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A systematic literature review of the effectiveness of tick-borne encephalitis vaccines in Europe.

Vaccine

November 2023

Vaccines, Antivirals, and Evidence Generation, Pfizer Biopharma, Collegeville, PA, United States. Electronic address:

Article Synopsis
  • Tick-borne encephalitis (TBE) is an infectious disease caused by the tick-borne encephalitis virus, prevalent in over 25 European nations, where two vaccines (FSME-IMMUN® and Encepur®) are commonly administered but lack robust real-world effectiveness reviews.
  • A systematic search of studies in PubMed identified 13 studies from various European countries (2003-2023) which showed that TBE vaccines were highly effective (over 92% effectiveness) against TBEV infection and severe outcomes, across all age groups.
  • The findings suggest that TBE vaccines significantly prevent thousands of TBE cases annually, avoiding hospitalizations and fatalities, although detailed effectiveness data is still limited to a few countries
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Tick-borne encephalitis (TBE) is a central nervous system zoonotic disease transmitted by ticks. Tick-borne encephalitis virus (TBEV) is one of the main causes of lymphocytic meningitis in the areas of its endemic occurrence. A mode of transmission of TBEV which is rarely observed in clinical practice is an alimentary transmission through consumption of unpasteurised dairy products from infected animals.

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Reviewing "zoonotic diseases" classically brings to mind human infections contracted in close association with animals, where outdoor occupations and afforested lands usually play a key role in the epidemiological triad. However, there is a very common, yet overlooked route of infection where humans may not come in direct contact with animals or implicated environments. Milk-borne diseases are a unique set of infections affecting all age groups and occupational categories of humans, causing 4% of all the foodborne diseases in the world.

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Infection with hepatitis E virus (HEV) is common in both developing and industrialized nations. Genotypes 3 and 4 are increasingly being reported, particularly in high-income countries where the precise extent of HEV transmission via food is currently unclear. Recently, HEV has been found to be excreted in milk; however, data on the potential milk-borne transmission is still lacking or conflicting and warrants further research on the topic.

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Brucellosis is one of the most important zoonotic diseases in China. Goat milk and dairy products are essential pathways for foodborne transmission of brucellosis. Pasteurization can completely kill spp in milk, and milk-borne transmission is mainly related to unhealthy dietary hygiene habits and insufficient epidemic control among animals.

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