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Euro Surveill. 2012 Mar 22;17(12). pii: 20128.

Tick-borne encephalitis transmitted by unpasteurised cow milk in western Hungary, September to October 2011.

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  • 1European Programme for Intervention Epidemiology Training (EPIET), European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.

Erratum in

  • Euro Surveill. 2012;17(31): pii/20236.


In October 2011, a cluster of four tick-borne encephalitis (TBE) cases was identified in Hungary. Initial investigations revealed a possible link with consumption of unpasteurised cow milk sold by a farmer without authorisation. We performed a cohort study including all regular customers of the farmer. Overall, eleven cases (seven confirmed and four suspected) were identified. Customers who had consumed the farmer’s unpasteurised cow milk had more than a two-fold increased risk for being a TBE case, although not at statistically significant level.

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