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Spatio-Temporal Dynamics of Tick-Borne Diseases in North-Central Wisconsin from 2000–2016

Bibliographic Data

ID15511488
AuthorsAustin Rau (0000-0002-5818-4864, University of Minnesota), Claudia Muñoz‐Zanzi (0000-0001-9317-7152, University of Minnesota), Anna M Schotthoefer (0000-0002-0675-719X, Marshfield Clinic), Jonathan D Oliver (0000-0002-8738-112X, University of Minnesota), Jesse D Berman (0000-0003-3037-556X, University of Minnesota, corresponding author)
Year2020
Volume17
Issue14
Pages5105-5105
Publication date2020-07-15
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph17145105
PMID32679849
OpenAlexW3043514733
LanguageEN
References cited8

Lyme disease is a well-recognized public health problem in the USA, however, other tick-borne diseases also have major public health impacts. Yet, limited research has evaluated changes in the spatial and temporal patterns of non-Lyme tick-borne diseases within endemic regions. Using laboratory data from a large healthcare system in north-central Wisconsin from 2000-2016, we applied a Kulldorf's scan statistic to analyze spatial, temporal and seasonal clusters of laboratory-positive cases of human granulocytic anaplasmosis (HGA), babesiosis, and ehrlichiosis at the county level. Older males were identified as the subpopulation at greatest risk for non-Lyme tick-borne diseases and we observed a statistically significant spatial and temporal clustering of cases ( p < 0.05). HGA risk shifted from west to east over time (2000-2016) with a relative risk (RR) ranging from 3.30 to 11.85, whereas babesiosis risk shifted from south to north and west over time (2004-2016) with an RR ranging from 4.33 to 4.81. Our study highlights the occurrence of non-Lyme tick-borne diseases, and identifies at-risk subpopulations and shifting spatial and temporal heterogeneities in disease risk. Our findings can be used by healthcare providers and public health practitioners to increase public awareness and improve case detection

Anaplasmosis · Babesiosis · Borrelia · Borrelia burgdorferi · Disease · Ehrlichiosis · Environmental health · Geography · LYME · Lyme disease · Pathology · Public health · Tick · Tick-borne disease · Veterinary medicine · Demography · Medicine · Vector-borne infectious diseases · Viral Infections and Vectors · Zoonotic diseases and public health · Immunology

  • A spatial scan statistic

    Martin Kulldorff•Communications in Statistics -…•1997

  • Disease Risk in a Dynamic Environment

    Open Access•Stacie J Robinson, Stacie Robinson et al.•EcoHealth•2015

Citation velocityhistorical
Highly citedNo

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