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The role of GP in prevention of
   tick-borne meningoencephalitis

Professor Janko Kersnik, PhD, MSc, MD
                 ...
Aims of the presentation
   The importance of primary care approach in
    primary prevention
   The role of family doct...
Burden of the disease
   Tick borne disease
   Endemic - The endemic
    area spreads
   In Slovenia 153-532 new
    ca...
Burden of the disease
   The disease is lethal in
    approximately 1.2% of
    cases and
   leaves 15-20% of its
    su...
Slovenian case
   Immunisation rate in Slovenia is 10%
   Immunisation rate in children is even lover -
    4%
   But t...
Good practice from Austria
   Before 1981 prevalence same in Austria and
    Slovenia
   In 1981 new campaign
   Immuni...
What made a success story?
                    PATIENTS


    MEDIA




            GPs

                   HELATH POLICY
The role of a GP?
    PRTEVENTION               TREATMENT
   Immunisation advice      First contact with
   Patient mot...
What do we have to know
about vaccination?
   Basic vaccination with three shuts
   Can be done simultaneously – differe...
Conclusions
Tick Born Meningitis
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Tick Born Meningitis

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Transcript of "Tick Born Meningitis"

  1. 1. The role of GP in prevention of tick-borne meningoencephalitis Professor Janko Kersnik, PhD, MSc, MD FM Department Medical School Ljubljana and Maribor Primož Kušar, MSc, MD Primary Health Care Centre Ljubljana
  2. 2. Aims of the presentation  The importance of primary care approach in primary prevention  The role of family doctors  Good practice
  3. 3. Burden of the disease  Tick borne disease  Endemic - The endemic area spreads  In Slovenia 153-532 new cases per year - yearly incidence 13/100,000, 3rd place in Europe  There isn’t any specific treatment – effective immunisation
  4. 4. Burden of the disease  The disease is lethal in approximately 1.2% of cases and  leaves 15-20% of its survivors with permanent neurological damage  10,000 patients in Europe need hospital treatment.
  5. 5. Slovenian case  Immunisation rate in Slovenia is 10%  Immunisation rate in children is even lover - 4%  But the government claims quality care provided by paediatricians and by public health institutes  What goes wrong?
  6. 6. Good practice from Austria  Before 1981 prevalence same in Austria and Slovenia  In 1981 new campaign  Immunisation rate raised from 6% in 1981 to 86-90% in 2001
  7. 7. What made a success story? PATIENTS MEDIA GPs HELATH POLICY
  8. 8. The role of a GP? PRTEVENTION TREATMENT  Immunisation advice  First contact with  Patient motivation the patients  Offering  Difficult diagnosis immunisation  Follow up  Keeping records on immunisations
  9. 9. What do we have to know about vaccination?  Basic vaccination with three shuts  Can be done simultaneously – different place  First two shuts preferably during winter months  Serologically proven patients are immune to next course of the disease
  10. 10. Conclusions
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