If Lyme and other pathogens weren’t enough, another reason to treat your clothes and gear with permethrin: “Although domestic American ticks are a growing menace and transmit a dozen pathogens, no long-horned ticks here have yet been found with any human diseases. In Asia, however, the species carries a virus that kills 15 percent of its victims.”
https://www.nytimes.com/2018/08/06/health/asian-long-horned-tick.html
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