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Humans are the only reservoir and are responsible for maintaining the infection during inter-epidemic periods. Outbreaks occur in colder areas where people live in crowded, not hygenic, louse-infested conditions. Milder symptoms of louse-borne typhus can occur years after the primary attack Cleanliness is important in preventing body louse infestations. The easiest control method of occasional infestations is to expose infested clothing to a minimum temperature of 70 degrees C for at least one hour.
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