{"id":28016,"date":"2026-04-28T13:57:38","date_gmt":"2026-04-28T05:57:38","guid":{"rendered":"https:\/\/tbenews.com\/tbe\/?p=28016"},"modified":"2026-04-28T13:58:07","modified_gmt":"2026-04-28T05:58:07","slug":"snapshot-week-19-2026-tbe-vaccination-coverage-remains-suboptimal-among-swedish-outdoor-workers","status":"publish","type":"post","link":"https:\/\/tbenews.com\/tbe\/snapshot-week-19-2026-tbe-vaccination-coverage-remains-suboptimal-among-swedish-outdoor-workers\/","title":{"rendered":"Snapshot week 19\/2026<br> TBE vaccination coverage remains suboptimal among Swedish outdoor workers"},"content":{"rendered":"<span class=\"cb-itemprop\" itemprop=\"reviewBody\">\n<p class=\"wp-block-paragraph\">Omazic A, Guo J<strong>.<\/strong> <br>Tick-borne encephalitis vaccination coverage among outdoor workers in Sweden: a nationwide survey. <em>Vaccine.<\/em> Published online 2026. doi:10.1016\/j.vaccine.2026.128593<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In Sweden, tick-borne encephalitis (TBE) became a notifiable disease in 2004. Over the past two decades, the number of annually reported cases has increased markedly (e.g., 503 cases in 2025; population: 10.6 million). Although TBE vaccination is highly effective\u2014providing over 90% protection as demonstrated in multiple effectiveness studies\u2014it has not been included in Sweden\u2019s national immunization program.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There is limited evidence on TBE vaccination coverage among outdoor occupational groups, including farmers, forestry workers, hunters, and others with frequent exposure to ticks. To address this gap, a cross-sectional Knowledge, Attitude, and Practice (KAP) study was conducted among outdoor workers in Sweden to assess vaccination coverage in this high-risk population.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nearly half of the participants were farmers; however, their response rate was relatively low (10%\u201316%). The response rate among hunters was even lower. More than 80% of participants had over 10 years of work experience, and a substantial proportion reported 20\u201330 hours of outdoor work per week.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Mean knowledge scores regarding TBE awareness were moderately high across all groups; however, this did not translate proportionally into vaccination uptake. The spatial distribution of TBE vaccination coverage varied considerably across Sweden, with southern and central counties demonstrating substantially higher uptake than northern regions, where more than 50% of participants reported being unvaccinated. Older participants were more likely to be vaccinated than younger individuals, while monthly income and outdoor working hours were not significant predictors of vaccination behavior.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Overall, vaccination practice lagged knowledge levels. High awareness among participants suggests that national TBE awareness campaigns have been effective in disseminating information. However, fewer than 35% of participants reported that their vaccination costs were covered by employers. Given the elevated exposure risk in these occupations compared to the general population, organizations and public health authorities should consider implementing policies to subsidize or fully cover vaccination costs through employers.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is noteworthy that some universities and public authorities have already introduced cost coverage for TBE vaccination for employees engaged in fieldwork or laboratory work involving tick-borne pathogens.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In summary, targeted vaccination strategies, employer-supported programs, and strengthened public health policies are necessary to improve TBE prevention and vaccination uptake in Sweden.<\/p>\n<\/span>","protected":false},"excerpt":{"rendered":"<p>Omazic A, Guo J. Tick-borne encephalitis vaccination coverage among outdoor workers in Sweden: a nationwide survey. Vaccine. Published online 2026. doi:10.1016\/j.vaccine.2026.128593 In Sweden, tick-borne encephalitis (TBE) became a notifiable disease in 2004. Over the past two decades, the number of annually reported cases has increased markedly (e.g., 503 cases in 2025; population: 10.6 million). Although TBE vaccination is highly effective\u2014providing over 90% protection as demonstrated in multiple effectiveness studies\u2014it has not been included in Sweden\u2019s national immunization program. There is limited evidence on TBE vaccination coverage among outdoor occupational groups, including farmers, forestry workers, hunters, and others