In 2019, there were 22 TBE cases in Västmanland and then the first case in the county was reported in May. That the person was infected in January is judged based on the incubation period at TBE, which is usually one week, but which can be between 4-28 days according to Jan Smedjegård.

- It's very unusual with cases already in January, he says.

In this case, the person infected had no tick bite. According to the Public Health Authority, the first TBE cases usually come in March, but usually in April.