Flipping Tickborne Illnesses with Infographics

The study aimed to estimate the burden of ticks and tick-borne diseases (TBDs) among rural cattle-keeping households of the Eastern Cape province of South Africa using Productivity Adjusted Life Years (PALYs). We modified Disability Adjusted Life Year (DALY) equations for humans to PALYs to estimate the societal burden of tick-borne animal diseases. Whilst the World Health Organization has indicated the adaptability of DALYs to assess burden of animal diseases, nothing has been done in this regard. This could be due to several reasons including that the assessment of animal disease burden is often less of a priority compared to human diseases, particularly in low- and middle-income countries where resources may be limited. As a result, less funding and attention may be given to developing and implementing PALYs for animal diseases. Furthermore, technical and conceptual challenges may be associated with applying DALYs equations to animal diseases, such as determining appropriate measures of productivity loss for different types and categories of animals and diseases. This motivated our study, which is focused on modelling the burden of ticks and TBDs in cattle (cows, oxen and bulls) reared in resource-poor settings. We formulated a PALYs approach for cattle populations by adapting the DALYs approach to assess the burden of ticks and TBDs for cattle populations in 20 villages in the Eastern Cape province of South Africa. PALYs is a measurement used to assess the burden of disease in cattle populations, quantifying the years of life lost due to premature mortality and disability. It encompasses years of life lost due to premature mortality (YLL) and years lost due to disability (YLD) caused by health conditions. PALYs provide a comprehensive perspective on the effective number of years lost due to disability and premature death in cattle populations. The PALYs model involves several parameters that are examined to understand their impact on the model's behavior. To illustrate this, we used a structured questionnaire to collect data on parameters that feed into PALY equations. We coded and entered data from questionnaires directly into Statistical Package of Social Sciences (IBM SPSS Version 20) and entered the estimated values of PALY parameters to calculate PALYs equations, which were to estimate the societal disease burden of ticks and TBDs in cattle. PALYs calculations were done in three categories; PALYs without discounting and age weighting, PALYs with only discounting, and PALYs with discounting and age weighting in a practical example to study how these parameters influence the outcomes of the PALYs model. Our results revealed that the years of productivity lost by a cow, bull, and ox that suffered from ticks and TBDs could be estimated at various disability weights. Approximately 26%, 23% and 35% of the productivity years of a cow, ox and bull, respectively, reared by resource-poor livestock owners are lost due to the burden of ticks and TBDs in the Eastern Cape province of South Africa. However, introducing tick control measures reduces the loss to approximately 3%, 2% and 3% of their lifespan productivity, an indication that tick control will save approximately 23%, 21% and 32% of years of the productive life of cows, oxen and bulls, respectively. Therefore, it is evident that using ticks and TBD prevention measures at an early age of cattle will improve cattle productivity and hence the socioeconomic welfare of resource-poor rural farming communities in the Eastern Cape province of South Africa. The findings generated from the PALYs approach are helpful in projections for the future burden of any livestock disease. They may be used as a basis in policy formulation and decision-making by various stakeholders, and hence a priority in animal health economics. We recommend that a classification of livestock diseases of national economic importance should consider both the societal burden (non-monetary) and economic impact instead of the common practice of only considering the economic (monetary) impact. Adding a societal burden measure to existing economic measures provides a holistic understanding of the impact of a disease on society especially in resource-limited settings where the livestock value goes beyond monetary value.

Recently, both of the species of tick-borne parasites and cases of tick-borne parasitic diseases in human beings are increasing in China. Tick-borne diseases are considered to be an important public health problem affecting the health of Chinese. In this paper, we summarize the epidemic status and control measures of tick-borne parasitic diseases in China, and put forward that the epidemic status of tick-borne parasitic diseases may be greatly underestimated in China, and the systematic surveillance of tick-borne parasitic diseases on population, vectors and animal hosts is urgently needed.

