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New endemic foci of tick-borne encephalitis (TBE) identified in districts where testing for TBE was not available before 2009 in Poland


Paweł Stefanoff, Anna Zielicka-Hardy, Maria Hlebowicz, Ryszard Konior, Dariusz Lipowski, Leszek Szenborn, Joanna Siennicka, Hana Orlikova (2013): TBE enhanced surveillance working group.


Parasit Vectors 2013 Jun 18; 6: 180.

Report from an investigation of 146 hospital wards which were offered free testing for tick-borne encephalitis (TBE). We documented that where the disease already exists (co-called "endemic regions"), physicians are more likely to suspect the disease and test for TBE antibodies. Physicians in regions thought to be disease free are less likely to suspect and refer for testing. This creates a kind of cognitive loop : the disease is absent because everybody think it's absent, not because it is really absent :)

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