Monitoring Human Babesiosis Emergence through Vector Surveillance New England, USA
Autor: | Corrine M. Folsom-O'Keefe, Yuchen Liu, Timothy J. Lepore, Tanner K. Steeves, Kenneth R. Dardick, Durland Fish, Sam R. Telford, Stephen J. Bent, Sahar Usmani-Brown, Peter J. Krause, Maria A. Diuk-Wasser |
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Rok vydání: | 2014 |
Předmět: |
Epidemiology
lcsh:Medicine 0302 clinical medicine Lyme disease New England 030212 general & internal medicine Tick-borne disease food and beverages Babesiosis 3. Good health Infectious Diseases Massachusetts Tick-Borne Diseases Ixodes scapularis Epidemiological Monitoring tick-borne pathogens Adult Microbiology (medical) 030231 tropical medicine infection prevalence parasites Biology Tick Babesia microti lcsh:Infectious and parasitic diseases 03 medical and health sciences parasitic diseases medicine Animals Humans emergence lcsh:RC109-216 Borrelia burgdorferi Ixodes Research fungi lcsh:R piroplasm bacterial infections and mycoses medicine.disease biology.organism_classification Virology human babesiosis Tick Infestations Connecticut incidence ratio Vector (epidemiology) Arachnid Vectors |
Zdroj: | Emerging Infectious Diseases, Vol 20, Iss 2, Pp 225-231 (2014) Emerging Infectious Diseases |
ISSN: | 1080-6059 1080-6040 |
DOI: | 10.3201/eid2002.130644 |
Popis: | Such surveillance can provide an early warning for emergence of this disease and measure disease underreporting. Human babesiosis is an emerging tick-borne disease caused by the intraerythrocytic protozoan Babesia microti. Its geographic distribution is more limited than that of Lyme disease, despite sharing the same tick vector and reservoir hosts. The geographic range of babesiosis is expanding, but knowledge of its range is incomplete and relies exclusively on reports of human cases. We evaluated the utility of tick-based surveillance for monitoring disease expansion by comparing the ratios of the 2 infections in humans and ticks in areas with varying B. microti endemicity. We found a close association between human disease and tick infection ratios in long-established babesiosis-endemic areas but a lower than expected incidence of human babesiosis on the basis of tick infection rates in new disease-endemic areas. This finding suggests that babesiosis at emerging sites is underreported. Vector-based surveillance can provide an early warning system for the emergence of human babesiosis. |
Databáze: | OpenAIRE |
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