Tick-Borne Viruses of North America

Abstract

The global incidence of tick-borne infectious diseases has increased since the beginning of the 21st century. The expansion of tick populations into new geographic locations and a variety of anthropogenic and natural factors are all drivers of the increase. In addition to the establishment of known tick-borne pathogens in new areas, several novel agents, including many viruses, have also emerged. At present in North America, there are five tick-borne viruses that are known to cause human disease: deer tick virus, Powassan virus, Colorado tick fever virus, Heartland virus, and Bourbon virus. Although uncommon causes of disease, these viruses pose formidable threats to the health of individuals residing in regions of endemicity, especially since there are currently no medical countermeasures available to combat them. This review focuses on the basic biology, ecology, epidemiology, transmission, clinical presentation, diagnosis, treatment, and prevention of these North American tick-borne arboviruses.