<p>We identified 38 cases and 71 controls. Cases were mostly male (74%) with mean age 45 years old (range 17-81); 27% died. Top symptoms were weakness (100%), headache (97%) and fever (84%). Risk factors for CCHF were being male (odds ratio and 95% confidence interval: 5.5, CI: 2.3-13.1), animal husbandry (3.1, CI: 1.3-7.2), crop production (4.0, CI: 1.5-10.5), tick contact (262.5, CI: 31.4-2192.2), tick bite (70.0, CI:8.8-556.9), contact with tick blood (18.7, CI: 2.2-155.9), ticks on the body or clothing (77.8, CI: 9.8-618.9) and high tick concentration settings (15.1, CI: 4.6-49.7). Among respondents (n=101): 55% had not heard of CCHF, 14% removed ticks ungloved and 4% sought medical care after contact with ticks. Of 163 ticks tested, one was PCR-positive.</p>