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Possibility interference interest in vaccination against curse encephalitic in focus infection
VOBORSKÁ, Eliška
This diploma thesis addresses the topic of informing people of tick-borne encephalitis and vaccination against this disease. Our diploma thesis has four objectives in total. The first objective was to ascertain how many of the respondents were vaccinated against tick-borne encephalitis. The second and the third objectives were to demonstrate the reasons of vaccinated and unvaccinated respondents. The fourth objective was to analyze the attitudes of the respondents to publicization of the tick-borne encephalitis issue. As an infection with the natural focus, the disease is caused by a tick-borne encephalitis virus belonging among flaviviruses. The carrier is a sheep tick (Ixodes ricinus). Ticks live as parasites on reservoir animals, such as small rodents, ungulates and domestic animals. The clinical picture of the disease has mostly two stages and the symptomatologic form affects in particular adults and seniors. South Bohemia is a significant focus of tick-borne encephalitis with the sickness rate considerably exceeding the average of the Czech Republic. The most efficient prevention of the disease is vaccination. Two vaccines have been registered in the Czech Republic at present, namely FSME-Immun of Baxter and Encepur of Novartis. Both the vaccines are intended for children from 1 year of age. The basic vaccination scheme consists of 3 doses and the vaccinated person needs to be revaccinated every 3-5 years. It follows from the questionnaire research that 49 % of the total number of 136 respondents are vaccinated. As expected, the most frequent reason for vaccination (65 %) is the fear of becoming infected with tick-borne encephalitis. Other reasons are the interventions of the surrounding persons persuading the person to become vaccinated (19 %) and the financial contribution of the health insurance company or the employer (16 %). 35 % of the unvaccinated respondents do not plan to become vaccinated in the future. Approximately 40 % of the unvaccinated respondents feel that they do not need the vaccination or do not trust vaccination as such. 42 % of the unvaccinated persons would agree to vaccination if they received a financial contribution of the health insurance company or the employer, but nothing at all would convince 35 % of the unvaccinated respondents. It follows from the research that most respondents are satisfied with the quantity and the content of the information about tick-borne encephalitis. They do not think that anything should be changed in the system of informing of the disease. This thesis contributes to monitoring the trends in thinking of the public, and will eventuate in the finding which way the education of people about tick-borne encephalitis should be directed.
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Vaccination Rate of Adults against Tick-borne Meningoencephalitis in České Budějovice
VOBORSKÁ, Eliška
The aim of this thesis was to map vaccination rate against tick-borne encephalitis in adults in the town of České Budějovice, the town in the focus of infection. Tick-borne encephalitis is a very malign and dangerous neurodegenerative disease. At the beginning there appear only inconspicuous flu-like symptoms. It is transmitted either by infected ticks or by eating products made from non-pasteurized milk of infected animals (goats, sheep). People living in areas with higher occurrence of ticks infected by one of the diseases (tick-borne encephalitis, borreliosis, ehrlichiois) should pay attention to prevention. In case of tick-borne encephalitis vaccination is possible. It is recommended during winter months, when ticks are not active. This precaution is done in cold weather so that in spring when ticks are active, the body has sufficient amount of antibodies against tick-borne encephalitis. During warm months it is possible to apply accelerated scheme of vaccination so that the body produces antibodies quicker, however, their survival is rather shorter. My research was carried out by means of questionnaires which were filled in by the group of randomly chosen inhabitants of České Budějovice. The form of processing was the method of quantitative research. The questionnaires were processed by the form of descriptive study. Total number of returned questionnaires was 541 (77%). The generation until 29 (68%) had the highest distribution; this age category has the highest vaccination rate (56%). The total proportion of vaccinated against non-vaccinated is 49% to 51 %. On the contrary, the lowest vaccination rate is in generations of 70 years old and older people, where 1 of 18 is vaccinated (5.5 %). In women, who created 76 % of examined sample, the vaccination rate makes up 53 % and in men, who took 24 %, there were 35 % vaccinated. The next aim of my thesis was to monitor attitudes of inhabitants to vaccination. We found out that in non-vaccinated inhabitants the main reason was opinion that vaccination is not necessary (43 %), the next was finance (20%) and further some other reasons, for example laziness. In vaccinated inhabitants the most common reason was the fear of infection and further persuasion by another person (24 %). The third place is occupied by the stay in risky environment (18 %).
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