Archive for the ‘Ticks’ Category

Spread of TBI’s in Michigan

https://academic.oup.com/ofid/article-lookup/doi/10.1093/ofid/ofw269

Geographic Expansion of Lyme disease in Michigan, 2000-2014

Paul M. Lantos, Jean Tsao, Lise E. Nigrovic, Paul G. Auwaerter, Vance Fowler, Felicia Ruffin, Erik Foster, and Graham Hickling
Open Forum Infectious Diseases (2017) ofw269. Published 09 January 2017.

Abstract

Background.

Most Lyme disease cases in the Midwestern United States are reported in Minnesota and Wisconsin. In recent years, however, a widening geographic extent of Lyme disease has been noted with evidence of expansion eastwards into Michigan and neighboring states with historically low incidence rates.

Methods.

We collected confirmed and probable cases of Lyme disease from 2000 through 2014 from the Michigan Department of Health and Human Services, entering them in a geographic information system. We performed spatial focal cluster analyses to characterize Lyme disease expansion. We compared the distribution of human cases with recent Ixodes scapularis tick distribution studies.

Results.

Lyme disease cases in both the Upper and Lower Peninsulas of Michigan expanded more than five-fold over the study period. While increases were seen throughout the Upper Peninsula, the Lower Peninsula particularly expanded along the Indiana border north along the eastern shore of Lake Michigan. Human cases corresponded to a simultaneous expansion in established I. scapularis tick populations.

Conclusions.

The geographic distribution of Lyme disease cases significantly expanded in Michigan between 2000 and 2014, particularly northward along the Lake Michigan shore. If such dynamic trends continue, Michigan can expect a continued increase in Lyme disease cases, as may neighboring areas of Indiana, Ohio, and Ontario, Canada.

Bm & TBI’s in NY State

http://www.sciencedirect.com/science/article/pii/S1877959X17300158

Detection of Borrelia miyamotoi and other tick-borne pathogens in human clinical specimens and Ixodes scapularis ticks in New York State, 2012-2015.

Wroblewski D, Gebhardt L, Prusinski MA, Meehan LJ, Halse TA, Musser KA.

Ticks and Tick-borne Diseases, online first, 2017 Jan 16. pii: S1877-959X(17)30015-8.

Abstract

Borrelia miyamotoi (Bm) is a recently emerging bacterial agent transmitted by several species of ixodid ticks. Diagnosis of Bm infection can be challenging, as the organism is not easily cultivable.

We have developed and validated a multiplex real-time PCR to simultaneously identify Bm infection and the agents causing human granulocytic anaplasmosis and human monocytic ehrlichiosis, Anaplasma phagocytophilum and Ehrlichia chaffeensis, respectively. The assay is 100% specific; highly sensitive, detecting 11 gene copies of Bm DNA in both whole blood and cerebral spinal fluid; and provides rapid results in less than two hours.

A retrospective study of 796 clinical specimens collected between the years 2012 and 2014 and a prospective study of 366 clinical specimens were performed utilizing this novel assay to evaluate the frequency of Bm infection in New York State (NYS). Eight clinical specimens (1%) were found to be positive for Bm, 216 were positive for A. phagocytophilum, and 10 were positive for E. chaffeensis.

Additionally, we tested 411 I. scapularis ticks collected in NYS during 2013 and 2014 in a separate multiplex real-time PCR to determine the prevalence of Bm, A. phagocytophilum, Borrelia burgdorferi s.s., and Borrelia species. Our results indicated rates of 1.5%, 27%, 19.7%, and 8.8% respectively.

The ability to monitor both the frequency and geographic distribution of Bm cases and the prevalence and geographic distribution of Bm in ticks will help create a better understanding of this emerging tick-borne pathogen.

Methods of Tick Removal: A Systematic Review of the Literature

http://amj.net.au/index.php?journal=AMJ&page=article&op=view&path%5B%5D=2804

METHODS OF TICK REMOVAL: A SYSTEMATIC REVIEW OF THE LITERATURE

Nikki Coleman, Stephen Coleman

ABSTRACT

Background
An increase in tick borne diseases in Australia has seen an interest in appropriate removal of ticks (order Ixodida) in order to prevent anaphylaxis, allergy and transmission of tick borne diseases.

Aims
A systematic review of peer-reviewed literature to determine what method of tick removal should be promoted in terms of preventing future health complications.

Methods
Thematic synthesis was used in two stages: – tick removal studies conducted on animals and humans were examined and the conclusions from all of these studies were compared, in order to ascertain the best tick removal method in relation to prevention of future medical problems (including tick bite allergy and transmission of infection).

