New records of the blacklegged tick, Ixodes scapularis (Acari: Ixodidae) in Minnesota

The Minnesota distribution of the blacklegged tick, Ixodes scapularis, was studied during 1998 and 1999. The majority of tick collecting was done by grouse hunters, who sent in specimens collected during the fall of 1998 and 1999. I. scapularis specimens were received from 17 counties, including eight counties in northern and central Minnesota that previously had no reports of I. scapularis. This brings the number of Minnesota counties with reported populations of I. scapularis to 30, mostly in the east-central, central, and northern parts of the state.

An update on Lyme disease and other tick-borne illnesses

Lyme disease, the most common vector-borne illness in North America, is a multisystem, multistage infectious disease caused by the tick-transmitted spirochete Borrelia burgdorferi. Although Lyme disease is not fatal, it can cause musculoskeletal, neurological, and cardiovascular manifestations that may be difficult to treat. Clinicians must also be aware of other potentially fatal tick-borne diseases such as babesiosis, ehrlichiosis, and Rocky Mountain spotted fever. Early identification and treatment of tick-borne diseases are crucial to preventing devastating sequelae.

Vector-host interactions in disease transmission

Tick-borne spirochetes include borreliae that cause Lyme disease and relapsing fever in humans. They survive in a triangle of parasitic interactions between the spirochete and its vertebrate host, the spirochete and its tick vector, and the host and the tick. Until recently, the significance of vector-host interactions in the transmission of arthropod-borne disease agents has been overlooked. However, there is now compelling evidence that the pharmacological activity of tick saliva can have a profound effect on pathogen transmission both from infected tick to uninfected host, and from infected host to uninfected tick. The salivary glands of ticks provide a pharmacopoeia of anti-inflammatory, anti-haemostatic and anti-immune molecules. These include bioactive proteins that control histamine, bind immunoglobulins, and inhibit the alternative complement cascade. The effect of these molecules is to provide a privileged site at the tick-host interface in which borreliae and other tick-borne pathogens are sheltered from the normal innate and acquired host immune mechanisms that combat infections. Understanding the key events at the tick vector-host interface, that promote spirochete infection and transmission, will provide a better understanding of the epidemiology and ecology of these important human pathogens.

An incident involving blood sucking by a tick in a suburb in Japan

We encountered a patient whose blood was sucked by Haemaphysalis longicornis in the suburb of a business city in Tokushima prefecture in Japan. The tick, which had been attached to the lower limb of the patient for one week, measured 10 mm in length. There were no notable objective or subjective findings after the complete extirpation of the tick. The area had not been known in recent history to be a habitat of ticks, and, thus, this case is of importance in terms of predicting future trends of tick-borne diseases in Japan.

[The indirect immunofluorescence reaction in the laboratory diagnosis of ixodid tick-borne borreliosis]

Serological verification of ixodid tick-borne borrelioses (TBB) is carried out in Russia by using IFA with the standard antigen prepared from the strain Ip-21 B. afzelii by the Laboratory of Infection Vectors, Gamaleya Research Institute of Epidemiology and Microbiology, Russian Academy of Medical Sciences. This study is under way at approximately 50 research and practical institutions that are situated in 30 large administrative territories of the country. The nIFA data on 371 sera from 214 patients with TBB and 229 sera from controls who had other infections have been analyzed. Changes in the proportion antibody sera, mean geometrical and cut-off antibody titers in patients with TBB were compared with those in the controls. The values of seroconversion were analyzed in relation to the time lasted after the onset, the first serum collection, and an interval of reexamination. The specific results of tested of the coded sera were obtained during the international interlaboratory blind experiment. It is concluded that nIFA yields results that are suitable for TBB verification.

[An epidemiological analysis of ixodid tick-borne borreliosis (ITBB) morbidity in Kirovo-Chepetsk District, Kirov Province in 1996-1998]

The epidemiological and some clinical features of tick-borne relapsing fever (TBRF) in the Kirovo-Chepetsk District, Kirov Province were studied and the data were statistically processed. The incidence rates of the disease in the region were compared with those of other Russian regions by sex, age, and occupation. The study revealed where and when infection had occurred, the duration of tick's attachment to the patient with TBRF, determined the duration of its incubative period, assessed whether a short-term prognosis of the expected number of patients can be made by the number of tick-bitten persons. The Kirovo-Chepetsk District is an active highly endemic focus of TBRF. Its incidence is tens of times higher that of other natural and focal infections.

Ticks and tick-borne diseases: a vector-host interaction model for the brown ear tick (Rhipicephalus appendiculatus)

An analytical model is derived for the interaction of the brown ear tick (Rhipicephalus appendiculatus) with its hosts. Such models are rare due to the complexity and lack of information on the entire stages of ticks life cycles. Most models are simulations rather than analytical. The vector is categorized into a discrete number of compartments according to its life cycle. The starting model in this article consists of a system of differential equations with constant coefficients. A general model on a stage structured population with unlimited host density is developed. From the characteristic polynomial of the system a sensitivity analysis for the population parameters is carried out in detail. The model is then improved by incorporating host abundance and availability. This is done on the basis of a demand-driven and ratio-dependent functional response model. The improved model adequately represents the dynamics of a stage-structured vector population under conditions of varying host density. The model allows the qualitative evaluation of several management strategies and is expected to guide future research work.

