The Danish surveillance programme for Echinococcus multilocularis was initiated in September 2011, and so far 679 wild carnivores have been examined. In April 2012, one infected fox was detected in Højer near the Danish-German border, and in January 2013 three additional foxes from the same area were found infected. Local prevalence in the area was 31% (four of 13 foxes) which is a new epidemiological situation calling for reevaluation of the national risk management.