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Tick-Borne Encephalitis - Walks in Europe

Written by:

Sue Ellen Cooper-Jones

Nomad Travel Health Services

Nomad Travel Clinics

Need help? Please book an appointment or call
0134 155 5061

Using the Nomad clinic services gives you a one-to-one experience with a qualified, highly trained, travel health nurse.

The consultation includes:

  • A detailed medical history
  • Risk assessment based on style and length of your trip
  • Advice on preventative measures you can take

Your pharmacy based travel clinic is all very well but for specialist advice at the same or lower cost come to Nomad. This is strongly advised if you are on a more adventurous or complex itinerary, or have special medical needs. Nomad Travel Clinics are specialists in:

  • Last minute travel
  • Complex itineraries
  • Travel health and existing medical conditions
  • Open 6 days per week

allowing 6-8 weeks for your vaccination programme, you have time to fit in full courses of vaccines where required which provides you with the best possible protection against certain vaccine preventable diseases. If you don’t have time to complete courses before you go, you risk travelling with little or even no protection against sometimes high risk diseases.

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Nomad Travel Pharmacy has a wide range of Pharmacy items for all your outdoor and travel needs. Browse the Nomad Pharmacy here...


Have you been thinking of taking a walking holiday in Western Europe this summer? Or maybe this is the year for the glorious 500 mile El Camino de Santiago de Compostela – ‘The Way’, by one of the popular French routes perhaps? Tens of thousands of people make their own ‘ways’ every year via various routes during this famous pilgrimage.

There are also many beautiful walking trails along the scenic Rhine Valley waiting to be explored. It’s the perfect time of the year for trekking and camping in Europe’s woodlands and lowlands – temperatures are still relatively low and breezy, with lots of sunshine and loads of blooming flora.

What you’d want to safeguard against, however, is a most unwanted guest hitching a ride with you along the trails. The tick, l. Ricinus, is the main carrier of Tick Borne Encephalitis, or TBE as it is widely known. The disease is known by several other known names as well, including RSSE, Far Eastern Encephalitis and CEE. Tick Borne Encephalitis is endemic to most European countries, the Russian Federation and China. It is the most important arthropod(tick)-transmitted viral disease in Europe, and in some countries it represents a major health problem.

From 7-14 days after being bitten, two thirds of people infected with TBE will develop symptoms.

How to tell if you have it? From 7-14 days after being bitten, two thirds of people infected with TBE will develop symptoms. Phase 1 symptoms are: Temperature over 38 degrees C, headache, muscle ache and nausea. After that, a period of 1-20 days can follow where the person has no symptoms. Approximately one third of exposed people progress to Phase 2 symptoms, where there is a sudden spike in temperature, sometimes with brain and spinal cord problems. Symptoms can include meningitis, swelling of the brain and sometimes paralysis. People over 60 are most at risk of death.

That is not great news for those of us who love the outdoors and feel there is nothing more therapeutic than fresh air and a good, tiring trek. But there’s lots you can do to prevent it. The first line of defence, if you know you are going to be in a wooded, grassland or riverside environment in one of the afflicted countries for a fair amount of time, would be to get vaccinated against the disease. Starting six to eight weeks before travelling, arrange to begin your simple regime of two Tick Borne Encephalitis injections, as they need to be separated by at least a month in order to be most effective. You can travel into active tick areas after two injections, and having a booster 5-12 months after the first two will provide 3 years of protection.

Other things you can do include using a good insect repellent. Nomad recommends 50% DEET, but we also have 'sensitive' repellents with high performing and long lasting Saltadin, or natural repellents for families with children as the active Citriodiol is suitable from 6 months. Midge & tick repellents might be preferred for travel in the UK and Europe during the summer, microencapsulated Saltidin means it is effective for up to 12 hours. Treat clothing and camping gear with compounds containing permethrin such as Lifesystems EX4 AntiMosquito for Fabric, and perhaps invest in a great pair of insect-repelling walking trousers, such as those in the Nosilife range made by Craghopper. Also, cover up as much as possible by wearing trousers, socks, boots and a pair of gaiters to cover your ankles. Treat socks and trousers with permethrin, and wear light-coloured trousers to make ticks more noticeable. Check the top of your socks, groin and beltline at least once a day for any ticks who might have latched on. Apply the DEET as the last layer on any exposed skin. Make especially sure to check children’s heads and necks, including the scalp. Also, check the skin and fur of any pets that may be travelling with you. OK, I don’t know about you but I am feeling quite itchy right now! The important thing is to take all the reasonable precautions outlined above, and be sure to pop in to have a chat with a Nomad Travel Health specialist about vaccinations and also to put the risks into perspective for you with a comprehensive consultation.

Happy Trails!