Conclusion
This systematic review documents the best method of tick removal based on scientific and medical studies between 1985 and 2016. It concludes that the best method is to remove the tick as soon as possible after it is detected, using either fine-tipped tweezers or a reputable commercially produced tick removal tool to pull the tick away from the site of attachment. Some methods of removal, such as applying chemicals like petroleum jelly, alcohol, or nail polish to the tick, have been discredited. Other methods of removal, such as freezing, while promising, have not yet been scientifically validated.
Full Text: PDF

Ticks, Armadillos, Leprosy & Humans

http://outbreaknewstoday.com/leprosy-research-look-role-ticks-vectors-disease-28480/

Research looking into the role of (Amblyomma sculptum) ticks as vectors of Leprosy in armadillos and humans is being completed by Dr. Kevin Macaluso, MS, PhD Professor in the Department of Pathobiological Sciences the LSU School of Veterinary Medicine.

He also recently won a Research to STOP Neglected Tropical Disease Transmission (R2STOP) award.

Published on Jan 28, 2017
Outbreak News This Week Radio Show interview with Dr. Macaluso

A certain species of tick may be able to transmit leprosy to humans.  The species of tick called Amblyomma sculptum, is commonly found on armadillos and recent research has shown 50% of armadillos are infested with these ticks with an average 6 ticks per armadillo.

Since the research group does not maintain a colony of this particular tick found on armadillos, Macaluso is instead using Amblyomma maculatum (Gulf Coast Tick) in the lab as a model even though it has never been reported to be on armadillos.  This Gulf Coast tick does bite humans & other vertebrate hosts.

Interestingly, the armadillo is the only animal model able to mimic the symptoms observed in humans.
Mycobacterium leprae is not cultivable in vitro but two animals: armadillos in the U.S., and red squirrels in the UK are natural reservoirs of the bacillus.

Results revealed M. leprae RNA and antigens persisting in the midgut and present in the ovaries of adult female A. sculptum at least 2 days after oral infection, and present in their progeny (eggs and larvae), which demonstrates the occurrence of transovarial transmission of this pathogen. Infected tick larvae were able to inoculate viable bacilli during blood-feeding on a rabbit. Moreover, following inoculation with M. leprae, the Ixodes scapularis embryo-derived tick cell line IDE8 supported a detectable increase in the number of bacilli for at least 20 days, presenting a doubling time of approximately 12 days. As far as we know, this is the first in vitro cellular system able to promote growth of M. leprae. Finally, we successfully transformed a clinical M. leprae isolate by inserting the reporter plasmid pCHERRY3; transformed bacteria infected and grew in IDE8 cells over a 2-month period.

Taken together, our data not only support the hypothesis that ticks may have the potential to act as a reservoir and/or vector of leprosy, but also suggest the feasibility of technological development of tick cell lines as a tool for large-scale production of M. leprae bacteria, as well as describing for the first time a method for their transformation.

The author concludes that this new methodology will assist in screening of new leprosy drugs.

All of this is fascinating to consider since there has been a recent outbreak of leprosy in Florida as well as the fact that some leprosy drugs, Dapsone, and pyrazinamide (PZA) appear to be helping some Lyme patients.  In this study, a 7-8 week protocol of double dose dapsone combination therapy resulted in remission in 50% of patients for one year or longer.  

In fact, Dr. Horowitz reports that the Dapsone and PZA protocols have been the most effective treatment additions for resistant Lyme and autoimmune symptoms, with PZA being the most effective for dermatological manifestations of Bahcet’s and arthritic/granulomatous changes.

So the questions begging to be asked: are ticks playing a role in these leprosy outbreaks AND is leprosy playing a role in Lyme/MSIDS which could be explained by the success of mycobacterium drugs in some patients?

UWM – Center of Excellence Vector Borne Diseases

http://news.wisc.edu/cdc-awards-10-million-for-insect-borne-disease-center/

University of Madison-Wisconsin News

MADISON – The Centers for Disease Control and Prevention (CDC) has awarded $10 million to a consortium of Midwestern universities to establish a new research and training program to stem the spread of disease carried by vectors like ticks and mosquitoes.

The Upper Midwestern Center of Excellence in Vector Borne Diseases, http://grantome.com/grant/NIH/U01-CK000505-01 which will be led by University of Wisconsin–Madison medical entomologists Lyric Bartholomay and Susan Paskewitz, is aimed at elevating the understanding of vector borne diseases and improving public health response to diseases like Zika, West Nile and Lyme disease.

Part of a larger push by CDC to buttress the nation’s public health infrastructure to thwart vector borne diseases, including emerging diseases like Zika and West Nile, the new center will involve scientists – public health entomologists, epidemiologists, virologists and vector control experts – from UW–Madison, the University of Illinois, the University of Iowa, the University of Michigan and the Minnesota Department of Health.

