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TBE virus infection is a risk for certain travelers and for laboratory workers who work with the virus. The risk for TBE for most U. The risk for exposure to infected ticks is highest for persons who are in areas where TBE is endemic during the main TBE virus transmission season of April—November and who are planning to engage in recreational activities in woodland habitats or who might be occupationally exposed. All persons who travel to areas where TBE is endemic should be advised to take precautions to avoid tick bites and to avoid the consumption of unpasteurized dairy products because alimentary transmission of TBE virus can occur.

TBE vaccine can further reduce infection risk and might be indicated for certain persons who are at higher risk for TBE. The key factors in the risk-benefit assessment for vaccination are likelihood of exposure to ticks based on activities and itinerary e.

Other risk-benefit considerations should include 1 the rare occurrence of TBE but its potentially high morbidity and mortality, 2 the higher risk for severe disease among certain persons e.