Methodology for sampling questing nymphs of Ixodes ricinus (Acari: Ixodidae), the principal vector of Lyme disease in Europe

To assess the Lyme borreliosis vector population density we set up a methodology for sampling the Ixodes ricinus L. population host questing on the vegetation. We focused on the collection of the nymphal stage, which is the principal stage of disease transmission to humans. This study was carried out in Rambouillet forest (Yvelines, France) where seven study areas were demarcated. These areas are maximally homogeneous for plant species using a finer scale than the phytosociological classification as defined by the method of landscape diagnostics. Out of 23 collections performed from March 1997 to May 1998, 2,906 I. ricinus nymphs were collected. The sampling technique chosen was the cloth lure technique. The technical parameters were studied and fixed (cloth type, cloth size, sample size, researcher position). It appeared that toweling was the best cloth type to optimize the number of ticks collected; the position of the researcher had no effect on tick samples. To satisfy the criteria for correct sampling, we studied representativity, randomness, and nonselectivity of our methodology. The spatial distribution of nymphs in a homogeneous area was close to random and thus very few subsamples were needed to obtain a relative density which was representative. No significant differences were found between random samples and following transect samples; and nonselectivity was totally satisfied because we only worked on questing nymphs. We grouped the samples that presented no significant differences to attribute a density index, which varied from 0 to 5. This methodology, applied with the same parameters, offers potential for producing comparable results from studies in different geographical areas and at different times of the years.

Molecular detection of pathogen DNA in ticks (Acari: Ixodidae): a review

Ticks play an important role in human and veterinary medicine, in particular due to their ability to transmit a wide spectrum of pathogenic micro-organisms of protozoal, rickettsial, bacterial and viral origin. Pathogens in ticks can be identified by conventional methods such as indirect immunofluorescence, isolation in cell culture or by using histological staining techniques. However, the advent of the polymerase chain reaction (PCR) has resulted in tremendous improvements in the specific and sensitive detection of pathogen DNA in ticks. In this paper, literature on DNA extraction methods, PCR protocols, primers and probes, which are in use for the successful detection and identification of pathogens in ticks, are critically reviewed. Some recommendations are also given towards the end of this review.

Report on ticks collected in the Southeast and Mid-West regions of Brazil: analyzing the potential transmission of tick-borne pathogens to man

Specimens of ticks were collected in 1993, 1996, 1997, and 1998, mostly from wild and domestic animals in the Southeast and Mid-West regions of Brazil. Nine species of Amblyommidae were identified: Anocentor nitens, Amblyomma cajennense, Amblyomma ovale, Amblyomma fulvum, Amblyomma striatum, Amblyomma rotundatum, Boophilus microplus, Boophilus annulatus, and Rhipicephalus sanguineus. The potential of these tick species as transmitters of pathogens to man was analyzed. A Flaviviridade Flavivirus was isolated from Amblyomma cajennense specimens collected from a sick capybara (Hydrochaeris hydrochaeris). Amblyomma cajennense is the main transmitter of Rickettsia rickettsii (=R. rickettsi), the causative agent of spotted fever in Brazil. Wild mammals, mainly capybaras and deer, infested by ticks and living in close contact with cattle, horses and dogs, offer the risk of transmission of wild zoonosis to these domestic animals and to man.

[Varying clinical picture and course of human granulocytic ehrlichiosis. Twelve Scandinavian cases of the new tick-borne zoonosis are presented]

In the twelve clinical cases of human granulocytic ehrlichiosis (HGE) so far identified in Scandinavia (ten in Sweden, two in Norway), clinical presentation varied from a mild febrile illness to a severe septic condition with such systemic complications as acute respiratory distress syndrome (ARDS). Laboratory verification was based on PCR (polymerase chain reaction) in ten cases, and on serology in two cases. Sequence analysis of 16S rDNA showed the infectious agents to belong to the Ehrlichia phagocytophila genogroup. Seroprevalence data indicate widespread human exposure to granulocytic Ehrlichia; mean seroprevalence, 15-20% of 1,000 clinical sera from tick-exposed patients (mainly from Sweden and Norway). Proposals for diagnostic criteria and procedures, and case management are presented in the article.

[Three Swedish cases of African tick-bite fever. Can our native Rickettsia species cause disease in humans?]

