Tick-Borne Encephalitis

Heading for forests, lakes or countryside in Europe this summer? A tick-borne encephalitis vaccine is worth thinking about if you plan to hike, camp or cycle in rural areas where the virus is found. We give the vaccine here in Leith, and most courses can start on the day you visit.

What is tick-borne encephalitis?

Tick-borne encephalitis, or TBE, is a virus that some ticks carry. A bite from an infected tick passes the virus into your blood. Less often, people catch it from unpasteurised milk or cheese. The risk is highest across central, eastern and northern Europe, Scandinavia, Russia and parts of Asia. Only a very small number of UK ticks carry the virus.

Many people feel fine, while others get a flu-like illness about a week after the bite. In a smaller group, the infection then reaches the brain and spinal cord.

Signs to look out for

• High temperature, tiredness and aching muscles
• Headache and feeling sick
• Later on, a stiff neck, bad headache or dislike of bright light
• In serious cases, confusion, fits or weakness in the arms and legs

How the tick-borne encephalitis vaccine is given

The vaccine we use is Ticovac. A full course has 3 injections. You have the second dose 1 to 3 months after the first, then the third 5 to 12 months later. Each dose costs £75.

Try to have your first injection at least a month before you leave. However, if your trip is sooner, ask about the faster schedule, as your pharmacist may still be able to help.

Avoiding tick bites

• Stick to paths and avoid long grass and dense undergrowth
• Wear long sleeves and tuck trousers into socks
• Use an insect repellent that contains DEET or picaridin
• Check your skin and clothes for ticks each evening, and remove any quickly with a tick tool

After your tick-borne encephalitis vaccine

Your arm may feel sore or look a little red for a day or two. Some people also get a mild temperature or feel tired. These effects usually pass quickly, and paracetamol can help. For more detail on the illness, read the NHS guide to tick-borne encephalitis, or browse our other travel vaccinations.