B ourbon virus (BRBV; genus Thogotovirus, family Orthomyxoviridae) is a suspected tickborne human pathogen isolated in 2014 from a patient residing in Bourbon County, Kansas, USA (1). BRBV is closely related to Oz virus, which was isolated from Amblyomma testudinarium ticks in Japan (2,3). Since the initial discovery of BRBV, human cases have been identified in Kansas, Missouri, and Oklahoma (4). The Amblyomma americanum lone star tick has been identified as the likely vector of BRBV transmission and maintenance (5,6). Small and medium-sized mammals and ground-dwelling birds such as wild turkeys (Meleagris gallopavo) are hosts for the immature ticks. Adults feed on large mammals, such as coyotes (Canis latrans) and white-tailed deer (Odocoileus virginianus). All 3 active developmental stages of the tick will bite humans (7). Virus detection in ticks and serologic evidence in mammalian hosts, including white-tailed deer, have been demonstrated in Missouri, Kansas, and North Carolina (6,8-10).
The StudyIn July 2019, New York State Department of Health (NYSDOH) epidemiologists were notified that BRBV RNA was detected in an individual, partially engorged female A. americanum tick removed from a Long Island, New York, resident. Comprehensive testing performed through the University of Massachusetts TickReport service (https://www.tickreport.com) revealed the tick was also positive for Ehrlichia ewingii bacteria. Notes on the tick submission form indicated the person was experiencing fever, chills, and fatigue; officials with NYSDOH and Suffolk County Department of Health Services (SCDHS) attempted to contact the resident for a follow-up investigation. No additional information was provided, and no blood samples were available to assess potential infection with BRBV.In 2016, NYSDOH and SCDHS initiated active tick surveillance targeting A. americanum ticks for BRBV and Heartland virus (HRTV). HRTV-infected ticks and seropositive deer were detected on Long Island in 2018 and reported in 2021 (11). We used standardized flag sampling for the collection of hostseeking A. americanum ticks on public lands in Suffolk County. During 2016-2020, a total of 1,265 pools, representing 4,189 adults, 7,227 nymphs, and 97 larvae, tested negative for BRBV RNA by real-time reverse transcription PCR using an in-house multiplex assay to detect HRTV and BRBV (11). The BRBV primers for this assay were designed based on the St. Louis strain (GenBank accession no. MK453528) (12). During 2021, we expanded sampling for A. americanum ticks on Long Island to collect a greater number of ticks from more locations, and we modified molecular detection protocols to use BRBV-specific primers developed at TickReport (Table 1). We designed BRBV-specific primers based on the original virus strain deposited in GenBank (accession no. KU708254) (13). We collected a total of 1,058 pools, consisting of 4,406 adults