The article consists in a report of three cases of African tick-bite fever in Swedish tourists returning from brief visits to South Africa. The clinical course included eschar, regional lymphadenopathy, fever and, in two cases, maculopapular rash. Two cases were characterised by significant increases in anti-Rickettsia conorii IgG and IgM antibody titres. However, the aetiological agent was assumed to be Rickettsia africae, based on reports by others and the widespread serological cross-reactivity among spotted fever Rickettsia spp. The third case was diagnosed on clinical grounds. During the past ten years, 50 per cent (41/80) of cases diagnosed serologically as rickettsial (R. conorii antigen) spotted fever at the Swedish Institute for Infectious Disease Control were associated with travel to South Africa. Parallels are drawn to the recent finding of R. helvetica in Swedish ticks (Ixodes ricinus), and the possibility of its pathogenicity to humans is discussed, though no such clinical cases have been reported to date.

Ticks feeding on humans: a review of records on human-biting Ixodoidea with special reference to pathogen transmission

In this article, literature records of argasid and ixodid ticks feeding on humans worldwide are provided in view of increased awareness of risks associated with tick bites. Ticks can cause paralyses, toxicoses, allergic reactions and are vectors of a broad range of viral, rickettsial, bacterial and protozoan pathogens. Approximately 12 argasid species (Argas and Ornithodos) are frequently found attached to humans who intrude into tick-infested caves and burrows. Over 20 ixodid tick species are often found on humans exposed to infested vegetation: four of these are Amblyomma species, 7 Dermacentor spp., 3 Haemaphysalis spp., 2 Hyalomma spp. and 6 Ixodes species. Personal protection methods, such as repellents and acaricide-impregnated clothing are advised to minimize contact with infected ticks. Acaricidal control of ixodid ticks is impractical because of their wide distribution in forested areas, but houses infested with soft ticks can be sprayed with acaricidal formulations. Attached ticks should be removed without delay. The best way is to grasp the tick as close to the skin as possible with fine tweezers and pull firmly and steadily without twisting. Finally, despite the fact that most people who are bitten destroy the offending tick in disgust, it is recommended that they preserve specimens in ethanol for taxonomic identification and detection of pathogens by molecular methods.

Shared vector-borne zoonoses of the Old World and New World: home grown or translocated?

Humans inhabiting the Old World and New World share a wide variety of pathogens. Processes that result in the disjunct biogeographic distribution of pathogens with common vertebrate reservoirs or vectors are more difficult to unravel than those influencing the distribution of infections spread only through human-to-human transmission. The origins of species and complexes of tick-borne bacteria are unclear. The agent of Lyme borreliosis may have speciated in the New World following geographical isolation of ticks harboring ancestral spirochetes; the subsequent spread to Europe of B. burgdorferi sensu stricto may have occurred within historical times. Other tick-borne agents, such as the ehrlichiae causing human granulocytic ehrlichiosis, are genetically very similar in the Old World and New World. As the taxonomic distinctions among these related agents of human and veterinary importance appear increasingly blurred, the processes leading to the current discontinuous geographic distributions will also become the source of continuing speculation. Accumulating data suggest an Old World origin for a group of bacteria that include B. elizabethae, a human pathogen first identified from the New World. The potential public health significance of these newly described organisms is undefined, but of international interest as their vertebrate reservoir has been introduced throughout the world.

Coinfection with multiple tick-borne pathogens in a Walker Hound kennel in North Carolina

Both dogs and humans can be coinfected with various Ehrlichia, Bartonella, Rickettsia, and Babesia species. We investigated a kennel of sick Walker Hounds and their owners in southeastern North Carolina for evidence of tick-borne infections and associated risk factors. A high degree of coinfection was documented in the dog population. Of the 27 dogs, 26 were seroreactive to an Ehrlichia sp., 16 to Babesia canis, and 25 to Bartonella vinsonii, and 22 seroconverted to Rickettsia rickettsii antigens. According to PCR results, 15 dogs were infected with Ehrlichia canis, 9 with Ehrlichia chaffeensis, 8 with Ehrlichia ewingii, 3 with Ehrlichia equi, 9 with Ehrlichia platys, 20 with a Rickettsia species, 16 with a Bartonella species, and 7 with B. canis. The detection of DNA from any Ehrlichia species was associated with clinical illness and with concurrent B. canis infection (by PCR). Both E. canis and an uncharacterized Rickettsia species appeared to result in chronic or recurrent infection. Death in the dog population was associated with living in a dirt lot rather than the concrete kennel. Of 23 people on whom serologic testing was conducted, eight were seroreactive to Bartonella henselae, one to E. chaffeensis, and one to R. rickettsii antigen; however, none had clinical or hematologic abnormalities consistent with illness caused by these organisms. We conclude that kennel dogs with heavy tick exposure can be infected at a high rate with multiple, potentially zoonotic, tick-borne pathogens. In addition, our findings further illustrate the utility of PCR for documenting coinfection with tick-transmitted pathogens.

