Tick-borne Encephalitis Vaccine
Tick-borne encephalitis (TBE) is a viral infection spread by tick bites in forested areas of Central and Eastern Europe, Russia and parts of Asia. Vaccination is an effective way to help protect yourself if you're spending time outdoors in risk areas.
What is tick-borne encephalitis?
TBE is caused by a virus transmitted through the bite of infected ticks — most commonly in woodland, grassland and rural areas between April and November. In most cases it causes a flu-like illness, but in a minority it can progress to inflammation of the brain (encephalitis) or the membranes around the brain (meningitis), which can have serious long-term effects. There is no specific antiviral treatment once infected.
Who should consider this vaccine?
- Hikers, campers and cyclists in forested areas of Central or Eastern Europe (Austria, Germany, Czech Republic, Baltics, Scandinavia, Poland)
- Travellers to rural Russia or forested parts of Asia
- Those taking part in outdoor activities during the tick season (April–November)
- Longer-stay travellers in rural or semi-rural areas
- Outdoor workers in risk areas
City-based and short-stay travellers are generally at low risk. Your clinician will advise whether vaccination is recommended for your specific trip.
Doses & schedule
A full course is 3 doses:
- Dose 1: initial dose
- Dose 2: 1–3 months after dose 1
- Dose 3: 5–12 months after dose 2
An accelerated schedule is available (doses at 0, 7 and 21 days) if you're travelling at short notice — your clinician can advise on timing. Two doses provide reasonable short-term protection; the third dose is needed for longer-lasting cover. A booster is recommended every 3–5 years for those at ongoing risk.
Frequently asked questions
No. TBE and Lyme disease are both spread by ticks but are caused by different pathogens — a virus (TBE) and a bacterium (Lyme). There is currently no vaccine available for Lyme disease. Tick-avoidance measures apply for both.
Probably not for a city-only trip. TBE risk is concentrated in forested and rural areas. If you're staying in cities and not planning any outdoor activities in woodland, your risk is very low. Your clinician will help you assess this.
Not necessarily. Two doses on an accelerated schedule (7 days apart) can be completed before departure and still provide useful protection. Book as soon as possible so your clinician can plan the best schedule for your trip.
The TBE vaccine is not routinely available on the NHS. It is provided privately at travel clinics.
Book your TBE vaccination
Same-day appointments available at our clinic near Regent's Park. Your clinician will advise on the right schedule for your trip.