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Article |

Tick Bite Prevention: Get Naked?

Henry M. Feder Jr, MD
JAMA. 1993;269(4):475. doi:10.1001/jama.1993.03500040041026.
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To the Editor.  —Following a case of erythema migrans at a Connecticut nudist camp, a request was made to the University of Connecticut Health Center for a physician who was willing to come to the camp and discuss Lyme disease. Not one to miss such an opportunity, I picked a Saturday in August to visit, a time when the camp population swells to over 300 nudists. The nudists come from all over Connecticut to spend weeks or weekends at the camp. Are nudists more vulnerable to tick bites but, perhaps, less vulnerable to developing undetected rashes?The nudist camp had abundant deer, woods, rocks, and grass—an ideal environment for the deer tick (Ixodes dammini). Tick repellant was not used by the nudists. Over the past year there had been one case of physician-diagnosed erythema migrans acquired at the nudist camp. There were no other identified cases of Lyme disease. What


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