Immunology of the tick-host interaction and the control of ticks and tick-borne diseases

The first experimental vaccination against ticks was carried out 60 years ago. Since then, progress has been slow, although the recent commercial release of a recombinant vaccine against Boophilus microplus is significant. The nature of naturally acquired protective immunity against ticks is poorly understood, particularly in the important, domesticated ruminant hosts. Characterization of the antigens of naturally acquired immunity remains limited, although more has been achieved with 'concealed' antigens. Crucial questions remain about the true impact of tick-induced immunosuppression and the effect of immunity on the transmission of tick-borne diseases, despite some fascinating and important recent results, as discussed here by Peter Willadsen and Frans Jongejan.

Tick modulation of host immunity: an important factor in pathogen transmission

Immunological interactions at the tick host interface involve innate and specific acquired host immune defenses and immunomodulatory countermeasures by the tick. Tick feeding stimulates host immune response pathways involving antigen-presenting cells, cytokines, B-cells, T-cells, circulating and homocytotropic antibodies, granulocytes, and an array of biologically active molecules. In response to host immune defenses, tick-mediated host immunosuppressive countermeasures inhibit: host antibody responses; complement activation; T-cell proliferation; and cytokine elaboration by macrophages and Th1-lymphocytes. Immunosuppressive proteins identified in tick salivary glands and saliva have been partially characterised. Tick-induced host immunosuppression facilitates blood meal acquisition and is an important factor in the transmission/establishment of the tick-borne disease-causing agent, Borrelia burgdorferi. A novel strategy for control of tick-borne pathogens is proposed.

[The biodiversity dynamics of the causative agents of diseases transmitted by ticks in the genus Ixodes: an analysis of multiyear data]

Fauna of pathogen's met in the organism of the primary tick-borne disease vectors--Ixodes persulcatus Schulze and Ixodes ricinus (L.) was observed. Prevalence of Borrelia mono- and poly-infection in the I. persulcatus ticks within a season of the vector activity was analyzed and increase of the number of the dual infected specimens during the season was demonstrated. The first determination of Ehrlichia infected I. ricinus and I. persulcatus collected in the Baltic region of Russia was stated. The triple infection of Ixodes ticks in was proved: infection by the two species of Borrelia and Ehrlichia; infection by the three species of Borrelia and infection by the tick-borne encephalitis virus and two species of Borrelia. The first determination of the tick-borne encephalitis virus in I. ricinus in the recreational zone of Kaliningrad Province (Courland [correction of Curonian] Spit) was described. Dipetalonema sp. was detected in the St. Petersburg population of I. persulcatus. The prevalence of poly-infection among I. persulcatus ticks was stated.

[The principal arthropod vectors of disease. What are the risks of travellers' to be bitten? To be infected?]

Many blood-sucking arthropods are potential vectors of disease. To become a vector, the arthropod must be susceptible to the infective agent and must survive the incubation period so as to transmit the pathogens to a host. While some arthropod associated diseases affect only man (e.g. malaria) most of these diseases are (anthropo-) zoonoses with man often an accidental host. The risk of contamination depends on the one hand on the biting behaviour of the vector, its biology and distribution, and on the other hand on the sites visited by the traveller, the length of his stay, his activities, the conditions of sleeping accommodation. The risk of contracting malaria is very high in tropical Africa, in the forest area of South America and South East Asia, in Papua New Guinea. Malaria can be prevented if measures (e.g. pyrethroid impregnated bed nets, repellents) are taken to avoid bites of Anopheline mosquitoes between sunset and sunrise, but appropriate chemoprophylaxis must not be neglected. Lethal cases of yellow fever among unvaccinated travellers still occur despite a strict international regulation on vaccination requirements. Dengue is a major health problem in intertropical areas. As no vaccine is available, personal protection measures are recommended against daytime-biting mosquitoes, including the use of protective clothing, repellents. Other arthropod borne diseases among travellers are less common but the risks increase during adventure trips (e.g. zoonotic leishmaniasis, tick-borne relapsing fever) and humanitarian actions (e.g. risk of louse-borne typhus during visits of overcrowded prisons). Tick-borne diseases receive nowadays more attention. These diseases are not only restricted to some occupations (farmers, veterinarians) but also ramblers and campers are at risk. Attached ticks should be removed rapidly and carefully, since several hours of attachment are needed for transmission of spirochetes of LYME disease.

Pathogens and predators of ticks and their potential in biological control

This review summarizes the literature about pathogens and predators of ticks and their potential use as biocontrol agents published since the beginning of this century. In nature, many bacteria, fungi, spiders, ants, beetles, rodents, birds, and other living things contribute significantly toward limiting tick populations, as do, for instance, the grooming activities of hosts. Experiments with the most promising potential tick biocontrol agents--especially fungi of the genera Beauveria and Metarhizium and nematodes in the families Steinernematidae and Heterorhabditidae, as well as oxpeckers--are described.

