 The study found that harvesting cardamom was the most significant risk factor for contracting scrub typhus in Bhutan. Other risk factors included living in traditional housing with an outside toilet, owning a goat, and frequent sitting on grass. Children and the elderly were more likely to seek treatment for clinical scrub typhus. The study also provided valuable information about the epidemiology of scrub typhus in Bhutan, which can be used to inform public health policy and awareness campaigns. This article was authored by Tandon Zampa, Yontan Fuenshak, Kazang Dorji, and others.