Yaglom Hayley D, Nicholson William L, Casal Mariana, Nieto Nathan C, Adams Laura
Arizona Department of Health Services, Office of Infectious Disease Services, Phoenix, Arizona.
Centers for Disease Control and Prevention, Rickettsial Zoonoses Branch, Atlanta, Georgia.
Zoonoses Public Health. 2018 Dec;65(8):984-992. doi: 10.1111/zph.12517. Epub 2018 Aug 21.
Rocky Mountain spotted fever (RMSF) is a severe tick-borne rickettsial illness. In the south-western United States and Mexico, RMSF displays unique epidemiologic and ecologic characteristics, including Rhipicephalus sanguineus sensu lato (brown dog tick) as the primary vector. Expansion and spread of the disease from hyperendemic regions of Arizona or Mexico to new areas is a key public health concern. Dogs are thought to play an important role in the emergence and circulation of R. rickettsii in these regions and are often one of earliest indicators of RMSF presence. A canine serosurvey was conducted in 2015 among owned and stray dogs at rabies clinic and animal shelters in three southern Arizona counties where RMSF had not previously been identified. Of the 217 dogs sampled, 11 (5.1%) tested positive for spotted fever group rickettsia (SFGR) IgG antibodies, with seropositivity ranging from 2.9% to 12.2% across the three counties. Large dogs were significantly more likely than small dogs to have positive titres reactive with R. rickettsii; no additional statistically significant relationships were observed between seropositivity of canine age, sex, neuter or ownership status. In addition, 17 (7.8%) dogs had ticks attached at the time of sampling, and stray dogs were significantly more likely to have ticks present than owned dogs (p < 0.001). All 57 ticks collected were identified as Rh. sanguineus s.l., and four (7%) had DNA evidence of genera-wide Rickettsia species. The results of this project demonstrated canine seroprevalence levels lower than those previously reported from dogs in highly endemic areas, indicating a low risk of SFGR transmission to humans in the southern Arizona border region at this time. Continued surveillance is critical to identify SFGR emergence in new geographic regions and to inform prevention efforts for humans and dogs in those areas.
落基山斑疹热(RMSF)是一种严重的蜱传立克次体病。在美国西南部和墨西哥,RMSF呈现出独特的流行病学和生态学特征,包括血红扇头蜱(广义棕狗蜱)作为主要传播媒介。该疾病从亚利桑那州或墨西哥的高度流行地区向新区域的扩展和传播是一个关键的公共卫生问题。狗被认为在这些地区立氏立克次体的出现和传播中起着重要作用,并且通常是RMSF存在的最早指标之一。2015年,在亚利桑那州南部三个此前未发现RMSF的县的狂犬病诊所和动物收容所,对家养犬和流浪犬进行了一项血清学调查。在217只采样犬中,11只(5.1%)斑点热群立克次体(SFGR)IgG抗体检测呈阳性,三个县的血清阳性率在2.9%至12.2%之间。大型犬比小型犬更有可能产生与立氏立克次体反应的阳性滴度;在犬的年龄、性别、绝育或饲养状态的血清阳性率之间未观察到其他具有统计学意义的关系。此外,17只(7.8%)犬在采样时身上有蜱附着,流浪犬身上有蜱的可能性显著高于家养犬(p<0.001)。收集的所有57只蜱均被鉴定为广义血红扇头蜱,其中4只(7%)有全属立克次体物种的DNA证据。该项目的结果表明,犬的血清阳性率水平低于此前在高度流行地区犬的报告水平,表明此时亚利桑那州南部边境地区SFGR传播给人类的风险较低。持续监测对于识别新地理区域中SFGR的出现以及为这些地区的人和狗的预防工作提供信息至关重要。