RESEARCH PAPER
Risk of tick-borne diseases in various categories of employment among forestry workers in eastern Poland
 
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Department of Zoonoses, Institute of Rural Health, Lublin, Poland
 
 
Corresponding author
Ewa Cisak   

Department of Zoonoses, Institute of Rural Health, Lublin, Poland
 
 
Ann Agric Environ Med. 2012;19(3):469-474
 
KEYWORDS
ABSTRACT
Among the zoonotic agents causing occupational diseases, those transmitted by ticks are very important, in particular the spirochetes Borrelia burgdorferi which are the common cause of occupational Lyme borreliosis in forestry and agricultural workers. The objective of this study was an evaluation of the exposure of forestry workers employed at individual workplaces to infection with tick-borne pathogens (especially Borrelia burgdorferi spirochetes), based on epidemiological investigation and serologic tests. Epidemiological studies covered 111 forestry employees from eastern Poland employed in 4 randomly-selected forest inspectorates which replied to questions in the area of epidemiology and prophylaxis of diseases transmitted by ticks. Eighty-two forestry workers employed in one forest inspectorate were examined for the presence of specific anti-Borrelia burgdorferi antibodies. The correlation between individual items of the questionnaire was assessed by Spearman’s test. Results of serological tests were assessed by Mann-Whitney test. Statistical analysis of the results indicated that the workers performing manual jobs in the forest are at the greatest risk of tick bite and contraction of tick-borne disease. They are aware of the risk, but use the improper method of removal of ticks with the fingers. Comparisons of the relationship between job category and the results of serologic study, expressed in BBU/ml, revealed that the serologic response was significantly greater in manual workers than in administrative workers (p=0.019). All other comparisons did not produce significant results. Therefore, providing a simple tweezer-like device to forest inspectorates seems to be an effective mean of protection against Lyme borreliosis and other tick-borne diseases.
 
REFERENCES (38)
1.
Capelli G, Ravagnan S, Montarsi F, Ciocchetta S, Cazzin S, Porcellato E, Babiker AM, Cassini R, Salviato A, Cattoli G, Otranto D. Occurrence and identification of risk areas of Ixodes ricinus-borne pathogens: a cost-effectiveness analysis in north-eastern Italy. Parasit Vectors. 2012; 5: 61-70.
 
2.
Coipan EC, Vladimirescu AF. Ixodes ricinus ticks (Acari: Ixodidae): vectors for Lyme disease spirochetes in Romania. Exp Appl Acarol. 2011; 54(3): 293-300.
 
3.
Dutkiewicz J, Cisak E, Sroka J, Wójcik-Fatla A, Zając V. Biological agents as occupational hazards – selected issues. Ann Agric Environ Med. 2011; 18(2): 286-93.
 
4.
Jaenson TG, Jaenson DG, Eisen L, Petersson E, Lindgren E. Changes in the geographical distribution and abundance of the tick Ixodes ricinus during the past 30 years in Sweden. Parasit Vectors. 2012; 5: 8-22.
 
5.
Jameson LJ, Medlock JM. Tick surveillance in Great Britain. Vector Borne Zoonotic Dis. 2011; 11(4): 403-12.
 
6.
Ruiz-Fons F, Fernández-de-Mera IG, Acevedo P, Gortázar C, de la Fuente J. Factors driving the abundance of Ixodes ricinus ticks and the prevalence of zoonotic I. ricinus-borne pathogens in natural foci. Appl Environ Microbiol. 2012; 78(8): 2669-76.
 
7.
Santos-Silva MM, Beati L, Santos AS, De Sousa R, Núncio MS, Melo P, Santos-Reis M, Fonseca C, Formosinho P, Vilela C, Bacellar F. The hard-tick fauna of mainland Portugal (Acari: Ixodidae): an update on geographical distribution and known associations with hosts and pathogens. Exp Appl Acarol. 2011; 55(1): 85-121.
 