A key objective of the new center, says Bartholomay, a professor of pathobiological sciences in the UW–Madison School of Veterinary Medicine, is to foster collaboration not only between university experts, but also with public health organizations at the local, state and federal levels. The goal, she explains, is to boost surveillance, prevention and response against the backdrop of a trend toward the emergence of new diseases and old diseases – like Zika and West Nile – in regions far from their places of origin.

The Midwest, according to Paskewitz and Bartholomay, is a “national hotspot for disease emergence and endemic transmission of vector borne disease.”

“There is a trend toward new emerging disease,” says Paskewitz, who chairs UW–Madison’s entomology department. “We’re seeing invasions of new species and pathogens. It is these new things moving around.”

The deer tick is one of the most important disease vectors in Wisconsin and will be under the microscope as a new center for vector borne disease takes shape at UW–Madison.

For example, not only are new tick species such as the lone star tick showing up in places like Wisconsin, places where they didn’t live before, but they are carrying a wider variety of disease. When Paskewitz joined the UW–Madison faculty in 1991, Lyme disease was the only known tick-borne disease endemic to Wisconsin. Today, she says there are at least half a dozen diseases that can be transmitted by the blood-sucking arachnids found in the Badger State.

There are likely a number of reasons why new vector borne diseases are on the rise in the Midwest. Changes to the landscape such as deforestation and urbanization, shifts in animal populations such as white-tailed deer, and changes in climate all are likely contributors, according to the Wisconsin scientists. Another possibility, says Paskewitz, is that scientists are simply getting better at finding new invasive species of mosquitoes and ticks and their bacterial and viral pathogens.

The new CDC-supported center will have three primary objectives:

*Grow the cadre of public health entomologists. Increased opportunities for graduate training in the field, and a new certificate program that will equip students to better identify vectors, conduct disease surveillance and use the appropriate tools to reduce insect populations.
*Create a network of scientists, mosquito control, and public health experts and officials at the local and state levels to better coordinate and facilitate surveillance and response to outbreaks of disease.
*Conduct research to improve and devise new methods to predict disease emergence and outbreaks as well as to optimize surveillance networks and pathogen detection. Research will also focus on evaluating and improving methods for controlling disease vectors like mosquitoes and ticks, with the ultimate goal of reducing human risk and exposure.
“Our vision is to provide training at all levels, including the undergraduate, graduate and professional levels,” says Bartholomay. “We hope we can provide a conduit of really well trained people who will be positioned to respond to outbreaks.”

The certificate program and training opportunities will be available at all of the partner institutions.

Research, say Paskewitz and Bartholomay, will be essential, as changing environmental conditions allow vectors and the diseases they carry to exploit new geographic regions and susceptible human and animal populations. “We don’t want to look for only what we expect,” explains Bartholomay. “We want to look for new diseases and understand the threats they pose.”

UW-Madison, she adds, is well positioned to do this through existing faculty, staff and technical resources, such as next-generation gene sequencing technologies that can be used to identify viral and bacterial pathogens associated with ticks and mosquitoes.

The new center will also have an outreach component. The idea, say Bartholomay and Paskewitz, will be to give the public access to region-specific information about tick and mosquito activity, ways to accurately identify vectors, and information about the pathogens transmitted by ticks and mosquitoes.

***If you are from Wisconsin, Illinois, Iowa, Michigan, or Minnesota, please call and make sure that a preponderance of this money is going into tick research.  When I spoke at the Wisconsin capital a year ago at the Evidence Based Health Policy Project:  https://madisonarealymesupportgroup.com/2016/03/04/health-policy-recap/ (please read), I spent considerable time discussing the plight of Lyme patients. That we are co-infected with numerous pathogens which make our cases far more complex than most realize. I spoke of borrelia, alone, and that it is pleomorphic with three shapes it can change into at will and that proper treatment needs to address this complexity and that 21 days of doxycycline, the current CDC standard of care is like throwing sand into the ocean. I spoke of 3 generations of Wisconsinites living under the same roof – all infected with MSIDS (multi systemic infectious disease syndrome). I explained that the myth that Lyme (borrelia) only causes a little joint pain and fatigue needs to be dispelled and that there is significant cognitive and psychological impairment with some suffering with severe anxiety, rage, confusion, depression, and memory loss.

I made it clear that Wisconsin should be focusing on ticks and the diseases they carry – NOT ZIKA, which according to Susan Paskewitz, Professor and Researcher, Medical Entomology Laboratory, UW Madison, Northern mosquitos can not even carry Zika. They have found some West Nile in mosquitos here.