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      Predominant risk factors for tick-borne co-infections in hunting dogs from the USA

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          Abstract

          Background

          Both incidence and geographical range of tick-borne disease has increased across the USA. Similar to people, dogs are hosts for Anaplasma spp., Babesia spp., Ehrlichia spp. and Borrelia burgdorferi. Dogs also share our homes and beds, making them both a sentinel for the ticks in our backyards but also increasing our exposure to ticks. Measures to better track, prevent, and/or treat tick-borne diseases in companion animals can lead to better control and prevention of human tick-borne disease. This study identifies demographic and co-infection risk factors for canine seropositivity to tick-borne infections in a cohort of hunting dogs across the USA.

          Results

          Human patterns of tick-borne disease co-infection in the USA have been predominantly driven by the geographical distribution of the tick vector. Dogs who tested seropositive for Anaplasma spp. were 1.40 times more likely ( P = 0.0242) to also test seropositive for Babesia spp. and vice versa (1.60 times more likely, P = 0.0014). Dogs living in the West had 5% lower risk ( P = 0.0001) for Ehrlichia spp. seropositivity compared to other regions. Controlling for age and Anaplasma spp. seroprevalence, dogs in all three other regions were 2.30 times more likely ( P = 0.0216) to test seropositive for B. burgdorferi than dogs in the West. Dogs seropositive for B. burgdorferi were 1.60 times more likely ( P = 0.0473) to be seropositive for Anaplasma spp.

          Conclusions

          Tick geographical distributions have a prominent impact on the regional distribution of hunting dog exposure to tick-borne diseases. Education concerning regional tick prevalence and disease risk is important for everyone, but particularly dog owners, regarding ticks in their region and protection from infection and co-infection of tick-borne pathogens as they travel or move with their dogs. Dogs are sentinel species for human exposure to ticks, and as such surveillance of canine tick-borne infections and understanding the probability that these infections might be seen together as co-infections helps predict emerging areas where people are more likely to be exposed as well.

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          Most cited references38

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          Epidemiology of Lyme disease.

          Lyme disease is the most common vector-borne illness in North America and Europe. The etiologic agent, Borrelia burgdorferi sensu lato, is transmitted to humans by certain species of Ixodes ticks, which are found widely in temperate regions of the Northern hemisphere. Clinical features are diverse, but death is rare. The risk of human infection is determined by the geographic distribution of vector tick species, ecologic factors that influence tick infection rates, and human behaviors that promote tick bite. Rates of infection are highest among children 5 to 15 years old and adults older than 50 years.
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            Range Expansion of Tick Disease Vectors in North America: Implications for Spread of Tick-Borne Disease

            Ticks are the major vectors of most disease-causing agents to humans, companion animals and wildlife. Moreover, ticks transmit a greater variety of pathogenic agents than any other blood-feeding arthropod. Ticks have been expanding their geographic ranges in recent decades largely due to climate change. Furthermore, tick populations in many areas of their past and even newly established localities have increased in abundance. These dynamic changes present new and increasing severe public health threats to humans, livestock and companion animals in areas where they were previously unknown or were considered to be of minor importance. Here in this review, the geographic status of four representative tick species are discussed in relation to these public health concerns, namely, the American dog tick, Dermacentor variabilis, the lone star tick, Amblyomma americanum, the Gulf Coast Tick, Amblyomma maculatum and the black-legged tick, Ixodes scapularis. Both biotic and abiotic factors that may influence future range expansion and successful colony formation in new habitats are discussed.
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              Human ehrlichiosis and anaplasmosis.

