In louse-borne relapsing fever (LBRF), lice acquire Borrelia from humans who are already infected. These lice can then go on to infect other humans. LBRF is said to be epidemic
In LBRF, a louse must be crushed or smashed in order for Borrelia to be released. The bacteria then enter the human body through areas where the person may have scratched
Prevention of TBRF requires rodent control, especially in and near homes. Careful use of insecticides on skin and clothing is important for people who may be enjoying outdoor recreation
In epidemics of LBRF, death rates among untreated victims have run as high as 30%. With treatment, and careful monitoring for the development of the Jarish-Herxheimer reaction, prognosis is good for...