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The reported annual incidence of Rocky Mountain spotted fever in the United States is 2.2 per million, but studies have suggested that human infection with Rickettsia rickettsii may be more common. This study estimated the prevalence of antibodies reactive to R rickettsii among children living in the southeastern and south central United States.

Antibodies Reactive to Rickettsia rickettsii Among Children Living in the Southeast and South Central Regions of the United States