World Cup Fever – information sheet

Information Sheet: World cup fever 2006

Estimated annual Lyme Borreliosis Incidence in Germany:

25 per 100,00 population (Estimated population July 2006 : 82,431,390).


Lyme borreliosis is a potentially serious infection common in Germany, but little data about its incidence, distribution, and clinical manifestations are available. Lyme borreliosis is not a notifiable disease in Germany, but six of Germany’s 16 states – Berlin,
Brandenburg, Mecklenburg-Vorpommern, Sachsen, Sachsen-Anhalt and Thüringen, have enhanced notification systems, which do include Lyme borreliosis. The efforts made in these states to monitor confirmed cases through notification are therefore an important contribution to understanding the
epidemiology of Lyme borreliosis in Germany.
This report summarises the analysis of Lyme borreliosis cases submitted to the Robert Koch-Institut during 2002-2003.
The average incidence of Lyme borreliosis of the six East German states was 17.8 cases per 100 000 population in 2002 and
increased by 31% to 23.3 cases in 2003,

Incidence is even higher in the British Forces in Germany. 2002 : 40 cases in 55,000 people. With suspected under reporting:

Lyme Disease in British Forces Germany:

Transcript from a talk given at the LDA 2004 conference:

Dr D Ross – Lyme Disease in British Forces Germany


So looking at the Data: 2002 we saw about 40 cases. I think, even though it is a notifiable disease, there is a lot of under-reporting that goes on.

Co-infections in Germany:

Seroprevalence of Babesia infections in humans exposed to ticks in midwestern Germany.

The results obtained here provide evidence for concurrent infections with Borrelia burgdorferi and Babesia species in humans exposed to ticks in midwestern Germany. They also suggest that infections with Babesia species in the German human population are more frequent than believed
previously and should be considered in the differential diagnosis of febrile illness occurring after exposure to ticks or blood transfusions, in particular in immunocompromised patients.

Tick images for publication:

For copyright conditions and high quality versions please contact Malcolm Storey

Please mention Lyme Disease Action.

Images of rash:

Dr Burrascano’s Guidelines:

Contains detailed information about tick- borne diseases including a symptom list and treatment guidelines – From the International Lyme and Associated Diseases Society:

Lyme Disease Action website:

EuroLyme website:

EuroLyme – Internet patients’ support group. Another source of information: