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Background Crimean-Congo hemorrhagic fever virus (CCHFV) belongs to the genus Orthonairovirus (Nairovididae) and is a (re)emerging tick-borne pathogen. It is endemic in most parts of Africa, Asia and southern Europe, and can cause severe hemorrhagic symptoms in humans, with high fatality rates (5–30%). Methods Hyalomma ticks were collected from four different livestock herds (cattle and camels) in Mauritania in 2018. The tick species were determined morphologically and confirmed molecularly by using the cytochrome oxidase 1 gene marker. For the detection of CCHFV, ticks were tested individually by one-step multiplex real-time reverse-transcriptase quantitative polymerase chain reaction. The small segment of all positive samples was sequenced to determine the CCHFV genotype. Results In total, 39 of the 1523 ticks (2.56%) collected from 63 cattles and 28 camels tested positive for CCHFV. Three Hyalomma species were identified. Hyalomma rufipes had the largest proportion of positivity (5.67%; 16/282), followed by Hyalomma dromedarii (1.89%; 23/1214). No Hyalomma impeltatum tested positive (0%; 0/21). Positive ticks were found in only six out of 91 host animals. Viral sequence analysis revealed the presence of two different CCHFV lineages (Africa I and Africa III). Conclusions In this study, 2.56% of Hyalomma ticks collected from camels and cattle in Mauritania tested positive for CCHFV. However, the true prevalence of CCHFV in unfed ticks may be lower, as a considerable number of ticks may have been passively infected during blood-feeding by co-feeding ticks or due to viremia of the host. The results indicate the need to track the actual area of circulation of this virus. Graphical Abstract

Background Recent reports have demonstrated the presence of Crimean-Congo hemorrhagic fever virus (CCHFV) genomic material in Hyalomma aegyptium ticks feeding primarily on tortoises belonging to the genus Testudo. This raises the question if these ticks and their hosts play a role in the natural transmission dynamics of CCHFV. However, the studies are limited, and assessing the relevance of H. aegyptium in perpetuating the virus in nature, and a potential spillover to humans remains unknown. This study aimed to detect CCHFV in H. aegyptium ticks and their tortoise hosts in the East Thrace region of Turkey, where H. aegyptium is the most common human-biting tick and where a high density of tortoises of the genus Testudo can be found. Methods During the study period, 21 blood samples from different tortoises (2 T. hermanni and 19 T. graeca), 106 tick pools (containing 448 males, 152 females, 93 nymphs and 60 larvae) collected from 65 tortoises (5 T. hermanni and 60 T. graeca), 38 adult unfed questing ticks (25 males and 13 females, screened individually) and 14 pools (containing 8 nymphs and 266 larvae) of immature unfed questing ticks collected from the ground were screened for CCHFV genome by nested PCR and partial genomes sequenced. Results As a result of the screening of these 179 samples, 17 (9.5%) were detected as positive as follows: 2 of 21 blood samples (9.52%), 13 (containing 18 nymphs in 3 pools, and 52 males and 8 females in 10 pools) of 106 tick pools from tortoises (12.26%), and 2 of 38 adult questing ticks (5.26%). No positive result was determined in 14 pools of immature questing ticks. Conclusions Previous studies have shown that reptiles can participate in the transmission of arthropod-borne viruses, but they may contribute to different aspects of the disease ecology and evolution of tick-borne viral pathogens. Our results indicate the presence of CCHFV in questing and feeding H. aegyptium ticks as well as tortoise hosts. This may indicate that CCHFV circulates in a cryptic transmission cycle in addition to the primary transmission cycle that could play a role in the natural dynamic of the virus and the transmission to humans.

10 Pág. Centro de Investigación en Sanidad Animal (CISA), Hyalomma marginatum Koch is one of the main tick vectors of human and animal tick-borne diseases. The objective of this study was to establish standard procedures for rearing H. marginatum under laboratory conditions. Such laboratory tick populations are required to study acaricide resistance of Hyalomma ticks. In our rearing program, larvae and nymphs were fed on New Zealand white rabbits, whereas adults were fed on sheep. Non-parasitic stages were held at 18 and 28 °C to study the effect of temperature on development and survival. In our experiments, H. marginatum ticks have maintained the characteristics of a two-host life cycle. The engorged larvae did not detach and moulted on the rabbit, after which the emerged nymphs continued to feed on the same animal. The life cycle duration of H. marginatum was influenced by temperature, with each non-parasitic stage-i.e., larva and nymph molting-developing faster at 28 than at 18 °C; preoviposition and oviposition periods were shorter at 28 than at 18 °C. At 18 °C, no eggs hatched. The whole cycle from the collection of an engorged field tick until the emergence of second-generation larvae took 189 days. One such tick on average results in 3500 eggs which over time, taking into account the losses at each developmental stage, develop into 1200 adult ticks. Rearing these ticks a second generation therefore could result in millions of larval ticks., The research was supported by the Flemish Interuniversity Council-University Development Cooperation and Directorate General for Development.

Crimean-Congo hemorrhagic fever virus (CCHFV) is one of the most widespread zoonotic arthropod-borne viruses in many parts of Africa, Europe and Asia. It belongs to the family of Nairoviridae in the genus of Orthonairovirus. The main reservoir and vector are ticks of the genus Hyalomma. Livestock animals (such as cattle, small ruminants and camels) develop a viremias lasting up to two weeks with absence of clinical symptoms, followed by seroconversion. This study was carried out to assess risk factors that affect seroprevalence rates in different species. In total, 928 livestock animal samples (cattle = 201; sheep = 247; goats = 233; camels = 247) from 11 out of 13 regions in Mauritania were assayed for CCHFV-specific immunoglobulin G (IgG) antibodies using enzyme-linked immunosorbent assays (ELISA) (including a novel indirect camel-IgG-specific CCHFV ELISA). Inconclusive results were resolved by an immunofluorescence assay (IFA). A generalized linear mixed-effects model (GLMM) was used to draw conclusions about the impact of certain factors (age, species, sex and region) which might have influenced the CCHFV antibody status of surveyed animals. In goats and sheep, about 15% of the animals were seropositive, whereas in cattle (69%) and camels (81%), the prevalence rate was significantly higher. On average, cattle and camels were up to twice to four times older than small ruminants. Interestingly, the seroprevalence in all species was directly linked to the age of the animals, i.e. older animals had significantly higher seroprevalence rates than younger animals. The highest CCHFV seroprevalence in Mauritania was found in camels and cattle, followed by small ruminants. The large proportion of positive animals in cattle and camels might be explained by the high ages of the animals. Future CCHFV prevalence studies should at least consider the age of surveyed animals in order to avoid misinterpretations., Author summary Crimean-Congo hemorrhagic fever virus (CCHFV) is a silent threat that repeatedly causes severe hemorrhagic disease in humans who have been in close contact with livestock of endemic countries. The detection of CCHFV IgG antibodies in livestock can be a first indication whether the virus circulates in a given region and is thus a valuable diagnostic tool for determining the endemic status. Interestingly, earlier data from Mauritania showed a noticeable difference in IgG prevalence between sheep (18%) and cattle (67%). In contrast to sheep and cattle, current monitoring data on CCHFV IgG antibody presence in camels and goats in Mauritania is very limited. This study was conducted to provide a comprehensive up-to-date overview of CCHFV seroprevalences in the four most important Mauritanian livestock species (cattle, sheep, goats and camels). It attempts to highlight the role of potential risk factors responsible for deviating prevalences. In addition, we developed a camel-specific IgG ELISA, which can be used in future CCHFV seroprevalence studies. Furthermore, findings of this study contribute to a better understanding of the current epidemiological CCHFV situation in sub-Saharan Africa and which role different livestock species play regarding the viral circulation in endemic regions.

Crimean-Congo haemorrhagic fever (CCHF) is a severe tick-borne viral zoonosis endemic to parts of Africa, Europe, the Middle East and Central Asia. Human cases are reported annually in South Africa, with a 25% case fatality rate since the first case was recognized in 1981. We investigated CCHF virus (CCHFV) seroprevalence and risk factors associated with infection in cattle and humans, and the presence of CCHFV in Hyalomma spp. ticks in central South Africa in 2017–18. CCHFV IgG seroprevalence was 74.2% (95%CI: 64.2–82.1%) in 700 cattle and 3.9% (95%CI: 2.6–5.8%) in 541 farm and wildlife workers. No veterinary personnel (117) or abattoir workers (382) were seropositive. The prevalence of CCHFV RNA was significantly higher in Hyalomma truncatum (1.6%) than in H. rufipes (0.2%) (P = 0.002). Seroprevalence in cattle increased with age and was greater in animals on which ticks were found. Seroprevalence in cattle also showed significant geographic variation. Seroprevalence in humans increased with age and was greater in workers who handled livestock for injection and collection of samples. Our findings support previous evidence of widespread high CCHFV seroprevalence in cattle and show significant occupational exposure amongst farm and wildlife workers. Our seroprevalence estimate suggests that CCHFV infections are five times more frequent than the 215 confirmed CCHF cases diagnosed in South Africa in the last four decades (1981–2019). With many cases undiagnosed, the potential seriousness of CCHF in people, and the lack of an effective vaccine or treatment, there is a need to improve public health awareness, prevention and disease control., Author summary Crimean-Congo haemorrhagic fever (CCHF) is an infection caused by a tick-borne virus endemic to a large geographic area, that is asymptomatic in animals but presents a significant health risk to humans with no effective vaccine. Serological surveys were carried out in rural populations and animals shortly after the first reported case in South Africa in 1981, but little is known about the current seroprevalence of CCHFV in humans and animals, and tick infection rates. We conducted a survey in 2017–18 to obtain recent estimates and examined exposure factors in an area of South Africa where cases are known to occur. We observed a high seroprevalence in cattle of 74.2%. Farm and wildlife workers at risk of occupational exposure to CCHFV had a seroprevalence of 3.9%, which was higher than previously reported. No evidence of CCHFV infection was found in abattoir workers or veterinary professionals in that area. CCHFV RNA was detected in both species of Hyalomma ticks but with a higher prevalence (1.6%) in H. truncatum. This study suggests that CCHFV is widespread in South Africa, that exposure to CCHFV is more common than generally believed in animal-related occupations and that increased public health awareness of risk factors associated with CCHFV infection are required to reduce morbidity and mortality from CCHF.

