{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T08:02:39Z","timestamp":1784016159274,"version":"3.55.0"},"reference-count":33,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,4,1]],"date-time":"2023-04-01T00:00:00Z","timestamp":1680307200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vector-Borne and Zoonotic Diseases"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>In Poland, Lyme borreliosis (LB) has been subject to mandatory public health surveillance since 1996 and, in accordance with EU regulations, Lyme neuroborreliosis has been reported to the European Centre for Disease Prevention and Control since 2019. In this study, the incidence, temporal trends, and geographic distribution of LB and its manifestations in Poland are described for the period 2015\u20132019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective incidence study of LB and its manifestations in Poland was based on data sent to the National Institute of Public Health\u2013National Institute of Hygiene\u2013National Research Institute (NIPH-NIH-NRI) by district sanitary epidemiological stations using the electronic Epidemiological Records Registration System and data from the National Database on Hospitalization. Incidence rates were calculated using population data from the Central Statistical Office.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>During 2015\u20132019, Poland reported 94,715 cases of LB with an overall average incidence of 49.3 cases per 100,000 population. Cases increased from 2015 (11,945) to 2016 (20,857) and then remained stable through 2019. Hospitalization due to LB also rose during these years. LB was more common among women (55.7%). Erythema migrans and Lyme arthritis were the most common manifestations of LB. The highest incidence rates occurred among &gt;50-year-olds, with a peak in 65\u201369-year-olds. The highest number of cases was recorded in the third and fourth quarters of the year (July\u2013December). Incidence rates in the eastern and northeastern regions of the country were higher than the national average.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>LB is endemic in all regions of Poland, and many regions reported high incidence rates. Large variations in spatially granular incidence rates highlight the need for targeted prevention strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/vbz.2022.0049","type":"journal-article","created":{"date-parts":[[2023,4,18]],"date-time":"2023-04-18T11:44:14Z","timestamp":1681818254000},"page":"247-255","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["A Retrospective Database Study of Lyme Borreliosis Incidence in Poland from 2015 to 2019: A Public Health Concern"],"prefix":"10.1177","volume":"23","author":[{"given":"Iwona","family":"Paradowska-Stankiewicz","sequence":"first","affiliation":[{"name":"National Institute of Public Health\u2013National Institute of Hygiene\u2013National Research Institute, Department of Infectious Disease Epidemiology and Surveillance, Warsaw, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakub","family":"Zbrze\u017aniak","sequence":"additional","affiliation":[{"name":"National Institute of Public Health\u2013National Institute of Hygiene\u2013National Research Institute, Department of Infectious Disease Epidemiology and Surveillance, Warsaw, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jozica","family":"Skufca","sequence":"additional","affiliation":[{"name":"P95 Epidemiology and Pharmacovigilance, Leuven, Belgium."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Archana","family":"Nagarajan","sequence":"additional","affiliation":[{"name":"P95 Epidemiology and Pharmacovigilance, Leuven, Belgium."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulina","family":"Ochocka","sequence":"additional","affiliation":[{"name":"National Institute of Public Health\u2013National Institute of Hygiene\u2013National Research Institute, Department of Infectious Disease Epidemiology and Surveillance, Warsaw, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Pilz","sequence":"additional","affiliation":[{"name":"Pfizer Global Medical Affairs, Vaccines, Vienna, Austria."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Vyse","sequence":"additional","affiliation":[{"name":"Patient and Health Impact, Pfizer R&amp;D UK LTD, Walton Oaks, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Begier","sequence":"additional","affiliation":[{"name":"Vaccine Clinical Research and Development, Pfizer Inc, Pearl River, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mendwas","family":"Dzingina","sequence":"additional","affiliation":[{"name":"Patient and Health Impact, Pfizer R&amp;D UK LTD, Walton Oaks, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maxim","family":"Blum","sequence":"additional","affiliation":[{"name":"P95 Epidemiology and Pharmacovigilance, Leuven, Belgium."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margarita","family":"Riera-Montes","sequence":"additional","affiliation":[{"name":"P95 Epidemiology and Pharmacovigilance, Leuven, Belgium."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradford D.","family":"Gessner","sequence":"additional","affiliation":[{"name":"Vaccine Medical Development &amp; Scientific\/Clinical Affairs, Pfizer Inc, Collegeville, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James H.","family":"Stark","sequence":"additional","affiliation":[{"name":"Vaccine Medical Development &amp; Scientific\/Clinical Affairs, Pfizer Inc, Collegeville, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,4,12]]},"reference":[{"key":"e_1_3_6_2_1","doi-asserted-by":"publisher","DOI":"10.5114\/hpc.2017.69020"},{"key":"e_1_3_6_3_1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00018-19"},{"key":"e_1_3_6_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13071-014-0562-y"},{"key":"e_1_3_6_5_1","first-page":"257","article-title":"Seroepidemiological study of Lyme borreliosis among forestry workers in southern Poland","volume":"16","author":"Buczek A","year":"2009","unstructured":"Buczek A, , Rudek A, , Bartosik K, , Szymanska J, et al. 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