Tick-borne encephalitis in France: Improved Surveillance Through Mandatory Reporting

Santé publique France has released its 2024 report on the surveillance of tick-borne encephalitis (TBE) through mandatory case reporting. In conjunction with this report, the agency is reminding the public of some tips to follow to protect themselves from tick bites.

Encéphalite à tiques

Tick-borne encephalitis

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Tick-borne encephalitis is transmitted to humans through the bite of a tick carrying the virus. The primary preventive measure involves protecting oneself against tick bites. In addition, vaccines...

Active from spring through fall, ticks can transmit several pathogens that cause infectious diseases, including tick-borne encephalitis. The tick-borne encephalitis virus is transmitted to humans through tick bites during work or recreational activities in damp wooded areas, such as camping, hiking, and mushroom picking. More rarely, infection can occur through the consumption of raw milk or raw milk cheese, primarily from goats or sheep.

In response to the rise in infections across Europe, as well as the expansion of the virus’s geographic range and season of circulation, cases of tick-borne encephalitis were added to the list of notifiable diseases in 2021. The goal of this designation is to track the progression of outbreaks over time and implement appropriate public health policies. In 2024, the increase in reports mainly concerns mild forms of the disease, suggesting good awareness and acceptance of mandatory reporting by physicians and the public.
However, it remains important to further raise awareness to ensure more accurate monitoring of the TBE virus’s spread in France.

Key Figures on Tick-Borne Encephalitis in Metropolitan France in 2024

  • In 2024, 62 diagnosed cases were reported in France, representing a 60% increase in the number of cases compared to 2023, and a 77% increase compared to 2022, the first full year of surveillance through mandatory reporting.

  • Fifty-five cases (88.7%) reported in 2024 were infected in France.

  • Sixteen cases (25.8% vs. 15.4% in 2023) were engaged in occupations exposing them to the risk of TBE virus infection.

  • The peak in case occurrence (date of symptom onset) was in July–August, with 16 and 17 cases, respectively, accounting for 53% of the annual total.

  • The majority of cases were infected in the Auvergne-Rhône-Alpes and Grand-Est regions.

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12 August 2025

Tick-borne encephalitis (TBE) in France. Summary of reported cases in 2024.

How can you protect yourself from tick bites?

Natural environments and areas with vegetation are conducive to the presence of ticks, especially during the warmer months.
To limit the risk of bites and prevent associated diseases, it is recommended to take appropriate protective measures during any outdoor activity:

Before or during high-risk activities (hiking, gardening, walking in the woods or pastures):

  • Wear long sleeves and pants, wear a hat, and tuck your pant legs into your socks;

  • Stay on marked trails and avoid thickets, ferns, and tall grass;

  • Apply a suitable tick repellent to your skin.

After exposure:

  • Carefully inspect your body for any ticks;

  • If bitten, remove the tick as soon as possible using a tick remover or, if unavailable, a pair of fine-tipped tweezers.

See also:

Vaccination against tick-borne encephalitis

Vaccination against tick-borne encephalitis is recommended for people living in countries where the disease is common and for adult and child travelers who may be exposed to it in those countries. It significantly reduces an individual’s risk of contracting the disease.

Reportable Diseases (RD)

The system for monitoring reportable diseases relies on the transmission of data by physicians and laboratory professionals (both in private practice and in hospitals) to public health...

Vaccination Information Service

What are vaccines for? How do they work? At what age should children be vaccinated? Vaccination-info-service.fr answers the most frequently asked questions about vaccination. A separate...

Travel

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