Volume 100, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



Reported cases of vector-borne diseases in the United States have more than tripled since 2004, characterized by steadily increasing incidence of tick-borne diseases and sporadic outbreaks of domestic and invasive mosquito-borne diseases. An effective public health response to these trends relies on public health surveillance and laboratory systems, proven prevention and mitigation measures, scalable capacity to implement these measures, sensitive and specific diagnostics, and effective therapeutics. However, significant obstacles hinder successful implementation of these public health strategies. The recent emergence of , the first invasive tick to emerge in the United States in approximately 80 years, serves as the most recent example of the need for a coordinated public health response. Addressing the dual needs for innovation and discovery and for building state and local capacities may overcome current challenges in vector-borne disease prevention and control, but will require coordination across a national network of collaborators operating under a national strategy. Such an effort should reduce the impact of emerging vectors and could reverse the increasing trend of vector-borne disease incidence and associated morbidity and mortality.

[open-access] This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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  1. Rosenberg R, 2018. Vital signs: trends in reported vectorborne disease cases–United States and territories, 2004–2016. MMWR Morb Mortal Wkly Rep 67: 496501. [Google Scholar]
  2. Crimmins A, 2016. The Impacts of Climate Change on Human Health in the United States: A Scientific Assessment. Washington, DC: U.S. Global Change Research Program. Available at: http://dx.doi.org/10.7930/J0R49NQX. Accessed November 26, 2018. [Google Scholar]
  3. Gubler DJ, , 2002. The global emergence/resurgence of arboviral diseases as public health problems. Arch Med Res 33: 330342. [Google Scholar]
  4. Hadler JL, Patel D, Nasci RS, Petersen LR, Hughes JM, Bradley K, Etkind P, Kan L, Engel J, , 2015. Assessment of arbovirus surveillance 13 years after introduction of West Nile virus, United States. Emerg Infect Dis 21: 11591166. [Google Scholar]
  5. Nelson CA, Saha S, Kugeler KJ, Delorey MJ, Shankar MB, Hinckley AF, Mead PS, , 2015. Incidence of clinician-diagnosed lyme disease, United States, 2005–2010. Emerg Infect Dis 21: 16251631. [Google Scholar]
  6. Hinckley AF, Connally NP, Meek JI, Johnson BJ, Kemperman MM, Feldman KA, White JL, Mead PS, , 2014. Lyme disease testing by large commercial laboratories in the United States. Clin Infect Dis 59: 676681. [Google Scholar]
  7. McMullan LK, 2012, A new phlebovirus associated with severe febrile illness in Missouri. N Engl J Med 367: 834841. [Google Scholar]
  8. Kosoy OI, 2015. Novel Thogotovirus species associated with febrile illness and death, United States, 2014. Emerg Infect Dis 21: 760764. [Google Scholar]
  9. Krause PJ, Barbour AG, , 2015. Borrelia miyamotoi: the newest infection brought to us by deer ticks. Ann Intern Med 163: 141142. [Google Scholar]
  10. Pritt BS, 2016. Identification of a novel pathogenic Borrelia species causing Lyme borreliosis with unusually high spirochaetaemia: a descriptive study. Lancet Infect Dis 16: 556564. [Google Scholar]
  11. Paddock CD, Sumner JW, Comer JA, Zaki SR, Goldsmith CS, Goddard J, McLellan SL, Tamminga CL, Ohl CA, , 2004. Rickettsia parkeri: a newly recognized cause of spotted fever rickettsiosis in the United States. Clin Infect Dis 38: 805811. [Google Scholar]
  12. Padgett KA, 2016. The eco-epidemiology of Pacific Coast tick fever in California. PLoS Negl Trop Dis 10: e0005020. [Google Scholar]
  13. Pritt BS, 2011. Emergence of a new pathogenic Ehrlichia species, Wisconsin and Minnesota, 2009. N Engl J Med 365: 422429. [Google Scholar]
  14. Bowman LR, Donegan S, McCall PJ, , 2016. Is dengue vector control deficient in effectiveness or evidence?: systematic review and meta-analysis. PLoS Negl Trop Dis 10: e0004551. [Google Scholar]
  15. National Association of County and City Health Officials 2017. Mosquito Control Capabilities in the U.S. Available at: https://www.naccho.org/uploads/downloadable-resources/Mosquito-control-in-the-U.S.-Report.pdf. [Google Scholar]
  16. Gibney KB, 2012. Modifiable risk factors for West Nile virus infection during an outbreak—Arizona, 2010. Am J Trop Med Hyg 86: 895901. [Google Scholar]
  17. Eisen L, , 2018. Pathogen transmission in relation to duration of attachment by Ixodes scapularis ticks. Ticks Tick Borne Dis 9: 535542. [Google Scholar]
  18. Eisen RJ, Eisen L, , 2018. The blacklegged tick, Ixodes scapularis: an increasing public health concern. Trends Parasitol 34: 295309. [Google Scholar]
  19. Centers for Disease Control and Prevention. CDC’s Orgins and Malaria. Available at: https://www.cdc.gov/malaria/about/history/history_cdc.html. Accessed June 14, 2018. [Google Scholar]
  20. Drexler N, 2014. Community-based control of the brown dog tick in a region with high rates of rocky mountain spotted fever, 2012–2013. PLoS One 9: e112368. [Google Scholar]
  21. Colborn JM, Smith KA, Townsend J, Damian D, Nasci RS, Mutebi JP, , 2013. West Nile virus outbreak in Phoenix, Arizona—2010: entomological observations and epidemiological correlations. J Am Mosq Control Assoc 29: 123132. [Google Scholar]
  22. Healy JM, 2015. Comparison of the efficiency and cost of West Nile virus surveillance methods in California. Vector Borne Zoonotic Dis 15: 147155. [Google Scholar]
  23. Turvey N, , 2013. Cane Toads: A Tale of Sugar, Politics and Flawed Science. Sydney, Australia: Sydney University Press. [Google Scholar]
  24. Rainey T, Occi JL, Robbins RG, Egizi A, , 2018. Discovery of Haemaphysalis longicornis (Ixodida: Ixodidae) parasitizing a sheep in New Jersey, United States. J Med Entomol 55: 757759. [Google Scholar]
  25. Luo LM, 2015. Haemaphysalis longicornis ticks as reservoir and vector of severe fever with thrombocytopenia syndrome virus in China. Emerg Infect Dis 21: 17701776. [Google Scholar]
  26. Fill MA, Compton ML, McDonald EC, Moncayo AC, Dunn JR, Schaffner W, Bhatnagar J, Zaki SR, Jones TF, Shieh WJ, , 2017. Novel clinical and pathologic findings in a Heartland virus-associated death. Clin Infect Dis 64: 510512. [Google Scholar]
  27. Godsey MS, Jr. Savage HM, Burkhalter KL, Bosco-Lauth AM, Delorey MJ, , 2016. Transmission of Heartland virus (Bunyaviridae: Phlebovirus) by experimentally infected Amblyomma americanum (Acari: Ixodidae). J Med Entomol 53: 12261233. [Google Scholar]
  28. Beard CB, Occi JL, Bonilla D, 2018. Multistate infestation of an exotic disease vector tick Haemaphysalis longicornis. Morb Mortal Wkly Rep 67: 13101313. [Google Scholar]

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  • Received : 19 Oct 2018
  • Accepted : 19 Nov 2018
  • Published online : 29 Nov 2018

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