This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Environment and health, Subject name: Social & Preventive Medicine
Disease not transmitted by Lice is - 
Select and explain. 
A. Relapsing fever, B. Trench fever, C. Q-fever, D. Epidemic typhus
C: Q-fever
Answer: C: Q-fever 
Explanation: Lice are small ectoparasites of mammals and birds. Infestation by lice is called pediculosis. Diseases transmitted by lice and causative agents are Epidemic typhus- rickettsia prowazeki, trench fever- rickettsia quintana, relapsing fever- borrelia recurrentis Q fever is transmitted by soft tick. Park's Textbook of Preventive and Social Medicine, 25th edition, Page No. 837