2019
DOI: 10.3201/eid2502.180771
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Lyme Disease Emergence after Invasion of the Blacklegged Tick,Ixodes scapularis, Ontario, Canada, 2010–2016

Abstract: Analysis of surveillance data for 2010–2016 in eastern Ontario, Canada, demonstrates the rapid northward spread of Ixodes scapularis ticks and Borrelia burgdorferi, followed by increasing human Lyme disease incidence. Most spread occurred during 2011–2013. Continued monitoring is essential to identify emerging risk areas in this region.

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Cited by 26 publications
(26 citation statements)
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“…This region is encompassed within the Great Lakes-St. Lawrence forest region, which is dominated by hardwood forests featuring maple, oak, birch, and pine and is home to a variety of wildlife including white-tailed deer, moose, small mammals, and migratory birds [48,49]. The predicted habitat suitability for I. scapularis in our model is consistent with other studies that have examined the recent distribution and expansion of I. scapularis in Ontario [14,30,50]. However, our model also detected moderate habitat suitability for I. scapularis along the Georgian Bay and regions bordering Algonquin Provincial Park.…”
Section: Discussionsupporting
confidence: 85%
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“…This region is encompassed within the Great Lakes-St. Lawrence forest region, which is dominated by hardwood forests featuring maple, oak, birch, and pine and is home to a variety of wildlife including white-tailed deer, moose, small mammals, and migratory birds [48,49]. The predicted habitat suitability for I. scapularis in our model is consistent with other studies that have examined the recent distribution and expansion of I. scapularis in Ontario [14,30,50]. However, our model also detected moderate habitat suitability for I. scapularis along the Georgian Bay and regions bordering Algonquin Provincial Park.…”
Section: Discussionsupporting
confidence: 85%
“…Our I. scapularis and B. burgdorferi models showed good discrimination of positive and negative sites when validated against two independent datasets, indicating that the predicted distributions of I. scapularis and B. burgdorferi are supported by the currently available data. Our results are also consistent with human Lyme disease incidence rates in the province, with eastern Ontario health units reporting the highest incidence rates per 100,000 population [9,14]. This further demonstrates that areas of highest environmental risk are strongly correlated with areas of highest human Lyme disease incidence, although this is not the case in all parts of the world [66].…”
Section: Plos Onesupporting
confidence: 83%
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“…In eastern North America, blacklegged ticks are considered to be the main vector of Borrelia burgdorferi sensu stricto (s.s.), one of the main agents of Lyme disease, and may efficiently transmit the pathogen to humans and domestic animals ( Steere et al 1983 , 2004 ; Thompson et al 2001 ). An association between northward propagation of B. burgdorferi s.s. and northward range expansion of blacklegged ticks has been observed in the same region of Ontario, Canada, from 2010 to 2016 ( Clow et al 2017 ; Kulkarni et al 2019 ). The bordering cities of Ottawa in Ontario and Gatineau in Quebec are situated near the current northern edge of the distribution of blacklegged ticks ( Roy-Dufresne et al 2013 ; Soucy et al 2018 ), making this an important region for understanding factors related to tick and tick-borne pathogen emergence.…”
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confidence: 81%