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Published on: November 5, 2019
[Meningitis and encephalitis in Poland in 2003]
Magdalena Rosińska1, Paweł Stefanoff
1Zakład Epidemiologii, Państwowego Zakładu Higieny, Warszawa.
Abstract:
In Poland, 829 cases of bacterial meningitis and encephalitis, 563 cases of viral encephalitis, 973 of viral meningitis and 300 cases of meningitis and encephalitis of other or unknown etiology were reported in 2003. Incidence of the bacterial central nervous system infections has been declining over the past decade and the level of viral infections other then tick-borne encephalitis, following the outbreak in the mid-nineties, remained stable. Etiological factor was determined in 352 (42%) cases of bacterial meningitis/encephalitis. Among them Neisseria meningitidis was found in 76 cases, Haemophilus influenzae in 68 cases and Streptococcus pneumoniae in 91 cases. As in the past type B was the predominant type of N. meningitidis cultured from the patients, but type C appears to be on the rise accounting for 36% of the strains serotyped in 2003. Tick borne encephalitis increased markedly in 2003, with the highest ever noted number of cases (339). Most of the cases were reported from endemic areas of north-eastern part of the country.
Insights
In 2003, Poland saw significant bacterial and viral central nervous system infections. Bacterial meningitis and encephalitis incidence declined, while tick-borne encephalitis cases reached a record high.
Area of Science:
- Epidemiology
- Infectious Diseases
- Neurology
Background:
- Central nervous system infections, including bacterial meningitis and encephalitis, pose significant public health challenges.
- Surveillance data from Poland in 2003 indicated varying trends for different etiologies of these infections.
Purpose of the Study:
- To analyze the epidemiological trends and etiological factors of bacterial and viral meningitis and encephalitis in Poland during 2003.
- To identify the predominant pathogens and assess changes in incidence rates.
Main Methods:
- Retrospective analysis of reported cases of bacterial and viral meningitis and encephalitis in Poland for the year 2003.
- Etiological investigation of bacterial meningitis/encephalitis cases to identify causative agents.
Main Results:
- In 2003, Poland reported 829 bacterial meningitis/encephalitis cases, 563 viral encephalitis, 973 viral meningitis, and 300 other/unknown etiology cases.
- Bacterial central nervous system infection incidence declined; viral infections (excluding tick-borne encephalitis) remained stable.
- Neisseria meningitidis (76 cases), Haemophilus influenzae (68), and Streptococcus pneumoniae (91) were key bacterial pathogens. Type C N. meningitidis showed an increasing trend (36%).
- Tick-borne encephalitis cases surged to a record 339, primarily in northeastern endemic areas.
Conclusions:
- While bacterial meningitis and encephalitis show a declining trend, specific pathogens like Neisseria meningitidis serotype C are increasing.
- A significant rise in tick-borne encephalitis necessitates continued surveillance and public health interventions in endemic regions.
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