Q fever is a zoonotic infection threatening human health, causing abortions in cattle, sheep and goats. Coxiella burnetii (C. burnetii) also causes serious problems such as low birth weight, infertility. This study is the first exemplary for analysis of Q fever around Black Sea region in Turkey. In the study, a total of 270 aborted fetuses (171 cattle, 79 sheep, 20 goats) and 1069 tick samples were aimed to be searched by PCR method. C. burnetii DNA was detected in 8 (2.96 %) of 270 sheep specimens while it could not be found in cattle and goat specimens. 406 sample pools were created from 1069 tick samples (490 male, 579 female) collected from 254 farm animals (187 cattle, 54 sheep, 13 goats) and 11 of these were stated positive. Tick species determined as C. burnetii positive were Hyalomma marginatum, Hyalomma anoliticum excavatum, Hyalomma detritum and Boophilus annulatus. Agent isolation was carried out within embryonated eggs. Agents were stained with Giemsa and was showed. Sequence analysis was performed for TUR/SAM/coxiella_1 (MN917207) isolate and phylogenetic tree was created. This tree, created in compliance with IS1111 transposon gene, did not form different branches in regard to host affiliation (goat, sheep, tick, human) and geographical distribution. As a result, an important zoonotic agent, C. burnetii was diagnosed in sheep aborted fetuses and the infection was proved to have spread among sheep herds in Black Sea region. Besides, 4 separate tick species found in our region hosted the agent and were found important for infection.

BackgroundTicks and tick-borne diseases are a major impediment to livestock production worldwide. Cattle trade and transnational transhumance create risks for the spread of ticks and tick-borne diseases and threaten cattle production in the absence of an effective tick control program. Few studies have been undertaken on cattle ticks in the Central African region; therefore, the need to assess the occurrence and the spatial distribution of tick vectors with the aim of establishing a baseline for monitoring future spread of tick borne-diseases in the region is urgent.ResultsA total of 7091 ixodid ticks were collected during a countrywide cross-sectional field survey and identified using morphological criteria. Of these, 4210 (59.4%) ticks wereAmblyomma variegatum, 1112 (15.6%)Rhipicephalus(Boophilus)microplus, 708 (10.0%)Rhipicephalus(Boophilus)decoloratus, 28 (0.4%)Rhipicephalus(Boophilus)annulatus, 210 (3.0%)Hyalomma rufipes, 768 (10.8%)Hyalomma truncatum, and 19 (0.3%)Rhipicephalus sanguineus.Three ticks of the genusHyalommaspp. and 33 of the genusRhipicephalusspp. were not identified to the species level. Cytochromecoxidase subunit 1 (cox1) gene sequencing supported the data from morphological examination and led to identification of three additional species, namelyHyalomma dromedarii,Rhipicephalus sulcatusandRhipicephalus pusillus. The finding of the invasive tick speciesR. microplusin such large numbers and the apparent displacement of the indigenousR. decoloratusis highly significant sinceR. microplusis a highly efficient vector ofBabesia bovis.ConclusionsThis study reports the occurrence and current geographical distribution of important tick vectors associated with cattle in Cameroon. It appears thatR. microplusis now well established and may be displacing nativeRhipicephalus(Boophilus) species, such asR. decoloratus. This calls for an urgent response to safeguard the livestock sector in western central Africa.

Crimean-Congo Haemorrhagic Fever (CCHF) is a deadly viral zoonotic disease, which is endemic in Pakistan. We report a case study analysis of three cases of CCHF which occurred in Chakwal, Pakistan in 2016. The disease was suspected in three patients exhibiting clinical symptoms suggestive of CCHF; two of the three patients died. The presence of CCHF was detected by seroconversion (IgG) from the surviving patient, while the antigen was detected in Hyalomma ticks originating from animals in the vicinity. This report indicates increase threat emergence of CCHF in Pakistan and highlights its zoonotic implications requiring immediate interventions under the "One-Health" concept.

Background Crimean Congo Hemorrhagic Fever (CCHF) is a highly infectious zoonotic disease of humans transmitted by Hyalomma ticks. Earlier studies have shown CCHF seroprevalence in livestock throughout India, yet sporadic outbreaks have been recorded mostly from the Gujarat state of India since 2011. Occupational vulnerability to CCHF for animal handlers, veterinarians, abattoir workers, and healthcare workers has been documented. The current study was planned to determine the seroprevalence of CCHF with an intention to identify the high -risk population and high -risk areas from Gujarat state, India. Methods Based on the socio-clinical data, the human population of Gujarat was divided into eight categories viz. A: CCHF affected person/house/close contact, B: Neighborhood contacts, C: Animal handlers, D: General population, E: Farmers, F: Abattoir workers, G: Veterinarian, H: Healthcare workers. A total of 4978 human serum samples were collected from 33 districts of Gujarat during year 2015, 2016 and 2017. All the samples were screened for the presence of anti-CCHFV IgG using indigenously developed anti-CCHFV IgG ELISA. Univariate regression analysis was performed to recognize significant risk factors for CCHF seropositivity. Results Twenty-five serum samples were found to be positive with an overall CCHF human seropositivity of 0.5% (95% CI 0.30–0.74%). Gender predisposition to CCHF prevalence was observed in males (OR: 2.80; p-value: 0.020). The risk for seropositivity increased sevenfold when a person was in contact or neighbor with a CCHF case (OR 7.02; p-value

Spotted fever group (SFG) Rickettsia are zoonotic and emerging pathogens with considerable impact in public and animal health. Greece is an endemic country of diseases caused by SFG Rickettsia. This work aims to evaluate the prevalence of SFG Rickettsia in ticks collected from domestic hosts including sheep, goats and dogs. Several genetic markers for bacterial genes, such as 16S rRNA, ompA, ompB, atpA, gltA, recA, dnaA and dnaK, were amplified and sequenced to accurately classified the rickettsial pathogens in the ticks. Taxonomy and species classification of the Rickettsia was achieved by combining phylogenetic and in silico digestion analysis of the gene sequences obtained. A total of 187 ticks were collected and classified at the species level as Ixodes gibosus, Dermacentor marginatus, Haemaphysalis parva, H. sulcata, H. punctata, Hyalomma scavatum, Rhipicephalus sanguineus, R. bursa and Rhipicephalus sp. The results showed that 7.5% of ticks were infected with at least one SFG Rickettsia including R. massiliae (n = 3), R. slovaca (n = 5), R. raoultii (n = 1) and R. hoogstraalii (n = 5), collected from sheep (n = 4), goats (n = 5) and dogs (n = 3). Molecular analysis revealed the presence of novel genetic variants of R. hoogstraalii (in H. sulcata and H. parva from goat and sheep) and R. raoultii (in D. marginatus from goat). These results proof the presence of SFG Rickettsia in domestic hosts in Greece, and support the need for continued monitoring, surveillance and further analyses of other hosts and study areas., This study was financially supported by the State Scholarship Foundation IKY, NSRF 2007–2013. IGFM is funded from the Own Research Program by University of Castilla-La Mancha.

Overseas travel to regions where ticks are found can increase travellers&rsquo, exposure to ticks and pathogens that may be unfamiliar to medical professionals in their home countries. Previous studies have detailed non-native tick species removed from recently returned travellers, occasionally leading to travel-associated human cases of exotic tick-borne disease. There are 20 species of tick endemic to the UK, yet UK travellers can be exposed to many other non-native species whilst overseas. Here, we report ticks received by Public Health England&rsquo, s Tick Surveillance Scheme from humans with recent travel history between January 2006 and December 2018. Altogether, 16 tick species were received from people who had recently travelled overseas. Confirmed imports (acquired outside of the UK) were received from people who recently travelled to 22 countries. Possible imports (acquired abroad or within the UK) were received from people who had recently travelled to eight European countries. Species-specific literature reviews highlighted nine of the sixteen tick species are known to vector at least one tick-borne pathogen to humans in the country of acquisition, suggesting travellers exposed to ticks may be at risk of being bitten by a species that is a known vector, with implications for novel tick-borne disease transmission to travellers.

Crimean Congo hemorrhagic fever (CCHF) is a zoonotic viral disease presenting with fever and hemorrhagic manifestations in humans. After several outbreaks of CCHF being reported from Gujarat since 2011 till 2019 and from Rajasthan in 2014 and 2015, the present study reports the CCHF outbreak which was recorded from five human cases in three districts Jodhpur, Jaisalmer, and Sirohi of Rajasthan state since August 2019 till November 2019. A high percent of positivity was recorded in livestock animal samples for the CCHFV IgG antibody. CCHF virus (CCHFV) positive human blood samples and Hyalomma tick pool samples were sequenced using next-generation sequencing method. Two different M segment genotypes, encoding glycoprotein precursor, were identified from tick pools in the study: first from Asian and second from African lineage. The L gene (polymerase) and the S gene (nucleocapsid) clustered in the Asian lineage. The present study illustrates the existence of two different CCHFV lineages being circulating within the Hyalomma tick pools in the Rajasthan state, India. We also observed 3.56% amino acid changes between the death and the survived case of CCHFV in the M gene. This report also sets an alarm to enhance human, tick and livestock surveillance in other districts of Rajasthan and nearby states of India. Biosafety measures, barrier nursing along with the availability of personal protective equipment and ribavirin drug will always be a mainstay in preventing nosocomial infection for proper case management.

