TBE Endemic Countries

Ticks infected with the TBE virus are not confined to one country, with reports of ticks from across Europe to Japan. TBE has been reported in 35 countries.¹

You may know that ticks can transmit Lyme disease,² but are you aware that in certain parts of Europe and Asia, they can also carry TBE?³ Vaccination can help to prevent TBE and should be considered when travelling to the following countries:^{1, 4}

Europe¹

• Austria
• Belarus
• Belgium
• Bosnia and Herzegovina
• Bulgaria
• Croatia
• Czech Republic
• Denmark
• Estonia
• Finland
• France
• Germany
• Hungary
• Italy
• Latvia
• Lithuania
• Moldova
• Netherlands
• Norway
• Poland
• Romania
• Russia
• Serbia
• Slovakia
• Slovenia
• Sweden
• Switzerland
• Ukraine
• United Kingdom

Asia¹

• China
• Japan
• Kazakhstan
• Kyrgyztan
• Mongolia
• South Korea

References

1. Dobler G, Erber W, Bröker M, Schmitt HJ, eds. The TBE Book. 3rd ed. Singapore: Global Health Press; 2020. doi:10.33442/26613980_1-3. Available from: https://tbenews.com/tbe/. Last accessed: October 2021
2. World Health Organisation Regional Office for Europe. Tick-borne encephalitis in Europe. Available at: https://ecdc.europa.eu/sites/portal/files/media/en/healthtopics/vectors/.... Last accessed: October 2021
3. Factsheet about tick-borne encephalitis (TBE). European Centre for Disease Prevention and Control. Available at: https://www.ecdc.europa.eu/en/tick-borne-encephalitis/facts/factsheet Last accessed: October 2021
4. Lindquist L. and Vapalahti O. Tick-borne encephalitis. Lancet. 2008;371(9627):1861-71.