Hr många drabbades tbe 2018 TBE became notifiable in the EU in and the current case definition was adopted in [7]. The number of reporting countries, including those reporting n o cases, has increased gradually to 26 in , when Denmark reported cases for the first time. The EU notification rate for TBE has fluctuated between and cases per. 1 tbe karta 2 We reviewed tick-borne encephalitis (TBE) surveillance and epidemiology in Germany, as these underlie public health recommendations, foremost vaccination. We performed descriptive analyses of notification data (⁻, n = ) according to region, demographics and clinical manifestations and ca . 3 tbe dödsfall 4 Some concluded that ‘TBE vaccination should be recommended for travellers going to TBE endemic countries’. 28 Explicitly, it was stated that the ‘50 million travellers per year to European endemic regions indicate a need for (international) recommendations’, although highlighting contact with nature, visiting friends and relatives and. 5 Tick-borne encephalitis (TBE), caused by the TBE virus (TBEV), is a serious public health threat in northern Eurasia. Three subtypes of TBEV are distinguished. Inactivated vaccines are available for TBE prophylaxis, and their efficacy to prevent the disease has been demonstrated by years of implication. Nevertheless, rare TBE cases among the vaccinated have been registered. The present study. 6 TBE virus is transmitted to humans through the bite of an infected tick of the Ixodes species, primarily I. ricinus (European subtype) or I. persulcatus (Far Eastern and Siberian subtypes). Preferred habitats for these tick species include the edges of forests, areas with deciduous or coniferous trees, and low-growing dense brush and other. 7 tbe riskområden 8 Nästan tre gånger så många drabbades av TBE i Västmanland förra året jämfört med resten av Sverige, sett till befolkningen. 9 I Sörmland drabbades förra året 40 personer av TBE, nästan lika många som under rekordåret när 42 personer fick diagnosen. 10