Ticks (Acari:Ixodoidea) are important ectoparasites infesting livestock and human populations around the globe. Ticks can cause damage directly by affecting the site of infestation, or indirectly as vectors of a wide range of protozoa, bacteria and viruses which ultimately lead to lowered productivity of livestock populations. Hyalomma is a genus of hard ticks, having more than 30 species well-adapted to hot, humid and cold climates. Habitat diversity, vector ability, and emerging problem of acaricidal resistance in enzootic regions typify this genus in various countries around the world. This paper reviews the epidemiology, associated risk factors (temperature, climate, age, sex, breed etc.), vector role, vector-pathogen association, and reported control strategies of genus Hyalomma. The various proteins in saliva of Hyalomma secreted into the blood stream of host and the prolonged attachment are responsible for the successful engorgement of female ticks in spite of host immune defense system. The various immunological approaches that have been tried by researchers in order to cause tick rejection are also discussed. In addition, the novel biological control approaches involving the use of entomo-pathogenic nematodes and Bacillus thuringiensis (B. thuringiensis) serovar thuringiensis H14; an endotoxin, for their acaricidal effect on different species and life cycle stages of Hyalomma are also presented.

A cross sectional field study on the distribution of Ixodidae ticks was carried out over two consecutive tick seasons (2012 and 2013) in small ruminants (309 farms) located in mainland and five islands of Greece. A total of 2108 ticks (1199 females, 908 males, and 1 nymph) were collected from sheep and goats. Two species of Rhipicephalus, two of Ixodes, five of Hyalomma, three of Haemaphysalis, and one of Dermacentor were detected. The species with the widest distribution were Rhipicephalus sanguineus s.l. (64.8 %), R. bursa (25.9 %), and Dermacentor marginatus (4.1 %), whereas the least frequently collected species were Ixodes ricinus, I. gibbosus, Haemaphysalis parva, H. sulcata, H. punctata, Hyalomma marginatum, H. excavatum, H. dromedarii, H. rufipes, and H. impeltatum representing together less than 5.3 % of the collections. R. sanguineus s.l. was the predominant species, while D. marginatus and I. gibbosus were restricted to the northeastern Aegean Sea islands. This is the first survey on tick fauna from mainland and islands in Greece., The work is part of the FP7 project “ANTIcipating the Global Onset of Novel Epidemics” (Grant agreement no. 278976) supported by the European Commission.

Background Our study aimed to assess the presence of different pathogens in ticks collected in two regions in Côte d’Ivoire. Methodology/Principal Findings Real-time PCR and standard PCR assays coupled to sequencing were used. Three hundred and seventy eight (378) ticks (170 Amblyomma variegatum, 161 Rhipicepalus microplus, 3 Rhipicephalus senegalensis, 27 Hyalomma truncatum, 16 Hyalomma marginatum rufipes, and 1 Hyalomma impressum) were identified and analyzed. We identified as pathogenic bacteria, Rickettsia africae in Am. variegatum (90%), Rh. microplus (10%) and Hyalomma spp. (9%), Rickettsia aeschlimannii in Hyalomma spp. (23%), Rickettsia massiliae in Rh. senegalensis (33%) as well as Coxiella burnetii in 0.2%, Borrelia sp. in 0.2%, Anaplasma centrale in 0.2%, Anaplasma marginale in 0.5%, and Ehrlichia ruminantium in 0.5% of all ticks. Potential new species of Borrelia, Anaplasma, and Wolbachia were detected. Candidatus Borrelia africana and Candidatus Borrelia ivorensis (detected in three ticks) are phylogenetically distant from both the relapsing fever group and Lyme disease group borreliae; both were detected in Am. variegatum. Four new genotypes of bacteria from the Anaplasmataceae family were identified, namely Candidatus Anaplasma ivorensis (detected in three ticks), Candidatus Ehrlichia urmitei (in nine ticks), Candidatus Ehrlichia rustica (in four ticks), and Candidatus Wolbachia ivorensis (in one tick). Conclusions/Significance For the first time, we demonstrate the presence of different pathogens such as R. aeschlimannii, C. burnetii, Borrelia sp., A. centrale, A. marginale, and E. ruminantium in ticks in Côte d’Ivoire as well as potential new species of unknown pathogenicity., Author Summary The management of febrile illnesses represents a veritable challenge in sub Saharan-Africa. Until recently most of them were considered as malaria. However, it was showed that a large part of non-malarial febrile diseases in African rural regions (for instance, in Senegal) may be caused by tick-borne infections. Unfortunately, no data exist about the prevalence and incidence of tick-borne diseases in Côte d'Ivoire and their role in public health. We aimed to search for different pathogenic bacteria in ticks in order to understand if there is the background for tick-borne diseases. We detected pathogenic bacteria responsible for many infectious diseases like Rickettsia (spotted fevers), Borrelia (relapsing fevers), Anaplasma, Ehrlichia (ehrlichiosis and anaplasmosis) and Coxiella burnetii (Q fever). These finding suggested that, as in others sub-Saharan African countries, tick-borne disease may be considered as a health care problem in Cote d'Ivoire.

A review is presented of the ticks of the Central African Republic (C.A.R.), based on unpublished data and a literature review. We consider as established in the C.A.R. two species of Argasidae (one species of each of the genera Carios and Ornithodoros) and 49 species of Ixodidae: 5 Ixodes, 11 Amblyomma, 2 Dermacentor, 9 Haemaphysalis, 4 Hyalomma, and 18 Rhipicephalus species, 3 of which belong to the subgenus Boophilus. Two of these species, one Amblyomma and one Dermacentor, may by now have disappeared from the country together with their hosts, the black and white rhinoceroses. Moreover, four other species of Ixodidae have been recorded, but are not necessarily established in the country, and 6 species of Ixodidae have apparently been reported incorrectly; the data for the occurrence of three other species of Ixodidae are uncertain. Rhipicephalus species in the C.A.R. present the greatest difficulties in identification, on the one hand because of uncertainties in taxonomy, particularly in the capensis group, on the other hand because of individual variability, which means that individual specimens cannot always be reliably identified to species. Examining the dissected and cleared gonopore structure of females helps, but is very time-consuming where large numbers are involved. Some of the species of the genus Haemaphysalis are also difficult to identify with certainty. There are only a few species of Hyalomma in the country. We revised also some old records of ticks in C.A.R., which we consider as unreliable and should be disregarded because of subsequent changes in taxonomy and nomenclature, unless the material is still available for examination.

Amaç: Birçok önemli hastalığa vektörlük yapan kenelerin ve kene ile ısırılan olguların özelliklerinin ortaya konulması, bu hastalıkların önlenmesiaçısından son derece önemlidir. Buradan yola çıkarak, bu çalışmada Dokuz Eylül Üniversitesi Hastanesi’ne kene ısırması ile başvuran kişilerin veçıkarılan kenelerin önemli özelliklerinin belirlenmesi amaçlandı.Yöntemler: Temmuz 2008-Haziran 2009 tarihleri arasında Dokuz Eylül Üniversitesi Parazitoloji Anabilim Dalı’na kene ısırması nedeni ile başvuran294 olgudan, 273’ü çalışma kapsamına alındı. Bu hastaların, demografik özellikleri, kene ısırmasına bağlı bulguları, kene ile bulaşan hastalıklarıdüşündürebilecek verileri yanında çıkarılan kenelerin türleri ve diğer özellikleri, ayrıca ilgili yerleşim alanlarındaki kene popülasyonu araştırıldı.Bulgular: Çıkarılan kenelerde beş soya ait kene türlerine rastlandı. Olgularımızı en sık Hyalomma soyuna ait kenelerin tuttuğu (%52.4) ve bukenelerin en sık nimf evresinde oldukları görüldü. Erişkin keneler içinde ise insanların en sık (%11.4) Rhipicephalus sanguineus (R. sanguineus) türüile tutulduğu saptandı. Olguların çoğunda kenenin sağlık personeli tarafından çıkarıldığı (%60.7) öğrenildi.Sonuç: Kenenin bütünlüğünün bozulmadan çıkarılması açısından değerlendirildiğinde, kişinin kendisinin veya ailesinin çıkarmasıyla sağlıkpersonelinin çıkarması arasında anlamlı fark saptanmadı (p=0.133). Objective: Determination of the properties of ticks, which are the vectors of many infectious diseases and the patients with tick bites areimportant for the prevention of these diseases. For tist reason, the purpose of this study is to determine the important properties of the casespresenting with tick bites to Dokuz Eylul University Hospital and of the removed ticks from the cases.Methods: Two hundred seventy three of 294 patients, who presented with tick bites to Dokuz Eylül University Hospital, Izmir, were included inthe study. Demographic parameters, symptoms related to tick borne diseases of the patients and the species and other characteristics of ticksremoved from humans, also the tick population in the related habitat were investigated.Results: Removed ticks were classified into five genera. The overwhelmingly dominant genera were Hyalomma and it comprised 52.4% of thecollection. The majority of these ticks were nymphs. The majority (11.4%) of removed adult ticks were Rhipicephalus sanguineus (R. sanguineus).In most cases (60.7%) the ticks were removed from the patients by medical staff.Conclusion: There was no significant difference in removing ticks without damage between the health personnel and the patient or relatives(p=0.133).&nbsp

