Seroepidemiology of emerging tickborne infectious diseases in a Northern California community

J Infect Dis. 1997 Jun;175(6):1432-9. doi: 10.1086/516476.

Abstract

A seroprevalence and risk factor study of emerging tickborne infectious diseases (Lyme disease, ehrlichiosis, and babesiosis) was conducted among 230 residents of a semirural community in Sonoma County, California. Over 50% of residents reported finding a tick on themselves in the preceding 12 months. Samples from 51(23%) residents were seroreactive to antigens from one or more tickborne disease agents: 1.4% to Borrelia burgdorferi, 0.4% to Ehrlichia equi, 4.6% to Ehrlichia chaffeensis, and 17.8% to the Babesia-like piroplasm WA1. Only 14 (27%) of these seroreactive residents reported one or more symptoms compatible with these diseases. Seroreactivity was significantly associated with younger age (<16 years), longer residence in the community (11-20 years), and having had a physician's diagnosis of Lyme disease. In northern California, the risk of infection with these emerging tickborne diseases, particularly in children, may be greater than previously recognized.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Animals
  • Antibodies, Bacterial / blood*
  • Antibodies, Protozoan / blood*
  • Babesia / immunology
  • Borrelia burgdorferi Group / immunology
  • California / epidemiology
  • Child
  • Child, Preschool
  • Ehrlichia / immunology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Risk Factors
  • Rural Population
  • Seroepidemiologic Studies
  • Surveys and Questionnaires
  • Tick-Borne Diseases / epidemiology*
  • Tick-Borne Diseases / immunology*
  • Ticks

Substances

  • Antibodies, Bacterial
  • Antibodies, Protozoan