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Low rates of ehrlichiosis and Lyme borreliosis in English farmworkers

Published online by Cambridge University Press:  01 December 1998

D. Rh. THOMAS
Affiliation:
PHLS Communicable Disease Surveillance Centre Wales, Wedal Road, Cardiff CF4 3QX, UK
M. SILLIS
Affiliation:
Public Health Laboratory, Bowthorpe Road, Norwich NR2 3TX, UK
T. J. COLEMAN
Affiliation:
Public Health Laboratory, County Hospital, Hereford HR1 2ER, UK
S. M. KENCH
Affiliation:
Public Health Laboratory, County Hospital, Hereford HR1 2ER, UK
N. H. OGDEN
Affiliation:
Department of Veterinary Clinical Science, Faculty of Veterinary Science, University of Liverpool, PO Box 147, Liverpool L69 3BX, UK
R. L. SALMON
Affiliation:
PHLS Communicable Disease Surveillance Centre Wales, Wedal Road, Cardiff CF4 3QX, UK
P. MORGAN-CAPNER
Affiliation:
Public Health Laboratory, Royal Preston Hospital, PO Box 202, Sharoe Green Lane, Preston PR2 4HG, UK
P. SOFTLEY
Affiliation:
Public Health Laboratory, Bowthorpe Road, Norwich NR2 3TX, UK
D. MEADOWS
Affiliation:
Public Health Laboratory, Royal Preston Hospital, PO Box 202, Sharoe Green Lane, Preston PR2 4HG, UK
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Abstract

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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.

Type
Research Article
Copyright
© 1998 Cambridge University Press