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Aim.  To analyze epidemic intensity and long-term dynamics of Siberian tick typhus (STT) in Siberian and Far Eastern regions of Russian Federation.   Materials and Methods . We analyzed STT incidence in different regions of Siberia and Far East during 2002-2018 utilising standardised data. Regions were further ranked according to incidence levels.   Results . Cases of STT were regularly documented in 17 regions of Siberia and Far East. In six regions (Republic of Khakassia, Altai, Amur, Tyumen, Irkutsk, and Krasnoyarsk Region), a declining trend was revealed while in four regions there was a trend towards an increase in STT incidence (Republic of Tyva, Khabarovsk Region, Novosibirsk Region, and Omsk Region).   Conclusion . The monitoring of STT foci and reservoirs natural foci in endemic areas in Central Asia is needed to predict the trends in STT incidence in Siberia and Far East. 

Long-term dynamics and epidemic intensity of Siberian tick typhus in federal districts and regions of Russian Federation during 2002-2018