The original study was designed to investigate the seroprevalence of Borrelia burgdorferi sl. The sample size for our study was therefore determined to answer this research objective. The number of required subjects was calculated for each of the following five geographic areas: northwestern France including Normandie (Haute-Normandie and Basse-Normandie), Bretagne and Pays-de-la-Loire regions; north central France including Hauts-de-France (Picardie, Nord-Pas-de-Calais), Île-de-France, and Centre regions; northeastern France including Alsace, Lorraine, Champagne-Ardenne, Bourgogne, and Franche-Comté regions; and Auvergne and Limousin regions, both located in the center of France. Assuming a B. burgdorferi sl seroprevalence of 5% in northwestern and north central France and of 15% in northeastern France [20 (link),21 (link),22 (link)], a sample of 2591 individuals would be required to achieve a minimum precision of 1.5% and a maximum precision of 4% in the estimation of B. burgdorferi sl seroprevalence. A total of 1778 forestry workers were included from May 2019 to March 2020. The number of participants was lower than required due to the COVID-19 pandemic as the lockdown led to the interruption of data collection. We conducted power calculations to estimate the precision of hantavirus seroprevalence estimation using the available sample (see Table S1).
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