with frequent exposure to ticks. To address this gap, a cross-sectional Knowledge, Attitude, and Practice (KAP) study was conducted among outdoor workers in Sweden to assess vaccination coverage in this high-risk population. Nearly half of the participants were farmers; however, their response rate was relatively low (10%\u201316%). The response rate among hunters was even lower. More than 80% of participants had over 10 years of work experience, and a substantial proportion reported 20\u201330 hours of outdoor work per week. Mean knowledge scores regarding TBE awareness were moderately high across all groups; however, this did not translate proportionally into vaccination uptake. The spatial distribution of TBE vaccination coverage varied considerably across Sweden, with southern and central counties demonstrating substantially higher uptake than northern regions, where more than 50% of participants reported being unvaccinated. Older participants were more likely to be vaccinated than younger individuals, while monthly income and outdoor working hours were not significant predictors of vaccination behavior. Overall, vaccination practice lagged knowledge levels. High awareness among participants suggests that national TBE awareness campaigns have been effective in disseminating information. However, fewer than 35% of participants reported that their vaccination costs were covered by employers. Given the elevated exposure risk in these occupations compared to the general population, organizations and public health authorities should consider implementing policies to subsidize or fully cover vaccination costs through employers. It is noteworthy that some universities and public authorities have already introduced cost coverage for TBE vaccination for employees engaged in fieldwork or laboratory work involving tick-borne pathogens. In summary, targeted vaccination strategies, employer-supported programs, and strengthened public health policies are necessary to improve TBE prevention and vaccination uptake in Sweden.<\/p>\n","protected":false},"author":94681,"featured_media":20968,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"footnotes":""},"categories":[18,1324],"tags":[1359,317,442,1360,1358,213,934,1361,239],"coauthors":[1108],"class_list":["post-28016","post","type-post","status-publish","format-standard","has-post-thumbnail","category-snapshot","category-snapshot-2026","tag-and-practices-kap","tag-attitudes","tag-knowledge","tag-occupational-health","tag-outdoor-workers","tag-sweden","tag-tick-borne-encephalitis","tag-vaccination-costs","tag-vaccination-coverage"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Snapshot week 19\/2026 TBE vaccination coverage remains suboptimal among Swedish outdoor workers - TBE Book<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/tbenews.com\/tbe\/snapshot-week-19-2026-tbe-vaccination-coverage-remains-suboptimal-among-swedish-outdoor-workers\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Snapshot week 19\/2026 TBE vaccination coverage remains suboptimal among Swedish outdoor workers - TBE Book\" \/>\n<meta property=\"og:description\" content=\"Omazic A, Guo J. Tick-borne encephalitis vaccination coverage among outdoor workers in Sweden: a nationwide survey. Vaccine. Published online 2026. doi:10.1016\/j.vaccine.2026.128593 In Sweden, tick-borne encephalitis (TBE) became a notifiable disease in 2004. Over the past two decades, the number of annually reported cases has increased markedly (e.g., 503 cases in 2025; population: 10.6 million). Although TBE vaccination is highly effective\u2014providing over 90% protection as demonstrated in multiple effectiveness studies\u2014it has not been included in Sweden\u2019s national immunization program. There is limited evidence on TBE vaccination coverage among outdoor occupational groups, including farmers, forestry workers, hunters, and others with frequent exposure to ticks. To address this gap, a cross-sectional Knowledge, Attitude, and Practice (KAP) study was conducted among outdoor workers in Sweden to assess vaccination coverage in this high-risk population. Nearly half of the participants were farmers; however, their response rate was relatively low (10%\u201316%). The response rate among hunters was even lower. More than 80% of participants had over 10 years of work experience, and a substantial proportion reported 20\u201330 hours of outdoor work per week. Mean knowledge scores regarding TBE awareness were moderately high across all groups; however, this did not translate proportionally into vaccination uptake. The spatial distribution of TBE vaccination coverage varied considerably across Sweden, with southern and central counties