Table 2 Characteristics of national surveillance systems for Lyme disease in humans by country (N = 34)

EU COUNTRIES (n = 27)

 Austria [10]

Except that it “requires monitoring” … depending on epidemiological situation” (translated from German)[10]. No further information or statistics found

 Belgium [11]

X

X

Lab sentinels, clinician sentinels & national lab reference centre

X

 Bulgaria [12]

X

X

X

 Croatia [13]

X

X

X

 Cyprus

X

 Czech Rep. [14]

X

X

X

 Denmark [15]

X

X

X^a

 Estonia [16]

X

X

X

 Finland [17]

X

X

X

 France [18, 19]

X

X

Clinician sentinels & national lab reference centre

X

 Germany [20, 21]

X

Varies between states

Mandatory in 9/16 states

 Greece

X

 Hungary [22]

X

X

X

 Ireland [23]

X

X

X

 Italy [24]

X

X

X

 Latvia [25]

X

X

X

 Lithuania [26, 27]

X

X

X

 Luxembourg [28]

X

X

X

 Malta

X

 Netherlands [5]

X

X

Survey to all

X

 Poland [29]

X

X

X

 Portugal [30]

X

X

X

 Romania [31]

X

X

X

 Slovakia [32]

X

X

X

 Slovenia [33]

X

X

X

 Spain [34]

X

X

Lab sentinels

 Sweden

X

Subtotal EU

21

1

12

8

2

17

1

3

1

3

5

OTHER EUROPEAN COUNTRIES (n = 5)

 Iceland [35]

X

X

X

 Liechtenstein

(only system found)

 Norway [36]

X

X

X

 Switzerland [37]

X

X

Clinician sentinels

X

 UK [39–42]

X

X

X^b

Subtotal Europe

24

2

14

9

3

19

2

4

1

5

5

 Canada [43, 44]

X

X

X

 USA [2]

X

X

X

TOTAL

24

4

16

9

3

19

4

4

1

5

5