title: The Lyme disease as the increasing health problem in Małopolskie voivodeship compared with Poland in 1998-2014
abstract: Lyme disease is one of the most known tick borne diseases in Poland caused by spirochetes of the genus Borrelia burgdorferi. Most cases of Lyme disease are diagnosed in the northeastern Poland and the south of Poland, in Śląskie, Małopolskie, Podkarpackie voivodeship. The aim of the study was to evaluate epidemiological data of Lyme disease in Małopolskie voivodeship and other voivodeships in Poland and frequency analysis of the Lyme disease as an occupational disease.
  
  
  
  The authors analyzed prevalence from 1998 to 2014. Incidence of the Lyme disease was evaluated through review data from „Choroby zakaźne i zatrucia” Bulletin and Lyme disease as an occupational disease obtained data from the Nofer Institute of Occupational Medicine in Łódź.
  
  
  
  It is estimated that the number of Lyme disease cases in Poland increased 18 times between 1998 and 2014 year (2,0 to 36 per 100,000 population), in the same period it was over 35 times of sudden rise in Lyme disease incidence in Małopolskie voivodeship. In years 2005-2014 the number of cases of Lyme disease as an occupational disease fluctuated with a slight upward trend both in Poland and Małopolskie voivoideship.
  
  
  
  In Poland number of reported cases is systematically increasing. Podlaskie and Warmińsko- Mazurskie voivodeships are areas of high prevalence. Exponential increase in the number of cases is observed in southern Poland, especially in Małopolskie voivodeship from 2013.
authors.affiliation: Poviat Sanitary-Epidemiological Station in Proszowice
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Bandoła
authors.affiliation: Voivodeship Sanitary-Epidemiological Station in Kraków
authors.forename: Magdalena
authors.initials: M
authors.lastname: Koperny
authors.affiliation: The Institute of Public Health, Jagiellonian University Medical College
authors.forename: Michał
authors.initials: MA
authors.lastname: Seweryn
authors.affiliation: Voivodeship Sanitary-Epidemiological Station in Kraków
authors.forename: Jacek
authors.initials: J
authors.lastname: Żak
authors.affiliation: Department of Hygiene and Dietetics, Jagiellonian University Medical College
authors.forename: Małgorzata M
authors.initials: MA
authors.lastname: Bała
mesh_terms: D025065:Borrelia burgdorferi / Q000302:isolation & purification; D021821:Communicable Diseases, Emerging / Q000453:epidemiology* / Q000517:prevention & control; D004196:Disease Outbreaks / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D007299:Insect Bites and Stings / Q000453:epidemiology* / Q000517:prevention & control; D008193:Lyme Disease / Q000453:epidemiology* / Q000517:prevention & control; D011044:Poland; D012424:Rural Population / Q000706:statistics & numerical data; D014505:Urban Population / Q000706:statistics & numerical data