Ticks and tick-borne diseases affect humans, livestock, and wildlife in most regions of the globe. Although there are over 900 tick species globally, only approximately 10% of species are second to mosquitoes as major vectors of human and veterinary diseases. The 17 articles of this themed Special Issue highlight the current research trends associated with newly discovered tick species, concepts of tick evolution, new vaccinology approaches, factors affecting disease transmission, and factors affecting tick ecology and tick-borne disease epidemiology. summarizes the articles in this Special Issue in alphabetical author order and is a word cloud generated from the article titles. Of the 17 articles in this Special Issue, two are review articles (vaccinology) while the remaining 15 are original research articles. The topics range from tick control, to epidemiology, ecology, tick-borne disease control, tick-borne disease transmission, vaccine approaches, and the description of novel extant and extinct tick species. is graphical representation of the articles within this Special Issue including tick hosts and the most representative tick species studied. The articles also include authors from most continents globally with first author contributions from Australia, Bangladesh, Brazil, Czech Republic, Germany, India, Mexico, Pakistan, South Africa, Spain, Turkey, United Arab Emirates, USA and Zambia. This issue is thus truly diverse which reflects the diversity of ticks, tick-borne diseases and they hosts they infest globally.

Emerging tick-borne diseases in mainland China over the past decade: a systematic review and mapping analysis

Several tick-borne infectious diseases that can affect children are prevalent in different geographic areas within the United States. Examples of these include: babesiosis, a protozoal infection transmitted by the deer tick(Ixodes scapularis); Colorado tick fever, which is an arboviral infection; and tularemia, a Gram-negative bacterial infection. Several rickettsial diseases also are spread by tick bites, including ehrlichiosis,which is spread by the tick vector Amblyomma americanum and possibly Ixodes scapularis, and Rocky Mountain spotted fever (RMSF). RMSF is transmitted in the South Atlantic/Southeastern states primarily by the dog tick Dermacentor variabilis, in the Western United States by the wood tick Dermacentor andersoni, and in the South Central region by the Lone Star tick, Amblyomma americanum.Perhaps the most notorious tick-borne disease in the United States today is Lyme disease, caused by the spirochete Borrelia burgdorferi. The disease is transmitted by the deer ticks Ixodes scapularis(previously Ixodes dammini) in the East/ Midwest and Ixodes pacificus in the West.Control measures for these and other tick-borne pediatric infectious diseases are aimed at preventing infected ticks from biting children. These measures include avoiding tick-infested areas; wearing protective clothing that covers exposed parts of the body; using tick/insect repellant; and carefully examining the child’s head, neck, and body following possible tick exposure.Any ticks that are discovered should be removed promptly either by using the fingers or fine tweezers. Whatever method is used, the tick should be grasped as close to the skin as possible and removed by pulling straight out. Twisting motions should be avoided. In addition, care should be taken not to squeeze the body of the tick. Fingers always should be protected by tissue paper and thoroughly washed with soap and water after tick removal.Adherence to the measures described can diminish the transmission of tick-borne diseases by reducing contact with ticks and preventing infected ticks from biting and engorging on children.Worldwide, only mosquitoes surpass ticks as arthropod vectors of human infections, and the range of infectious agents transmitted by ticks to people is an unfortunate reflection of nature’s almost infinite variety: virus, bacterium,protozoa, rickettsia, and spirochete,not to mention the noninfectious neurotoxin that causes tick paralysis. Children are particularly susceptible to tick-borne disease because they love to play in the kinds of places where ticks live, as do their pets,another common source of exposure.An article published in Pediatrics(Needham GR. Evaluation of five popular methods for tick removal. 1985;75:997) serves as the scientific basis for the recommendations outlined by Dr Ozuah. Despite what our grandmothers may have told us,neither petroleum jelly, fingernail polish, alcohol, nor a hot match works as well in extracting a tick intact as totally straight traction. Dr Ozuah points out that if fingers are used instead of tweezers, they should be protected by tissue or rubber gloves to keep infectious agents in the tick’s saliva from invading through breaks in the skin—an argument for not allowing children to “de-tick” their pets.Because of the risk of contamination with infectious agents from the tick’s saliva, the site of a bite should be disinfected carefully after the tick has been removed. Removed ticks should be put into a bottle of alcohol or flushed down the toilet.

