Ectoparasites associated with small mammals (orders Insectivora, Eulipotyphla, and Rodentia) in Razan plain, western region of Iran

Rodent Ectoparasites in the Middle East: A Systematic Review and Meta-Analysis

Rodents carry many ectoparasites, such as ticks, lice, fleas, and mites, which have potential public health importance. Middle Eastern countries are hotspots for many emerging and re-emerging infectious diseases, such as plague, leishmaniasis, Crimean Congo hemorrhagic fever, and Q fever, due to their ecological, socioeconomic, and political diversity. Rodent ectoparasites can act as vectors for many of these pathogens. Knowledge of rodent ectoparasites is of prime importance in controlling rodent ectoparasite-borne zoonotic diseases in this region. The current systematic review and meta-analysis performs a comprehensive synthesis of the available knowledge, providing an evidence-based overview of the ectoparasites detected on rodents in Middle Eastern countries. Following a systematic search in Pubmed, Scopus, and Web of Science, a total of 113 published articles on rodent ectoparasites were studied and analyzed. A total of 87 rodent species were documented, from which Mus musculus, Rattus norvegicus, and Rattus rattus were found to be the most common. Fleas were the most reported ectoparasites (87 articles), followed by mites (53), ticks (44), and lice (25). Xenopsylla cheopis, Polyplax spinulosa, Ornithonyssus bacoti, and Hyalomma rhipicephaloides were the most commonly described fleas, lice, mites, and ticks, respectively. Based on the reviewed articles, the median flea, louse, mite, and tick indices were highest in Israel (4.15), Egypt (1.39), Egypt (1.27), and Saudi Arabia (1.17), respectively. Quantitative meta-analysis, using a random-effects model, determined the overall pooled flea prevalence in the Middle East as 40% (95% CI: 25-55, I2 = 100%, p < 0.00001), ranging between 13% (95% CI: 0-30, I2 = 95%, p < 0.00001) in Iran and 59% (95% CI: 42-77, I2 = 75%, p < 0.00001) in Israel. The overall pooled louse prevalence was found to be 30% (95% CI: 13-47, I2 = 100%, p < 0.00001), ranging between 25% in Iran (95% CI: 1-50, I2 = 99%) and 38% in Egypt (95% CI: 7-68, I2 = 100%). In the case of mites, the pooled prevalence in this region was 33% (95% CI: 11-55, I2 = 100%, p < 0.00001), where the country-specific prevalence estimates were 30% in Iran (95% CI: 4-56, I2 = 99%) and 32% in Egypt (95% CI: 0-76, I2 = 100%). For ticks, the overall prevalence was found to be 25% (95% CI: 2-47, I2 = 100%, p < 0.00001), ranging from 16% in Iran (95% CI: 7-25, I2 = 74%) to 42% in Egypt (95% CI: 1-85, I2 = 100%). The control of rodent ectoparasites should be considered to reduce their adverse effects. Using the One Health strategy, rodent control, and precisely control of the most common rodent species, i.e., Mus musculus, Rattus norvegicus, and Rattus rattus, should be considered to control the rodent-borne ectoparasites in this region.

Identification of Anaplasma marginale in long-eared hedgehogs (Hemiechinus auritus) and their Rhipicephalus turanicus ticks in Iran

Hedgehogs play a role in the eco-epidemiology of parasites, viruses and bacteria of veterinary and medical importance. In Europe, hedgehogs have been found infected with tick-transmitted Anaplasma phagocytophilum and A. marginale. In this study blood and ticks collected from 53 long-eared hedgehogs (Hemiechinus auritus) living in southeastern Iran close to Afghanistan and Pakistan borders were examined for Anaplasma spp. infection using microscopical and molecular biology methods. At microscopical examination Anaplasma-like inclusion bodies were found at the margin of erythrocytes in the blood smear of one infected hedgehog (prevalence 1.9 %). Each hedgehog was infested with three to eight adult ticks (average 4.7 ± 1.5). On the body of hedgehogs, the ears were the main site for attachment of ticks. Out of 248 collected adult ticks 81.4 % were Rhipicephalus sanguineus sensu lato and 18.5 % were R. turanicus. PCR and sequencing showed the presence of A. marginale infection in the blood of two hedgehogs (3.8 %) and R. turanicus ticks collected from them. This is the first report of A. marginale infection in hedgehogs in Iran. Epidemiological importance of this finding is discussed and current knowledge on the tick fauna of hedgehogs in the country is reviewed.