Climate change and tick-borne encephalitis in the Greater Alpine region.

Abstract Tick-borne encephalitis (TBE) is a viral tick-borne disease. The distribution of human TBE cases ranges from the French departments bordering Germany through Central and Eastern Europe, the Caucasus and Kazakhstan to the Far East of Russia and China. In this expert opinion, TBE is described in the greater area of the European Alps, denoted as the Greater Alpine Region (GAR). It also includes reported tick-borne encephalitis cases and evidence for climate change impacts on tick density and distribution as well as the prevalence and intensity of TBE.