{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T20:58:56Z","timestamp":1792616336213,"version":"4.5.0"},"reference-count":29,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T00:00:00Z","timestamp":1756166400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T00:00:00Z","timestamp":1756166400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    The incidence of Tick\u2010borne encephalitis (TBE) cases has increased. The presumed location of transmission of Tick\u2010borne encephalitis virus (TBEV) has been expanding increasingly in the western parts of Europe during the past decade. There has also been an increased incidence of surveillance\u2010reported TBE cases in southern Sweden and southern Norway. Additionally, the warmer climate has enabled ticks to be present to a greater extent in the northern part of Scandinavia. In several reports, pre\u2010school children tend to have a lower TBE incidence rate compared to teenagers, whereas both younger children and teenagers may experience severe neurological symptoms such as meningitis and encephalitis. In addition to physical impairments,\n                    <jats:bold>long\u2010term cognitive and mental impairments<\/jats:bold>\n                    have been observed in up to\n                    <jats:bold>70% of children<\/jats:bold>\n                    with TBEV infection. These may include\n                    <jats:bold>attention deficits, reduced concentration<\/jats:bold>\n                    and\n                    <jats:bold>impaired memory<\/jats:bold>\n                    , which can significantly affect daily life and\n                    <jats:bold>school performance<\/jats:bold>\n                    . Finland, Latvia and Slovenia have already included TBE vaccines in their National Immunisation Program (NIP). TBE vaccines are safe and effective for children from the age of 1, and we propose all countries with endemic areas include TBE vaccines in their future NIP. This is a cost\u2010effective strategy and, even more important, a pivotal equity strategy for all European children.\n                  <\/jats:p>","DOI":"10.1111\/apa.70280","type":"journal-article","created":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T09:45:17Z","timestamp":1756201517000},"page":"2450-2455","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Tick\u2010Borne Encephalitis (\n                    <scp>TBE<\/scp>\n                    ) Vaccine in the National Immunisation Programme\u2014For Whom, When and Where?"],"prefix":"10.1111","volume":"115","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5155-9726","authenticated-orcid":false,"given":"H. H.","family":"Askling","sequence":"first","affiliation":[{"name":"Department of Medicine, Solna Karolinska Insititutet  Stockholm Sweden"},{"name":"Academic Specialist Centre, Stockholm Health Care Services  Region Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Zavadska","sequence":"additional","affiliation":[{"name":"Department of Paediatrics R\u012bga Stradi\u0146\u0161 University  Riga Latvia"},{"name":"Children Clinical University Hospital  Riga Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,26]]},"reference":[{"key":"e_1_2_14_2_1","unstructured":"Tick\u2010borne encephalitis Annual Epidemiological Report 2022."},{"key":"e_1_2_14_3_1","unstructured":"Public Health Agency Sweden In Swedish TBE \u2013 sjukdomsstatistik \u2014 Folkh\u00e4lsomyndigheten."},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ttbdis.2018.10.008"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2019.24.47.1900679"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ttbdis.2021.101853"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ttbdis.2023.102244"},{"key":"e_1_2_14_8_1","unstructured":"G.Dobler W.Erber M.Br\u00f6ker L.Chitmia\u2010Dobler andH.\u2010J.Schmitt eds. The TBE Book. Chapter\u00a06. 10.33442\/26613980_TBE\u20107978\u2010981\u201018\u20109205\u20109."},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2024.29.2.2300221"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiae463"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0305120"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.inf.0000253056.34894.5f"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ttbdis.2018.08.003"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.idnow.2023.01.005"},{"key":"e_1_2_14_15_1","unstructured":"European Center for Disease Control (ECDC) Factsheet about tick\u2010borne encephalitis. Page last updated January 22 2024. Factsheet about tick\u2010borne encephalitis (TBE) \u2010 European Centre for .Tick\u2010borne encephalitis \u2010 European Centre for Disease Prevention and."},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.4045\/tidsskr.23.0222"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000004034"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2008.00763.x"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2013.01.037"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2010.02.001"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcv.2015.05.019"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008686.2019.1696132"},{"key":"e_1_2_14_23_1","first-page":"24","article-title":"Vaccines Against Tick\u2010Borne Encephalitis: WHO Position Paper\u20102011","volume":"86","author":"World Health Organization (WHO)","year":"2011","journal-title":"Weekly Epidemiological Record"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/14760584.2024.2311359"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.2807\/1560-7917.ES.2024.29.18.2300558"},{"key":"e_1_2_14_26_1","unstructured":"Finish Institute for Health and Welfare (THL) \u201cTBE\u2010vaccine recommendations \u201dhttps:\/\/thl.fi\/sv\/teman\/infektionssjukdomar\u2010och\u2010vaccinationer\/vaccin\u2010a\u2010o\/tbe\u2010vaccin\u2010dvs.\u2010fastingvaccin."},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2802.204324"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2018.10.086"},{"key":"e_1_2_14_29_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-28111-8"},{"key":"e_1_2_14_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2015.07.030"}],"container-title":["Acta Paediatrica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.70280","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/apa.70280","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.70280","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T20:34:00Z","timestamp":1792614840000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/apa.70280"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,26]]},"references-count":29,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1111\/apa.70280"],"URL":"https:\/\/doi.org\/10.1111\/apa.70280","archive":["Portico"],"relation":{},"ISSN":["0803-5253","1651-2227"],"issn-type":[{"value":"0803-5253","type":"print"},{"value":"1651-2227","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,26]]},"assertion":[{"value":"2025-06-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}