Tick-borne relapsing fever: an interstate outbreak originating at Grand Canyon National Park.

Abstract:

:During the 1973 summer season, 27 employees and 35 overnight guests at the North Rim, Grand Canyon National Park, Arizona, acquired febrile illnesses compatibel with relapsing fever. Sixteen cases were confirmed by finding Borrelia spirochetes in peripheral blood smears or inoculated Swiss mice. Retrospective surveys of 278 employees and 7247 guests at the park revealed that acquisition of illness was significantly associated with the persons sleeping in rustic log cabins and acquiring bites of "unknown" insects. From rodent nesting materials found in the walls and attics of cabins where cases had occurred, infective Ornithodoros hermsi ticks were recovered. Exceptional activity of ticks in human populations appeared to have resulted from a decreased population of the ticks' usual rodent hosts. Vector control activities consisted of spraying the cabins with residual insecticide, removing nesting materials, and "rodent proofing." This outbreak, the largest yet identified in North America, extends the known range of a principal vector and establishes the North Rim as an endemic source of tick-borne relapsing fever.

journal_name

Am J Epidemiol

authors

Boyer KM,Munford RS,Maupin GO,Pattison CP,Fox MD,Barnes AM,Jones WL,Maynard JE

doi

10.1093/oxfordjournals.aje.a112406

subject

Has Abstract

pub_date

1977-05-01 00:00:00

pages

469-79

issue

5

eissn

0002-9262

issn

1476-6256

journal_volume

105

pub_type

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