Volume 57, Issue 5
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



Indonesian peacekeepers in Cambodia provided a unique study population to estimate the threat of rickcttsial exposure to (murine typhus), , (scrub typhus), and (spotted fever) for the region. Prescreening prevalence measure showed a large proportion (36%) of soldiers with antibodies to . Predeployment prevalence for antibodies to was 8%, with no evidence of background infections. Actual seroconversions of (3) and (1), attributed to exposure(s) in Cambodia, translated into annualized incidence rates of 24 and 8 per 1,000 per year, respectively. Surveillance of rickettsial infections and/or disease is particularly warranted in Cambodia with recent recognition of drug-resistant scrub typhus in neighboring Thailand.


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