Greece Beyond the Beaches: Why Tick Awareness Matters

Greece is famous for its ancient wonders, beautiful islands, and Mediterranean lifestyle. While most visitors focus on its bustling cities and sunny beaches, those venturing into forests, rural villages, or hiking trails should be aware of a less common but important health concern — tick-borne encephalitis (TBE).

Although Greece is not a high-risk country compared to parts of Central and Eastern Europe, sporadic cases of TBE have been reported, particularly in northern and central regions. For travelers planning outdoor adventures, basic awareness and preventive steps can make your journey both safe and enjoyable.

What Is Tick-Borne Encephalitis (TBE)?

Tick-borne encephalitis is a viral infection affecting the central nervous system, transmitted mainly through the bite of infected Ixodes ricinus ticks, which are present in parts of Greece and Europe. In rare cases, the virus can spread via unpasteurized dairy products from infected animals.

Symptoms often develop in two stages:

1. Initial Phase (flu-like symptoms): fever, headache, fatigue, and muscle pain.

2. Neurological Phase (in severe cases): meningitis or encephalitis, leading to complications such as confusion, seizures, or long-term neurological effects.

While many infections remain mild or asymptomatic, severe cases can cause lasting damage, highlighting the importance of prevention.

(Source: ECDC – European Centre for Disease Prevention and Control)

Where Is the Risk in Greece?

The overall risk of TBE in Greece is low, but not zero. Reported cases are mainly found in Macedonia and Thessaly, where forested and rural landscapes provide ideal tick habitats.

Key points:

• TBE risk is highest from spring through autumn.

• The general tourist visiting Athens, Santorini, or coastal resorts faces minimal risk.

• Outdoor activities such as hiking, camping, or farming in rural areas increase exposure.

Prevention: How Travelers Can Stay Safe

For most visitors, preventing tick bites is the best protection. Simple precautions include:

• Wear protective clothing: Long sleeves, long trousers, and socks when hiking.

• Use insect repellent: Products with DEET or picaridin are effective.

• Stay on marked trails: Avoid tall grasses, dense bushes, and undergrowth.

• Do regular tick checks: Inspect skin, scalp, armpits, and clothing after outdoor activities.

• Remove ticks safely: Use fine-tipped tweezers, pulling upward steadily without twisting.

TBE Vaccination: Do You Need It for Greece?

According to health authorities, the TBE vaccine is not routinely recommended for short-term visitors to Greece, as the risk is relatively low. However, it may be considered for:

• Travelers spending extended time in northern/central Greece.

• Outdoor workers, forestry staff, or frequent hikers in high-risk areas.

• Individuals with health conditions that increase vulnerability to severe infections.

Consult a travel medicine specialist or your doctor at least 4–6 weeks before departure to determine whether vaccination is advisable for your trip.

(Source: WHO – International Travel & Health)

Quick Traveler’s Safety Checklist (TBE in Greece)

Risk is low but present in rural northern/central Greece.
City and island travelers generally don’t need to worry.
Use repellent, protective clothing, and tick checks.
Vaccine only recommended for high-risk, long-stay, or outdoor travelers.
Always seek professional medical advice before your trip.

Final Word

👉While tick-borne encephalitis might sound alarming, the average traveler to Greece is at very low risk. By taking a few preventive measures, you can explore forests, mountains, and villages with peace of mind.

Disclaimer: This article is for informational purposes only and does not substitute professional medical advice. Always consult a qualified healthcare provider for personalized guidance before traveling.