Increase in Colorado Tick Fever Virus Disease Cases and Effect of COVID-19 Pandemic on Behaviors and Testing Practices, Montana, 2020
In 2020, Montana, USA, reported a large increase in Colorado tick fever (CTF) cases. To investigate potential causes of the increase, we conducted a case-control study of Montana residents who tested positive or negative for CTF during 2020, assessed healthcare providers' CTF awareness and test...
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| Vydáno v: | Emerging infectious diseases Ročník 29; číslo 3; s. 561 - 568 |
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| Médium: | Journal Article |
| Jazyk: | angličtina |
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United States
U.S. National Center for Infectious Diseases
01.03.2023
Centers for Disease Control and Prevention |
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| ISSN: | 1080-6040, 1080-6059, 1080-6059 |
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| Abstract | In 2020, Montana, USA, reported a large increase in Colorado tick fever (CTF) cases. To investigate potential causes of the increase, we conducted a case-control study of Montana residents who tested positive or negative for CTF during 2020, assessed healthcare providers' CTF awareness and testing practices, and reviewed CTF testing methods. Case-patients reported more time recreating outdoors on weekends, and all reported finding a tick on themselves before illness. No consistent changes were identified in provider practices. Previously, only CTF serologic testing was used in Montana. In 2020, because of SARS-CoV-2 testing needs, the state laboratory sent specimens for CTF testing to the Centers for Disease Control and Prevention, where more sensitive molecular methods are used. This change in testing probably increased the number of CTF cases detected. Molecular testing is optimal for CTF diagnosis during acute illness. Tick bite prevention measures should continue to be advised for persons doing outdoor activities. |
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| AbstractList | In 2020, Montana, USA, reported a large increase in Colorado tick fever (CTF) cases. To investigate potential causes of the increase, we conducted a case-control study of Montana residents who tested positive or negative for CTF during 2020, assessed healthcare providers' CTF awareness and testing practices, and reviewed CTF testing methods. Case-patients reported more time recreating outdoors on weekends, and all reported finding a tick on themselves before illness. No consistent changes were identified in provider practices. Previously, only CTF serologic testing was used in Montana. In 2020, because of SARS-CoV-2 testing needs, the state laboratory sent specimens for CTF testing to the Centers for Disease Control and Prevention, where more sensitive molecular methods are used. This change in testing probably increased the number of CTF cases detected. Molecular testing is optimal for CTF diagnosis during acute illness. Tick bite prevention measures should continue to be advised for persons doing outdoor activities.In 2020, Montana, USA, reported a large increase in Colorado tick fever (CTF) cases. To investigate potential causes of the increase, we conducted a case-control study of Montana residents who tested positive or negative for CTF during 2020, assessed healthcare providers' CTF awareness and testing practices, and reviewed CTF testing methods. Case-patients reported more time recreating outdoors on weekends, and all reported finding a tick on themselves before illness. No consistent changes were identified in provider practices. Previously, only CTF serologic testing was used in Montana. In 2020, because of SARS-CoV-2 testing needs, the state laboratory sent specimens for CTF testing to the Centers for Disease Control and Prevention, where more sensitive molecular methods are used. This change in testing probably increased the number of CTF cases detected. Molecular testing is optimal for CTF diagnosis during acute illness. Tick bite prevention measures should continue to be advised for persons doing outdoor activities. In 2020, Montana, USA, reported a large increase in Colorado tick fever (CTF) cases. To investigate potential causes of the increase, we conducted a case–control study of Montana residents who tested positive or negative for CTF during 2020, assessed healthcare