Colorado Tick Fever in the United States, 2013–2022

Anna Fagre Arboviral Diseases Branch, Centers for Disease Control and Prevention, Fort Collins, Colorado;
Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia

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Jennifer Lehman Arboviral Diseases Branch, Centers for Disease Control and Prevention, Fort Collins, Colorado;

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Susan L. Hills Arboviral Diseases Branch, Centers for Disease Control and Prevention, Fort Collins, Colorado;

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ABSTRACT.

Colorado tick fever (CTF) virus is an arbovirus maintained in an enzootic cycle between Rocky Mountain wood ticks (Dermacentor andersoni) and rodent species in the western United States. Individuals with CTF typically present with symptoms including fever, headache, myalgia, and lethargy, with a biphasic illness frequently occurring. We reviewed data on CTF cases reported to the national U.S. arboviral disease surveillance system and identified through testing at the CDC to characterize the epidemiology of CTF from 2013–2022. During this period, 148 CTF cases were identified, all likely infected in an endemic area in one of six states (Montana, Wyoming, Oregon, Colorado, Utah, Idaho). A median of 11 cases (range: 5–37) were identified per year, with an average annual national incidence of 0.04 cases per million population. The median age of cases was 55 years (range: 1–84 years), and 96 (65%) were male. Most (n = 145; 98%) cases acquired infection from April through July. The hospitalization rate was 16% (16 of 102 cases with data), and no deaths were reported. These findings substantiate the continued circulation of CTF virus in the western United States, highlighting the importance of implementing approaches to ensure CTF awareness for medical providers and providing education on tick bite prevention strategies for residents and visitors to risk areas.

Author Notes

Disclosures: The findings and conclusions of this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Current contact information: Anna Fagre, Jennifer Lehman, and Susan L. Hills, Arboviral Diseases Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, CO, E-mails: anna.fagre@gmail.com, jlehman@cdc.gov, and shills@cdc.gov.

Address correspondence to Susan L. Hills, Arboviral Diseases Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention, 3156 Rampart Rd., Fort Collins, CO 80521. E-mail: shills@cdc.gov
  • 1.

    Burgdorfer W , 1960. Colorado tick fever. II. The behavior of Colorado tick fever virus in rodents. J Infect Dis 107: 384388.

  • 2.

    Clark GM , Clifford CM , Fadness LV , Jones EK , 1970. Contributions to the ecology of Colorado tick fever virus. J Med Entomol 7: 189197.

  • 3.

    Williamson BN , Fischer RJ , Lopez JE , Ebihara H , Schwan TG , 2019. Prevalence and strains of Colorado tick fever virus in Rocky Mountain wood ticks in the Bitterroot Valley, Montana. Vector Borne Zoonotic Dis 19: 694702.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Harris EK , Foy BD , Ebel GD , 2023. Colorado tick fever virus: A review of historical literature and research emphasis for a modern era. J Med Entomol 60: 12141220.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Bowen GS & Monath TP The Arboviruses: Epidemiology and Ecology. Boca Raton, FL: CRC Press, 159176.

  • 6.

    Goodpasture HC , Poland JD , Francy DB , Bowen GS , Horn KA , 1978. Colorado tick fever: Clinical, epidemiologic, and laboratory aspects of 228 cases in Colorado in 1973–1974. Ann Intern Med 88: 303310.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Brackney MM , Marfin AA , Staples JE , Stallones L , Keefe T , Black WC , Campbell GL , 2010. Epidemiology of Colorado tick fever in Montana, Utah, and Wyoming, 1995–2003. Vector Borne Zoonotic Dis 10: 381385.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Spruance SL , Bailey A , 1973. Colorado tick fever. A review of 115 laboratory confirmed cases. Arch Intern Med 131: 288293.

  • 9.

    McDonald E et al., 2019. Notes from the field: Investigation of Colorado tick fever virus disease cases—Oregon, 2018. MMWR Morb Mortal Wkly Rep 68: 289290.

  • 10.

    Soto RA et al., 2023. Increase in Colorado tick fever virus disease cases and effect of COVID-19 pandemic on behaviors and testing practices, Montana, 2020. Emerg Infect Dis 29: 561568.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Yendell SJ , Fischer M , Staples JE , 2015. Colorado tick fever in the United States, 2002–2012. Vector Borne Zoonotic Dis 15: 311316.

  • 12.

    James AM , Freier JE , Keirans JE , Durden LA , Mertins JW , Schlater JL , 2006. Distribution, seasonality, and hosts of the Rocky Mountain wood tick in the United States. J Med Entomol 43: 1724.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Kadkhoda K , Semus M , Jelic T , Walkty A , 2018. Case report: A case of Colorado tick fever acquired in southwestern Saskatchewan. Am J Trop Med Hyg 98: 891893.

  • 14.

    Padgett KA , Kjemtrup A , Novak M , Velez JO , Panella N , 2022. Colorado tick fever virus in the far west: Forgotten, but not gone. Vector Borne Zoonotic Dis 22: 443448.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Eisen L , Ibarra-Juarez LA , Eisen RJ , Piesman J , 2008. Indicators for elevated risk of human exposure to host-seeking adults of the Rocky Mountain wood tick (Dermacentor andersoni) in Colorado. J Vector Ecol 33: 117128.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Geissler AL , Thorp E , Van Houten C , Lanciotti RS , Panella N , Cadwell BL , Murphy T , Staples JE , 2014. Infection with Colorado tick fever virus among humans and ticks in a national park and forest, Wyoming, 2010. Vector Borne Zoonotic Dis 14: 675680.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Lambert AJ , Kosoy O , Velez JO , Russell BJ , Lanciotti RS , 2007. Detection of Colorado tick fever viral RNA in acute human serum samples by a quantitative real-time RT-PCR assay. J Virol Methods 140: 4348.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    United States Census Bureau , 2023. 2020 Census. Available at: https://www.census.gov/programs-surveys/decennial-census/decade/2020/2020-census-main.html. Accessed June 30, 2023.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    McDonald E , Mathis S , Martin SW , Staples JE , Fischer M , Lindsey NP , 2021. Surveillance for West Nile virus disease—United States, 2009–2018. MMWR Surveill Summ 70: 115.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Calisher CH , Poland JD , Calisher SB , Warmoth LA , 1985. Diagnosis of Colorado tick fever virus infection by enzyme immunoassays for immunoglobulin M and G antibodies. J Clin Microbiol 22: 8488.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    Emmons RW , Dondero DV , Devlin V , Lennette EH , 1969. Serologic diagnosis of Colorado tick fever. A comparison of complement-fixation, immunofluorescence, and plaque-reduction methods. Am J Trop Med Hyg 18: 796802.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Hughes HR , Velez JO , Fitzpatrick K , Davis EH , Russell BJ , Lambert AJ , Staples JE , Brault AC , 2021. Genomic evaluation of the genus Coltivirus indicates genetic diversity among Colorado tick fever virus strains and demarcation of a new species. Diseases 9: 92.

    • PubMed
    • Search Google Scholar
    • Export Citation
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