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. Last Updated: 07/27/2016

Ask the Doctor

Q: What's the danger of tick-borne encephalitis around Moscow? And elsewhere in Russia? Who needs to be vaccinated?

Dr. Irina Perrin, European Medical Center:

"Around Moscow there are no tick-borne encephalitis cases, even though ticks are present and give Lyme disease -- no vaccination can prevent it. If people plan to travel to Siberia, the Baikal area, it is better to be vaccinated in winter-spring."

Dr. Yevgeny Gavrilov, International SOS Clinic:

"No tick-borne encephalitis cases have been reported around Moscow so far, though the number of tick-bitten people is growing from year to year. Everyone who is going to the so-called endemic areas -- Siberia, the Far East -- should be vaccinated or at least receive gamma globulin."

Dr. Felix Fenner, Swiss Medical Association:

"Any forest park zones can have ticks, which are the carriers of various dangerous diseases. In any case vaccination is the best protection. If you find a tick in your skin, do not try to remove it yourself but rather go to the doctor immediately."