Russia updates child protection rules against tick-borne encephalitis

Russia’s Health Ministry has released updated guidelines for preventing tick-borne encephalitis in children. The new recommendations shift away from immunoglobulin injections as the main emergency treatment. Instead, they focus on vaccination, modern antiviral drugs, and preventive steps.

The revised rules now limit immunoglobulin use to cases where a tick-borne virus is confirmed within 72 hours of a bite. Recent studies have raised doubts about its effectiveness, leading to this change. The ministry now advises antiviral pills, such as interferon alpha-2b, which do not require special storage and can be taken after woodland visits or a tick bite.

Vaccination remains the most reliable protection, particularly for residents in high-risk areas. The guidelines also stress wearing protective clothing and performing regular tick checks. While emergency prophylaxis is still part of the strategy, the emphasis has shifted toward modern Russian-made antiviral drugs and immunostimulants. The update aims to simplify treatment for children by reducing reliance on injections. Instead, oral medications are now preferred for post-exposure prevention, making the process easier for families.

The new guidelines prioritise vaccination, antiviral pills, and preventive measures over traditional immunoglobulin. Children in endemic regions are encouraged to follow these updated steps to lower infection risks. The changes reflect a move toward more practical and evidence-based protection methods.