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Climate and vegetation in Spain vary from north to south, affecting tick distribution and consequently the presence of tick-borne diseases. The aim of this study was to investigate throughout a 2-yr study the distribution of the different exophilic questing tick species present in 18 areas: eight located in central and 10 in northern Spain.

Focusing on two recent public health emergencies related to tick-borne diseases in two EU countries, ECDC experts investigated the public health response and specifically the involvement of the communities.