Tick-Borne Encephalitis (TBE) is a serious viral infection transmitted through the bite of infected ticks in parts of Europe and Asia. It can cause flu-like illness followed by severe inflammation of the brain and spinal cord. There is no cure, and long-term neurological complications are common.
If you are travelling to rural, forested or grassy areas in affected regions, TBE vaccination is strongly recommended.
To check risk by country or region, visit NaTHNaC:
https://travelhealthpro.org.uk/factsheet/41/tick-borne-encephalitis
Northfields Travel Clinic, based at Bramley Pharmacy, provides TBE vaccination for adults and children, using TicoVac and TicoVac Junior.
TBE is spread primarily through the bite of infected Ixodes ticks. These ticks live in:
Forests and woodland
Grassy meadows and riverbanks
Rural farmland
Forest edges and glades
Parks and suburban green spaces
Ticks are common in:
Central and Eastern Europe
Baltic region
Nordic countries (including Sweden and Finland)
Russia (large affected areas)
Parts of China, Mongolia & South Korea
Most cases occur during spring, summer and early autumn, when ticks are active.
TBE can also be spread (rarely) through unpasteurised dairy products from infected animals.
You may be at higher risk if you plan to:
Hike, camp or backpack in rural areas
Walk through forests, parks or grassy areas
Cycle or run outdoors in affected regions
Work outdoors (forestry, farming, military, fieldwork)
Travel for long stays or to remote areas
Visit friends/relatives living near woodland
Tick bites often go unnoticed — the nymph forms are tiny, almost invisible.
The illness often develops in two stages:
Fever
Tiredness
Headache
Muscle aches
Nausea
Some people recover after this stage. Others progress to:
Severe headache
Stiff neck
Confusion
Seizures
Paralysis
Balance problems
TBE is rarely fatal in Europe
In parts of Asia, mortality may reach 20%
Up to half of survivors develop long-term neurological problems
There is no antiviral treatment — prevention and vaccination are essential.
Even if vaccinated, you should:
Wear long sleeves and trousers
Tuck trousers into socks when walking through grass/forest
Use DEET or similar repellents
Check your body for ticks daily
Remove ticks promptly using fine-tipped tweezers or a tick-removal tool
Avoid unpasteurised dairy products in at-risk regions
Seek medical advice if symptoms develop within 28 days of a tick bite.
We offer TicoVac (adult) and TicoVac Junior (children), the standard vaccines recommended across Europe.
Brand: TicoVac / TicoVac Junior
Doses: 3-dose course
Price: £65 per dose
Schedule: 0, 1–3 months, and 5–12 months
Accelerated schedule: Available in some cases for last-minute travellers
Protection: High; booster recommended every 3–5 years if ongoing risk
Suitable for: Adults and children (age-specific formulation)
Vaccination is recommended for:
Travellers spending time in forests/grasslands
Campers, hikers, adventure travellers
Cyclists, outdoor workers, military personnel
Anyone visiting rural risk areas during tick season
TicoVac Junior is licensed for children aged 1 year and older.
The schedule is similar to the adult course. TBE risk exists even for young children, especially those playing outdoors in rural or woodland areas.
Dose 1: Day 0
Dose 2: 1–3 months later
Dose 3: 5–12 months after dose 2
Dose 1: Day 0
Dose 2: 14 days later
(Dose 3 still required at 5–12 months for long-term protection)
A booster is recommended:
Every 3 years if ongoing high risk
Every 5 years in some low-exposure groups (per manufacturer & country guidance)
Northfields Travel Clinic provides the Tick-Borne Encephalitis vaccine on-site at Bramley Pharmacy, 261 Northfield Avenue, Ealing (W5).
Use our online booking widget to schedule your appointment.
Stay protected, reduce your risk of tick-borne illness, and enjoy your trip safely.
Yes. Two doses provide significant short-term protection, but the third dose is needed for long-term immunity.
Yes. We offer an accelerated schedule for travellers who need rapid protection.
Yes. Vaccination reduces the risk of encephalitis but does not prevent tick bites or other tick-borne diseases.
In some European regions, TBE is increasing. Even popular holiday destinations like Austria, Slovenia, Switzerland and Sweden have risk areas.
Yes — from age 1 year with TicoVac Junior.
Yes. TicoVac has been used widely across Europe for many years.
NaTHNaC / TravelHealthPro – Tick-Borne Encephalitis
https://travelhealthpro.org.uk/factsheet/41/tick-borne-encephalitis
ECDC – Tick-Borne Encephalitis
https://www.ecdc.europa.eu/en/tick-borne-encephalitis
WHO – TBE Factsheet
https://www.who.int/teams/control-of-neglected-tropical-diseases/vector-ecology-and-management/tick-borne-diseases