id author title date pages extension mime words sentences flesch summary cache txt cord-273789-sbppgkza Donohoe, Holly Lyme disease: Current issues, implications, and recommendations for tourism management 2014-08-20 .txt text/plain 10268 409 43 One study from the United States reported the results of a survey of workers regarding their knowledge of Lyme disease and their behaviour regarding tick-bite prevention and one article provided a comprehensive review of the occupational risks (Piacentino & Schwartz, 2002) . Early case studies in the United States failed to show a significant increase in risk associated with outdoor recreation (e.g. Bowen et al., 1984; Ciesielski et al., 1989; Falco & Fish, 1989) but Smith et al.'s (1988) research found that persons who had spent more than 30 h per week in outdoor activities in endemic areas were 2.5 times more likely to test positive for Lyme disease. ./cache/cord-273789-sbppgkza.txt ./txt/cord-273789-sbppgkza.txt