During an 8-years study, we collected from vegetation or domestic and wild mammals 1246 ticks (624 males, 511 females and 111 nymphs) belonging to 13 species in Jaen province (Andalusia) and we analyzed these ticks by PCR and sequencing for the presence of rickettsiae. Specific rickettsiae DNA was detected in 243 (19.5%) of the ticks tested. Sequence analysis of amplicons of gltA, ompA and ompB genes revealed that Ixodes ricinus were infected with R. monacensis, including strain IRS3, and R. helvetica (prevalences of 27.0% and 2.7%, respectively), while in I. ventalloi we found only this last species (12.5%). Moreover, Dermacentor marginatus presents R. slovaca (24.7%) and R. raoultii (59.9%). In Rhipicephalus sanguineus group ticks (Rh. sanguineus, Rh. turanicus and Rh. pusillus) only R. massiliae (15.2%) was found. Haemaphysalis punctata and Ha. sulcata were infected with a Rickettsia sp. near R. hoogstraalii (prevalence of 3.1% and 16.1%, respectively). In addition, Ha. punctata appeared infected with R. monacensis-like Rickettsia (1.0%) and R. raoultii (9.3%). None of I. hexagonus, Hyalomma lusitanicum, Hyalomma sp., Ha. hispanica or Rh. bursa studied ticks contained rickettsiae.

Ectoparasites can cause important skin disorders in animals and can also transmit pathogens. The Iberian lynx Lynx pardinus has been stated to be the most endangered felid in the world and such vector-borne pathogens may threaten its survival. We surveyed 98 wild carnivores (26 Iberian lynxes, 34 red foxes Vulpes vulpes, 24 Egyptian mongooses Herpestes ichneumon, 11 common genets Genetta genetta, two Eurasian badgers Meles meles, one polecat Mustela putorius) and 75 domestic but free-ranging carnivores (46 cats Felis catus, 29 dogs Canis familiaris) from June 2004 to June 2006 in the two areas where the last lynx metapopulations survive: Sierra Morena and Doñana (Andalusia, southern Spain). A total of 65% of lynxes were parasitized (50% by ticks, 19% by fleas, 4% by lice, 31% by hippoboscid flies), as were 75% of foxes (58%, 60%, 0%, 19%), 71% of mongooses (50%, 4%, 46%, 0%), 54% of genets (18%, 36%, 0%, 0%), 30% of cats (22%, 14%, 0%, 2%), and 7% of dogs (surveyed only for ticks). Both badgers presented ticks, fleas and lice. Five species of ixodid ticks (Rhipicephalus pusillus Gil Collado, Rhipicephalus turanicus Pomerantzev and Matikashvili, Ixodes ricinus (Linnaeus), Ixodes hexagonus Leach and Ixodes ventalloi Gil Collado; and Hyalomma sp.), four species of fleas (Ctenocephalides canis Curtis, Pulex irritans Linnaeus, Spilopsyllus cuniculi (Dale), Xenopsylla cunicularis Smit), three species of chewing lice (Felicola (Felicola) inequalis (Piaget), Trichodectes (Trichodectes) melis (Fabricius), and Felicola (Lorisicola) isidoroi Pérez and Palma), and one species of hippoboscid fly (Hippobosca longipennis (Fabricius)) were found. We did not detect any cases of mange. Hippobosca longipennis is a new record for Spanish wildlife, and all the flea species are new records for the Iberian lynx. Fleas were more frequent on lynxes and foxes in winter than in spring. Rhipicephalus spp. were more frequent on cats in spring than in any other season. These and other epidemiological findings are discussed with respect to the conservation of the Iberian lynx., This work was supported by the ‘Programa de Actuaciones para la Conservación del Lince Ibérico en Andalucía II’, Consejería de Medio Ambiente, Junta de Andalucía.

To assess the presence of rickettsial pathogens in ticks from Egypt, we collected ticks from domestic and peridomestic animals between June 2002 and July 2003. DNA extracts from 1019 ticks were tested, using PCR and sequencing, for Anaplasma spp., Bartonella spp., Coxiella burnetii, Ehrlichia spp., and Rickettsia spp. Ticks included: 29 Argas persicus, 10 Hyalomma anatolicum anatolicum, 55 Hyalomma anatolicum excavatum, 174 Hyalomma dromedarii, 2 Hyalomma impeltatum, 3 Hyalomma marginatum rufipes, 55 unidentified nymphal Hyalomma, 625 Rhipicephalus (Boophilus) annulatus, 49 Rhipicephalus sanguineus, and 17 Rhipicephalus turanicus. Ticks were collected predominantly (>80%) from buffalo, cattle, and camels, with smaller numbers from chicken and rabbit sheds, sheep, foxes, a domestic dog, a hedgehog, and a black rat. We detected Anaplasma marginale, Coxiella burnetii, Rickettsia aeschlimannii, and four novel genotypes similar to: “Anaplasma platys,” Ehrlichia canis, Ehrlichia spp. reported from Asian ticks, and a Rickettsiales endosymbiont of Ixodes ricinus.

The prevalence of Theileria spp. infection was studied in sheep in the South Khorasan province in Iran from 2003 to 2004. A total of 840 sheep from 34 flocks were clinically examined and investigated for the presence of Theileria spp. in the appropriate blood smears and any tick species on the body of the animals. In this study, 11.9% of sheep were infected with Theileria spp., with a parasitemia of 0.02-0.1%. Differences in the infection rates were statistically significant among different areas of the South Khorasan province. The highest prevalence was found in the Ferdows area (31.4%) and the lowest rate in the Nehbandan area (0.7%). The prevalence of Theileria spp. infection in males and females and between different age groups of sheep were not statistically significant. Seasonally, the prevalence of Theileria spp. infection in sheep reached its highest level in June (26.3%), whereas it decreased in July and August. It was found that 50.5% of the animals harbored Rhipicephalus sanguineus, 48.5% harboured Hyalomma anatolicum and 0.89% harboured Hyalomma dromedari.

The paper summarises the morphological characteristics, the known geographical dis- tribution and hosts of Hyalomma nitidum, a tick which has never been properly characterised. H. nitidum was first described in Cameroon in 1919, long considered as a synonym of Hyalomma truncatum and recognised as a separate and valid species only since the early 1970s. H. nitidum occurs from Senegal to the Central African Republic in more humid conditions than H. truncatum, roughly to the south of the isohyet of 900 mm. Adults are parasitic on various wild and domestic ungulates, on which immatures have not been found. Nymphs, identified after moulting to adults, have been found on a hare, and tentatively identified larvae and nymphs of this species have also been collected on hare as well as on a zebra mouse. The tick has been found infected with the virus of Crimean-Congo haemorrhagic fever, so far no other disease associations are known.

This study was carried out to determine the prevalence and distribution of tropical theileriosis in cattle in eastern Turkey by microscopical, serological and molecular methods. A total of 1561 whole blood, 1505 serum and 1483 blood smear samples were collected from cattle of various breeds and ages in 11 towns of Eastern Turkey. Theileria annulata piroplasm DNA extracted from cattle blood was amplified by polymerase chain reaction (PCR) using species-specific primers. Serum antibodies against T. annulata were investigated by indirect fluorescence antibody test (IFAT). Blood smears were examined for Theileria piroplasms by microscopical examination (ME). In the examination of DNA extracted from 1561 blood samples, an amplicon with the size of 721bp was obtained in 37.8% (590/1561) of these samples. Serum antibodies against T. annulata and piroplasm of Theileria spp. were detected in 34.9% (526/1505) and 19.7% (293/1483) of the samples, respectively. The differences between ME and PCR results and between ME and IFAT results were statistically significant (P < 0.05). In contrast, there was no significant difference between the PCR and IFAT results. A total of 179 ticks (136 female; 43 male) belonging to Hyalomma spp. were collected from cattle from three towns. Ticks were identified to be Hyalomma anatolicum anatolicum on the basis of morphological features.

Experiments were undertaken to determine the mode of transmission to cattle of an unnamed Babesia sp. by Hyalomma anatolicum anatolicum, Hyalomma detritum, Hy. rufipes koch, Haemaphysalis longicornis and Boophilus microplus. The unnamed Babesia species designated Babesia U sp. was isolated by infesting cattle with nymphs from female Hy. a. anatolicum ticks collected from Xinjiang province. Adults of laboratory reared Hy. a. anatolicum, Hy. detritum and Hy. rufipes koch were infected with Babesia U sp. by feeding on infected cattle, isolated with nymphal ticks of Hy. a. anatolicum derived from females collected from field. The experiments revealed that Hy. a. anatolicum was capable of transmitting Babesia U sp. transovarially in larval (2 of 4 calves), nymphal (6 of 6 calves) and adult (3 of 8 calves) stages, with prepatent periods of 16, 12, and 8 days, respectively, and that this Babesia was also transovarially transmitted by both the nymphal and adult stages of Hy. detritum and Hy. rufipes. Attempts to transmit this Babesia U sp. transovarially with Hae. longicornis and B. microplus, and transstadially with Hyalomma spp., were carried out, and the results proved to be negative.