Threats to international travellers posed by tick-borne diseases

Zoonotic-origin infectious diseases are one of the major concerns of human and veterinary health systems. Ticks, as vectors of several zoonotic diseases, are ranked second only to mosquitoes as vectors. Many ticks’ transmitted infections are still endemic in the Americas, Europe, and Africa and represent approximately 17% of their infectious diseases population. Although our scientific capacity to identify and diagnose diseases is increasing, it remains a challenge in the case of tick-borne conditions. For example, in 2017, 160 cases of the Brazilian Spotted Fever (BSF, a tick-borne illness) were confirmed, alarming the notifiable diseases information system. Conversely, Brazilian borreliosis and ehrlichiosis do not require notification. Still, an increasing number of cases in humans and dogs have been reported in southeast and northeastern Brazil. Immunological methods applied to human and dog tick-borne diseases (TBD) show low sensitivity and specificity, cross-reactions, and false IgM positivity. Thus, the diagnosis and management of TBD are hampered by the personal tools and indirect markers used. Therefore, specific and rapid methods urgently need to be developed to diagnose the various types of tick-borne bacterial diseases. This review presents a brief historical perspective on the evolution of serological assays and recent advances in diagnostic tests for TBD (ehrlichiosis, BSF, and borreliosis) in humans and dogs, mainly applied in Brazil. Additionally, this review covers the emerging technologies available in diagnosing TBD, including biosensors, and discusses their potential for future use as gold standards in diagnosing these diseases.

BackgroundThe distribution and prevalence of tick-borne diseases (TBDs) are affected by climate factors, particularly temperature and humidity, which impact tick survival and activity. Understanding how climate factors affect TBDs is crucial for public health preparedness. We investigated trends in TBDs in New Jersey (NJ) over the past two decades.Figure 1:Case counts of TBDs by vector in the (A) off-season and (B) in-season months over the years(A) Case counts of reportable TBDs in aggregate and diseases transmitted by I. scapularis significantly increased in the off-season. Diseases transmitted by A. americanum and D. variabilis did not significantly increase in the off-season. (B) Case counts of all reportable TBDs, and diseases transmitted by I. scapularis and D. variabilis did not significantly increase in the in-season. In contrast, diseases transmitted by A. americanum significantly increased in the in-season.MethodsWe obtained case counts of reportable TBDs from 2003 to 2022 from the NJ Department of Health (N = 85,905), and climate data from the publicly available nClimDiv dataset. We conducted linear regression analysis to assess temporal trends in total TBD cases over the 20-year period. We also used Poisson regression analysis to examine the association between TBD incidence and climate factors, specifically average temperature and total precipitation.Table 1:Case count correlation with climate parameters (average temperature and total precipitation) using univariate and multivariate Poisson regression analysisWe performed a Poisson regression analysis using case count as the dependent variable, and average temperature and total precipitation as the independent variables. For the multivariate model, we utilized average temperature and total precipitation as covariates. Total case counts of reportable tick-borne diseases, and case counts of diseases transmitted by I. scapularis (Lyme disease, Babesiosis, Anaplasmosis), A. americanum (Ehrlichiosis), and D. variabilis (Spotted Fever Group Rickettsiosis) are significantly positively correlated with average temperature and total precipitation using univariate analysis. Only diseases transmitted by the American Dog Tick are positively correlated with both average temperature and total precipitation using multivariate analysis. Diseases transmitted by I. scapularis and the lone star tick are only positively correlated with average temperature using multivariate analysis.ResultsTotal TBDs have significantly increased over the study period, particularly during the off-season (October to March; p < 0.01), while there was no significant increase during the in-season period (April to September) (Fig. 1, p > 0.05). Sub-analysis by vector revealed significant increases in diseases transmitted by Ixodes scapularis (Deer Tick; Babesiosis, Lyme disease, Anaplasmosis), particularly in the off-season (Fig. 1A; p < 0.01). In contrast, diseases transmitted by Amblyomma americanum (Lone Star Tick; Ehrlichiosis) significantly increased during the in-season period (Fig. 1B; p < 0.001). There was no significant increase in diseases transmitted by Dermacentor variabilis (American Dog Tick; Spotted Fever Group Rickettsiosis) (Fig. 1; p > 0.05). Univariate Poisson regression analysis showed a positive correlation between all TBDs and average temperature and total precipitation (Table 1).ConclusionOur findings demonstrate a rising trend in TBDs in NJ, correlated with average temperature and precipitation. Sub-analysis highlights vector-specific patterns, with I. scapularis-transmitted diseases increasing predominantly in the off-season and A. americanum-transmitted diseases during the in-season period. These findings emphasize the importance of maintaining vigilance for TBDs during traditionally low-risk months and the need for proactive strategies to mitigate the impact of climate factors on TBD transmission.DisclosuresBobby Brooke Herrera, PhD, Mir Biosciences, Inc.: co-founder Navaneeth Narayanan, PharmD, MPH, BCIDP, Astellas: Honoraria|Beckman Coulter: Honoraria|Merck: Grant/Research Support|Shionogi: Grant/Research Support Thomas Kirn, MD PhD, Selux Diagnostics: Advisor/Consultant|Selux Diagnostics: Honoraria Keith S. Kaye, MD, MPH, Allecra: Advisor/Consultant|CARB-X: Advisor/Consultant|GSK: Advisor/Consultant|Merck: Advisor/Consultant|Shionogi: Advisor/Consultant|Spero: Advisor/Consultant

