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Tick-borne Encephalitis (TBE) Vaccination
What is tick-borne encephalitis & how do you catch it?
Tick-borne encephalitis (TBE) is a viral infection that’s spread by a type of tick, which looks a bit like a small spider. The infection is transmitted when an infected tick bites a human or animal. Infected ticks are mainly found in rural areas such as forests, woods, grasslands, riverside meadows, marshes, brushwood and scrublands in some European and Asian countries including Austria, Estonia, Croatia, Russia, China and Japan. Note: this isn’t an exhaustive list. TBE isn’t found in the UK.
In rare cases, TBE can also be contracted through eating or drinking unpasteurised dairy products from an infected animal.
PRICE: Adult £70 Child £65 Per Dose
Signs and symptoms
Tick-borne encephalitis symptoms occur in two stages. First signs of TBE include flu-like symptoms such as:
• High temperature
• Muscle pain
On average, these symptoms last around eight days and most people make a full recovery. In around 20-30% of cases, people go on to develop more serious symptoms. This is when the virus has spread to the protective tissue that covers the brain and spinal cord (meningitis) and the brain itself (encephalitis).
More serious symptoms can include:
• Change in mental state: confusion, disorientation or drowsiness
• Sensitivity to bright light
• Inability to speak
If these symptoms occur, you’ll most likely be admitted to hospital for medical attention. These more severe symptoms will subside after a few weeks, but it could take several months or even years to fully recover. There is a risk of long-term complications and around one in 100 cases of TBE turns out fatal.
There is currently no available treatment, other than supportive treatment.
It’s important to take precautions to reduce your risk of being bitten, particularly when you’re in high-risk areas, even if you’ve been vaccinated. Here are some precautions you should take:
• Wear long sleeves and trousers and tuck your trousers into your socks
• Wear light-coloured clothing so ticks are easier to spot
• Treat clothing with an insecticide such as permethrin, and apply DEET insect repellent to exposed skin
• Check your skin regularly for ticks – especially your hair line, behind ears, elbows, backs of knees, groin and armpits
You can also reduce your risk of contracting TBE by not eating or drinking unpasteurised dairy products.
How to remove a tick
If you find a tick on your skin, it’s important to remove it as soon as possible. Once attached ticks may not start feeding for several hours. Tick larvae can be very tiny but once they start to feed they can reach the size of a coffee bean. Removing the tick can be done as follows:
- Use a special tick remover tool or finely tipped tweezers
- Grasp the tick as close to the skin as possible and slowly pull upwards until all parts are removed
- Try to avoid sudden movements or twisting as this could cause the tick to leave mouthparts in the skin after the tick has been removed
- Don’t squeeze the body of the tick as the contents of its stomach could go back into the site of the bite
Once removed, wash your hands and the tick bite with soap and water or an antiseptic, such as an iodine scrub. If you’ve not been vaccinated and you’re in an area where there’s a risk of TBE and you develop a rash or fever, seek medical advice straight away.
The tick-borne encephalitis vaccination is administered via injection. The vaccination course consists of three doses, but sufficient protection for the ongoing tick season is to be expected after the first two doses, the second dose usually being given one-three months after the first. However, if time is short, speak to a travel health pharmacist or another suitable healthcare professional.
How long does the tick-borne encephalitis vaccination last?
Following a course of three vaccinations, a first booster dose should be given after three years. For those aged between two and 60 years, subsequent boosters can be given five-yearly if at continued risk.
For travellers over 60 years, boosters should be given every three years if at continued risk.
“I have had persistent neck and shoulder discomfort for some time. Regular visits to my local GP did not help. I was recommended to see Dr Sheila O’Neil who gave me a check-up and recommended that I see her physiotherapist colleague, Vicky Graham. I have had three sessions of physiotherapy and have regained full mobility in my neck and shoulders and feel a great deal better. I am very grateful to Dr Sheila and expect, with my husband, to sign up with her as regular patients.”Mrs Johnston
I would like to thank Dr O’Neill very much for her time today: I get the impression that she is a very caring professional, knowledgeable and reassuring, and that she makes explaining conditions crystal clear, which is exactly what is needed for an anxious patient like myself. The staff that I met were all extremely welcoming, well-groomed and helpful too. Add to this the very relaxing and beautifully scented ambience and it was really a truly positive and pleasant visit. Thank you.Linnea Blair
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We took our 2-year-old son in to see Dr O’Neill for a meningitis B vaccination recently. Due to shortages of the vaccine, we had been on a waiting list with a well-known high street pharmacist for months without knowing when they would get stock in. We came across Glasgow Medical Rooms who had the vaccination and we managed to get our son booked in the next day. The clinic was very smart and easy to access in the city centre too. Dr O’Neill was great at dealing with our toddler. It was a relief to get the jabs sorted so quickly and would highly recommend the service to others.”Mrs CrawfordInverclyde