Background The importance of tick-borne diseases is increasing all over the world, including Turkey. The tick-borne disease outbreaks reported in recent years and the abundance of tick species and the existence of suitable habitats increase the importance of studies related to the epidemiology of ticks and tick-borne pathogens in Turkey. The aim of this study was to investigate the presence of and to determine the infection rates of some tick-borne pathogens, including Babesia spp., Borrelia burgdorferi sensu lato and spotted fever group rickettsiae in the ticks removed from humans in different parts of Ankara. Methodology/Principal Findings A total of 169 ticks belonging to the genus Haemaphysalis, Hyalomma, Ixodes and Rhipicephalus were collected by removing from humans in different parts of Ankara. Ticks were molecularly screened for Babesia spp., Borrelia burgdorferi sensu lato and spotted fever group rickettsiae by PCR and sequencing analysis. We detected 4 Babesia spp.; B. crassa, B. major, B. occultans and B. rossi, one Borrelia spp.; B. burgdorferi sensu stricto and 3 spotted fever group rickettsiae; R. aeschlimannii, R. slovaca and R. hoogstraalii in the tick specimens analyzed. This is the report showing the presence of B. rossi in a region that is out of Africa and in the host species Ha. parva. In addition, B. crassa, for which limited information is available on its distribution and vector species, and B. occultans, for which no conclusive information is available on its presence in Turkey, were identified in Ha. parva and H. marginatum, respectively. Two human pathogenic rickettsia species (R. aeschlimannii and R. slovaca) were detected with a high prevalence in ticks. Additionally, B. burgdorferi sensu stricto was detected in unusual tick species (H. marginatum, H. excavatum, Hyalomma spp. (nymph) and Ha. parva). Conclusions/Significance This study investigates both the distribution of several tick-borne pathogens affecting humans and animals, and the presence of new tick-borne pathogens in Turkey. More epidemiological studies are warranted for B. rossi, which is very pathogenic for dogs, because the presented results suggest that B. rossi might have a wide distribution in Turkey. Furthermore, we recommend that tick-borne pathogens, especially R. aeschlimannii, R. slovaca, and B. burgdorferi sensu stricto, should be taken into consideration in patients who had a tick bite in Turkey., Author Summary Ticks are widespread in over all Turkey. Primary tick-borne diseases (TBDs), such as theileriosis, babesiosis, and anaplasmosis, affecting animals have been known for a long time in Turkey. However, TBDs have become a major concern in humans in recent years due to the recent Crimean-Congo hemorrhagic fever outbreak in Turkey. We know that some TBDs like CCHF, Lyme borreliosis, spotted fever group rickettsiosis, babesiosis and anaplasmosis exist in this geography. However, the other diseases except for CCHF are neglected in patients. In this study, we aimed to investigate Babesia spp., Borrelia burgdorferi sensu lato and spotted fever group rickettsiae in ticks removed from humans in different parts of Ankara by using PCR and sequencing. The result of this study showed that 4 Babesia species, one B. burgdorferi sensu lato, and 3 spotted fever group rickettsia are detected in ticks. The most striking result of this study is that B. rossi, which is very pathogenic for dogs, was reported for the first time from a region that is out of Africa and in Ha. parva. Therefore, B. rossi should be considered in dogs in Turkey. Furthermore, we propose that R. aeschlimannii, R. slovaca, and B. burgdorferi sensu stricto should be taken into consideration in patients who had a tick bite in Ankara.

The results of tick surveys carried out in the Eastern province of Zambia between December 1982 and February 1996 were principally in agreement with the findings of earlier surveys conducted during the period 1965-72. Boophilus decoloratus has almost been replaced by Boophilus microplus. Hyalomma truncatum was found in small numbers throughout the province and Hyalomma marginatum rufipes was only rarely encountered in collections made from cattle. Rhipicephalus evertsi evertsi was largely confined to the southern part of the plateau and the valleys of the Zambezi tributaries. The main difference between the present survey and the previous one concerns the status of Rhipicephalus appendiculatus. This species is currently expanding its range in a westward direction, whereas it was virtually absent from the southern part of the province during the period 1965-72. The majority of specimens collected are morphologically intermediate between R. appendiculatus and the closely allied Rhipicephalus zambeziensis. The available evidence indicates that R. zambeziensis (sensu stricto) is absent from the province. The phenology of R. appendiculatus is aberrant in the province: at lower altitudes a second generation of adult ticks is recorded on the hosts at the start of the dry season.

Infection experiments, morphological observations and transmission experiments were conducted with an unidentified Theileria sp. isolated from a naturally infected ox. The results showed that the protozoa could multiply extensively in a splenectomized ox and the parasitaemia could reach 52.69%. The Theileria sp. was polymorphic: being pear-shaped, circular, elliptical, rod-like, comma-shaped, three-leafed- or cross-shaped and having many other irregular-shapes which were seldom detected. In erythrocytes, the anaplasma-like protozoa grew, producing protoplasm which could extend and clump together, and developed into many polymorphic protozoa. Some of the protozoa propagated themselves by budding. The protozoa could not be transmitted by Haemaphysalis longicornis or Hyalomma detritum. The pathogenicity, vector ticks and life cycle of this protozoan are unknown.

SummaryCrimean-Congo hemorrhagic fever virus (CCHFV) etiology was detected in a family cluster (nine cases, including two deaths) in the village of Karyana, Amreli District, and also a fatal case in the village of Undra, Patan District, in Gujarat State, India. Anti-CCHFV IgG antibodies were detected in domestic animals from Karyana and adjoining villages. Hyalomma ticks from households were found to be positive for CCHF viral RNA. This confirms the emergence of CCHFV in new areas and the wide spread of this disease in Gujarat State.

Crimean-Congo hemorrhagic fever virus (CCHFV) is one of the most geographically widespread arboviruses and causes a severe hemorrhagic syndrome in humans. The virus circulates in nature in a vertebrate-tick cycle and ticks of the genus Hyalomma are the main vectors and reservoirs. Although the tick vector plays a central role in the maintenance and transmission of CCHFV in nature, comparatively little is known of CCHFV-tick interactions. This is mostly due to the fact that establishing tick colonies is laborious, and working with CCHFV requires a biosafety level 4 laboratory (BSL4) in many countries. Nonetheless, an in vivo transmission model is essential to understand the epidemiology of the transmission cycle of CCHFV. In addition, important parameters such as vectorial capacity of tick species, levels of infection in the host necessary to infect the tick, and aspects of virus transmission by tick bite including the influence of tick saliva, cannot be investigated any other way. Here, we evaluate the influence of different laboratory animal species as hosts supporting the life cycle of Hyalomma marginatum, a two-host tick. Rabbits were considered the host of choice for the maintenance of the uninfected colonies due to high larval attachment rates, shorter larval-nymphal feeding times, higher nymphal molting rates, high egg hatching rates, and higher conversion efficiency index (CEI). Furthermore, we describe the successful establishment of an in vivo transmission model for CCHFV in a BSL4 biocontainment setting using interferon knockout mice. This will give us a new tool to study the transmission and interaction of CCHFV with its tick vector.

