We conducted a case-control study in July 2022. We defined cases as PCR-confirmed or hospitalized with CCHF signs and controls were close contacts including neighbors and household members selected at (1:2 ratio). We reviewed medical records from April to July. We conducted face-to-face interviews using structured questionnaires of study population. We collected tick samples for PCR-testing from domestic animals. We used logistic regression to assess factors associated with being a case; variables with p-value &amp;lt;0.01 are shown.