Several personal protective measures (PPMs) are recommended to prevent tick-borne diseases (TBD). We aimed to quantify the strength of seven PPMs and self-reported TBD diagnosis associations and to understand what variables modify these associations. In June-July 2018, with a cross-sectional study design, we surveyed a sample of adult Indiana state residents. Overall, 2927 participants were eligible for this analysis. All data were self-reported. We used the double robust approach of stabilized inverse probability weighting and propensity score adjustment to obtain ORs. Approximately 5% of participants (n = 142) self-reported TBD diagnosis. Practicing different PPMs ranged from 48% for treating outdoor clothing with special bug-spray to 83% for walking on established trails. Using insect repellent on exposed skin was protective against TBD diagnosis [OR (95% CI): 0.55 (0.35, 0.88)]. A thorough body/clothes check after being outdoors was also protective against TBD diagnosis [OR (95% CI): 0.40 (0.25, 0.67)]. In stratified analyses, TBD knowledge, safety worry because of ticks, avoiding outdoors because of ticks, and pet TBD risk modified the associations between different PPMs and self-reported TBD diagnosis. In the state of Indiana, thorough body/clothes check after being outdoors and use of insect repellent on exposed skin might be strongly effective in preventing TBD. The protective effect of different PPMs might be stronger among people with high TBD knowledge, high safety worry because of ticks, high avoidance of being outdoors because of ticks, and low pet TBD risk. These results might be useful in the design of intervention programs.

There is insufficient evidence to support screening of various tick-borne diseases (TBD) related microbes alongside Borrelia in patients suffering from TBD. To evaluate the involvement of multiple microbial immune responses in patients experiencing TBD we utilized enzyme-linked immunosorbent assay. Four hundred and thirty-two human serum samples organized into seven categories followed Centers for Disease Control and Prevention two-tier Lyme disease (LD) diagnosis guidelines and Infectious Disease Society of America guidelines for post-treatment Lyme disease syndrome. All patient categories were tested for their immunoglobulin M (IgM) and G (IgG) responses against 20 microbes associated with TBD. Our findings recognize that microbial infections in patients suffering from TBDs do not follow the one microbe, one disease Germ Theory as 65% of the TBD patients produce immune responses to various microbes. We have established a causal association between TBD patients and TBD associated co-infections and essential opportunistic microbes following Bradford Hill’s criteria. This study indicated an 85% probability that a randomly selected TBD patient will respond to Borrelia and other related TBD microbes rather than to Borrelia alone. A paradigm shift is required in current healthcare policies to diagnose TBD so that patients can get tested and treated even for opportunistic infections.

BackgroundPeople with occupations that require them to spend time working outdoors in suitable tick habitats are predicted to be at an increased risk for tick-borne diseases (TBDs). However, few studies have assessed the risks of outdoor employees in the United States.MethodsWe conducted a cross-sectional survey to collect data on exposure to ticks and TBD infections among U.S. Forest Service employees in a high TBD incidence region of northern Wisconsin, and to examine employee knowledge, attitudes, and practices (KAPs) regarding TBDs to help guide future education and prevention programs. Chi-square contingency tables, calculations of odds ratios, and logistic regression models were used to identify associations among self-reported employee factors, the proportion of correctly answered knowledge questions, their ranked concern for TBDs, adherence to practicing preventive behaviors, and willingness to pay for protective measures.ResultsNinety-five employees completed the survey. Nearly all respondents (97%) reported recent tick exposure, with 27% reporting encountering 10 or more ticks per week during peak tick season. Employee knowledge of TBD was high (median score: 80% correct). Fifty-nine percent of respondents had high concern for TBDs, and there was high adherence to conducting body checks for ticks (83% reported always doing them), but only moderate use of tick repellents (24% reported always and 60% reported occasionally using). High concern for TBD (adjusted odds ratio (aOR) = 6.32 [95% confidence intervals, 1.97–20.28]), a history of TBD diagnosis (aOR = 5.88 [1.41–24.55]), and older age (≥ 46 years) (aOR = 3.29 [1.00–10.84]) were positively associated with high practice adherence. Respondents suggested they would be willing to pay for personal protective methods and get a hypothetical vaccine for Lyme disease, but not community-wide efforts to control ticks.ConclusionsOur study provides evidence that U.S. Forest Service employees in Wisconsin represent a high risk group for TBD, and despite relatively high TBD knowledge and engagement in tick protection activities, efforts are needed to reduce their risks for tick bites. More generally, our findings suggest that studies to better understand the factors related to the adoption and effectiveness of public health interventions are needed.