To the Editor: Rickettsia sibirica mongolitimonae, a member of the tick-borne spotted fever group (SFG) of rickettsia, was first isolated from Hyalomma asiaticum ticks in China (1). The first human case was described in France in 1996, and 7 new cases were described in 2005 (1). This rickettsiosis was named lymphangitis-associated rickettsiosis because lymphangitis was observed in 50% of the patients (1). Only 17 cases have been reported, for which 7 patients had lymphangitis, and 13 had inoculation eschars, including 2 patients with 2 eschars (1,2). We report a cluster of cases of R. sibirica mongolitimonae infection. Patient 1, a 73-year-old man in France, had fever, rash, lymphadenopathies, and an axillary inoculation eschar in February 2011. A diagnosis of lymphangitis-associated rickettsiosis was suspected because of the season (most cases occur in spring in France) and clinical manifestations. The patient was confined to bed for several weeks after surgical placement of a knee prosthesis when his disease occurred; the domestic cat was suspected to have introduced ticks into the home. In April, his wife (67 years of age) (patient 2) became febrile, had popliteal lymphadenopathies associated with lymphangitis, and had an eschar on the leg from which a swab specimen was obtained. Patient 3 was their neighbor; he had the same symptoms in March 2011 but samples were not collected from him. None of patients reported tick bites, but they were in regular contact with animals, including a cat, a dog, horses, and birds. Both patients who lived with the cat reported that it would return home with ticks. Infections in these patients were successfully treated with doxycycline. An immunofluorescence assay for antibodies against SFG antigens showed IgG/IgM titers of 128/0 for patient 1 and 64/16 for patient 2 (3). DNA was extracted from the skin swab specimen of patient 2 by using the QIAamp Mini Kit (QIAGEN, Hilden, Germany). A fragment of the citrate synthase gene of Rickettsia spp. was amplified by PCR and sequenced. The sequence show 99.7% homology with that of the same gene sequence of R. sibirica mongolitimonae in GenBank (accession no. {"type":"entrez-nucleotide","attrs":{"text":"DQ423370","term_id":"90657243","term_text":"DQ423370"}}DQ423370) (4). Ticks were collected from the property of the 2 patients: from the garden by flagging vegetation (3), from animals, and near the cat litter (Table). SFG rickettsiae were detected by specific quantitative PCR. Species identification was confirmed by specific quantitative PCR for R. massiliae and sequencing of outer membrane protein A gene for others species (5). A negative control (sterile water) and positive control (DNA from R. montanensis or R. massiliae) were included in each PCR. Table Ticks collected from property of 2 patients infected with Rickettsia sibirica mongolitimonae, France, 2011* Ticks were morphologically identified as adult Rhipicephalus sanguineus. Molecular identification of these ticks harboring rickettsiae was performed by amplification of the 12S rRNA gene. DNA from R. massiliae was found in 3 ticks collected from the dog and near the cat litter morphologically identified as Rh. sanguineus. This DNA showed 98% homology with the sequence in GenBank (accession no. {"type":"entrez-nucleotide","attrs":{"text":"AY559843","term_id":"45594402","term_text":"AY559843"}}AY559843). R. sibirica mongolitimonae with 99.8% homology for the outer membrane protein gene sequence in GenBank (accession no. {"type":"entrez-nucleotide","attrs":{"text":"DQ097082","term_id":"73620201","term_text":"DQ097082"}}DQ097082) was isolated from 1 tick collected from the cat. This tick was identified as Rh. pusillus and showed 99.7% homology with the sequence in GenBank (accession no. {"type":"entrez-nucleotide","attrs":{"text":"FJ536547","term_id":"257783763","term_text":"FJ536547"}}FJ536547). R. massiliae was cultured from an Rh. sanguineus tick, and R. sibirica mongolitimonae was cultured from an Rh. pusillus tick. A cluster of 1 documented case and 2 probable cases of lymphangitis-associated rickettsiosis in southern France was linked to a cat and Rh. pusillus ticks. Infection with R. massiliae for the 2 probable case-patients was unlikely because clinical findings were typical of lymphangitis-associated rickettsiosis, and most cases of rickettsioses in southern France in the spring are caused by R. sibirica mongolitimonae. Clustered cases of SFG rickettsiae infection have been reported in Europe, including southern France (3,6). In 2007, R. conorii and R. massiliae infections in humans were reported (3). In 2010, cases for which we were unable to discriminate between R. conorii and R. massiliae infections occurred in a family (6). In these 2 studies, clustered cases of SFG rickettsiosis involved Rh. sanguineus ticks. Clustered cases appeared to be related to an increase in aggressiveness of ticks toward humans during warmer periods (3). In our study, no correlation was identified with warmer weather. R. sibirica mongolitimonae is most frequently associated with Hyalomma spp. ticks (1,2,4). However, 1 case of infection with this bacterium was associated with Rh. pusillus ticks collected in Portugal (7); DNA from this bacteria was also identified in an Rh. pusillus tick collected from a mongoose. The European wild rabbit is the primary host of Rh. pusillus ticks. However, these ticks have been found on wild carnivorous animals, dogs, and domestic cats (8); these ticks can bite humans (8). Moreover, R. massiliae and R. sibirica mongolitimonae were found in Rh. pusillus ticks from Spain (9), and SFG rickettsiae were found in ticks from Sardinia (10). Therefore, Rh. pusillus ticks appear to be an emerging vector for R. sibirica mongolitimonae in Europe.

The ticks removed from the patients who applied to the hospitals in Istanbul and neighboring cities, Turkey, with the complaint of tick bite were examined in this study, on account of their species, biological stages, attachment sites on the body, and the age of the affected patients. A total of 16,969 ticks were identified. Encountered species were as follows: 33.6 % Ixodes spp. immature, 25.3 % Hyalomma spp. immature, 24.3 % I. ricinus, 9.5 % Rhipicephalus sanguineus gr., 3.2 % R. bursa, 2.2 % Hyalomma marginatum, 1.96 % Haemaphysalis adults, 1.66 % Hyalomma aegyptium, 0.52 % Dermacentor marginatus, 0.39 % Rhipicephalus spp. nymphs, 0.12 % Dermacentor spp. nymphs, 0.11 % Haemaphysalis spp. nymphs, 0.09 % Hyalomma scupense, and 0.03 % Hyalomma excavatum. The distribution of attachment sites of the species and instars showed significant differences. Furthermore, age data of the patients also revealed that certain tick species were more common within certain age groups.

Background Ticks and tick-borne diseases (TBDs) undermine cattle fitness and productivity in the whole of sub-Saharan Africa, including Nigeria. The aim of this study was to document the composition of tick species, assessing the burden of infestation, in traditionally managed cattle in an area of central Nigeria where acaricides have not been used historically. Methods The study was carried out in September 2010 in 9 villages belonging to three neighbouring local government areas in Plateau State, Nigeria. In each village all visible adult ticks were collected from at least 15 cattle (mean number = 25). Collected ticks were preserved in 70% ethanol to be counted and morphologically identified to the species level. Results A total of 5011 ixodid ticks (1935 males and 3076 females) were collected from 228 cattle, comprising 14 calves, 33 juveniles, and 181 adults. Three tick genera (i.e., Amblyomma, Hyalomma, and Rhipicephalus, including the Boophilus sub-genus) and 11 species were identified. The most prevalent species was Rhipicephalus (Boophilus) decoloratus (41.4%), followed by Rhipicephalus (Boophilus) annulatus (15.4%), Rhipicephalus guilhoni (12.0%), Rhipicephalus (Boophilus) geigyi (7.6%), Hyalomma truncatum (7.4%), Amblyomma variegatum (6.3%), Rhipicephalus simus Group (4.0%), Rhipicephalus turanicus (1.2%), Rhipicephalus sanguineus (0.3%), Hyalomma rufipes (0.2%), and Rhipicephalus lunulatus (n = 1). Mean tick loads recorded were relatively high (22 ± 1.4), in spite of the practice of hand removal of ticks traditionally undertaken by the Fulani pastoralists in the area. Calves bore a significantly lower tick burden than adults (p = 0.004). Rhipicephalus (Boophilus) microplus was not found in the area, suggesting that the eastbound expansion of this tick species in West Africa, has not yet reached central Nigeria. Conclusions This study ascertained the presence of a broad variety of cattle tick species, most of which are of veterinary importance. The presence of each tick species is correlated with the potential occurrence of tick-borne pathogens and suggestions for tick control in the area are considered. Results should assist the diagnosis of related TBDs in cattle as well as the strategic planning of cost-effective tick control.

International audience; Seventy-four cattle, from three farms endemic for tropical theileriosis in the north of Tunisia, were studied for tick populations from June 1991 to June 1992. Ticks were removed from cattle twice a month in the summer and every month the rest of the year. They were identified and assessed for Theileria infection. A total of 5083 Hyalomma adult ticks were collected and the major species found was H. detritum (84.3%). The activity of this species is limited between June and August with a peak in numbers observed at the end of June and the beginning of July. Amongst the 2356 Hyalomma ticks dissected, no evidence of salivary gland infection was found in either H. m. marginatum or H. a. excavatum. However, 12.4% (277/2230) of H. d. detritum dissected ticks were infected with Theileria species and amongst these, 62% had one to two sporoblasts in their salivary glands (range 1-91). The prevalence, but not the intensity, of infection was greater in females than in male ticks, and the cases of tropical theileriosis followed the peak of infected females. This suggests that female ticks have a more important role in theileriosis transmission than male ticks. A significantly lower number of adult H. detritum were collected from calves, at their first tick season, than from adult cattle. Finally, this study showed that the infestation level of cattle by H. d. detritum and the prevalence of Theileria-infection in these cattle varied between the three farms studied.

SUMMARYTwelve rickettsial isolates, fromRhipicephalus sanguineus, R. turanicus, Dermacentor marginatusandHyalomma marginatus, were subjected to genotypic analysis. Amplification of specific DNA sequences, restriction endonuclease digestion of amplified DNA products, and gel electrophoresis were used to identify specific DNA fragment-banding patterns. Five patterns were resolved. Four were homologous with those of previously described rickettsial genotypes,R. conorii, R. slovaca, R. rhipicephaliandR. massiliae. The fifth pattern differed by only a single altered restriction endonuclease cleavage site. For the first time in Portugal a widely distributed spectrum of spotted fever group rickettsia was found among potential vector species stressing the need to determine their potential for human and domestic animals infection.

Crimean-Congo haemorrhagic fever (CCHF) virus is a tick-borne member of the genus Nairovirus, family Bunyaviridae. CCHF virus has been isolated from at least 31 different species of ticks. The virus is transmitted through the bite of an infected tick or by direct contact with CCHF virus-infected patients or the products of infected livestock. This study was conducted to determine the rate of CCHF virus infection in ticks in the district of Zahedan, in the province of Sistan and Baluchistan, southeastern Iran. A total of 140 ticks were collected from Sistan and Baluchistan. Reverse transcriptase-polymerase chain reaction (RT-PCR) was used for the detection of the CCHF virus genome in the tick population. This genome was detected in 4.3% of ticks collected from livestock of different regions of Zahedan. The infected tick genera belonged to Hyalomma and Haemaphysalis. Although in the epidemiology of CCHF virus Hyalomma ticks are considered to be the most important vectors and reservoirs, the virus has also been reported to occur in other genera of ticks, which conforms to the current data in our study from Sistan and Baluchistan. Given that animals are common hosts for Hyalomma and Haemaphysalis, regular monitoring programmes for livestock should be applied for CCHF virus control.

