First documented case of infection with the tick-borne encephalitis virus in Vorarlberg, Austria

The present study provides evidence and documentation of the first case of infection with the tick-borne encephalitis (TBE) virus acquired in the fede ral state of Vorarlberg (Austria). The area in which the viral infection wa s discovered lies in the vicinity of Ludesch in the Illvalley (Bludenz dist rict). In order to investigate the current state of immunity to TEE in the Vorarlberg community, a total of 218 representative sera samples taken from donors resident in the districts of this state were investigated for antib ody titers (IgG) of TEE. 38% of the samples had antibody titers representat ive of sufficient patient immunity, with the highest immunity (63%) in pers ons aged 20-40 years. Donors living in ur ban areas had a higher percentage of immunity (43%) than those living in rural areas (33%). Further, men wer e more immune to infection (43%) than women (33%). The lowest level of immu nity (18%) to TEE was found in the Bregenzerwald communities. Based on this report, wider criteria for administering TEE vaccines to patients from the Illvalley should be applied, in particular among the elderly and those liv ing in rural areas.