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Both TBE and ITBB are reportable diseases for official statistics throughout Russia.
In general, annual changes in TBE, ITBB, and double infection illness occur in parallel (Figure).
who had probable contact seeking with ticks infected with: medical treatment Both after (double Year tick bite TBE(a) ITBB infection) 1994 1,260 120 345 27 1995 970 55 240 11 1996 2,070 230 735 68 1997 1,340 110 370 30 1998 1,280 115 370 28 (a) TBE = tick-borne encephalitis; ITBB = ixodid tick-borne borreliosis.
This is why the prevalences of TBE, ITBB, and double infection illness correlate well, and human cases of double infection are more frequent in the regions where the incidence of both TBE and borrelioses is especially high.
Therefore, prevalences of risk for human TBE, ITBB, and double infection may be no more than estimates.
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