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Data: 05/2013

Malaria Risk Areas

Malaria Prophylaxis

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Recommended Vaccinations

Illness Vaccination Protection Risk Groups
Diphtheria yes Basically, all persons should have a valid vaccination protection (booster every 10 years)
Tick-borne Encephalitis risk groups - yes Travellers to TBE endemic areas, especially involving frequent forest hikes or "days in the country", etc. The professional high-risk group includes hunters, forest warden, forestry workers.
Yellow Fever no
Hepatitis B risk groups - yes All travellers to areas with increased rates of hepatitis B or high-risk groups (among others, medical personnel, persons with a frequent change of sexual partners, drug addicts, dialysis patients and hemophiliacs).
Influenza risk groups - yes Recommended for adults ages 60yrs. and older and for people who have chronic illness (risk groups). For other travellers vaccine can be reasonable if risk of exposure is given like e.g. in influenza season
Pertussis yes All people need protection against diphtheria, tetanus, and pertussis. Therefore all adults should receive a single dose of Tdap preferably with the next Td doses.
Measles risk groups - yes Vaccine is recommended for travellers visiting regions with measles outbreaks. The German "STIKO" recommends a single dose of MMR (measles, mumps, rubella) for adults age 18yrs and older and born after 1970, if there is no evidence of immunity or no documentation of vaccine or only one documented dose given in the childhood.
Pneumokokken risk groups - yes Recommended for people through age 2 years with increased health risk due to chronic illness (risk groups).
Tetanus (Lockjaw) yes Basically, all persons should have a valid vaccination protection (booster every 10 years)
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Special Health Risks

Illness Note Protection
Borreliosis risk of infection throughout the country
vector: ticks (especially in grass, woods, forests and bushes)
increased risk of transmission from April through October 		Tick protection through skin-covering clothes; use of insect repellents (creames, lotions, sprays).
(TBE) Tick-Borne-Encephalitis

vector: ticks with TBE-virus (especially in grass, woods, forests and bushes)
increased risk of transmission: spring to autumn (April - November)
infected areas: especially in Bavaria and in Baden-Württemberg

Bavaria:
south of the Bavarian Forest, Lower Bavaria, along the Donau River from Regensburg on (especially Passau); along the following rivers: Paar, Isar (beginning at Landshut), Rott, Inn, Vils and Altmühl, small foci in Nothern Bavaria
The following districts are TBE-risk areas: Kempten, Passau, Rottal-Inn, Altötting, Traunstein, Rosenheim, Mühldorf a. Inn, Landshut, Dingolfing-Landau, Deggendorf, Freyung-Grafenau, Regen, Straubing-Bogen, Regensburg, Cham, Schwandorf, Pfaffenhofen an der Ilm, Ansbach, Nürnberg, Fürth, Erlangen, Neustadt/Aisch-Bad Windsheim, Erlangen-Höchstadt, Bamberg, Bayreuth, Lichtenfels, Kulmbach, Kronach, Main-Spessart, Berchtesgadener Land, Forchheim, Kelheim, Kitzingen, Miltenberg, Neustadt an der Waldnaab, Roth,  Weißenburg-Gunzenhausen, Amberg-Sulzbach, Amberg, Aschaffenburg, Coburg, Hof, Neumarkt in der Oberpfalz, Neu-Ulm, Schweinfurt, Würzburg, Wunsiedel i. Fichtelgebirge, Schwabach, Miesbach, Ebersberg, Erding, Freising, Landshut, Straubing, Aichach-Friedberg, Neuburg-Schrobenhausen, Eichstätt, Ingolstadt, Donau-Ries, Nürnberger Land, Weiden i. d. OPf., Tirschenreuth, Haßberge, Bad Kissingen, and Rhön-Grabfeld.

Baden-Württemberg:
all parts of the Black Forest, the regions of Pforzheim, Offenburg, Freiburg, Villingen, Tübingen, Sidelfingen, areas along the rivers of Enz, Nagold, Neckar and along the Upper Rhein (from Kehl s to the west of Bodensee (Konstanz, Singen, Stockach)
The following districts are TBE-risk areas: Ulm, Ravensburg, Bodenseekreis, Konstanz, Waldshut, Lörrach, Breisgau-Hochschwarzwald, Freiburg i. Breisgau, Schwarzwald-Baar-Kreis, Emmendingen, Ortenaukreis, Rottweil, Zollernalbkreis, Freudenstadt, Rastatt, Calw, Tübingen, Reutlingen, Böblingen, Stuttgart, Sigmaringen, Pforzheim, Karlsruhe, Enzkreis, Ludwigsburg, Rems-Murr-Kreis, Heilbronn, Rhein-Neckar-Kreis, Neckar-Odenwald-Kreis, Main-Tauber-Kreis, Ostalbkreis, Heidelberg, Biberach, Tuttlingen, Esslingen, Baden-Baden, Hohenlohe, Mannheim, Schwäbisch Hall, Göppingen, and Alb-Donau Kreis.

Rhineland-Palatinate: district of Birkenfeld

Thuringia: district of Saale-Holzland Kreis, Hildburghausen, Saale-Orla Kreis, Saalfeld-Rudolstadt, Sonneberg, Jena, and Gera.

Hesse: districts of Marburg-Biedenkopf, Odenwaldkreis und Bergstrasse, Darmstadt-Dieburg, Offenbach Main-Kinzig Kreis, Groß Gerau, and Darmstadt.

Saarland:
Saar-Pfalz-Kreis


Additional areas of sporadic TBE-disease exist, but are not declared as TBE-risk areas due to sporadic occurence.

 Vaccination; Tick protection through skin-covering clothes; use of insect repellents (creames, lotions, sprays).
Rabies risk of infection throughout the country Vaccination. Keep away from stray animals (especially dogs and cats).