Geographical distribution of and associated pathogens: Analysis of integrated data from a China field survey and global published data.

The increasing incidence and range expansion of tick-borne diseases have caused global threats to human and animal health under the background of climate and socioeconomic changes. As an efficient vector in transmission of tick-borne diseases, a growing burden caused by and associated pathogens could not be underestimated. This study summarized the distribution, hosts, and pathogens of , and predicted the suitable habitats of this tick species worldwide. An integrated database involving a field survey, reference book, literature review, and related website was constructed. Location records of and associated pathogens were incorporated into distribution maps using ArcGIS software. Positive rates for -associated agents were estimated by meta-analysis. The global distribution of the tick species was predicted using Maxent model. was distributed in 14 countries across the Eurasian continent, involving Russia, China, Japan, and several Baltic Sea states, which ranged between 21°N to 66°N. The tick species fed on 46 species of hosts, and 51 tick-borne agents could be harbored by . The predictive model showed that could be predominantly distributed in northern Europe, western Russia, and northern China. Our study fully clarified the potential public health risks posed by and -borne pathogens. Surveillance and control measures of tick-borne diseases should be enhanced to promote the health of humans, animals, and ecosystems.