n.
Any of a group of related diseases caused by various species of rickettsia that release toxin s into the blood.
Headache, chills, fever, and general pains begin suddenly and a rash soon after. The bacteria are transmitted by lice, fleas, mites, and ticks. Epidemic typhus, spread by the body louse, is the most severe. It is one of the great scourges of history, associated with crowded, filthy conditions. Improved hygiene has nearly eliminated it from the Western world, but it persists in many countries, despite modern vaccines and pesticides. Endemic typhus, spread by fleas on rats and other rodents, is milder (mortality under 5%). Scrub typhus, carried by mites, is usually classed as a separate disease. See also Rocky Mountain spotted fever ; Hans Zinsser .