Classification of Municipalities in the Republic of Buryatia by the Level of Tick-Borne Viral Encephalitis Incidence

Tick-borne viral encephalitis (TBVE) is one of the most significant natural-focal infections in the Russian Federation.The aim of the study was to analyze the current epidemiological situation on TBVE in the Buryat Republic in 2010–2020 with a subsequent differentiation of municipalities by epidemiological risk groups in order to elaborate proposals for optimization of preventive measures.Materials and methods. A retrospective analysis of the epidemiological situation on TBVE in the Buryat Republic was carried out using forms of federal statistical surveillance No. 2 “Information on infectious and parasitic diseases” over 2010–2020 and the data from the Reference Center of the Irkutsk Research Anti-Plague Institute of Siberia and Far East of the Rospotrebnadzor on the epidemiological situation and preventive measures in the municipalities of the constituent entity. Statistical processing was performed applying conventional methods of variation statistics. Based on calculated 95 % parametric confidence interval for the data on variability of the long-term average TBVE incidence in the municipalities of the Republic of Buryatia over a 10-year period, the entities were differentiated by epidemiological risk groups. QGis 2.18.28 and a set of open geodata OpenStreetMap were used for mapping.Results and discussion. All municipalities have been classified into five groups by the level of epidemiological risk: with zero TBVE incidence – 2 districts, with a low level – 4, medium – 8, high – 5, very high – 2. In addition, the administrative center has been placed into a separate group. Each individual group of municipalities is characterized by the number of TBVE cases, the level of morbidity, the frequency of seeking medical aid because of tick bites, the scope of specific and non-specific prevention measures. Recommendations for optimizing the tactics of TBVE prevention in certain municipal districts have been provided.