Lyme disease and occupation

Lyme disease is a clinically complex and interesting zoonosis, caused by spirochete Borrelia burgdorferi , which is transmitted from wild animals to humans, by ticks.Humans have always worked in forests, but the complex forest ecosystem is changing with climate change. Tick-borne disease is now more common than Hand–arm Vibration Syndrome. Occupational health needs to respond with risk assessments, worker information and equipment to reduce tick acquisition. New pathogens and vaccines are future problems and solutions.