[Enzootic reservoir for new Ixodes ricinus-transmitted infections]

In the last decade new tick-transmitted zoonoses have emerged as threats to the public health in Europe. They are mostly due to infection by Borrelia burgdorferi s.I., Babesia divergens, B. microti and Ehrlichia sp. All these pathogens are transmitted by the rodent-feeding ticks of Ixodes persulcatus "complex". Also there is first serological information of coexistence of antibodies to B. burgdorferi, B. microti and Ehrlichia sp. in human exposured to these multiple tick-transmitted pathogens. Actually in Poland, the identification of the host species that act as zoonotical reservoir for these pathogens on which the competent vector becomes infected, is crucial to understand the dynamics of enzootic cycle of these pathogens. It is also important to assess the risk factor of infection in different habitats, especially in environmental condition where changing in farming system has left great land area under grassland or pasture, e.g. in Mazury Lakes District. Under such circumstances, susceptible rodent species, at least for two of these pathogens: B. micrnti and B. burgdorfeń s.l., increasingly became competent reservoirs. This aspect is currently receiving considerable attention in Europe.

Experimental transmission of Hepatozoon americanum Vincent-Johnson et al., 1997 to dogs by the Gulf Coast tick, Amblyomma maculatum Koch

Experimental transmission of Hepatozoon americanum to dogs was attempted with four ixodid ticks, viz., Rhipicephalus sanguineus, Amblyomma americanum, Amblyomma maculatum and Dermacentor variabilis. Ticks that dogs ingested included some that were laboratory-reared and experimentally fed as nymphs on a dog with naturally occurring hepatozoonosis; other ticks were collected as replete or partially engorged larvae, nymphs and adults from dogs that had hepatozoonosis and natural infestations of ticks. Whole ticks used to expose susceptible dogs orally were partially dissected to help release oocysts. Among eight dogs exposed, only the three that were fed A. maculatum adults experimentally acquisition fed as nymphs became infected. Dogs developed elevated body temperature and other evidence of clinical disease starting 4 weeks after exposure. 'Cysts' typical of H. americanum were found in skeletal muscle when samples were first examined 5 weeks after dogs ingested ticks, and parasites were also observed in peripheral blood smears at approximately the same time. Our study demonstrates that A. maculatum nymphs can acquire H. americanum by feeding on a parasitemic dog and that transstadial transmission of the protozoan occurs, with dogs acquiring infection when they ingest newly molted adult ticks.

Contact with ticks and awareness of tick-borne diseases among the Czech population--a pilot study

In the Czech Republic, the incidence of Lyme borreliosis (LB) has shown a rising trend since 1988. The goal of this study has been to find out to what extent a selected part of population is aware of ticks and of the relationship between ticks and LB. The study was based on a questionnaire survey. A total of 110 respondents were selected, including 19 secondary school students, 32 blood donors, 44 park-goers, 15 countryside people. As many as 99% of the respondents were aware of the presence of ticks, 91% knew that ticks are sucking blood of humans and animals, 1.8% thought they eat leaves. 74.5% of the respondents expect ticks to reach them from the vegetation while 22% believe that ticks fall from the trees. Furthermore, 87% and 75% of the respondents indicated to have had ticks attached to the skin or to have removed a tick from other persons' skin, respectively. Only 6.7% of them had never come into contact with ticks. 17% of the respondents use disinfectant when removing a tick, while 67% use oil for tick removal. Almost 30% remove ticks with naked hands. Over 14% destroy the ticks by squashing them with naked fingers. Finally, about 11% of the population studied had never heard about LB and 41% were not aware of the risk of tick-borne encephalitis.

Acquisition and transmission of the agent of human granulocytic ehrlichiosis by Ixodes scapularis ticks

The purpose of the present study was to investigate the transmission of a human isolate of the agent of human granulocytic ehrlichiosis (HGE agent) from infected mice to larval ticks and to examine the population kinetics of the HGE agent in different stages of the tick life cycle. The HGE agent was quantitated by competitive PCR with blood from infected mice and with Ixodes scapularis ticks. The median infectious dose for C3H mice was 10(4) to 10(5) organisms when blood from an infected severe combined immunodeficient mouse was used as an inoculum. Uninfected larval ticks began to acquire infection from infected mice within 24 h of attachment, and the number of HGE agent organisms increased in larval ticks during feeding and after detachment of replete ticks. Molted nymphal ticks, infected as larvae, transmitted infection to mice between 40 and 48 h of attachment. Onset of feeding stimulated replication of the HGE agent within nymphal ticks. These studies suggest that replication of the HGE agent during and after feeding in larvae and during feeding in nymphs is a means by which the HGE agent overcomes inefficiencies in acquisition of infection by ticks and in tick-borne transmission to mammalian hosts.

