for TBE prevention. Persons with gardens near forests, frequent outdoor activities, or dogs could particularly benefit from targeted information, including on vaccination and preventing tick bites.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subjecttick-borne encephalitiseng
dc.subjectepidemiologyeng
dc.subjectrisk factoreng
dc.subjecttransmissioneng
dc.subjecttick biteseng
dc.subjectpreventioneng
dc.subjectsurveillanceeng
dc.subjectcase-controleng
dc.subjectGermanyeng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleTick-Borne Encephalitis Risk Increases with Dog Ownership, Frequent Walks, and Gardening: A Case-Control Study in Germany 2018–2020none
dc.typearticle
dc.identifier.urnurn:nbn:de:0257-176904/10046-2
dc.type.versionpublishedVersionnone
local.edoc.container-issn2076-2607none
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://www.mdpi.com/2076-2607/10/4/690/htmnone
local.edoc.container-publisher-placeMDPInone
local.edoc.container-volume10none
local.edoc.container-issue4none
local.edoc.container-year2022none
local.edoc.container-periodicalpart-titleTick-Borne Encephalitis Risk Increases with Dog Ownership, Frequent Walks, and Gardening: A Case-Control Study in Germany 2018–2020none
dc.description.versionPeer Reviewednone

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