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Individuals would first have a small lesion at the site of the insect bite, which would eventually leave a small scar.
Lymph nodes would become enlarged and about a week after the initial bite patients would start to experience chills, fever and headaches, accompanied by a maculopapular rash.
The rash would last for about a week, with the full progress from the lesion being encountered until recovery typically being three weeks.
Several characteristics were considered from an epidemiological perspective as being correlated with the condition.
Men and women were equally affected and there was no apparent connection to occupation or school attended.
The individuals obtained their meals at several different sources, and other individuals who lived elsewhere and purchased their food at these same places had not been affected.
The water supply and milk consumed there were tested, with no unusual findings.
There were dog kennels in the area and some tenants had dogs as pets, but an inspection of the animals found no ticks or insects.

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