Table 2. TBE vaccination in CEVAG countries^{1-2, 15-16}.

Country	Available	National vaccination program	Vaccination coverage
Bulgaria	No TBE vaccine registered	No (optional) Only recommended for travelers abroad	Unknown
Croatia	Yes, Austrian and German vaccines (both registered but only Austrian currently available)	No (optional) – vaccination is on an ‘individual basis’ Only recommended for residents in endemic areas and those visiting endemic areas (for recreation) Forestry workers in the Koprivnica-Križevci region	Unknown
The Czech Republic	Yes, Austrian and German vaccines	No, but recommended for infants, children and adults living in or traveling to highly endemic areas As traditionally endemic areas expand, vaccination is increasingly recommended to adults/elderly living in or traveling to these endemic areas, for outdoor activities, forestry and agricultureal workers Reimbursement of the third dose of the vaccine only	2007: 16% (nationwide), 29% (Southern Bohemia), and 27% (Prague) High in children but low in elderly
Estonia	Yes, Austrian and German vaccines	No, but recommended to all individuals aged > 1 y Recommended for travelers visiting endemic areas No vaccine reimbursement is available for the general population Free for risk groups (foresters, irrigators, military personnel) – vaccination is covered by the employer	10% (nationwide) – increasing due to Health Protection Agency campaigns and pharmaceutical companies 2010: 18,000 people vaccinated (5561 children) and 15,274 revaccinated
Hungary	Yes, Austrian and German vaccines	Yes: mandatory for people with extensive exposure to ticks in rural areas (e.g., forestry workers and farmers since 1998, hikers and campers) Recommended for everyone Offered free for residents of highly endemic areas German vaccine is reimbursed (25% of cost covered by National Health Insurance)	5–15% (nationwide)
Latvia	Yes, Austrian and German vaccines	Yes, for children (since 2007) and adolescents living in endemic areas Offered free (since 2010) for orphans/children without parental care vaccination and children living in highly endemic areas Mandatory for high risk groups and/or individuals expecting to have high occupational exposure (e.g., forest workers and military personnel for whom vaccination is paid by employers) Strongly recommended for adults	Children: 22% (nationwide) and up to 77% (highly endemic areas) In highly endemic areas, vaccination has reduced child morbidity from 12.5% in 2001 to 3.6% in 2010    The vaccination rate in the whole population was 39% in 2009
Lithuania	Yes, Austrian and German vaccines	No (optional) Recommended > 1 y of age, but full cost is paid by the patient Some employers provide vaccination (e.g., . forest workers) Vaccines are given on a private basis only Recommended for travelers	Vaccination rates in Lithuania are very low Approximately 20,000 doses of vaccines are used every year
Poland	Yes, Austrian and German vaccines	No national TBE vaccination policy implemented, but recommended for residents of endemic areas, particularly for military personnel, border guards, fire fighters, farmers and tourists – TBE vaccination is not universally reimbursed Mandatory for forestry workers (since 1994) – reimbursed by the employer	Not officially reported 1999: 7500 vaccine doses 2008: 30,800 vaccine doses 2011: 20,000 vaccine doses 1999−2007: 0.34% (nationwide, although more than half living in the northeastern region
Romania	Yes, German child and adult vaccines (both registered)	No national TBE vaccination policy and/or recommendations implemented	Unknown
Slovakia	Yes, Austrian and German vaccines	National TBE vaccination policy and recommendation implemented only for high-risk occupational groups Mandatory for staff working in TBE testing laboratories Recommended for forestry workers, farmers, surveyors, geologists, mountain huts and cableway staff, police officers, military personnel and railway workers	Unknown
Slovenia	Yes, Austrian (mainly) and German vaccine	National TBE vaccination policy (follows general dosage and administration schedules from western manufacturers) and recommendation implemented only for high-risk groups Mandatory (since 1986) for high-risk workers Mandatory (since 1990) for students at high risk Recommended (since 1991) for people living in or traveling to highly endemic areas, including children aged > 1 y	12.4% (nationwide) in 2007:    3.2% (high-risk workers)    2.3% (students at high risk)    2.2% (military personnel)    4.6% (people vaccinated for 'other reasons')
Turkey	No	No	Unknown