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No vaccinations are necessary for business visits or general tourism. There is, however, a risk of tick-borne encephalitis for long-term visitors who expect to be visiting rural or forested areas in spring or summer. These travellers should consider vaccination and ensure they take precautions against tick infestation. Water and food are safe. Medical facilities are excellent. Medical insurance is advised unless from the UK - citizens of EU countries can get free emergency medical treatment at public hospitals in Austria on production of a European Health Insurance Card (EHIC). Bird flu was found in dead swans in the southern province of Styria in February 2006 and stringent measures were taken to contain the outbreak. The risk is very low for travellers, but all close contact with wild, domestic and caged birds should be avoided, and all poultry and egg dishes well cooked as a precaution.
Tick-borne encephalitis
Cause: The tick-borne encephalitis (TBE) virus, which is a flavivirus. Other closely related viruses cause similar diseases. Transmission: Infection is transmitted by the bite of infected ticks. There is no direct person-to-person transmission. Some related viruses, also tick-borne, infect animals such as birds, deer (louping-ill), rodents and sheep. Nature of the disease: Infection with tick-borne encephalitis may induce an influenza-like illness, with a second phase of fever occurring in 10% of cases. Encephalitis develops during the second phase and may result in paralysis, permanent sequelae or death. Severity of illness increases with age. Geographical distribution: Tick-borne encephalitis is present in large parts of Europe, particularly Austria, the Baltic States (Estonia, Latvia, Lithuania), the Czech Republic, Hungary and the Russian Federation. The disease is seasonal, occurring mainly during the summer months in rural and forest areas at altitudes up to 1,000 metres. Risk for travellers: In endemic areas during the summer months, travellers are at risk when hiking or camping in rural or forest areas. Prophylaxis (protective treatment): A vaccine against TBE is available. Precautions: Avoid bites by ticks by wearing long trousers and closed footwear when hiking or camping in endemic areas. If a bite occurs, the tick should be removed as soon as possible. Source: WHO.
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