Thesis (M.S.)--Michigan State University. Dept. of Fisheries and Wildlife, 2008. / Title from PDF t.p. (viewed on July 30, 2009) Includes bibliographical references (p. 176-183). Also issued in print.

Ticks are hematophagous ectoparasites capable of transmitting various pathogens, including bacteria, protozoa, and viruses, to vertebrates. In the United States, tick-borne pathogens are responsible for around 95% of arthropod-borne diseases. Lyme disease is the most common tick-borne illness. However, emerging tick-borne viruses such as Bourbon virus (BRBV), Powassan virus (POWV), and Heartland virus (HRTV) can cause more severe health problems, including death and neurological abnormalities. The reports of molecular detection of viral RNA in field-collected ticks and serological evidence in a pilot study of wildlife species suggest the presence of these emerging viruses in Virginia. The presence poses a serious health threat, but the extent of their presence or circulation in Virginia is unknown. The objectives of the research are (1) to determine the evidence of circulation of POWV, HRTV, and BRBV in Virginia through serological assessment of domestic and wild animals in Virginia and (2) estimate transmission parameters and the basic reproduction number underlying tick-borne virus distribution and prevalence via a mathematical model. Here, we discuss the known literature relevant to tick-borne virus emergence; we assessed the presence of specific neutralizing antibodies against POWV, HRTV, and BRBV in wildlife and livestock sera collected from different health planning regions in Virginia. We used a susceptible-infected-susceptible (SIS) ordinary differential equation model to estimate transmission parameters that best describe the disease dynamics of emerging tick-borne viruses in Virginia. In our study, wildlife sera were seropositive against POWV (18%), BRBV (8%), and HRTV (5%). A wide range of different wildlife species were shown to be exposed to each virus examined. Livestock are also exposed to tick-borne viruses, with seroprevalences of 1%, 1.2%, and 8% detected in cattle for POWV, BRBV, and HRTV, respectively. We estimated the transmission rate and basic reproduction number to be 1.57 and 0.645, respectively. In conclusion, there is a widespread circulation of tick-borne viruses in western and northern Virginia within diverse species of animal populations. / Master of Science in Life Sciences / Ticks are blood-sucking ectoparasites that can transmit various pathogens, including bacteria, protozoa, and viruses, to humans and other vertebrates. In the United States, tick-borne pathogens are responsible for about 95% of all arthropod-borne disease cases. Lyme disease is the most common tick-borne illness. However, emerging tick-borne viruses such as Bourbon virus (BRBV), Powassan virus (POWV), and Heartland virus (HRTV), can cause more severe health problems, including potentially death or neurological abnormalities. The reports of molecular detection of viral RNA in field-collected ticks and serological evidence in a pilot study of wildlife species suggest the presence of these emerging viruses in Virginia. However, there is a lack of knowledge on the extent of their circulation. Firstly, this study aims to determine the evidence of circulation of POWV, HRTV, and BRBV in Virginia through serological assessment of domestic and wild animals. Secondly, this study aims to estimate transmission parameters and calculate the basic reproduction number of emerging tick-borne viruses. Evidence of prior infection against all three tick-borne viruses was detected in both wild and domestic animal species from the five Virginia health planning regions, with most samples in the study coming from southwestern and northwestern regions. In conclusion, there is a circulation of tick-borne viruses in Virginia, which is a potential threat to the public health.