demonstrating substantially higher uptake than northern regions, where more than 50% of participants reported being unvaccinated. Older participants were more likely to be vaccinated than younger individuals, while monthly income and outdoor working hours were not significant predictors of vaccination behavior. Overall, vaccination practice lagged knowledge levels. High awareness among participants suggests that national TBE awareness campaigns have been effective in disseminating information. However, fewer than 35% of participants reported that their vaccination costs were covered by employers. Given the elevated exposure risk in these occupations compared to the general population, organizations and public health authorities should consider implementing policies to subsidize or fully cover vaccination costs through employers. It is noteworthy that some universities and public authorities have already introduced cost coverage for TBE vaccination for employees engaged in fieldwork or laboratory work involving tick-borne pathogens. In summary, targeted vaccination strategies, employer-supported programs, and strengthened public health policies are necessary to improve TBE prevention and vaccination uptake in Sweden.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/tbenews.com\/tbe\/snapshot-week-19-2026-tbe-vaccination-coverage-remains-suboptimal-among-swedish-outdoor-workers\/\" \/>\n<meta property=\"og:site_name\" content=\"TBE Book\" \/>\n<meta property=\"article:published_time\" content=\"2026-04-28T05:57:38+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-28T05:58:07+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/tbenews.com\/tbe\/wp-content\/uploads\/2023\/12\/TBE-Snapshots.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1180\" \/>\n\t<meta property=\"og:image:height\" content=\"250\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"logesan\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"logesan\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/tbenews.com\\\/tbe\\\/snapshot-week-19-2026-tbe-vaccination-coverage-remains-suboptimal-among-swedish-outdoor-workers\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/tbenews.com\\\/tbe\\\/snapshot-week-19-2026-tbe-vaccination-coverage-remains-suboptimal-among-swedish-outdoor-workers\\\/\"},\"author\":{\"name\":\"logesan\",\"@id\":\"https:\\\/\\\/tbenews.com\\\/tbe\\\/#\\\/schema\\\/person\\\/eea00490409f8d848a28485d0f68fac3\"},\"headline\":\"Snapshot week 19\\\/2026 TBE vaccination coverage remains suboptimal among Swedish outdoor workers\",\"datePublished\":\"2026-04-28T05:57:38+00:00\",\"dateModified\":\"2026-04-28T05:58:07+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/tbenews.com\\\/tbe\\\/snapshot-week-19-2026-tbe-vaccination-coverage-remains-suboptimal-among-swedish-outdoor-workers\\\/\"},\"wordCount\":378,\"publisher\":{\"@id\":\"https:\\\/\\\/tbenews.com\\\/tbe\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/tbenews.com\\\/tbe\\\/snapshot-week-19-2026-tbe-vaccination-coverage-remains-suboptimal-among-swedish-outdoor-workers\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/tbenews.com\\\/tbe\\\/wp-content\\\/uploads\\\/2023\\\/12\\\/TBE-Snapshots.jpg\",\"keywords\":[\"and practices (KAP)\",\"attitudes\",\"knowledge\",\"occupational health\",\"outdoor workers\",\"Sweden\",\"tick-borne encephalitis\",\"vaccination costs\",\"vaccination coverage\"],\"articleSection\":[\"Snapshot\",\"Snapshot 2026\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/tbenews.com\\\/tbe\\\/snapshot-week-19-2026-tbe-vaccination-coverage-remains-suboptimal-among-swedish-outdoor-workers\\\/\",\"url\":\"https:\\\/\\\/tbenews.com\\\/tbe\\\/snapshot-week-19-2026-tbe-vaccination-coverage-remains-suboptimal-among-swedish-outdoor-workers\\\/\",\"name\":\"Snapshot week 19\\\/2026 TBE vaccination coverage remains suboptimal among Swedish outdoor workers - 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TBE Book","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/tbenews.com\/tbe\/snapshot-week-19-2026-tbe-vaccination-coverage-remains-suboptimal-among-swedish-outdoor-workers\/","og_locale":"en_US","og_type":"article","og_title":"Snapshot week 19\/2026 TBE vaccination coverage remains suboptimal among Swedish outdoor workers - TBE Book","og_description":"Omazic A, Guo J. Tick-borne encephalitis vaccination coverage among outdoor workers in Sweden: a nationwide survey. Vaccine. Published online 2026. doi:10.1016\/j.vaccine.2026.128593 In Sweden, tick-borne encephalitis (TBE) became a notifiable disease in 2004. Over the past two decades, the number of annually reported cases has increased markedly (e.g., 503 cases in 2025; population: 10.6 million). Although