Abstract:
:To determine the occupational significance of tick-borne zoonoses we sought serological evidence of Lyme borreliosis, human monocytic ehrlichiosis (HME) and human granulocytic ehrlichiosis (HGE) in a representative sample of farmworkers. Although around 20% reported ticks on their domestic and companion animals, few (< 2% per year) reported being bitten by ticks. Seroprevalence of Lyme borreliosis (0.2%), HME (0.2%) and HGE (1.5%) was low. Those seropositive for HGE were no more likely to report tick bites nor more likely to report ticks on their animals. This study provides evidence that farmworkers in England are exposed to tick-borne zoonoses but that they are uncommon. Since the severity of these diseases is linked to delays in diagnosis and treatment, clinicians should be aware of these diagnoses in patients from rural communities, with or without a self-reported history of tick bite.
journal_name
Epidemiol Infectjournal_title
Epidemiology and infectionauthors
Thomas DR,Sillis M,Coleman TJ,Kench SM,Ogden NH,Salmon RL,Morgan-Capner P,Softley P,Meadows Ddoi
10.1017/s0950268898001514subject
Has Abstractpub_date
1998-12-01 00:00:00pages
609-14issue
3eissn
0950-2688issn
1469-4409journal_volume
121pub_type
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