Risk Map2017 TBE Endemic

PP-TCV-EUR-0119; Date of preparation March 2018 p n ka in rd dk o or N N

Tick-Borne EncephalitisB / Frühsommer-Meningoenzephalitis in Europe 2017 rei flói Hammerfest fjö da- na rður ú 30 H 20 10 0 10 20 Vadsø30 40 50

I Akureyri C Kirkenes Pechenga Poluostrov P E Tromsø 303 e 60 co n Kanin r Reykjavík L le a 1765 A rå Senja Inarijärvi te 119 Murmansk es Pechora N V V D a Seydisfjörður j ö t n Chibiny k a t e n 1191 2119 u - o Kola l l f a o n L de Kiruna Ozero Imandra r 2117 Kirovsk e fjo Peninsula Arc st Mezen 463 tic C e S ircle VBodø Ukhta Kolari Kandalaksha Y T Mezen' o e

Regions of TBE risk r

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L l K i v e h u m k e i j o W more than 1 000 000 inhabitants l n e N ä Ozero lv Kemi Arkhangelsk Pin more than 500 000 inhabitants e Topozero ega A Um n e more than 100 000 inhabitants äl Luleå ve other towns and villages n Oulu Onega

E Belomorsk n Syktyvka

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v i ve l rnaja D W n v

Faeroe Is. ä i t n (Den.) n a a t o D m Umeå L A N r F I N a 42 e B Ozero g Trondheim D g 413 e Östersund n Vodlozero n Å Vaga Ålesund O Kotlas R 1762 Inda a ls n ä Vaasa ho lv ä c G Lju e u u s n S d n Lake b a k 60 r E Petrozavodsk Onega Konosha Shetland Is. Jotu a n

n Ø 2469 - n Sundsvall Jyväskylä l (U.K.) d f s 33 s h d t Rockall e O o e i m e a e n l (U.K.) e r Tampere Saimaa s r d f 4 i Kirow Lillehammer n 225 ' 100 l v a u Lake S Ozero Beloye l Lahti Bergen u a W p Ladoga A s G l ch a e n D Gävle Vyborg d i Orkney-Is. al S i M (U.K.) älv Turku St. Petersburg I th N en 294 r r Oslo a a o m Helsinki g b N m Cherepovets u th lo S l e ir G t y F Uppsala e

ora Stavanger V H Inver-M S Åland- S 102 Is. Rybinsk ness Karlstad Tallinn U N n R r Örebro Novgorod Cheb 1343 Kristiansand e 44 Stockholm A 30 a Nizhniy- n TONI Lake g Aberdeen ä ES Lake l V o Ivanovo 730 a Tartu Peipus Ilmen Novgorod63 Volga Scotland o k 459 V Yaroslavl' a D Glasgow r Linköping o r Göteborg e Pskov n U 20 ' r a eg Firth of Forth g t 347 Tver' al Northern N a a B Edinburgh k Jönköping S v Oka . S 317 o 147 Vladimir ireland I L Vo T t Gotland lg Belfast a IRELAND E Ålborg K a t t e - Riga Orekhovo- Murom D h Rzhev Moscow Zuyevo Newcastle c Liepaja 168 K Århus g a t Öland I A v a Kolomna n I L A T V s k Saransk 50 Galway B. o Dublin Man N DENMARK Copen- i M o nn Daugavpils Slea Head ha G hagen Sura S D t Vyaz'ma Serpukhov Liverpool O S Klaipeda Za 1041 Leeds M 13 Malmö pa Fyn Sjælland l dn Vitsyebsk Ryazan' U A N I A aja 175 Kaluga Cork Manchester e Bornholm L I T H D Penza 1085 vi Tula a na Smolensk

el Sheffield a N r

n s Kaunas p B e an h Vilnius e h S s Kiel m 118 n 115 e a RUSSIA Oka Chop'or -C e 96 t W

n D s e e Rügen a A e' l v Tr h Rostock T n rg e Birmingham n Islands Gda´ Kaliningrad Lipetsk eo a r ia nsk Sa G n is Hamburg Tambov T t.- r Minsk Orel S CardiffW F 356 S Bryansk L E NETHER- Bremen Grodno R U 150 n g l a n d Amsterdam E L A Szczecin B a T IJsselmeer _ Voronezh A Bristol h Elbe Bialystok sn Land's End l l a The Hague -5 BabruyskB e n w a me W ia D N o r s London LANDS Hanover i Baranovicy re Homel' C Rotterdam Berlin s l_ sin ed a a Kursk 171 C w D h d T Plymouth Magdeburg N o e Dover Antwerp M Essen W Pozna´ p' M Portsmouth e Warta n Liski or

I a s Brest e Don R 33 A a

B r H 58 86 s a h Dortmund r z Warsaw Chernihiv C S Calais i L

E n Belgorod Brussels Duisburg 1142 a W

l e Y O O E n n n e F a t' 242 g l i s h C h a L Düsseldorf Kassel d _ i Prip'a 50 20 u l N Leipzig Lód´z s Lille G e r a l_ Channel-Is. Cologne l O a C Le Havre I 39 d A Elbe Brest (U.K.) U a Dresden Wroclaw_ E Amiens M Bonn M P Lublin W 113 LUXEMBOURG R Kharkiv105 Volg e Kyiv A r 1602 Rivne 384 E r 90 Luxembourg a Do N Frankfurt E nec Reims G D N Rennes 417 Meuse 1244 212 ne I Luhans'k Moselle 181 Prague Gliwice A pr Poltava 5113 Marne84 n R Paris M a i Nürnberg C Kraków U K 367 30 Z Katowice L'viv Cherkasy s 198 E C 321 Horlivka s

