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Co-Infected Deer Ticks Are Increasing in the Northeast, Long-Term Study Finds

Clinicians are urged to test for multiple pathogens to avoid missed treatment.

Overview

  • Nearly a decade of surveillance screened more than 2,000 nymphal blacklegged ticks from Dutchess County, New York, for 16 pathogens.
  • Roughly 10% of nymphs carried at least two pathogens, with Lyme bacterium and Babesia microti co-infections nearing 11% by the study’s end and occurring more often than chance.
  • More than 38% of nymphs carried at least one pathogen, putting the risk of exposure from a single nymphal bite close to 40%.
  • Babesia microti was the most prevalent pathogen (>21%) and rose in the final years, while Borrelia burgdorferi was found in 19.3% and increased on average 5.7% per year.
  • Lower-level detections included Anaplasma (~5.8%) and Borrelia miyamotoi (~2%), Rickettsia in a handful of ticks, one Powassan virus, and no Bartonella; patterns matched ticks submitted by the public.