Countries At Risk

Tick Borne Encephalitis is predominantly found in rural areas of Central, Northern & Eastern Europe. It is also found in parts of Russia and East Asia.

Tick-Borne Encephalitis (TBE) is a viral infection that affects the brain and central nervous system and is transmitted through the bite of infected insects. While rare for most travellers, there is a significant risk in certain parts of Europe and Asia, especially for those trekking, camping, or cycling in rural or forested areas.

Countries in which the virus is known to be prevalent include Austria, Germany, Switzerland, Czechia, Poland, Sweden, Finland, Estonia, Latvia, and Lithuania. The disease is also present in regions of China, Mongolia, Japan, and the Russian Far East, in addition to Europe. Ticks are most prevalent during the spring through early autumn, which is when transmission is most active.

Although the majority of infections are benign, a small number of them can result in severe neurological disorders, such as inflammation of the brain (encephalitis) or spinal cord. The most effective form of protection is prevention and vaccination, as there is no specific treatment.

Additional precautions include the use of insect repellents containing DEET or picaridin, the donning of long sleeves and trousers, and the regular inspection of ticks following outdoor activities. In the event of a tick infection, it is important to promptly remove the tick and monitor for symptoms such as fatigue, fever, or headache in the weeks that follow.

The risk of TBE is dependent upon the region and season, however, exposure can be significantly reduced through informed preparation. Understanding the health risks of the area is crucial for ensuring that your travels are both secure and adventurous, whether you are camping along the Baltic coast or exploring the forests of Austria.

Book an appointment with Travel Clinic Bromley to discuss your trip and vaccination requirements.

Travel Precautions

Tick-borne encephalitis is transmitted through infected tick bites, so it's crucial to use a DEET-based insect repellent for protection. Additionally, carrying a tick remover is important to safely remove any ticks from the skin.

Signs & Symptoms

The initial symptoms of Tick-borne Encephalitis are similar to flu and can include a high fever, headache, and muscle aches. These symptoms typically last up to eight days, with most people recovering within that time. However, in some cases, the infection can spread to the brain, causing seizures, confusion, and paralysis. There is no cure for Tick-borne Encephalitis; treatment focuses on relieving symptoms until the infection resolves.

The Vaccination

The vaccination involves three doses: the second dose is given one month after the first, and the third dose is administered five to twelve months after the second. An accelerated schedule is available for those who need it, with the second dose given just two weeks after the first, providing coverage for upcoming trips. The third dose can then be given five to twelve months after the second.

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