蜱虫若虫叮咬造成的局部感染率可能比较低（低于20%），但是由被检测到附着在皮肤上的蜱虫叮咬造成的感染风险则更低（小于5%），因为大多数患上莱姆病的人并没有注意到蜱虫。

Local infection rates in nymphal ticks may be low (< 20%) with a low risk of infection (<5%) from a detected, attached tick (most people who get Lyme disease do not notice the tick).

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只有印度两个邦（即北方邦和比哈尔邦）的局部地方仍在流行此病。

Only parts of two states in India, namely Uttar Pradesh and Bihar, remain endemic.

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而Ryan辩称，那些只是以学校或者其他机构周围的局部蔓延，而不是全球大流行病所要求的普遍蔓延。

But Ryan contends that those were localized outbreaks, often centered around schools and other institutions, and not the generalized onslaught expected during a pandemic.

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