TBE vaccination is highly effective\u2014providing over 90% protection as demonstrated in multiple effectiveness studies\u2014it has not been included in Sweden\u2019s national immunization program. There is limited evidence on TBE vaccination coverage among outdoor occupational groups, including farmers, forestry workers, hunters, and others with frequent exposure to ticks. To address this gap, a cross-sectional Knowledge, Attitude, and Practice (KAP) study was conducted among outdoor workers in Sweden to assess vaccination coverage in this high-risk population. Nearly half of the participants were farmers; however, their response rate was relatively low (10%\u201316%). The response rate among hunters was even lower. More than 80% of participants had over 10 years of work experience, and a substantial proportion reported 20\u201330 hours of outdoor work per week. Mean knowledge scores regarding TBE awareness were moderately high across all groups; however, this did not translate proportionally into vaccination uptake. The spatial distribution of TBE vaccination coverage varied considerably across Sweden, with southern and central counties demonstrating substantially higher uptake than northern regions, where more than 50% of participants reported being unvaccinated. Older participants were more likely to be vaccinated than younger individuals, while monthly income and outdoor working hours were not significant predictors of vaccination behavior. Overall, vaccination practice lagged knowledge levels. High awareness among participants suggests that national TBE awareness campaigns have been effective in disseminating information. However, fewer than 35% of participants reported that their vaccination costs were covered by employers. Given the elevated exposure risk in these occupations compared to the general population, organizations and public health authorities should consider implementing policies to subsidize or fully cover vaccination costs through employers. It is noteworthy that some universities and public authorities have already introduced cost coverage for TBE vaccination for employees engaged in fieldwork or laboratory work involving tick-borne pathogens. In summary, targeted vaccination strategies, employer-supported programs, and strengthened public health policies are necessary to improve TBE prevention and vaccination uptake in Sweden.","og_url":"https:\/\/tbenews.com\/tbe\/snapshot-week-19-2026-tbe-vaccination-coverage-remains-suboptimal-among-swedish-outdoor-workers\/","og_site_name":"TBE Book","article_published_time":"2026-04-28T05:57:38+00:00","article_modified_time":"2026-04-28T05:58:07+00:00","og_image":[{"width":1180,"height":250,"url":"https:\/\/tbenews.com\/tbe\/wp-content\/uploads\/2023\/12\/TBE-Snapshots.jpg","type":"image\/jpeg"}],"author":"logesan","twitter_card":"summary_large_image","twitter_misc":{"Written by":"logesan","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/tbenews.com\/tbe\/snapshot-week-19-2026-tbe-vaccination-coverage-remains-suboptimal-among-swedish-outdoor-workers\/#article","isPartOf":{"@id":"https:\/\/tbenews.com\/tbe\/snapshot-week-19-2026-tbe-vaccination-coverage-remains-suboptimal-among-swedish-outdoor-workers\/"},"author":{"name":"logesan","@id":"https:\/\/tbenews.com\/tbe\/#\/schema\/person\/eea00490409f8d848a28485d0f68fac3"},"headline":"Snapshot week 19\/2026 TBE vaccination coverage remains suboptimal among Swedish outdoor workers","datePublished":"2026-04-28T05:57:38+00:00","dateModified":"2026-04-28T05:58:07+00:00","mainEntityOfPage":{"@id":"https:\/\/tbenews.com\/tbe\/snapshot-week-19-2026-tbe-vaccination-coverage-remains-suboptimal-among-swedish-outdoor-workers\/"},"wordCount":378,"publisher":{"@id":"https:\/\/tbenews.com\/tbe\/#organization"},"image":{"@id":"https:\/\/tbenews.com\/tbe\/snapshot-week-19-2026-tbe-vaccination-coverage-remains-suboptimal-among-swedish-outdoor-workers\/#primaryimage"},"thumbnailUrl":"https:\/\/tbenews.com\/tbe\/wp-content\/uploads\/2023\/12\/TBE-Snapshots.jpg","keywords":["and practices (KAP)","attitudes","knowledge","occupational health","outdoor workers","Sweden","tick-borne encephalitis","vaccination costs","vaccination coverage"],"articleSection":["Snapshot","Snapshot 2026"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/tbenews.com\/tbe\/snapshot-week-19-2026-tbe-vaccination-coverage-remains-suboptimal-among-swedish-outdoor-workers\/","url":"https:\/\/tbenews.com\/tbe\/snapshot-week-19-2026-tbe-vaccination-coverage-remains-suboptimal-among-swedish-outdoor-workers\/","name":"Snapshot week 19\/2026 TBE vaccination coverage remains suboptimal among Swedish outdoor workers - 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