Despite the widespread recognition of the risks of disease transmission associated with international trade in domestic animals and movement of exotic animals, less is known about the role of rats in carrying pathogens between continents. The genus Bartonella, a highly prevalent and extremely diverse group of bacteria, includes species that are excellent sentinel organisms for evaluating the transoceanic and intra-continental movement of the pathogens carried by rats of the genus Rattus. The patterns of spatial distribution, occurrence, and genetic diversity of Bartonella species infecting rats and their arthropod ectoparasites depend on the geographic locations within metropolitan areas of the Americas, Africa, Asia, and Europe. One of the points addressed in this review is a comparison of the diversity of Bartonella species carried by rats in their original habitats in Southeast Asia and in the cities occupied by rats recently. The invasion of Rattus rats into new urban territories create significant risk for human health.