1. Indian Medical Association Shimla Branch Scrub Typhus Together We can Make Eradicate Scrub Typhus Office of Deputy Commissioner Shimla Govt. of Himachal Pradesh

6. Clinical Features  Incubation period: 1-3 wks( usually6-21 days)  Fever(104-105°F) with chills,malaise,conjunctival Irritation.  Maculopapular rash  Lymphadenopathy,Lymphocytosis  Headache, Cough, Myalgia  Typical “Eschar formation”(5 th day of illness)

7. CONTROL MEASURES Prevention of bites Removal of vegetation Residual spraying of vegetation Control of rodents Chemoprophylaxis

8. Oral chloramphenicol or tetracycline Weekly doses of doxycycline 200 mg during and for 6 weeks after exposure. No effective vaccine till date.