Rickettsial spotted fever was first reported in Brazil in 1920.

The disease is known locally as ‘Brazilian spotted fever’ and ‘Febre maculosa brasileira’

Cases are reported in Minas Gerais, Rio de Janeiro, Bahia, Goias, Rio Grande do Sul and Espirito Santo.

Seroprevalence surveys:
10.6% of healthy students and 4.11% of dogs in the endemic areas of Minas Gerais (1998)
77.3% of horses and 31.3% of dogs in Pedreira Municipality, Sao Paulo State (2001)
1.6% of healthy persons in Minas Gerais (2005 publication)
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Quoted in ProMED:

A recent outbreak in West Yorkshire belies the fact that rates of giardiasis in the United Kingdom have been for decreasing several years. In this graph, I’ve added the United States data for comparison.