providers’ CTF awareness and testing practices, and reviewed CTF testing methods. Case-patients reported more time recreating outdoors on weekends, and all reported finding a tick on themselves before illness. No consistent changes were identified in provider practices. Previously, only CTF serologic testing was used in Montana. In 2020, because of SARS-CoV-2 testing needs, the state laboratory sent specimens for CTF testing to the Centers for Disease Control and Prevention, where more sensitive molecular methods are used. This change in testing probably increased the number of CTF cases detected. Molecular testing is optimal for CTF diagnosis during acute illness. Tick bite prevention measures should continue to be advised for persons doing outdoor activities. |
| Audience | Professional Academic |
| Author | Lehman, Jennifer Brault, Aaron C. Gould, Carolyn V. Staples, J. Erin Randolph, Jean Fitzpatrick, Kelly A. Ruth, Laird J. Panella, Amanda Velez, Jason Wolff, Brent Baldry, Erika Vahey, Grace M. Silver, Margaret Biggerstaff, Brad J. Hughes, Holly R. Soto, Raymond A. |
| Author_xml | – sequence: 1 givenname: Raymond A. surname: Soto fullname: Soto, Raymond A. – sequence: 2 givenname: Erika surname: Baldry fullname: Baldry, Erika – sequence: 3 givenname: Grace M. surname: Vahey fullname: Vahey, Grace M. – sequence: 4 givenname: Jennifer surname: Lehman fullname: Lehman, Jennifer – sequence: 5 givenname: Margaret surname: Silver fullname: Silver, Margaret – sequence: 6 givenname: Amanda surname: Panella fullname: Panella, Amanda – sequence: 7 givenname: Aaron C. surname: Brault fullname: Brault, Aaron C. – sequence: 8 givenname: Holly R. surname: Hughes fullname: Hughes, Holly R. – sequence: 9 givenname: Kelly A. surname: Fitzpatrick fullname: Fitzpatrick, Kelly A. – sequence: 10 givenname: Jason surname: Velez fullname: Velez, Jason – sequence: 11 givenname: Brad J. surname: Biggerstaff fullname: Biggerstaff, Brad J. – sequence: 12 givenname: Brent surname: Wolff fullname: Wolff, Brent – sequence: 13 givenname: Jean surname: Randolph fullname: Randolph, Jean – sequence: 14 givenname: Laird J. surname: Ruth fullname: Ruth, Laird J. – sequence: 15 givenname: J. Erin surname: Staples fullname: Staples, J. Erin – sequence: 16 givenname: Carolyn V. surname: Gould fullname: Gould, Carolyn V. |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36732081$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1002/sim.4780040211 10.1093/jtm/taaa180 10.4049/jimmunol.64.4.265 10.1128/JCM.01926-19 10.4269/ajtmh.1969.18.796 10.1007/978-1-4939-9544-8_62-1 10.1128/jcm.22.1.84-88.1985 10.1089/vbz.2009.0065 10.3201/eid2710.210903 10.1016/j.jviromet.2006.10.014 10.7326/0003-4819-88-3-303 10.1089/vbz.2014.1755 10.1093/jmedent/43.1.17 10.2307/3002019 10.1016/j.jbi.2008.08.010 10.1016/j.lanepe.2021.100103 10.1001/archinte.1973.00320080124018 10.1089/vbz.2018.2407 |
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| Copyright | COPYRIGHT 2023 U.S. National Center for Infectious Diseases Published 2023. This article is a U.S. Government work and is in the public domain in the USA. 2023 |
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| SubjectTerms | Arachnids Bites and stings Case-Control Studies Colorado Tick Fever - epidemiology Colorado tick fever virus coronavirus disease COVID-19 COVID-19 Testing Diagnostic tests Disease prevention Disease transmission Epidemics Fever Health aspects Health care industry Humans Increase in Colorado Tick Fever Virus Disease Cases and Effect of COVID-19 Pandemic on Behaviors and Testing Practices, Montana, 2020 Infections Influence Insect bites Medical laboratories Montana Outdoor activities Outdoors Pandemics Patients Prevention Public health Relapsing fever Remission (Medicine) Risk factors RNA virus infections SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Statistics Tick-borne diseases tickborne disease United States Virus diseases |
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| Title | Increase in Colorado Tick Fever Virus Disease Cases and Effect of COVID-19 Pandemic on Behaviors and Testing Practices, Montana, 2020 |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/36732081 https://www.proquest.com/docview/2798009867 https://www.proquest.com/docview/2773121400 https://pubmed.ncbi.nlm.nih.gov/PMC9973673 https://doaj.org/article/4c0c4740679e459f8bc42abd4b13787d |
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