Natural prevalence of infection with Ehrlichia (Cytoecetes) phagocytophila of Ixodes ricinus ticks in Scotland

Ixodes ricinus nymphs and adults were collected from vegetation and from sheep at four sites in Scotland typical of areas endemic for tick-borne fever in sheep caused by infection with Ehrlichia (Cytoecetes) phagocytophila (Rickettsiales). The great majority of ticks examined was from woodland sites adjacent to sheep farms where there was a high probability of them feeding on roe deer (Capreolus capreolus) in a non-domestic focus of infestation and infection. Ticks were examined for infection by five methods. Batches of ticks were examined either by feeding on susceptible sheep or by feeding on rabbits and then prepared as stabilate which was inoculated into susceptible sheep. The sheep were monitored for clinical signs of tick borne fever. Batches of ticks were examined by polymerase chain reaction for Ehrlichia phagocytophila. Salivary glands were dissected out and stained by the Feulgen method to detect Ehrlichia masses, and were examined by indirect fluorescent antibody test. Each of the methods detected infection in ticks and the prevalence of infection in nymphs with the various methods ranged from >0.25% to 2.0%. Small samples of adults examined by Feulgen staining of salivary glands indicated infection prevalences of 2.1% in males and 1.6% in females. It is considered that these low infection prevalences may be typical of natural foci of infection where deer could be a major host of ticks and E. phagocytophila.

[Tularemia after tick bite in Vestfold]

Direct contact with rodents or their faeces is a well-known risk factor for contracting tularaemia in Norway. Both insects and ticks can act as vectors of tularaemia, but transmission by this route has not previously been described in this country. We report three cases of serologically confirmed ulceroglandular tularaemia on a small island in Southern Norway, an area in which tularaemia has not previously been known to occur. Tick bites preceded infection in two of the patients. The third patient may also have become infected through a tick or insect bite. Diagnosis was made late in all cases, causing a delay in appropriate treatment. Two of the patients were successfully treated with ciprofloxacin. Our experience and previous reports suggest that quinolones should be considered as the first choice of drugs in the treatment of tularaemia in Norway.

Fall and rise of Lyme disease and other Ixodes tick-borne infections in North America and Europe

Lyme disease is a spirochaetal infection with acute and chronic manifestations. Lyme disease and other infections transmitted by Ixodes species ticks are increasing in temperate and Holarctic regions of the Northern hemisphere. These zoonotic infections are most commonly acquired in suburban residential areas and outdoor recreation areas close to cities. Different enzootic cycles, which include a variety of large and small mammals as well as migratory birds, maintain and distribute in nature the Borrelia species that cause Lyme disease. The rise in cases of Lyme disease and the other Ixodes tick-borne infections is, in part, the consequence of reforestation and the increase in deer populations in developed countries.

Rickettsiae-infected ticks in an endemic area of spotted fever in the State of Minas Gerais, Brazil

A study on tick-borne rickettsiosis was developed in the county of Santa Cruz do Escalvado, State of Minas Gerais, Brazil, where a clinical case of the disease, confirmed by necropsy, had been reported. Of the 1,254 ticks collected, 1,061 belonged to the Amblyomma genus, 57 to the Rhipicephalus sanguineus species, 81 to Boophilus microplus, and 46 to Anocentor nitens. The hemolymph test associated with Giménez staining showed that 18 of the 221 A. cajennense specimens, 1 of the 16 R. sanguineus, 1 of the 22 B. microplus, 3 of the A. nitens, and 1 of the A. ovale contained rickettsia-like microorganisms. Only 3 A. cajennense ticks were positive under direct immunofluorescence. A. cajennense was the only species found on humans.

The cold zone: a curious convergence of tick-transmitted diseases

In recent years, investigators have gained an increasing appreciation of the complexity of the Lyme disease transmission cycle with regard to the number of pathogens involved. Babesia microti, a blood parasite that is related to the organism that causes malaria, frequently accompanies the Lyme disease spirochete in the mouse reservoir. Recently, a newly described Ehrlichia species related to Ehrlichia equi has been found to be transmitted by the deer tick. Human infections with these agents alone and in combination are now being described, and the successful treatment of these infections may depend on proper diagnosis. The convergence of these and other organisms on the Lyme disease transmission cycle provides a unique opportunity to study pathogen-pathogen interactions in a naturally occurring model.

Sheep and goat tick management

Tick and tick-borne disease (TBD) problems of sheep and goats are less well studied than those of cattle. Nevertheless, small ruminants are able to acquire worthwhile resistance to most tick species and the principles of enzootic stability and the need to preserve it are similar to those with cattle. In practice, sheep and goats are often grazed nomadically and initial TBD infections may be delayed. This may well account for losses from Nairobi sheep disease and heartwater. Sheep and goats are also affected by direct tick damage including tick bite abscesses, tick paralysis, tick-induced dermatophilosis, etc. Otherwise direct damage is believed to be only slight and stress from dipping causes reductions in liveweight gain greater than those caused by the ticks. Even "pour-on" preparations produce no economic benefit in studied situations despite the lack of stress. A pragmatic approach to tick management is needed for varying situations although the need to preserve enzootic stability is of paramount importance.