8.
Stanek G, Wormser GP, Gray J, Strle F. Lyme borreliosis. Lancet. 2012; 379(9814): 461-73.
 
9.
Egyed L, Elő P, Sréter-Lancz Z, Széll Z, Balogh Z, Sréter T. Seasonal activity and tick-borne pathogen infection rates of Ixodes ricinus ticks in Hungary. Ticks Tick Borne Dis. 2012; 3(2): 90-4.
 
10.
Franke J, Hildebrandt A, Meier F, Straube E, Dorn W. Prevalence of Lyme disease agents and several emerging pathogens in questing ticks from the German Baltic coast. J Med Entomol. 2011; 48(2): 441-4.
 
11.
Nazzi F, Martinelli E, Del Fabbro S, Bernardinelli I, Milani N, Iob A, Pischiutti P, Campello C, D’Agaro P. Ticks and Lyme borreliosis in an alpine area in northeast Italy. Med Vet Entomol. 2010; 24(3): 220-6.
 
12.
Jaenson TG, Lindgren E. The range of Ixodes ricinus and the risk of contracting Lyme borreliosis will increase northwards when the vegetation period becomes longer. Ticks Tick Borne Dis. 2011; 2(1): 44-9.
 
13.
Kempf F, De Meeûs T, Vaumourin E, Noel V, Taragel’ová V, Plantard O, Heylen DJ, Eraud C, Chevillon C, McCoy KD. Host races in Ixodes ricinus, the European vector of Lyme borreliosis. Infect Genet Evol. 2011; 11(8): 2043-8.
 
14.
Danielová V, Rudenko N, Daniel M, Holubová J, Materna J, Golovchenko M, Schwarzová L. Extension of Ixodes ricinus ticks and agents of tick-borne diseases to mountain areas in the Czech Republic. Int J Med Microbiol. 2006; 296 (Suppl 40): 48-53.
 
15.
Buczek A, Rudek A, Bartosik K, Szymanska J, Wójcik-Fatla A. Seroepidemiological study of Lyme borreliosis among forestry workers in southern Poland. Ann Agric Environ Med. 2009; 16(2): 257-61.
 
16.
Cisak E, Chmielewska-Badora J, Zwoliński J, Wójcik-Fatla A, Polak J, Dutkiewicz J. Risk of tick-borne bacterial diseases among workers of Roztocze National Park (south-eastern Poland). Ann Agric Environ Med. 2005; 12(1): 127-32.
 
17.
Oehme R, Hartelt K, Backe H, Brockmann S, Kimmig P. Foci of tick-borne diseases in southwest Germany. Int J Med Microbiol. 2002; 291 (Suppl 33): 22-9.
 
18.
Tomao P, Ciceroni L, D’Ovidio MC, De Rosa M, Vonesch N, Iavicoli S, Signorini S, Ciarrocchi S, Ciufolini MG, Fiorentini C, Papaleo B. Prevalence and incidence of antibodies to Borrelia burgdorferi and to tick-borne encephalitis virus in agricultural and forestry workers from Tuscany, Italy. Eur J Clin Microbiol Infect Dis. 2005; 24(7): 457-63.
 
19.
Thorin C, Rigaud E, Capek I, André-Fontaine G, Oster B, Gastinger G, Abadia G. Seroprevalence of Lyme borreliosis and tick-borne encephalitis in workers at risk, in eastern France. Med Mal Infect. 2008; 38(10): 533-42 [in French].
 
20.
Cinco M, Barbone F, Grazia Ciufolini M, Mascioli M, Anguero Rosenfeld M, Stefanel P, Luzzati R. Seroprevalence of tick-borne infections in forestry rangers from northeastern Italy. Clin Microbiol Infect. 2004; 10(12): 1056-61.
 
21.
Wilczyńska U, Szeszenia-Dąbrowska N, Sobala W. Occupational diseases in Poland, 2009. Med Pr. 2010; 61(4): 369-79 [in Polish].
 
