{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T22:41:08Z","timestamp":1723070468871},"reference-count":16,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,9,7]]},"abstract":"<jats:p>During August 2014, five high school students who had attended an outdoor education camp were hospitalized with a febrile illness, prompting further investigation. Ten total cases of tick-borne relapsing fever (TBRF) were identified\u2014six cases confirmed by culture or visualization of spirochetes on blood smear and four probable cases with compatible symptoms (attack rate: 23%). All patients had slept in the campsite's only cabin. Before the camp, a professional pest control company had rodent proofed the cabin, but no acaricides had been applied. Cabin inspection after the camp found rodents and <jats:italic>Ornithodoros<\/jats:italic> ticks, the vector of TBRF. Blood samples from a chipmunk trapped near the cabin and from patients contained <jats:italic>Borrelia hermsii<\/jats:italic> with identical gene sequences (100% over 630 base pairs). Health departments in TBRF endemic areas should consider educating cabin owners and pest control companies to apply acaricides during or following rodent proofing, because ticks that lack rodents for a blood meal might feed on humans.<\/jats:p>","DOI":"10.4269\/ajtmh.16-0054","type":"journal-article","created":{"date-parts":[[2016,7,19]],"date-time":"2016-07-19T02:38:47Z","timestamp":1468895927000},"page":"546-550","source":"Crossref","is-referenced-by-count":7,"title":["Tick-Borne Relapsing Fever Outbreak Among a High School Football Team at an Outdoor Education Camping Trip, Arizona, 2014"],"prefix":"10.4269","volume":"95","author":[{"given":"Jefferson M.","family":"Jones","sequence":"first","affiliation":[{"name":"1Arizona Department of Health Services, Phoenix, Arizona."},{"name":"2Epidemic Intelligence Service, Atlanta, Georgia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carter R.","family":"Hranac","sequence":"additional","affiliation":[{"name":"3Northern Arizona University, Flagstaff, Arizona."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mare","family":"Schumacher","sequence":"additional","affiliation":[{"name":"4Coconino County Public Health Services District, Flagstaff, Arizona."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim","family":"Horn","sequence":"additional","affiliation":[{"name":"5Flagstaff Medical Center, Flagstaff, Arizona."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darlene M.","family":"Lee","sequence":"additional","affiliation":[{"name":"5Flagstaff Medical Center, Flagstaff, Arizona."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel","family":"Terriquez","sequence":"additional","affiliation":[{"name":"5Flagstaff Medical Center, Flagstaff, Arizona."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David M.","family":"Engelthaler","sequence":"additional","affiliation":[{"name":"6Translational Genomics Research Institute, Flagstaff, Arizona."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie","family":"Peoples","sequence":"additional","affiliation":[{"name":"4Coconino County Public Health Services District, Flagstaff, Arizona."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Corrigan","sequence":"additional","affiliation":[{"name":"4Coconino County Public Health Services District, Flagstaff, Arizona."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam","family":"Replogle","sequence":"additional","affiliation":[{"name":"7Centers for Disease Control Division of Vector-Borne Disease, Fort Collins, Colorado."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nina","family":"Souders","sequence":"additional","affiliation":[{"name":"5Flagstaff Medical Center, Flagstaff, Arizona."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth K.","family":"Komatsu","sequence":"additional","affiliation":[{"name":"1Arizona Department of Health Services, Phoenix, Arizona."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathan C.","family":"Nieto","sequence":"additional","affiliation":[{"name":"3Northern Arizona University, Flagstaff, Arizona."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"ref1","series-title":"Ann Soc Belg Med Trop","first-page":"335","article-title":"Relapsing fevers. 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