Unbiased Assessment of Abundance of Rhipicephalus sanguineus sensu lato Ticks, Canine Exposure to Spotted Fever Group Rickettsia, and Risk Factors in Mexicali, México

Janet Foley Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, California;

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Luis Tinoco-Gracia Laboratorio de Salud Pública Veterinaria, Instituto de Investigaciones en Ciencias Veterinarias, Universidad Autónoma de Baja California, Mexicali, México;

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Moises Rodriguez-Lomelí Facultad de Medicina, Universidad Autónoma de Baja California, Mexicali, México;

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Julia Estrada-Guzmán Facultad de Medicina, Universidad Autónoma de Baja California, Mexicali, México;

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Maria Fierro Public Health Department, Imperial County, California;

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Elva Mattar-Lopez Facultad de Medicina, Universidad Autónoma de Baja California, Mexicali, México;

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Amy Peterson Rickettsial Zoonoses Branch, Centers for Disease Control and Prevention, Atlanta, Georgia;

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Emily Pascoe Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, California;

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Yolanda Gonzalez Laboratorio de Salud Pública Veterinaria, Instituto de Investigaciones en Ciencias Veterinarias, Universidad Autónoma de Baja California, Mexicali, México;

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Sawako Hori-Oshima Laboratorio de Salud Pública Veterinaria, Instituto de Investigaciones en Ciencias Veterinarias, Universidad Autónoma de Baja California, Mexicali, México;

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Paige A. Armstrong Rickettsial Zoonoses Branch, Centers for Disease Control and Prevention, Atlanta, Georgia;

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Gilberto Lopez Laboratorio de Salud Pública Veterinaria, Instituto de Investigaciones en Ciencias Veterinarias, Universidad Autónoma de Baja California, Mexicali, México;

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Mariana Jacome-Ibarra Laboratorio de Salud Pública Veterinaria, Instituto de Investigaciones en Ciencias Veterinarias, Universidad Autónoma de Baja California, Mexicali, México;

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Christopher D. Paddock Rickettsial Zoonoses Branch, Centers for Disease Control and Prevention, Atlanta, Georgia;

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Oscar E. Zazueta Dirección de Enseñanza y Vinculación, Instituto de Servicios de Salud Pública del Estado de Baja California, Mexicali, México

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An epidemic of Rocky Mountain spotted fever (RMSF) is ongoing in Mexicali, México. We visited 100 neighborhoods with diagnosed human cases and 100 control neighborhoods to evaluate knowledge of the epidemic; obtain data on the spatial distribution of dogs, canine seroprevalence and active infection, tick infestations, and presence of rickettsial DNA in ticks; and evaluate risk factors for human cases, seropositivity, and tick infestation within an unbiased study design. The majority (80%) of residents had heard of RMSF, but only 48% used acaricides in the home or on dogs. Case neighborhoods and those with high canine seroprevalence tended to be on the city periphery or in the agricultural valley. No dogs were polymerase chain reaction (PCR) positive for Rickettsia rickettsii, and the overall seroprevalence was 65% (titers from 64 to 1,024). PCR prevalence in ticks was 0.70%, confirmed by DNA sequencing as R. rickettsii; neighborhood prevalence ranged from 0.7% to 6.1%. Twelve percent of dogs had high tick burdens, and all ticks were Rhipicephalus sanguineus. Epidemiologically significant risk factors were ground covering for a neighborhood having a human case; dogs having poor body condition and weighing < 10 kg for canine seropositivity; dogs living at the home for the number of ticks in the environment; and being near canals, having trash on the patio, and a dog being thin for tick burdens on dogs. A One Health approach is crucial to understanding RMSF and brown dog ticks.

Author Notes

Address correspondence to Janet Foley, Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, 1320 Tupper Hall, Davis, CA 95616. E-mail: jefoley@ucdavis.edu

Financial support: J. F. acknowledges funding from the Pacific Southwest Regional Center of Excellence for Vector-Borne Diseases funded by the U.S. Centers for Disease Control and Prevention (Cooperative Agreement 1U01CK000516) and the UC Davis School of Veterinary Medicine. Funding was also provided by the Universidad Autónoma de Baja California, from the “XIII Call for Support for Social Service Projects 2017 of the Universidad Autónoma de Baja California and Funds of the Laboratory of Veterinary Public Health of the Institute for Veterinary Scientific Investigation.”

Authors’ addresses: Janet Foley and Emily Pascoe, Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, CA, E-mails: jefoley@ucdavis.edu and emilylpascoe@gmail.com. Luis Tinoco-Gracia, Yolanda Gonzalez, Sawako Hori-Oshima, Gilberto Lopez, and Mariana Jacome-Ibarra, Laboratorio de Salud Pública Veterinaria, Instituto de Investigaciones en Ciencias Veterinarias, Universidad Autónoma de Baja California, Mexicali, México, E-mails: ltinoco@uabc.edu.mx, yolygonzalez64@hotmail.com, shori@uabc.edu.mx, gilbertolopez@uabc.edu.mx, and mariana.jacome@uabc.edu.mx. Moises Rodriguez-Lomelí, Julia Estrada-Guzmán, and Elva Mattar-Lopez, Facultad de Medicina, Universidad Autónoma de Baja California, Mexicali, México, E-mails: moises.rodriguez.lomeli@uabc.edu.mx, juliaestrada@uabc.edu.mx, and emattar@uabc.edu.mx. Maria Fierro, Public Health Department, Imperial County, CA, E-mail: mariafierro@co.imperial.ca.us. Amy Peterson, Paige A. Armstrong, and Christopher D. Paddock, Rickettsial Zoonoses Branch, Centers for Disease Control and Prevention, Atlanta, GA, E-mails: amp7@cdc.gov, yzu9@cdc.gov, and cdp9@cdc.gov. Oscar E. Zazueta, Dirección de Enseñanza y Vinculación, Instituto de Servicios de Salud Pública del Estado de Baja California, Mexicali, México, E-mail: efren_zazueta89@hotmail.com.

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