The control of heartwater in west Africa--present and future

Heartwater (HW) is the name given to the acute, febrile disease of ruminants caused by infection with the obligate intra-cellular rickettsia Cowdria ruminantium. The effect of losses associated with HW and dermatophilosis are an important constraint to the sustainable use of non-indigenous breeds, but recent advances in heartwater and dermatophilosis research provide optimism that integrated control of these conditions can be achieved in west Africa. The relevant advances in HW research are in methods for monitoring the status of animals at risk of developing heartwater, which allow the veterinarian and owner to identify control strategies for herds and individual animals, and developments in the field of vaccination. This paper seeks to provide information that may assist the veterinary services in west Africa in assessing and identifying opportunities for HW control. Recommendations for the activities of key institutions place an emphasis upon the isolation and identification of west African strains of Cowdria for inclusion in inactivated or live vaccines, and the need for donor support to enable field trials of integrated control methods for HW and dermatophilosis.

General framework for comparative quantitative studies on transmission of tick-borne diseases using Lyme borreliosis in Europe as an example

Models of tick-borne diseases must take account of the particular biological features of ticks that contrast with those of insect vectors. A general framework is proposed that identifies the parameters of the transmission dynamics of tick-borne diseases to allow a quantitative assessment of the relative contributions of different host species and alternative transmission routes to the basic reproductive number, Ro, of such diseases. Taking the particular case of the transmission of the Lyme borreliosis spirochaete, Borrelia burgdorferi, by Ixodes ticks in Europe, and using the best, albeit still inadequate, estimates of the parameter values and a set of empirical data from Thetford Forest, England, we show that squirrels and the transovarial transmission route make quantitatively very significant contributions to Ro. This approach highlights the urgent need for more robust estimates of certain crucial parameter values, particularly the coefficients of transmission between ticks and vertebrates, before we can progress to full models that incorporate seasonality and heterogeneity among host populations for the natural dynamics of transmission of borreliosis and other tick-borne diseases.

[The probable utilization of the protective properties of the vector's saliva by the causative agents of specifically tick-borne infections]

It is proved that in the tick fluid saliva and in the cement plug produced by Rhipicephalus appendiculatus there are bactericidal substances very similar in their activity to the egg lysozyme. The possible role in the transmission and conservation of the specific tick-borne, insensitive to the lysozyme pathogens such as rickettsiae, tick-borne encephalitides virus and borreliae (pathogen of Lyme disease) is discussed. It is supposed, that bactericidal substances in the cement plug protect accumulated in it the tick-borne pathogens (TBE virus, borreliae) from the compete and destructive influence of the vulgar, mainly coccal microflora and from the purulent inflammation, which hinders not only tick feeding but probably specific tick-borne pathogens spreading in the vertebrate host.

Vector situation of tick-borne diseases in the Caribbean Islands

The most important ticks transmitting diseases to ruminants in the Caribbean islands are: Amblyomma variegatum, vector of cowdriosis and associated with acute dermatophilosis; Amblyomma cajennense, potential vector of cowdriosis; Boophilus microplus, vector of babesiosis and anaplasmosis. At the present time, Amblyomma variegatum is widespread in the Lesser Antilles from Barbados to Puerto Rico. The intensity of the tick control program varies in the different islands and the tick infestation in each island ranges from limited foci to widespread infestations. The vector situation appeared stable since 1988 in the Lesser Antilles but the outbreak in 1992 in Puerto Rico emphasized the risk of spread to other islands and to the American mainland, particularly with cattle egrets. Cowdriosis remains apparently limited to Guadeloupe and Antigua. Amblyomma cajennense, experimental vector of cowdriosis, is present in Cuba, Jamaica and Trinidad but also in most American countries. Boophilus microplus is widespread throughout the Caribbean. Its presence and importance are often indirectly estimated by the clinical and serological diagnosis of babesiosis and anaplasmosis. There is no correlation between the intensity of Amblyomma variegatum control in each island of the Lesser Antilles and the effect on the Boophilus microplus population measured by the seroprevalence to babesiosis and anaplasmosis, but within the island of Martinique a regular Amblyomma variegatum control decreases the seroprevalences to babesiosis and anaplasmosis.

Targeting ticks for control of selected hemoparasitic diseases of cattle

Development in and transmission of hemoparasites by tick vectors are phenomena closely synchronized with the tick feeding cycle. In all known life cycles, initial infection of tick tissues occurs in midgut epithelial cells and transmission is effected as ticks feed after parasites have developed and multiplied in salivary glands. Many factors reviewed affect development and transmission of hemoparasites by ticks including age of ticks, artificial temperature, climate and/or season, tick stage or sex, hemoparasite variation, concurrent infection of ticks with other pathogens, host cell susceptibility, transovarial transmission, effect of hemoparasites on tick biology, and the effect of infecting parasitemia level in cattle on infection rates in ticks. Four hemoparasites of cattle, Anaplasma marginale, Cowdria ruminantium, Theileria parva, and Babesia spp., are all dependent on ticks for biological transmission. Babesia is transmitted transovarially whereas the other three are transmitted transstadially. Mechanical transfer of infective blood via fomites and mouthparts of biting arthropods is also a major means of transmission for Anaplasma marginale but not of the others. Potential control methods for hemoparasites that target parasites as they are developing in their respective tick hosts include tick control, vaccines (against ticks and parasites), and drugs (against ticks and parasites). Successful application of control strategies will be dependent upon thorough understanding of parasite developmental cycles, biology of the tick vectors and the immune response of cattle to ticks and to hemoparasites. The most effective control measures will be those that are targeted against both ticks and the hemoparasites they vector.

