This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Social & Preventive Medicine
Which of the following diseases is not transmitted by fleas? 
Select and explain. 
A. Plague, B. Endemic typhus, C. Chiggerosis, D. Trench fever
D: Trench fever
Answer: D: Trench fever 
Explanation: Diseases transmitted by fleas include: Plague Endemic typhus Chiggerosis Hymenolepis diminuta. Ref: Park 21st edition page: 719.