Updated TBE recommendations

08 October 2019

Article: 53/4003

The country-specific recommendations for tick-borne encephalitis (TBE) have been revised and updated on both the TRAVAX (for health professionals) and fitfortravel (for the general public) websites.

TBE exists in endemic foci in eastern, central and northern Europe, northern China, Mongolia, Russia, Japan and South Korea. Most clinical cases are reported from the Baltic region, Slovenia and the Russian Federation. 

TBE is spread through the bite of an infected Ixodes tick, or less commonly by ingestion of unpasteurised milk and milk products. Transmission is more common during the warmer months of April through to November, when ticks are most active.

Travellers should avoid consuming unpasteurised dairy products and be made aware of the need to prevent tick bites.

Vaccination is advised in endemic areas either ‘sometimes’ or ‘selectively’ and should be considered for: 

  • those travelling during tick season and who plan outdoor activities in rural or forested areas, such as rambling, camping, cycling and fishing 
  • those who may be at risk through their occupation, such as farmers or forestry workers 
  • long-term residents in rural or forested areas

Country-specific advice can be found on the individual country pages of TRAVAX and fitfortravel.

Source: TRAVAX, 1 October 2019