Reports of tick-borne diseases (TBDs) are increasing worldwide. particularly in North America where a diversity of endemic and exotic tick species and pathogens occur. Native American populations have unique outdoor cultural and occupational practices that may impact their exposure to ticks. yet this risk remains understudied in the context of TBD. https://www.lecoureures.shop/product-category/ski-de-fond-enfant-sous-vetements/