22.
Roupakias S, Mitsakou P, Nimer AA. Tick removal. J Prev Med Hyg. 2011; 52(1): 40-4.
 
23.
Shen AK, Mead PS, Beard CB. The Lyme disease vaccine-a public health perspective. Clin Infect Dis. 2011; 52 (Suppl 3): s247-52.
 
24.
Piesman J, Dolan MC. Protection against lyme disease spirochete transmission provided by prompt removal of nymphal Ixodes scapularis (Acari: Ixodidae). J Med Entomol. 2002; 39(3): 509-12.
 
25.
Connally NP, Durante AJ, Yousey-Hindes KM, Meek JI, Nelson RS, Heimer R. Peridomestic Lyme disease prevention: results of a population-based case-control study. Am J Prev Med. 2009; 37(3): 201-6.
 
26.
Bartosik K, Kubrak T, Olszewski T, Jung M, Buczek A. Prevention of tick bites and protection against tick-borne diseases in south-eastern Poland. Ann Agric Environ Med. 2008; 15(2): 181-5.
 
27.
Adamek B, Ksiażek A, Szczerba-Sachs A, Kasperczyk J, Wiczkowski A. Tick-borne diseases exposure of forestry workers and preventive methods usage. Przegl Epidemiol. 2006; 60 (Suppl 1): 11-5 [in Polish].
 
28.
Zielińska-Jankiewicz K, Kozajda A. Knowledge of selected occupational groups about biological agents in the environment and ways of health protection against occupational exposure to biological hazards. Med Pr. 2003; 54(5): 399-406 [in Polish].
 
29.
Kozajda A, Zielińska-Jankiewicz K, Szadkowska Stańczyk I. Knowledge of the employees about biological agents in the work environment and the ways of health protection against occupational exposure to biological hazards. Part II. Med Pr. 2005; 56(3): 205-11 [in Polish].
 
30.
Cisak E, Zwoliński J, Chmielewska-Badora J, Dutkiewicz J, Wójcik-Fatla A, Zając V. Analysis of the state of knowledge and awareness in the area of tick-borne disease prophylaxis in the population at occupational risk. Zdr Publ. 2011; 121(1): 47-51.
 
31.
Patey O. Lyme disease: prophylaxis after tick bite. Med Mal Infect. 2007; 37(7-8): 446-55 [in French].
 
32.
Eisen RJ, Piesman J, Zielinski-Gutierrez E, Eisen L. What do we need to know about disease ecology to prevent Lyme disease in the northeastern United States? J Med Entomol. 2012; 49(1): 11-22.
 
33.
Plotkin SA. Correcting a public health fiasco: The need for a new vaccine against Lyme disease. Clin Infect Dis. 2011; 52 (Suppl 3): s271-5. DOI 10.1093/cid/ciq119.
 
34.
Piesman J, Hojgaard A. Protective value of prophylactic antibiotic treatment of tick bite for Lyme disease prevention: An animal model. Ticks Tick Borne Dis. Published Online First: 13 March 2012. DOI 10.1016/j.ttbdis.2012.01.001.
 
35.
Rojko T, Ruzić-Sabljić E, Strle F, Lotric-Furlan S. Prevalence and incidence of Lyme borreliosis among Slovene forestry workers during the period of tick activity. Wien Klin Wochenschr. 2005; 117(5-6): 219-25.
 
36.
Bartosik K, Sitarz M, Szymańska J, Buczek A. Tick bites on humans in the agricultural and recreational areas in south-eastern Poland. Ann Agric Environ Med. 2011;18(1):151-7.
 
37.
Bartosik K, Lachowska-Kotowska P, Szymańska J, Pabis A, Buczek A. Lyme borreliosis in south-eastern Poland: relationships with environmental factors and medical attention standards. Ann Agric Environ Med. 2011;18(1):131-7.
 
38.
Bartosik K, Lachowska-Kotowska P, Szymańska J, Wójcik-Fatla A, Pabis A, Buczek A. Environmental conditioning of incidence of tick-borne encephalitis in the south-eastern Poland in 1996-2006. Ann Agric Environ Med. 2011;18(1):119-26.
 
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