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A little background

These questions help us understand possible exposures. Be as detailed as you can — vague is fine if you're unsure.

Previously known diseases and conditions (including deficiencies, etc.)

Stays abroad — country / year / month (include if you swam in freshwater lakes, springs or near waterfalls).

Exposure occasions: impure water, game, raw or undercooked meat / fish / shellfish. Year, place and dish where possible.

Do you have a habit of eating unrinsed vegetables, fruits or berries (at home or abroad)?

Pets — any animals at home, any symptoms of disease in them, any imported animals (from where)?

Have you ever had a tick bite, or any unusual bite you remember? If so, when?