Hello new friends. I was diagnosed with PMR in July 2017 after a 4 week acute period. I have been traveling to Honduras to do water purification projects 1-4 weeks per year since 2014. I was alerted that it might be PMR because a peer from a different state who also works in Honduras had been diagnosed with PMR 5 months earlier. Does anyone know of any connections between onset of PMR and travel in Central America or travel in other tropical countries?