Peri-domestic areas constitute an important source of tick exposure and tick-borne diseases (TBD). Nonetheless, the association between distal TBD risk factors (i.e. cognitive-/affective-risk perceptions, knowledge of the effectiveness of personal protective behaviors) and proximal TBD risk (i.e. tick activity and TBD diagnosis), among adult residents of private residential properties (PRP) is unknown.Data was collected from 299 PRP in south and central Indiana. We used Mann-Whitney U and Kruskal-Wallis non-parametric tests to identify differences in proximal and distal outcome measures.We found evidence of 'tick activity' at thirty-nine percent of PRP (n=116). Thirteen-percent of respondents (n=40) self-reported a TBD diagnosis within their household. We found no significant association between 'self-reported TBD diagnosis within a household' and 'tick activity in the peri-domestic area.' Mean scores on 'affective tick & TBD risk assessment' were significantly higher among respondents when 'tick activity' was present in the peri-domestic area (median=2, M=2.54, p<0.001). Similarly, respondents who 'self-reported TBD diagnosis within their household' had significantly higher mean scores on 'affective tick & TBD risk assessment' (median=3, M=3.30) than those who did not (median=1, M=1.93), (U=2750, p<0.001). The proportion of peri-domestic areas with 'tick activity' was significantly higher if the primary respondent was male or an older adult respectively, compared to females and younger adults.Occupational/recreation-based settings may be more important pathways of tick exposure than peri-domestic settings in Indiana. Beyond education, it is important to consider the feelings and emotions that are elicited when at-risk populations consider their peri-domestic tick exposure and TBD risk, and where necessary design interventions to address those affective assessments.

BackgroundEarly diagnosis and treatment of tick-borne diseases (TBDs) is critical for mitigating their adverse health outcomes, but the differential diagnosis of TBDs is challenging because many symptoms are nonspecific and commonly used diagnostic assays have significant shortcomings. Furthermore, although the local incidence of TBDs is recognized as an important factor in diagnosis, tools to help clinicians formally consider surveillance data in their decision-making are not available. To address these gaps, Gryphon Scientific developed a differential diagnosis application (app) for TBDs that calculates a patient’s likelihood of infection with specific TBDs based on their symptoms, risk factors, and state of suspected tick exposure.MethodsA differential diagnosis model for TBDs was developed using data on: (1) TBD symptom and risk factor prevalence in TBD patient populations, collected from clinical studies; and (2) human TBD incidence data from notifiable disease surveillance systems and tick infection prevalence data from reports and public databases, which were combined to develop an environmental risk measure. These data were used to build a Bayesian Belief Network (BBN) model that predicts TBD infection probabilities based on a patient’s symptoms, risk factors, and state of suspected tick exposure. Performance of the model was validated using case studies from the biomedical literature. The model was incorporated into an app developed using R-shiny, called TBD-DDx (Figures 1 and 3).ResultsA pilot application was developed that includes 10 states (AR, CT, MA, ME, MN, MO, NH, RI, VT, and WI) and the 11 TBDs endemic to those states. The differential diagnosis model identified the patient’s true disease as the top-predicted disease in 56% of cases and within the top three predicted TBD in 84% of cases. The inclusion of incidence factors in the model improved performance (Figure 4).ConclusionThese results demonstrate that the TBD-DDx app is a promising tool for informing clinical diagnoses of TBDs to guide selection of diagnostic testing and treatment. This study represents the first use of a BBN modeling approach that incorporates an environmental risk measure and could be adapted for differential diagnosis of other diseases with environmental or other exposure risks.DisclosuresAll authors: No reported disclosures.

