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April 16, 2026 Dear Reader, There are many faces of “zero risk”: Public health loves precision when using “data for action”. Yet, when TBE meets bureaucracy, precision tends to take a vacation. As we prepare the ninth edition of The TBE Book, the usual ritual unfolds: chasing national case numbers that should already be neatly tabulated. Most arrive in time, some late, some never at all—and for a few, the silence is understandable. (War zones have higher priorities than case definitions.) Still, one wonders why officials struggle with their simple Excel sheets, when ticks, at least, respect seasonal deadlines and stop their activity each year when temperatures drop.The deeper question is what those case numbers really mean. If an “area of risk” is any area in which infection probability exceeds zero, then nearly all of northern and central Europe plus Asia should shimmer red. Quantifying such a probability to result in a TBE incidence would require systematic testing, of every CNS inflammation, everywhere. Perhaps with the exception of Austria, no public health system attempts that, yet policy relies on these elegant fictions. And so, as always, data lag behind biology. Edition 9 of The TBE Book—coming in May—will again have the latest case numbers available, and – as before – we will provide these numbers in the context of the ECDC risk definition for arboviruses. We also cover TBE in dogs in Norway, one article you should not even read (but you may want to read my comment), an infographic reflecting tick-borne viral diseases, and literature updates on long COVID, HBV screening in Vietnam, high-dose influenza vaccine, a cell culture-based yellow fever vaccine, waning immunity with mpox and a meningococcal B outbreak in the UK. Finally, you can access our ViVa weekly news here. Enjoy the reading! With best wishes for your continued health, and receive the vaccine doses you need. Warm regards, Editor-in-Chief, Global Health Press |
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