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Section 2. Recommendations for Care of Children in Special Circumstances
Prevention Of Tickborne Infections
Tickborne infectious diseases in the United States include diseases caused by bacteria (eg, tularemia), spirochetes (Lyme disease and relapsing fever), rickettsiae (eg, Rocky Mountain spotted fever, ehrlichiosis, anaplasmosis), viruses (eg, Colorado tick fever, Powassan virus), and protozoa (eg, babesiosis) (see Table 2.20, p 192, and disease-specific chapters in Section 3). Different species of ticks transmit different infectious agents (eg, brown dog ticks transmit the agent of Rocky Mountain spotted fever; black-legged ticks transmit the agent of Lyme disease), and some species of ticks may transmit more than one agent. Physicians should be aware of the epidemiology of tickborne infections in their local areas. Prevention of tickborne diseases is accomplished through avoidance of tick-infested habitats, by decreasing tick populations in the
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