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Tick-Borne Encephalitis (TBE)
Bell Pharmacy Bow

What is TBE and how do we get it:

is a viral infection spread to humans by the bite of a small spider-like parasite called a tick. There are European version, Siberian version and far eastern version (most deadly) The initial symptoms of TBE usually develop at some point between two and 28 days after being bitten by an infected tick. The virus can also be transmitted through food like unpasteurised milk

Symptoms of Tick-Borne Encephalitis (TBE):

A high temperature, a headache, tiredness, muscle pain and feeling sick. These initial symptoms usually last for one to eight days, after which point most people will make a full recovery. However, some people will go on to develop more serious problems. In the second phase of the infection, the virus starts to affect your central nervous system which can cause: meningitisinflammation of the membranes surrounding the brain and spinal cord encephalitis – inflammation of the brain which cause a sudden fever, nausea and vomiting, a stiff neck a headache changes in mental state, and paralysis. If TBE reaches this stage, you'll need to be admitted to hospital. These symptoms usually slowly get better over a few weeks, but it may take several months or years to make a full recovery and more than one in 10 people develop long-term problems.

Childhood/ Routine Immunization program in the United Kingdom:

Currently there is no Routing Immunization program for TBE.

Travellers going to destinations with TBE outbreaks:

Dose Normal Schedule Rapid Schedule for travellers needing urgent vaccination
1st Elected date Elected date
2nd 1-3 month after the first doe 2 weeks after the 1st dose
3rd 5-12 months after the 2nd dose 5-12 months after the 2nd dose

The third dose should be given between 5 and 12 months after the second vaccination regardless conventional or rapid immunization schedule.

To achieve immunity before the beginning of the seasonal tick activity, which is in spring, the first and second doses should preferably be given in the winter months, but it is not always necessary to start then. Having some immunity is better than having no immunity.


The above 3 doses of TBE vaccination gives initially 3 years’ protection. After 3 years, you will need one booster to give you protection for a further 5 years. After this second booster dose, you will require another booster every 5 years and it goes on like this. If you are however, above age of 60, you need booster dose every 3 years until you live.

Inclusion and Exclusion list:

For patients 1-16 years we use Ticovac Junior and 16 years and above we use Ticovac. There are inclusion and exclusion list that will be discussed with you during your appointment. You will be asked to fill in an assessment form with all your vaccination history details as well as any medical condition. Also we will go through any allergic reactions you might have. You can download the form here or you can fill it in during your appointment.

Name of the Vaccines subject to availabilities:

Name of the Vaccine Type of Vaccine Schedule (see notes above) Price per schedule including consultation
Ticovac inactivated Tick-Borne Encephalitis Virus 3 doses £65
Ticovac Junior inactivated Tick-Borne Encephalitis Virus 3 doses £65

Side effects:

The most common side effects are local reactions (pain, erythema, induration and oedema) within 48 hours after vaccination, and persisting for 1-2 days.

Please visit http://www.fitfortravel.nhs.uk/destinations.aspx, after putting your destinations, this website will advise you which vaccines are needed. This website is regularly updated and is authorised by NHS.

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