Friday, November 30, 2018

MMWR: Multistate Infestation with the Exotic Disease–Vector Tick Haemaphysalis longicornis

Where Haemaphysalis longicornis has been reported (N = 45





















#13,707


Just over two weeks ago, in CDC: Record Number Of Tickborne Infections Reported In 2017, we looked at the latest statistics on what has become an increasing and worrisome public health threat in the United States.  

https://www.cdc.gov/ticks/data-summary/index.html

While Lyme disease currently makes up about 80% of the reported infections, over the past decade we've seen the rise of several new threats, including the recently discovered Heartland and Bourbon Viruses.

Many of these diseases are vector specific, meaning that only certain ticks can carry them.  All of which makes the recent discovery of an Asian tick species - Haemaphysalis longicornis - in the United States a particular concern.

Also called the Asian longhorned tick, this species is native to Eastern China and East Asia, and is known to carry and spread a number of animal and human pathogens, including Severe Fever and Thrombocytopenia Syndrome Virus (SFTSV).
SFTSV - a tickborne Phlebovirus - was first discovered in China in 2009, and has since been reported in Japan & Korea as well. It is genetically similar to the recently identified Heartland Virus (see MMWR: Heartland Virus Disease — United States, 2012–2013) and to a Novel Bunyavirus In Livestock – Minnesota first reported in 2013.
Yesterday the CDC's MMWR published a review of this exotic invasive tick, and the potential public health risks from its recent arrival into the United States.  As this is a fairly long report, I've only posted some excerpts.

Follow the link to read it in its entirety.
Multistate Infestation with the Exotic Disease–Vector Tick Haemaphysalis longicornis — United States, August 2017–September 2018

Weekly / November 30, 2018 / 67(47);1310–1313

C. Ben Beard, PhD1; James Occi, MA, MS2; Denise L. Bonilla, MS3; Andrea M. Egizi, PhD4; Dina M. Fonseca, PhD2; James W. Mertins, PhD3; Bryon P. Backenson, MS5; Waheed I. Bajwa, PhD6; Alexis M. Barbarin, PhD7; Matthew A. Bertone, PhD8; Justin Brown, DVM, PhD9; Neeta P. Connally, PhD10; Nancy D. Connell, PhD11; Rebecca J. Eisen, PhD1; Richard C. Falco, PhD5; Angela M. James, PhD3; Rayda K. Krell, PhD10; Kevin Lahmers, DVM, PhD12; Nicole Lewis, DVM13; Susan E. Little, DVM, PhD14; Michael Neault, DVM15; Adalberto A. Pérez de León, DVM, PhD16; Adam R. Randall, PhD17; Mark G. Ruder, DVM, PhD18; Meriam N. Saleh, PhD14; Brittany L. Schappach10; Betsy A. Schroeder, DVM19; Leslie L. Seraphin, DVM3; Morgan Wehtje, PhD3; Gary P. Wormser, MD20; Michael J. Yabsley, PhD21; William Halperin, MD, DrPH22

Haemaphysalis longicornis is a tick indigenous to eastern Asia and an important vector of human and animal disease agents, resulting in such outcomes as human hemorrhagic fever and reduction of production in dairy cattle by 25%. H. longicornis was discovered on a sheep in New Jersey in August 2017 (1). This was the first detection in the United States outside of quarantine. In the spring of 2018, the tick was again detected at the index site, and later, in other counties in New Jersey, in seven other states in the eastern United States, and in Arkansas. The hosts included six species of domestic animals, six species of wildlife, and humans.
To forestall adverse consequences in humans, pets, livestock, and wildlife, several critical actions are indicated, including expanded surveillance to determine the evolving distribution of H. longicornis, detection of pathogens that H. longicornis currently harbors, determination of the capacity of H. longicornis to serve as a vector for a range of potential pathogens, and evaluation of effective agents and methods for the control of H. longicornis.

(SNIP)

Discussion

Cooperative efforts among federal, state, and local experts from agricultural, public health, and academic institutions during the last year have documented that a tick indigenous to Asia is currently resident in several U.S. states. The public health and agricultural impacts of the multistate introduction and subsequent domestic establishment of H. longicornis are not known. At present, there is no evidence that H. longicornis has transmitted pathogens to humans, domestic animals, or wildlife in the United States. 

This species, however, is a potential vector of a number of important agents of human and animal diseases in the United States, including Rickettsia, Borrelia, Ehrlichia, Anaplasma, Theileria, and several important viral agents such as Heartland and Powassan viruses. Consequently, increased tick surveillance is warranted, using standardized animal and environmental sampling methods.

(Continue . . . )

Summary

What is already known about this topic?
Haemaphysalis longicornis is a tick indigenous to Asia, where it is an important vector of human and animal disease agents, which can result in human hemorrhagic fever and substantive reduction in dairy production.
What is added by this report?
During 2017–2018, H. longicornis has been detected in Arkansas, Connecticut, Maryland, New Jersey, New York, North Carolina, Pennsylvania, Virginia, and West Virginia on various species of domestic animals and wildlife, and from two humans.
What are the implications for public health practice?
The presence of H. longicornis in the United States represents a new and emerging disease threat. Characterization of the tick’s biology and ecology are needed, and surveillance efforts should include testing for potential indigenous and exotic pathogens.

The CDC lists a growing number of diseases carried by ticks in the United States, including: Anaplasmosis, Babesiosis , Ehrlichiosis, Rickettsia parkeri Rickettsiosis, Rocky Mountain Spotted Fever (RMSF), STARI (Southern Tick-Associated Rash Illness), Tickborne relapsing fever (TBRF), Tularemia, and 364D Rickettsiosis.

The following CDC website offers advice on: Preventing Tick Bites