Diseases endemic in Poland
Endemic diseases specific for Poland include tick-borne encephalitis in the northeastern and southern parts of the country, toxoplasmosis, and trichinellosis. Trichinella infections occurs mostly, when unchecked wild boar meet is consumed by hunters. Outbreaks of botulism occur in regions of the country, where home-made canned food production is popular.
Hepatitis A is classified as a low-endemic disease, but countries neighboring Poland to the east have high endemicity and constitute a potential risk as sources of imported outbreaks.
Some vaccine-preventable diseases such as mumps, rubella, varicella are still not well controlled and occur among children. Measles is almost eliminated due to extensive, long-term vaccination programs, and the incidence remains <1 case per 1,000,000 people. Invasive meningococcal disease was mostly caused by type B strains of meningococci, which are not vaccine-preventable. During 2006 and 2007 several outbreaks of type C meningococci occurred. Local vaccination campaigns were implemented in several districts. Currently there is a lot of media coverage related to this disease.
There is a decreasing trend in tuberculosis incidence—from 16,653 cases in 1994 (43 per 100,000) to 9,493 cases in 2004 (25 per 100,000). The highest incidence is in the oldest age groups (>65). The most prevalent is the pulmonary form of tuberculosis, diagnosed in over 90% of reported cases. There is a stable epidemic of HIV/AIDS. During the last 5 years, a median of 610 incident HIV infections were detected annually, based on over 1,000,000 screening tests performed each year. Out of 9,798 HIV infected persons from 1985 to 2005 (including at least 5,293 intravenous drug users, IDUs), AIDS developed in 1,725 persons: 797 died. Although the major means of transmission is IDU, heterosexual contact may play an increasing role.