Which of the following is NOT a disease associated with bacterial infection?

Asthma is recognized primarily as a chronic respiratory condition characterized by inflammation and narrowing of the airways, which can result in difficulty breathing, wheezing, and coughing. Unlike the other options listed, asthma is not caused by a bacterial infection, but rather by a combination of genetic and environmental factors that might include allergens, irritants, respiratory infections, and exercise.

On the other hand, the other conditions mentioned – tularemia, Lyme disease, and Rocky Mountain spotted fever – are all diseases that result from bacterial infections. Tularemia is caused by the bacterium Francisella tularensis, Lyme disease is associated with Borrelia burgdorferi, and Rocky Mountain spotted fever is linked to Rickettsia rickettsii. Understanding the distinction between these infectious diseases and non-infectious conditions like asthma is crucial in the field of industrial hygiene and public health.