Medical Response & Claims Management Specialists
Six Tick Borne Diseases


Six tick borne diseases as listed by World Health Organization

Crimean-Congo Haemorrhagic Fever

  • The Crimean-Congo hemorrhagic fever (CCHF) virus causes severe viral hemorrhagic fever outbreaks
  • Outbreaks have a case fatality rate of up to 40%
  • Risk to travelers – no vaccine is available, avoid countries where CCHF is endemic
  • Location – CCHF is endemic in Africa, the Balkans, the Middle East and Asia, and in countries south of the 50th parallel north

Lyme Disease

  • Infection occurs through the bite of an infected tick of the genus Ixodes
  • Risk to travelers – generally low except for visitors to rural areas, particularly campers and hikers, in countries or regions at risk
  • Location – forested areas of Asia, north-western, central and eastern Europe, Canada and the USA

Relapsing Fever (Borreliosis)

  • Transmitted through tick bites with symptoms developing 15 days after bite
  • Risk to travelers – avoid risk areas such as forests and wetlands during months of April to October
  • Location – Africa, Spain, Saudi Arabia, Asia, and certain areas of Canada and the western United States

Rickettsial Diseases (Spotted Fever and Q Fever)

  • Tickborne spotted fever rickettsioses are the most frequently reported travel-associated rickettsial infections
  • Symptoms appear 5 to 14 days after bite
  • Risk to travelers – all age groups are at risk for rickettsial infections during both short and long-term travel to endemic areas
  • Location – tick-borne rickettsial diseases occur worldwide

Tick-borne Encephalitis

  • Viral infectious disease involving the central nervous system
  • The disease is incurable
  • Risk to travelers – vaccinations are recommended for high-risk activities such as working or camping in forested areas or farmland, adventure travel or living in countries where the disease is present for an extended period
  • Location – the disease is most common in Central and Eastern Europe, and Northern Asia


  • Symptoms develop between 3-5 days
    • Fever, ulcers and swollen lymph nodes, eye inflammation, sore throat, pneumonia, or a severe, acute flu-like illness
  • Tularaemia can be treated with antibiotics
  • Risk to travelers – being in areas where the disease is endemic heightens the risk of becoming infected
  • Location – the disease is endemic in North America and parts of Europe and Asia

For more information on preparing a medical plan for your travel, please visit:

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