              Human ehrlichiosis and anaplasmosis are acute febrile tick-borne diseases caused by various members of the genera Ehrlichia and Anaplasma (Anaplasmataceae). Human monocytotropic ehrlichiosis has become one of the most prevalent life-threatening tick-borne disease in the United States. Ehrlichiosis and anaplasmosis are becoming more frequently diagnosed as the cause of human infections, as animal reservoirs and tick vectors have increased in number and humans have inhabited areas where reservoir and tick populations are high. Ehrlichia chaffeensis, the etiologic agent of human monocytotropic ehrlichiosis (HME), is an emerging zoonosis that causes clinical manifestations ranging from a mild febrile illness to a fulminant disease characterized by multiorgan system failure. Anaplasma phagocytophilum causes human granulocytotropic anaplasmosis (HGA), previously known as human granulocytotropic ehrlichiosis. This article reviews recent advances in the understanding of ehrlichial diseases related to microbiology, epidemiology, diagnosis, pathogenesis, immunity, and treatment of the 2 prevalent tick-borne diseases found in the United States, HME and HGA. 2010 Elsevier Inc. All rights reserved.
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                Author and article information

                Contributors
                kurayi-mahachi@uiowa.edu
                eric-kontowicz@uiowa.edu
                bryanderson01@msn.com
                angelatoepp@uwalumni.com
                adamlima86@hotmail.com
                maklarson@gmail.com
                geneva-wilson@uiowa.edu
                tara.grinnage-pulley@nih.gov
                nuw8@cdc.gov
                mozanne@mtholyoke.edu
                mmandrson@gmail.com
                hailie.j.fowler@gmail.com
                mparrish52361@gmail.com
                Jill-Saucier@idexx.com
                Phyllis-Tyrrell@IDEXX.com
                zachary-palmer@uiowa.edu
                Jesse-Buch@IDEXX.com
                Ramaswamy-Chandrashekar@IDEXX.com
                breanna-scorza@uiowa.edu
                grant-brown@uiowa.edu
                jacob-oleson@uiowa.edu
                christine-petersen@uiowa.edu
                Journal
                Parasit Vectors
                Parasit Vectors
                Parasites & Vectors
                BioMed Central (London )
                1756-3305
                13 May 2020
                13 May 2020
                2020
                : 13
                : 247
                Affiliations
                [1 ]GRID grid.214572.7, ISNI 0000 0004 1936 8294, Department of Epidemiology, College of Public Health, , University of Iowa, ; Iowa City, IA 52242 USA
                [2 ]GRID grid.214572.7, ISNI 0000 0004 1936 8294, Center for Emerging Infectious Diseases, , University of Iowa Research Park, ; Coralville, IA 52241 USA
                [3 ]GRID grid.214572.7, ISNI 0000 0004 1936 8294, Department of Biostatistics, College of Public Health, , University of Iowa, ; Iowa City, IA 52242 USA
                [4 ]GRID grid.214572.7, ISNI 0000 0004 1936 8294, Immunology Program, Carver College of Medicine, , University of Iowa, ; Iowa City, IA 52242 USA
                [5 ]GRID grid.497035.c, ISNI 0000 0004 0409 7356, IDEXX Laboratories Inc, , One IDEXX Drive, ; Westbrook, ME 04092 USA
                [6 ]GRID grid.214572.7, ISNI 0000 0004 1936 8294, Department of Geographical and Sustainability Sciences, College of Liberal Arts & Sciences, , University of Iowa, ; Iowa City, IA 52242 USA
                Author information
                http://orcid.org/0000-0002-7285-4254
                Article
                4118
                10.1186/s13071-020-04118-x
                7218638
                32404151
                0ea742f7-d878-47bf-bca1-160c1b79a23f
                © The Author(s) 2020

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 29 October 2019
                : 6 May 2020
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/100001250, Morris Animal Foundation;
                Award ID: D16CA-517
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/100000009, Foundation for the National Institutes of Health;
                Award ID: R01 TW 010500
                Award Recipient :
                Categories
                Research
                Custom metadata
                © The Author(s) 2020

                Parasitology
                co-infection,ticks,dogs,usa,anaplasmosis,ehrlichiosis,babesiosis,lyme borreliosis
                Parasitology
                co-infection, ticks, dogs, usa, anaplasmosis, ehrlichiosis, babesiosis, lyme borreliosis

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