{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T13:01:00Z","timestamp":1789909260775,"version":"4.0.1"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,5,31]],"date-time":"2019-05-31T00:00:00Z","timestamp":1559260800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Zoonoses and Public Health"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Tick\u2010borne relapsing fever (TBRF) is a potentially serious spirochetal infection caused by certain species of <jats:italic>Borrelia<\/jats:italic> and acquired through the bite of <jats:italic>Ornithodoros<\/jats:italic> ticks. In 2017, Austin Public Health, Austin, TX, identified five cases of febrile illness among employees who worked in caves. A cross\u2010sectional serosurvey and interview were conducted for 44 employees at eight organizations that conduct cave\u2010related work. Antibodies against TBRF\u2010causing <jats:italic>Borrelia<\/jats:italic> were detected in the serum of five participants, four of whom reported recent illness. Seropositive employees entered significantly more caves (Median 25 [<jats:italic>SD<\/jats:italic>: 15] versus Median 4 [<jats:italic>SD<\/jats:italic>: 16], <jats:italic>p<\/jats:italic>\u00a0=\u00a00.04) than seronegative employees. Six caves were entered more frequently by seropositive employees posing a potentially high risk. Several of these caves were in public use areas and were opened for tours. Education of area healthcare providers about TBRF and prevention recommendations for cavers and the public are advised.<\/jats:p>","DOI":"10.1111\/zph.12588","type":"journal-article","created":{"date-parts":[[2019,6,1]],"date-time":"2019-06-01T04:58:00Z","timestamp":1559365080000},"page":"579-586","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Evaluating the risk of tick\u2010borne relapsing fever among occupational cavers\u2014Austin, TX, 2017"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0395-0709","authenticated-orcid":false,"given":"Stefanie B.","family":"Campbell","sequence":"first","affiliation":[{"name":"Centers for Disease Control and Prevention Fort Collins Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Klioueva","sequence":"additional","affiliation":[{"name":"Austin Public Health Austin Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeff","family":"Taylor","sequence":"additional","affiliation":[{"name":"Austin Public Health Austin Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2271-8737","authenticated-orcid":false,"given":"Christina","family":"Nelson","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Fort Collins Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne","family":"Tomasi","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Morgantown West Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Replogle","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Fort Collins Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2501-3591","authenticated-orcid":false,"given":"Natalie","family":"Kwit","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Fort Collins Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Sexton","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Fort Collins Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Fort Collins Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2853-5165","authenticated-orcid":false,"given":"Alison","family":"Hinckley","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Fort Collins Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,5,31]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0006877"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2411.172033"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0002767"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1086\/516276"},{"key":"e_1_2_8_6_1","first-page":"22","article-title":"Tick\u2010borne relapsing fever in texas and travis county: Key information and recommendations","volume":"64","author":"Campbell S.","year":"2018","journal-title":"Travis County Medical Society Journal"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2305.162069"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.2307\/4584474"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-200207000-00020"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ttbdis.2015.03.006"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0004383"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.idc.2008.03.006"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.2002.66.753"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0189786"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ttbdis.2015.06.005"},{"key":"e_1_2_8_16_1","first-page":"58","article-title":"Tickborne relapsing fever \u2010 United States, 1990\u20132011","volume":"64","author":"Forrester J. 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