ArticleEmerging infectious diseases2023
Environmental, Occupational, and Demographic Risk Factors for Clinical Scrub Typhus, Bhutan.
Article in Emerging infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 21 citations in OpenAlex.
- Tsutsugamushi Disease in a Non-endemic Season and Region: Suspected Indoor Exposure via Pet-associated Vector Entry.Internal medicine (Tokyo, Japan) · 2026Article
- Review
- Epidemiology and risk factors in a scrub typhus cluster in Odisha, India, 2023: Investigating with a One Health approach.One health outlook · 2026Article
- Prioritization of zoonotic diseases in Bhutan through a One Health framework.One health outlook · 2026Article
- The Effect of Climate Change on Emergence and Evolution of Zoonotic Diseases in Asia.Zoonoses and public health · 2025Review
- Distribution and Risk Factors of Scrub Typhus in South Korea, From 2013 to 2019: Bayesian Spatiotemporal Analysis.JMIR public health and surveillance · 2025Article
- The Association Between Environmental Factors and Scrub Typhus: A Review.Tropical medicine and infectious disease · 2025Review
- Incidence of Scrub Typhus according to Changes in Geographic and Demographic Characteristic in the Chungcheong Region of Korea.Tropical medicine and infectious disease · 2024Article
- The application of the One Health approach in the management of five major zoonotic diseases using the World Bank domains: A scoping review.One health (Amsterdam, Netherlands) · 2024Article
- Global, regional, and national burden of cancers attributable to occupational risks from 1990 to 2019.Journal of occupational health · 2024Article
- Building a pathway to One Health surveillance and response in Asian countries.Science in One Health · 2024Review
- Scrub typhus among patients with acute febrile illness in Bhutan: A cross-sectional study.Public health challenges · 2023Article
- Field epidemiology, clinical findings and outcome of Scrub typhus patients admitted at Gedu District Hospital, Chhukha, Bhutan.SAGE open medicine · 2023Article
- Scrub typhus in a febrile patient and challenges faced in a diagnosis-constrained health centre: A case report.SAGE open medical case reports · 2023Article
- Risk Factors Associated with Adult Scrub Typhus Cases in a Tertiary Care Hospital - A Case Control Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Underdiagnosis and underreporting of scrub typhus has increasingly affected public health in Bhutan since its initial detection in 2008. Identifying scrub typhus risk factors would support early diagnosis and treatment for this nonspecific febrile disease, reducing the incidence of potentially fatal complications. We conducted a hospital-based, case‒control study during October‒December 2015 in 11 scrub typhus‒prone districts. We identified harvesting cardamom as the major risk factor (odds ratio 1,519; p<0.001); other factors were traditional housing, largely caused by an outside toilet location, as well as owning a goat and frequently sitting on grass. Harvesting vegetables, herding cattle in the forest, and female sex were protective. Age had a nonlinear effect; children and the elderly were more likely to seek treatment for clinical scrub typhus. This study has informed public health policies and awareness programs for healthcare workers through development of National Guidelines for Prevention, Treatment and Control of Scrub Typhus in Bhutan.
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