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  • Title: Risk factors for human lice and bartonellosis among the homeless, San Francisco, California, USA.
    Author: Bonilla DL, Cole-Porse C, Kjemtrup A, Osikowicz L, Kosoy M.
    Journal: Emerg Infect Dis; 2014 Oct; 20(10):1645-51. PubMed ID: 25280380.
    Abstract:
    Homeless persons in San Francisco, California, USA,have been shown to have head and body lice infestations and Bartonella quintana infections. We surveyed a self selected population of homeless persons in San Francisco to assess infestations of head and body lice, risks of having body lice, and presence of B. quintana in lice. A total of 203 persons who reported itching were surveyed during 2008-2010 and 2012: 60 (30%) had body lice, 10 (4.9%)had head lice, and 6 (3.0%) had both. B. quintana was detected in 10 (15.9%) of 63 body lice pools and in 6 (37.5%)of 16 head lice pools. Variables significantly associated(p<0.05) with having body lice in this homeless population included male sex, African-American ethnicity, and sleeping outdoors. Our study findings suggest that specific segments of the homeless population would benefit from information on preventing body lice infestations and louse borne diseases.
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