Rickettsial infections are primarily transmitted by which of the following?

Rickettsial infections are primarily transmitted by ticks and ectoparasites, which is why this answer is correct. Rickettsiae are a group of bacteria that include various species such as Rickettsia rickettsii, the causative agent of Rocky Mountain spotted fever, and Rickettsia prowazekii, which causes typhus fever. These bacteria are typically transmitted to humans through the bite of infected ticks, fleas, or other ectoparasites that act as vectors.

Ticks, in particular, are notable for their role in the transmission of various Rickettsial species, as they can harbor these microorganisms within their bodies and pass them on to humans during feeding. This vector-borne nature of the disease is critical to its epidemiology, as it highlights the ecological interactions between these ectoparasites and their hosts.

Other options provided do not accurately represent how Rickettsial infections are transmitted. For example, while fleas can be involved in certain Rickettsial diseases (like murine typhus), the most significant and common transmission route in terms of public health involves ticks. Similarly, Rickettsial infections are not spread through contaminated food or airborne particles, making these options less relevant in the