BackgroundVisceral leishmaniasis (VL) is a vector borne zoonotic disease endemic in humans and dogs in Brazil. Due to the increased risk of human infection secondary to the presence of infected dogs, public health measures in Brazil mandate testing and culling of infected dogs. Despite this important relationship between human and canine infection, little is known about what makes the dog reservoir progress to clinical illness, significantly tied to infectiousness to sand flies. Dogs in endemic areas of Brazil are exposed to many tick-borne pathogens, which are likely to alter the immune environment and thus control of L. infantum.ResultsA cross-sectional study of 223 dogs from an area of Natal, in the Rio Grande do Norte, Brazil, were studied to determine the association between comorbid tick-borne disease and Leishmania infection in this endemic area. The risk of Leishmania seropositivity was 1.68× greater in dogs with tick-borne disease seropositivity compared to those without (Adjusted RR: 1.68, 95% CI: 1.09–2.61, P = 0.019). A longitudinal study of 214 hunting dogs in the USA was conducted to determine the causal relationship between infection with tick-borne diseases and progression of VL. Hunting dogs were evaluated three times across a full tick season to detect incident infection with tick-borne diseases. A logistic regression model with generalized estimating equations to estimate the parameters was used to determine how exposure to tick-borne disease altered VL progression over these three time points when controlling for other variables. Dogs infected with three or more tick-borne diseases were 11× more likely to be associated with progression to clinical VL than dogs with no tick-borne disease (Adjusted RR: 11.64, 95% CI: 1.22–110.99, P = 0.03). Dogs with exposure to both Leishmania spp. and tick-borne diseases were five times more likely to die during the study period (RR: 4.85, 95% CI: 1.65–14.24, P = 0.0051).ConclusionsComorbid tick-borne diseases dramatically increased the likelihood that a dog had clinical L. infantum infection, making them more likely to transmit infection to sand flies and people. As an important consequence, reduction of tick-borne disease exposure through topical or oral insecticides may be an important way to reduce progression and transmissibility of Leishmania infection from the canine reservoir to people.

Background: In Pakistan, ticks are a major problem for livestock and humans. These can spread a wide range of infections including protozoan, viruses, and bacteria such as spirochetes and rickettsiae. Ticks are found in all ecological and geographic zones of Pakistan. Bovine Babesiosis and Theileriosis have been documented in Pakistan. Crimean-Congo hemorrhagic fever (CCHF) is a tick-borne viral disease that affects those who work with cattle, like slaughterhouse workers, vets, and hospitals. There are at least 40 tick species, mostly Haemaphysalis, Hyalomma, and Rhipicephalus. In Pakistan, CCHF is spread by Hyalomma ticks, posing a severe risk to human health. Ticks are most prevalent in the summer (June–September) and goats rather than sheep in Pakistan. Tick-borne infections include Anaplasma, Babesia, and Theileria spp., more common in sheep than goats. In the previous sixteen years, occasional CCHF outbreaks have been documented in Pakistan, with a 24% fatality rate. Mass tick control efforts have been initiated in Punjab and Sind provinces to control tick populations and zoonotic disease spread. These tick control campaigns use a lot of Deltamethrin and Ivermectin. Deltamethrin and Ivermectin can harm the ecosystem and suggested alternate tick control approaches. Deltamethrin can damage the kidneys of insect-eating birds and disrupt the life cycle of aquatic organisms when mixed with stream water. This is because roughly 60%-80% of the whole dose is excreted by the animal and is not metabolized by the animal. Dung deterioration can be hampered by a reduction of dung beetles. Tick control methods have been used for decades worldwide. But only chemical technique is still practised in Pakistan. Each method's efficacy varies with tick number, dispersion, morphology, and host species. Results: The goal of the literature review was to discuss ticks and tick management measures used on domestic animals in Pakistan and offer new and successful techniques. This article reviews the most widely used tick management methods in Pakistan. According to studies, ticks and tick-borne diseases cause significant economic losses to livestock globally. Chemicals (acaricides) are overused to treat ticks on domestic and wild animals. Tickbots, bait boxes, vaccines, natural fauna, and bio-pesticides should be promoted and used to control ticks. Conclusion: The literature concluded that tick and tick-borne diseases are a significant cause of economic losses to the livestock throughout the globe. The chemicals (acaricides) are excessively applied against ticks on domestic and wild animals. Other new techniques like tickbot, bait boxes, the discovery of vaccines, natural fauna and biopesticides should be promoted and applied to control the ticks. These strategies will have an extreme outcome on reducing the tick population. Keywords: Ticks, Ectoparasites, Congo Haemorrhagic Fever, Wild animals, Integrated tick management, Pakistan