Reply #5: Like most hemorrhagic fevers

[lapfog_1]

the symptoms present themselves relatively rapidly (headache, high fever, back pain, joint pain, stomach pain, and vomiting, Red eyes, a flushed face, a red throat, and petechiae on the palate are common).

Since it's a blood borne virus, once a person has been hospitalized, standard precautions should prevent the spread.

It's unlikely that someone would contract this virus in Afghanistan, carry it back to the US, and then feel good enough to go for a hike where another tick bite would create a local carrier.

Crimean-Congo hemorrhagic fever is found in Eastern Europe, particularly in the former Soviet Union. It is also distributed throughout the Mediterranean, in northwestern China, central Asia, southern Europe, Africa, the Middle East, and the Indian subcontinent.

source: http://www.cdc.gov/ncidod/dvrd/Spb/mnpages/dispages/cchf.htm