TENMAK D.N.. 10007 Bu rapor Kırım Kongo Kanamalı Ateşi’nin vektörü olarak bilinen Hyalomma türü keneler üzerinde gama ışınlamanın etkisini inceleyen bir dizi denemeyi kapsamaktadır. Bu çalışma aynı zamanda steril böcek tekniğinin kene kontrolü için uygunluğunu araştırmayı amaçlamaktadır. İlk olarak, aç, erkek Hyalomma anatolicum anatolicum kene grupları 5, 10, 15, 20 ve 50 Gy dozda ışınlandılar. 10 Gy dozun altında ışınlanan kenelerde hiçbir değişim görülmedi. 10 Gy ve üstü dozlarda ışınlanan erkek kenelerle çiftleşen dişilerin düşme ağırlıklarının azaldığı ve yumurtalarının canlılık oranının düştüğü belirlendi. 10 ve 15 Gy dozda gama ışını alan erkek kenelerin çiftleşme için normal kenelerle rekabet edebildiği anlaşıldı. 50 Gy dozda ışınlanan erkek kenelerin steril oldukları ve rekabetin azaldığı görüldü. Bu çalışmaları izleyen, Hyalomma marginatum marginatum ve Hyalomma anatolicum excavatum üzerinde yapılan çalışmalarda 10 ve 15 Gy gama ışınlama dozları kullanıldı. Bu dozlarda ışınlanan erkek kenelerle çiftleşen dişilerin beslenme ve üremeye ilişkin parametreleri incelendi. 15 Gy dozda ışınlanan gruplarda yumurta üretiminin ve larva veriminin önemli oranda düştüğü görüldü. Elde edilen sonuçlar steril böcek tekniğinin kenelerin kontrolü amacıyla kullanılabileceğini göstermektedir. Yine de, bu tekniğin sahaya uygulanmasından önce, gama ışınlamanın keneler üzerindeki etkisinin izleyen nesillere aktarımı konusunda çalışmalar yapılması yararlı olacaktır. This report describes a series of experiments to study the effects of gamma irradiation on Hyalomma spp., the genus known to be biological vector of Crimean Congo Haemorrhagic Fever . It was also intended to find out the possibility of the sterile male technique for tick control. First, groups of unfed male ticks of Hyalomma anatolicum anatolicum were exposed to gamma radiation doses of 5, 10, 15, 20 and 50 Gy to define the tolerance limits. Ticks were unaffected at irradiation doses below 10 Gy, but at this level and above, mean engorged weights, and viability of eggs were reduced. Males receiving 10 and 15 Gy doses of irradiation were proved to be effective in competing with normal males. Males irradiated at 50 Gy were all sterile and competitiveness was low. Irradiation doses of 10 and 15 Gy were chosen for further investigations on Hyalomma marginatum marginatum and Hyalomma anatolicum excavatum groups to examine the subsequent behaviour, feeding, and reproductive capacities of the ticks for the application of sterile male technique. The effects of irradiation on the male ticks were evaluated by the performances of the normal females which they were mated with. At the dose of 15 Gy egg production and fertility of resultant egg hatches were significantly low.Since the results are expressive and promising, a sterile male release could be considered feasible, however, further trials are needed to investigate if the sterility is transmitted from generation to generation without recovery of fertility.

To the Editor: Crimean Congo hemorrhagic fever, a tick-borne illness caused by Crimean Congo hemorrhagic fever virus (CCHFV), is endemic to Africa, the Balkans, the Middle East, and parts of Asia. The hard ticks (Ixodidae), especially those of the genus Hyalomma, serve as reservoirs and vectors for CCHFV, and a variety of animals, such as cattle, sheep, and camels, are considered amplifying hosts for the virus. Although CCHFV may cause little or no disease in zoonotic hosts, the virus can cause severe disease in humans who may be exposed by tick bites or by contact with blood or tissues from infected patients or animals (1). Surveillance for CCHFV in animal and vector populations provides an opportunity to monitor a disease of potentially severe impact. In North Africa and the Middle East, trade in live animals, meat, and meat products poses noticeable risk to human and animal health (2,3) and can serve as a mobile pool of diseases with potentially large economic and health effects. Animals often originate in distant areas of a country or its neighbors, where they may be exposed to zoonotic pathogens not endemic to their final location, and may collect vectors that carry additional pathogens. As part of a broader study examining occupational risk of exposure to vector-borne and zoonotic pathogens in a high-risk abattoir worker population, we collected ectoparasites from freshly-slaughtered livestock and examined them for CCHFV. This study and was conducted in compliance with the Animal Welfare Act and in accordance with the principles set forth in the Guide for the Care and Use of Laboratory Animals (4). Sample collection took place over a 2-week period in July 2009 at the Muneeb abattoir in the Giza Governorate of Egypt. Ectoparasites were removed from 43 freshly slaughtered animals by using blunt forceps and were placed in glass vials. In total, 342 ectoparasites were collected: 70 (20.5%) from 14 cattle, 52 (15.2%) from 17 buffalo, 6 (1.8%) from 2 sheep, and 214 (62.6%) from 10 camels. Cattle, buffalo, and sheep originated in Egypt; camels were imported from Sudan and Somalia. Ectoparasites were transported to US Naval Medical Research Unit No. 3 in Cairo, Egypt, for taxonomic identification and pathogen detection. Ninety-seven percent (334) of the ectoparasites were ticks from the family Ixodidae. The genus Hyalomma accounted for 254 (76.0%) of these ticks, including nearly all of those collected from sheep (100%) and camels (99.5%) but only 60.4% and 9.1% of those collected from buffalo and cattle, respectively. The remaining ticks of the family Ixodidae belonged to genus Boophilus. After identification, ticks were grouped into pools by species, sex, and animal source. RNA was then extracted by using the QIAamp Viral RNA Kit (QIAGEN, Valencia, CA, USA). CCHFV small fragment RNA was detected with SuperScript III Platinum SYBR Green One-Step qRT-PCR (Invitrogen, Carlsbad, CA, USA) and published primers as described (5). Of 138 pools tested (258 ticks of the genera Hyalomma and Boophilus), 6 pools were positive for CCHFV. These 6 pools contained ticks collected from 1 camel imported from Somalia and 4 from Sudan. One positive pool comprised female H. excavatum (Koch, 1844), and 5 comprised female H. dromedarii (Koch, 1844), both proven vectors of CCHFV. Sequence analysis showed that each CCHFV-positive pool contained an identical yet previously unrecorded 229-bp RNA fragment (GenBank accession no. {"type":"entrez-nucleotide","attrs":{"text":"JF706233","term_id":"371444381"}}JF706233; Figure). This fragment had 92% identity with many published CCHFV isolates (BLAST analysis [www.ncbi.nlm.nih.gov/BLAST], GenBank nonredundant database); however, most base changes were synonymous substitutions. Translated protein queries (tblastx) identified an amino acid (serine at codon 26) in this new variant that differed from all but 1 ({"type":"entrez-nucleotide","attrs":{"text":"AJ010648.1","term_id":"10638944"}}AJ010648.1) of the 100 most similar published sequences. The functional consequence of a S26N substitution is unknown but may be minimal because of the similar physicochemical properties of asparagine and serine. Figure Phylogenetic relationship of 110 Crimean-Congo hemorrhagic fever virus sequences obtained from this study (6 tick pools), the positive control, and 99 published isolates from GenBank. Sequences were aligned by using ClustalX (www.clustal.org), and a phylogenetic ... Despite the low number of camels sampled in this study, 5 of the 10 camels were found to harbor ticks carrying RNA from an undocumented variant of CCHF. Although none of the domestic animals harbored infected ticks, it is not possible to conclude if these data reflect importation of CCHFV or infection acquired within Egypt because details about conditions under which animals were kept before slaughter are unavailable. Previous serologic studies in Egypt have shown antibodies to CCHFV were prevalent among imported camels at a quarantine station in Aswan governorate (6) and among domestic cattle, buffalo, sheep, and goats in Sharkia Governorate (7). We plan to further investigate the presence of CCHFV within camel and ectoparasite populations in Egypt by expanding protocol activities to a camel market in the same area as the abattoir.

In this study, a total of 5,094 ticks found on humans were examined in terms of species, development stage, gender, host features and seasonality for a year period. Of these ticks 17 were argasid and 5,077 were ixodid. Predominantly species of the ixodid genera Hyalomma, Dermacentor, Rhipicephalus and Haemaphysalis were found on humans in Ankara (Anatolia). Most abundant were Hyalomma nymphs (29.8%) and adults (28.2%). Primary factors in terms of tick bite risk were region, habitat and season.

Adult Hyalomma ticks were examined for the presence of Theileria annulata infection using the Polymerase Chain Reaction (PCR). A 372 bp DNA fragment derived from the small ribosomal RNA gene of T. annulata was amplified from 45 out of 50 (90%) H. dromedarii ticks and from 36 out of 50 (72%) H. marginatum marginatum ticks. No product was amplified from non-infected control ticks. Restriction enzyme digestion with Sac II confirmed that the product was derived from the targeted T. annulata gene. As a further confirmation it was shown that both species of Hyalomma ticks were able to transmit T. annulata to experimental calves. PCR detection of Theileria parasites in ticks was compared with conventional staining of dissected salivary glands using methyl green pyronin and its comparative advantages are discussed.

The members of the genus Borrelia are transmitted by arthropods and known to be infectious to vertebrates. Here we found isolates and DNAs belonging to the Borrelia turcica and unknown Borrelia species from imported reptiles and their ectoparasites. The Borrelia strains were isolated from blood and multiple organs of exotic tortoises, and were experimentally infectious to captive-bred tortoises. These findings suggest that these tortoises may be a candidate as the reservoir host of the Borrelia species. In this study, the Borrelia strains were also isolated from and/or detected in hard-bodied ticks, Amblyomma ticks and Hyalomma ticks. In some of these ticks, immunofluorescence imaging analysis revealed that the Borrelia had also invaded into the tick salivary glands. Accordingly, these ticks were expected to be a potential vector of the Borrelia species. Sequencing analyses of both housekeeping genes (flaB gene, gyrB gene and 16S rDNA gene) and 23S rRNA gene-16S rRNA gene intergenic spacer region revealed that these Borrelia strains formed a monophyletic group that was independent from two other Borrelia groups, Lyme disease Borrelia and relapsing fever Borrelia. From these results, the novel group of Borrelia comprises the third major group of arthropod-transmitted borreliae identified to date.

