Occupationally-acquired cases of Lyme borreliosis and other associated tick-borne infections should also be notified to the Health and Safety Executive (HSE). The Reporting of Injuries Disease and Dangerous Occurrences Regulations 1995 (RIDDOR) apply to England, Scotland and Wales. These regulations require work-related accidents, disease and dangerous occurrences to be reported and this includes all work activities. It is the responsibility of employers and the self-employed to submit a report to health and safety enforcing authorities.
Occupationally-acquired Borreliosis is seldom reported (perhaps through lack of awareness of the regulations and through lack of diagnosis / misdiagnosis) but the majority of these cases occur in zookeepers, forestry workers, farmers, deer handlers and gamekeepers. Lyme borreliosis is also a reportable condition for those serving in the British Armed Forces.
The Social Security (Industrial Injuries) (Prescribed Diseases) Amendment Regulations 2005 include Borreliosis in the list of prescribed diseases. Evidence indicates that there is a greater than doubled risk of contracting Borreliosis in certain groups of workers who are exposed to Borrelia bacteria.