Outdoor enthusiasts and holidaymakers planning trips to central and
eastern Europe this year are being warned about a potentially
life-threatening disease.

The 'Tick Alert' awareness campaign urges travellers to 16
named European countries, including many of the new popular
destinations for outdoor tourism such as Croatia, Slovenia and
Slovakia, to protect themselves against Tick Borne Encephalitis
(TBE).
Increased tourism to rural and woodland areas of endemic countries
in Europe is increasing the risk to visiting UK outdoor
enthusiasts, the majority of whom remain unaware of the disease,
how it is contracted or that they are members of a high-risk travel
group.
TBE is a potentially life-threatening viral disease that can lead
to meningitis and in serious cases can result in paralysis and
death. It is transmitted via the bite of an infected tick, found
typically in rural and forest areas up to a height of 3,000ft and
occurs mainly during the late spring and summer months. The disease
can also be transmitted by the ingestion of unpasteurised milk.
There has been a dramatic rise in the incidence of tick-borne
diseases in central and eastern Europe over the last 10 years. TBE
is now endemic in countries spreading from Sweden, across the
Baltics and down to Croatia.
The fact that a number of endemic countries conduct intensive
inoculation programmes for their resident populations should be
heeded by all UK visitors.
“There is a low awareness of TBE, even among people
experienced in outdoor activities abroad,” said Tick
Alert's Lynda Bramham. “The aim of this campaign is to
encourage anyone travelling to TBE endemic regions, and at risk of
the disease through their outdoor leisure activity, to take
effective precautions.”
Official figures show the number of UK tourists to the former
Yugoslavia rose by 40 per cent last summer to 114,000 compared with
the previous 12 months. Similarly, visitors to central and eastern
Europe reached 558,000, an increase of 38 per cent.
Adventure travel, hiking and mountain biking in Europe are all
increasing in popularity as people discover these new destinations.
A 2004 report by Mintel highlighted the growth of agritourism and
countryside holidays in places such as Croatia and Estonia, and the
Association of British Travel Agents (ABTA) lists Slovenia and
Bulgaria among its hot tips for holidays in 2005.
Professor Sarah Randolph, head of the Oxford Tick Research Group at
the University of Oxford said: “In some countries of mainland
Europe the most serious vector-borne disease is caused by a virus
transmitted by ticks, tick-borne encephalitis (TBE), which may kill
one in every hundred people infected.”
There are a number of bite prevention measures that can be taken to
reduce the risk of infection: these include using an insect
repellent, wearing protective clothing to cover all areas of
exposed skin, regularly inspecting your body for tick bites and
carefully removing any that are found. However, the Foreign Office
advises that travellers to TBE endemic regions seek inoculation
advice form their local surgery of clinic – well before travelling.
Immunisation against TBE is available as a paid-for travel vaccine
from specialist travel health clinics operated by MASTA, the
UK's leading provider, and at GP surgeries and healthcare
centres. For further information and advice for travellers visit www.masta.org/tickalert