Recent developments in elucidating tick vector relationships for anaplasmosis and equine piroplasmosis

This brief review focuses first on several epidemiologically relevant aspects of anaplasmosis, including: (1) the role of male ticks as intrastadial, biological vectors of Anaplasma through interhost transfer; (2) the application of molecular diagnostic assays in assessing tick vector competence and evaluating the role of chronically infected carrier cattle as sources of Anaplasma marginale infection in vector ticks; (3) opportunities provided by a recently developed in vitro tick feeding system in quantitating studies of tick-hemoparasite-host interactions. Lastly, current knowledge of the status of New World ticks as experimental and/or natural vectors of equine piroplasms is discussed.

Strategies for the control of one-host ticks and relationship with tick-borne diseases in South America

A variety of hemoparasites occurs in ruminants of South America (12 degrees 00'N-56 degrees 00'S), but there is consensus on the significant economic impact of babesiosis (Babesia bovis and Babesia bigemina) and anaplasmosis (Anaplasma marginale). The tick vector for the Babesia spp. for the whole region is Boophilus microplus which has been the most important target in control/eradication programs. Boophilus microplus and many different hematophagous diptera species are considered vectors of A. marginale. In areas where babesiosis and anaplasmosis are present, the wide range of climates (tropical, subtropical, temperate), husbandry practices (subsistence, extensive, intensive), and tick control strategies has led to the concepts of enzootic stability and instability. Within this framework, six control strategies for Boophilus microplus can be identified: (1) absolute tick control--with the establishment of quarantine areas and the implementation of state legislation; (2) absolute tick control in marginal areas--using local epidemiological knowledge, strategic treatments, quarantine areas and the intervention of the state; (3) prophylactic treatment--with a predetermined acaricide treatment schedule aimed at reducing tick burdens to an acceptably low level; (4) threshold treatment--acaricides are applied by the farmer whenever the number of ticks on cattle exceed a threshold level; (5) opportunistic treatment--acaricides are applied when cattle are assembled for other purposes; (6) integrated tick control--principally involving the combination of acaricides with the use of tick-resistant crossbred cattle.

[The typology of natural foci of tick-borne rickettsiosis]

The authors have developed a typological classification of tick-borne rickettsiosis foci by the type of the main carrier by identifying 6 major types out of which the Dermacentor steppe and partially wooded steppe foci are most extensive and epidemiologically significant. They provide a spatial and functional characterization of the foci of this infection within the currently known Rickettsia sibirica area, which is applicable to make epidemiological predictions and differential preventive measures.

Non-viraemic transmission of tick-borne encephalitis virus: a mechanism for arbovirus survival in nature

The vectors of arthropod-borne viruses (arboviruses) become infected by feeding on the viraemic blood of an infected animal. This theory is based on transmission studies involving artificial infection of vertebrate hosts by syringe inoculation. To reproduce natural conditions of virus transmission, infected and uninfected vectors (ticks) of tick-borne encephalitis virus, the most important arbovirus in Europe, were allowed to feed together on uninfected wild vertebrate hosts. The greatest numbers of infected ticks were obtained from susceptible host species that had undetectable or very low levels of viraemia. The results suggest that 'nonviremic transmission' is an important mechanism for the survival of certain arboviruses in nature.

Spotted fever group rickettsial infection in south-eastern Australia: isolation of rickettsiae

Flinders Island spotted fever (FISF), a spotted fever group (SFG) rickettsial disease first described in 1991, occurs in south-eastern Australia. The isolation of the aetiological agent is described for the first time having been obtained from the blood of two patients. An additional 22 cases are also reported. Of these patients four had positive initial serology, and 20 showed seroconversion (using Rickettsia australis as antigen). Acute phase blood specimens taken from seven patients caused neonatal mice to seroconvert to R. australis and a blood specimen from one of these patients (and one other) yielded rickettsiae. A field survey for possible reservoir and vector animals on Flinders Island, Tasmania and in Gippsland, Victoria (both in south-eastern Australia) yielded 217 vertebrates and 1445 invertebrate ectoparasites, mostly ticks. Ixodes cornuatus from humans and dogs in Gippsland produced seroconversion to SFG rickettsia when inoculated into mice but no invertebrate pools from Flinders Island produced seroconversion in mice. Haemolymph from an individual I. cornuatus removed from a human in Gippsland, yielded a SFG rickettsia on tissue culture. Sera from several species of native vertebrates, especially the bush rat, Rattus fuscipes, were positive for antibodies to SFG rickettsia.