Tick bites on humans can occur in a variety of habitats and may result in the transmission of tick-borne pathogens, such as the causative agent of Lyme borreliosis (LB), Borrelia burgdorferi sensu lato. As the risk of transmission of this pathogen to the host increases with the duration of tick feeding, the recognition and removal of ticks as soon as possible following attachment is important for reducing the risk of infection. Performing a thorough body examination for ticks following potential exposure is recommended by tick awareness campaigns. Knowledge of where on the body feeding ticks are frequently found, and at which times of year peak tick exposure occurs, provides important information for public health messaging and may aid those bitten by ticks to engage more effectively with tick-checking behaviour. This paper summarizes human tick bites in the United Kingdom (UK) during 2013-2018 reported to Public Health England's passive Tick Surveillance Scheme and further examines the anatomical location and seasonality of bites from the most commonly encountered tick and LB vector Ixodes ricinus. A total of 1,328 tick records from humans were received of which 93% were I. ricinus. Humans were most commonly bitten by I. ricinus nymphs (70% bites). Tick bites were recorded on all parts of the body, but there were significant differences in their anatomical location on adults and children. Most tick bites on adults occurred on the legs (50%), whereas on children tick bites were mostly on the head and neck (43%). Bites from I. ricinus were recorded throughout the year but were most numerous during May to August. This study adds to the body of research on the seasonality and anatomical location of human tick bites in temperate Europe and highlights the importance of data collected through passive surveillance in addition to research and epidemiological studies.

中文翻译：

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在英国，人类tick叮咬的季节性和解剖位置。

对人类的es叮咬可能会在各种栖息地中发生，并可能导致tick传病原体的传播，例如莱姆病（Lyme borreliosis）（LB），伯氏疏螺旋体（Borrelia burgdorferi sensu lato）的病原体。由于这种病原体传播到宿主的风险随着tick的喂食持续时间而增加，因此在附着后尽快识别和去除s对降低感染风险很重要。壁虱意识运动建议，在潜在接触后对壁虱进行彻底的身体检查。经常在哪里发现where的食用知识以及一年中何时发生tick的高峰，可以为公共卫生信息提供重要信息，并可以帮助被tick咬的人更有效地参与tick检查行为。本文总结了2013年至2018年英国公共卫生英格兰被动ick虫监视计划报告的英国UK叮咬情况，并进一步研究了最常见的tick虫和LB向量臭I（Ixodes ricinus）叮咬的解剖学位置和季节性。总共收到了来自人类的1,328滴答记录，其中93％是蓖麻。人类最常被蓖麻毒素若虫咬伤（70％咬伤）。ick虫叮咬被记录在身体的所有部位，但是在成年人和儿童身上，它们的解剖位置存在显着差异。成人的大多数tick叮咬发生在腿部（50％），而儿童的tick叮咬大多发生在头和颈部（43％）。全年记录有蓖麻毒素的叮咬，但在五月至八月期间最多。