Plow, dig, or excavate soil in endemic area
Raise dust from bird roosts, chicken coops, or bat-inhabited caves endemic area
Swim in contaminated water (ingestion or inhalation)
Touch (e.g., barefooted) contaminated soil in endemic area
Work in forest in endemic areas of Central and South America
Work in mite infested area of Central, Eastern, or Southeast Asia
Work in tick infested area