Investigation of Omsk haemorrhagic fever virus (OHFV) in Kazakhstan. Patients with suspected meningitis or meningoencephalitis in East Kazakhstan, Akmola and Almaty city, rodents from Almaty city, Almaty region and West Kazakhstan and ticks originating from North Kazakhstan, Akmola region, Almaty city and Almaty region were screened for OHFV RNA (light and dark grey). OHFV regions identified in this study (dark grey) with OHFV-RNA-positive patients (★), ticks (▲) and rodents (●). In North Kazakhstan and East Kazakhstan, no OHFV was identified (light grey). Thus far, OHFV-endemic regions in Russia adjacent to Kazakhstan are Kurgan, Tyumen, Omsk and Novosibirsk (grey pattern).