Orléans Nancy Karlsruhe H I C a Shakhty a R L p a Rhine E P U B a r t h Dn Vinnytsya v C i es Kirovohrad b Strasbourg 240 Stuttgart a a tr n Nantes Loire 1456 t Brno 227 2655 Ju Donets'k l z Seine 339 n o A ny Tours V V I j B D Loire Dnipropetrovs'k F Munich L O A K M ug Mulhouse Danube V o R 1493 ienna Košice M Zaporizhzhya Dijon Lake Váh Linz 171 S u Mariupol' B A 239 Constance Inn Bratislava n Chernivtsi O Kryvyy Rih a N Salzburg t L Yeysk al y C a Bern Innsbruck a D g Allier Zurich A z a La Coruña rte L. is Debrecen Mykolayiv r o O Clermont- E r I Budapest T O ep Cabo de Finisterre Cab o 540 Vaduz A T R es¸ i Ia ¸si n f Limoges SWITZERLAND U S 104 Som au D Ferrand Lake uGeneva Mur n Prut V sin'´ S e a o f 3798 Graz Chi ¸ n Ar H U N G A R Y A Azov a B Bordeaux J 4274 s Cluj-Napoca s b 350 D Saône 14 u i Geneva 3899 p K Rába a Gijón s 1888 Lyon Bolzano Drau n Odessa c Mts. Dore 4808 4634 u Kerch

Dordogne l 2863 Balaton b

a S Ljubljana e Arad ROMANIA y 1754 Grenoble L C r i m e a 2500 m iño Milan O Pécs Mure s¸ M 2615 116 430 sov VE Zagreb Bra ¸ Izmayil León G 4103 239 Verona Trieste N I Simferopol' C Bilbao ar P A A Sibiu 2543 o elv T I A 1545 1500 m n oux Turin A Timisoara ¸ Porto n Rhône A Venice G e Rijeka O Novi Sad P Nîmes Po 37 Sevastopol' Yalta Sochi 40 Valladolid y Toulouse130 435 Genoa I R Sava L r e p Bucharest 1000 m Dou 65 C ro Salamanca 692 n M. BOSNIA Sokhu Coimbra e A Olt ¸ A E 2165 Bologna Constanta S e Duero AND Drina a b e Marseille M e Belgrade 87 k r Maladeta3404 on 2316 o s Go a T HERZEGOVINA M 500 m 1991 A. lfe co a S. Marino d c G Andorra du e o e L S r b a ion Florence S. M. 537 a nu 2430 200 a n r Split v a l 2245 Madrid r i n Sarajevo a B D 200 m Lisbon U Zaragoza Cabo de Creus i g u SERBIA Varna Cabo da Roca Tejo S 2592 L Bastia Perugia A i Tara a B Tajo Lago di Ni`´s l T 640 Mte. Cinto a Sofia k a n P Ebro 2710 Elba Bolsena n Tajo T Dubrovnik e MONTENEGRO Pri`´stina Samsun 100 m A Corsica v Gr. Sasso t 559 R Barcelona e Ajaccio r Pescara Trabzon Gu na e 2912 i KOSOVO adia I i 2692 2925 Mar Badajoz L ica O N V. Rome c Zonguldak 0 m Skopje Musala Plovdiv Edirne 3095 Valencia ALBANIA 5267 20 35 n Depr. P cha S C. São Vicente La Man s MACEDONIA Istanbul l a n d Y e 40 Faro Córdoba Júcar c I s a r i Palma de a Tirana Lake Ohrid Adapazar l e Menorca Naples 1277e T 100 B a Mallorca Sardinia Bari E Ankara 1276 Gua Ibiza Thessaloníki ya 200 m dalqu Mallorca Vesuvio kar Sevilla ivir Cabo de T Salerno Lake Prespa C U Bursa Sa 851 y P la Náo r r h e s Taranto Mt. Olympus Thásos Cádiz Alicante Formentera 1834 n i a n Brindisi Granada i 2911 E R Eskisehir Kayseri Cagliari n 1043 u 2000 m A 1767 3481 Límnos Bal kesir K Y a 3840 d E r t n a S Lárisa E o t r a. Nevada Cartagena Kérkira 925 a Tangier Málaga u i h e n 3916 h p Gibraltar (U.K.) a MAROCCO S oI 1575 i y t u 4000 m e a i s Erciyes Dag e E i t m Tuz Gölü S n Ceuta (Sp.) e d e r r R Lesvos M r n g ediz a A a Ustica b G i Egridir Gölü n Lipari Is. i E . s a A a v ¸ e l v e Izmir 2734 Beysehir Gölu G es a Palermo a n o Chios r Messina I i de C o n i a n a a en The extent of epidemiological assessment of TBE cases varies between countries. The data presented here may therefore not be entirely 100 0 100 200 300 400 km n yük M I Bü complete, and it cannot be excluded that TBE viral infection – with subsequent development of the disease – will occur in new areas. This S Reggio di Calabria Pátrai Samos map is based on documented cases of TBE virus infection as well as on detection of the pathogen in nature. Last update: November 2017 i Etna s Athens n Bizerte l 2376 c i 3340 Basemap © Ed. Hölzel, Vienna 2017 l y a Peloponnesus Cape Bon n C Antalya Tunis S d y S Syracuse e a s c l a 3069 This map is a service by Pfizer Inc. d e Rhodes 1. Dobler G, Erber W, Schmitt HJ : TBE Book, Global Health Press, Singapore 2017. (ISBN: 978-981-1903-3) http://www.ide-ea.org/tbe accessed on March 13 2018. TUNISIA 1627 S e Data on file e a s a Rhodes