“…Since then, more than 350 travel-associated cases have been reported from Europe, North America, Australia, Argentina, and Japan. 3,7,[17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] Most cases are infected in South Africa, where many popular wildlife attractions are highly endemic for R. africae infection 37 and where the abolition of apartheid in the early 1990s was followed by an unprecedented rise in international safari tourism. African tick bite fever has been reported in a wide spectrum of travellers, including leisure safari tourists, foreign aid workers, film crew members, game hunters, students, sports competitors, and deployed soldiers.…”