Crimean-Congo hemorrhagic fever virus (CCHFV) is endemic in Albania. Ticks collected from cattle grazing in the endemic areas of Albania were tested for presence of CCHFV RNA, while serum samples collected from goats, cattle, hares, and birds were tested for the presence of specific IgG antibodies to CCHFV. One of the 31 pools prepared, consisting of four female Hyalomma spp. ticks, was found to carry CCHFV RNA with 99.2–100% homology to sequences detected in patients from the same region. Antibodies were not detected in cattle, hares, and birds, but 2/10 goats presented high titers of IgG antibodies. The shepherd of that flock was a member of a family affected by CCHF 10 days before the collection of goats' sera, and he presented a mild form of the disease.

The acaricidal efficacy of ceramic tiles treated at field application rates with either spinosad (Mozkill (c) 120 SC, 0.01 g ai/m(2)), deltamethrin (Impotek Deltamethrin (c) EW, 0.01 g ai/m(2)), permethrin + esbiothrin (Chrysamed (c), 0.1 g ai/m(2)), chlorpyrifos-methyl (Chlortoks (c) EC 50, 0.2 g ai/m(2)) or a mixture of alpha-cypermethrin/tetramethrin/piperonyl butoxide (Ecorex Alfa (c) SE, 0.01 g ai/m(2)), against larval Rhipicephalus turanicus and Argas persicus ticks was determined in laboratory bioassays. All ticks were initially exposed to treated tiles for 15 min then removed to non-treated containers and mortality evaluated for 15 min, 1 h, 6 h, and 24 h postexposure. Generally, A. persicus proved to be the most susceptible of the two species to all treatments. The alpha-cypermethrin/tetramethrin/piperonyl butoxide mixture was the quickest acting acaricide against larval A. persicus where 100% mortality was observed 15 min postexposure. For the rest of the treatments complete mortality was obtained at 1 h except for permethrin/esbiothrin which occurred at 6 h postexposure. Complete mortality of larval R turanicus occurred to deltamethrin and spinosad at I h postexposure with all acaricides providing 100% control at 6 h except permethrin/esbiothrin which only achieved 92% control through the end of the study (i.e. 24 h). Our results showed that spinosad would be a useful addition in a tick control program as an alternative for pyrethroids and organic phosphorus acaricides against both tick species. Akdeniz Üniversitesi

Protein and nucleic acid levels from the ovaries of Hyalomma dromedarii Koch were determined during different stages of oogenesis. The concentrations of total protein, DNA, and RNA increased during oogenesis, reflecting the rapid developmental changes taking place in this tissue. Peak protein and DNA levels were reached in the fully fed females, whereas RNA level peaked slightly earlier. Ribosomal RNA (rRNA) was found to be composed of 27.0s, 17.0s, and 4.1s particles. The ratio of 27.0s to 17.0s varied within the developing ovary, yet the 27.0s/4.1s ratio remained constant. The nucleotides of total RNA and rRNA were determined, and the ratio of purine/pyrimidine equaled approximately 1 and remained unchanged during oogenesis.

The tick species infesting grazing animals in the countryside of 11 prefectures in Northern Greece were investigated during April-July and September-December of consecutive years 2003-2006. A total of 3,249 (1,952 males, 1,297 females) adult ticks were collected from goats, sheep, cattle and dogs. Ticks were identified as Ixodes ricinus (44.57%), Ixodes gibbosus (4.09%), Rhipicephalus bursa (19.14%), Rhipicephalus sanguineus, Rhipicephalus turanicus (5.79%), Hyalomma marginatum marginatum (12.40%), Dermacentor marginatus (0.31%) and Boophilus annulatus (4.43%). Rhipicephalus spp. and Hyalomma spp. were abundant in all prefectures, Ixodes spp. were present in 9/11 prefectures, Boophilus spp. in 4/11, while Dermacentor spp. were found only in one. Results of this study give an insight into the ecology of ticks and their potential of tick-borne diseases in the country.

Changes in DNA, RNA, total lipids, phospholipids, and proteins and the activity of certain enzymes and pattern of their isozymes were studied in Hyalomma dromedarii Koch during embryogenesis. Total proteins fluctuated with a net increase (P less than 0.05) on day 20. Total lipids increased during the first half of embryogenesis and then declined with a net decrease to about 60% of the original level. Total phospholipids decreased to half this original level. DNA content increased greatly during cleavage, gastrulation, and organogeny and RNA increased during cleavage and blastula formation. Glucose-6-phosphate dehydrogenase (G6PDH) activity decreased (P less than 0.05), reaching 20% of its original level on day 12. Malic acid dehydrogenase (MDH) activity remained nearly unchanged throughout embryogenesis. Lactic acid dehydrogenase (LDH) activity increased greatly, with the highest level on day 14 with no further change. Acetylcholinesterase (AchE) activity increased greatly during the first 12 d, with no significant change thereafter. Acid (ACP) and alkaline (ALP) phosphatase activity increased during the first 12 d and declined returning to the original level on day 20. Seven AchE and 5 LDH isozymes were detected during different embryogenesis stages. Two MDH, 2 ACP, 1 ALP, and 2 G6PDH isozymes were detected throughout embryogenesis. Treating the mother with 20-hydroxyecdysone was associated with increases in protein and RNA contents and G6PDH and AchE activity and with decreases in ACP and ALP activity in the embryos.

The vector potentials of Hyalomma dromedarii Koch, H. impeltatum SchulzeSchlottke, H. truncatum Koch, and Rhipicephalus appendiculatus Neumann for Crimean-Congo hemorrhagic fever (CCHF) virus (IbAr 10200) were evaluated by intracoelomic inoculation. All three Hyalomma species became infected; infection rates ranged between 80 and 100% at 7-14 d after inoculation, and viral titers increased in unfed specimens almost 100 times above inoculation levels within the first week following infection. Only 40% of the R. appendiculatus became infected, and viral titers of unfed specimens increased less than 10 times above inoculation levels. The virus persisted to 153 d in unfed H. impeltatum. Viral titers were significantly higher in female than in male H. dromedarii, H. impeltatum, H. truncatum, and R. appendiculatus after blood feeding. Blood feeding had little effect on the viral titers of male Hyalomma species. However, the percentage of female and male ticks from which virus was recovered was significantly higher from fed ticks compared with unfed ticks. No virological evidence of transovarial transmission was found in greater than 78,000 first-generation progeny (larvae, nymphs, and adults) of inoculated female H. dromedarii, H. impeltatum, H. truncatum, and R. appendiculatus. All species transmitted CCHF virus to guinea pigs when allowed to feed at both 6 and 21 d after inoculation.

Background There are only few assays available for the detection of Crimean-Congo Hemorrhagic Fever Virus (CCHFV)-specific antibodies in animals, and data about diagnostic sensitivity and specificity are incompletely documented for most of these tests. This is unfortunate since CCHFV antibodies in animals can be used as indicator for virus circulation in a geographic area and therewith potential risk of human exposure. This paper therefore reports on a novel ELISA for the detection of CCHFV-specific antibodies in cattle and on its application for testing ruminant sera from the Former Yugoslav Republic of Macedonia. Principal Findings A highly sensitive and specific ELISA was developed to detect CCHFV-specific IgG antibodies in cattle. The assay was validated by using 503 negative serum samples from a country where CCHFV has never been detected until now, and by using 54 positive serum samples. The positive sera were verified by using two commercially available assays (for testing human serum) which we have adapted for use in animals. The sensitivity of the novel ELISA was 98% and its specificity 99%. The presence of Hyalomma ticks was demonstrated in the Former Yugoslav Republic of Macedonia and depending on the region antibody prevalence rates up to 80% were detected in the cattle population. Conclusion This article describes a fully validated, highly sensitive and specific ELISA for the detection of CCHFV-specific IgG antibodies in cattle. Using this assay, CCHFV-specific antibodies were detected for the first time in cattle in the Former Yugoslav Republic of Macedonia, giving evidence for an active circulation of this virus in the country. Supporting this conclusion, the occurrence of the main vector of CCHFV was demonstrated in the present work for the first time in Former Yugoslav Republic of Macedonia., Author Summary Crimean-Congo hemorrhagic fever virus (CCHFV) infections in humans can cause a deadly hemorrhagic fever with high fatality rates. Most humans are infected by ticks or by contact with blood. No vaccine prophylaxis or therapeutic interventions are available. Ticks of the genus Hyalomma function as vector of CCHFV. Domestic ruminants play a crucial role in the transmission and amplification of the virus. Since infected ruminants do not develop clinical signs, CCHFV infections can in most cases only be detected by serology. There are only few assays available for the detection of CCHFV-specific antibodies in animals. In general, the real distribution of CCHFV is fairly unknown. Here we present a novel, highly sensitive and specific ELISA, and the adaptations for two commercially available assays for the detection of CCHFV-specific antibodies in cattle. With these assays, we detected CCHFV-specific antibodies in cattle in the Former Yugoslav Republic of Macedonia. This is the first indication of an active circulation of CCHFV in this country. This knowledge will assist decision makers and public health authorities in deciding on effective countermeasures and can help to prevent outbreaks.