Lyme disease, the most common tick borne disease in United States, is caused by the bacterial pathogen Borrelia burgdorferi. In nature, B. burgdorferi exists in an enzootic infectious cycle between an arthropod vector and mammalian hosts. Identification and characterization of the genes essential for B. burgdorferi survival throughout its infectious cycle is an important step toward understanding the molecular mechanisms involved in B. burgdorferi pathogenesis. B. burgdorferi contains a small genome, which lacks the genes encoding for the enzymes required for de novo synthesis of amino acids, fatty acids and nucleic acid precursors. Therefore, the spirochete is dependent upon the host environment for the uptake of these essential nutrients. Purines are required for the synthesis of nucleotides for the biosynthesis of DNA and RNA. Due to the lack of de novo purine synthesis, the ability of B. burgdorferi to salvage purines from its host environments is essential to its survival. While the enzymes critical for the B. burgdorferi purine salvage pathway are known, the transporters involved in the uptake of purines from the host environments are not. The work in this thesis is focused on identification of the genes encoding purine permeases in B. burgdorferi and genetic and biochemical characterization of their functions in the infectious cycle of B. burgdorferi. Here, we demonstrate that homologous genes bbb22 and bbb23 present on circular plasmid 26 encode for purine permeases, which are important for transport of hypoxanthine, adenine and guanine. Furthermore, genes bbb22-23 together were essential for B. burgdorferi infection in mice. BBB22 and BBB23 share 78% amino acid identify. And although, individually both BBB22 and BBB23 were found to be capable of purine transport, BBB22 has higher affinity for hypoxanthine and adenine compared to BBB23. Moreover, the bbb22 gene alone was sufficient to restore mouse infectivity to spirochetes lacking both bbb22 and bbb23, whereas, bbb23 was not. Nonetheless, the spirochete loads in the tissues of mice infected with B. burgdorferi carrying bbb22 alone were significantly reduced compared to B. burgdorferi carrying both bbb22 and bbb23, demonstrating the importance of the two genes together for the spirochetes to achieve wild type levels of infection. In ticks, genes bbb22 and bbb23 were dispensable for spirochete survival but contributed to spirochete replication in fed larvae. The replication of spirochetes lacking bbb22-23 in larval ticks was restored to wild type levels by the reintroduction of the low affinity purine transporter encoded by bbb23 alone. Overall, we have identified a purine transport system in B. burgdorferi, which is essential for spirochete survival in the mammalian host and contributes to spirochete replication in the tick vector. As B. burgdorferi lacks typical virulence factors and toxins, these studies highlight the critical role of physiological functions in the virulence of this pathogen. Moreover, the BBB22-23 in vivo essential transport system may represent a novel therapeutic target to deliver antimicrobial drugs to treat Lyme disease.

The thesis focuses on the investigation of the role of tick salivary components in the course of Lyme disease in mice. It includes studies on the saliva-facilitated transmission of Borrelia burgdorferi in vivo and the effect of tick cysteine protease inhibitors (cystatins) both on murine immune cells and the transmission of B. burgdorferi spirochetes in mice. The thesis also reveals practical applications of salivary cystatins for the development of anti-tick vaccine and the application of the pharmacological action of a tick salivary cystatin for the therapy of the disease symptoms in a mouse model of experimental asthma.

Over the last 20 years, Lyme disease has grown to become the most common vector-borne disease affecting Americans. Spread in the eastern U.S. primarily by the bite of Ixodes scapularis, the black-legged tick, the disease affects an estimated 329,000 Americans per year. Originally confined to New England, it has since spread across much of the east coast and has become endemic in Virginia. Since 2010 the state has averaged 1200 cases per year, with 200 annually in the New River Health District (NRHD), the location of our study. Efforts to geographically model Lyme disease primarily focus on landscape and climatic variables. The disease depends highly on the survival of the tick vector, and white-footed mouse, the primary reservoir. Both depend on the existence of forest-herbaceous edge-habitats, as well as warm summer temperatures, mild winter lows, and summer wetness. While many studies have investigated the effect of forest fragmentation on Lyme, none have made use of high-resolution land cover data to do so at the peridomestic level. To fill this knowledge gap, we made use of the Virginia Geographic Information Network’s 1-meter land cover dataset and identified forest-herbaceous edge-habitats for the NRHD. We then calculated the density of these edge-habitats at 100, 200 and 300-meter radii, representing the peridomestic environment. We also calculated the density of <2-hectare forest patches at the same distance thresholds. To avoid confounding from climatic variation, we also calculated mean summer temperatures, total summer rainfall, and number of consecutive days below freezing of the prior winters. Adding to these data, elevation, terrain shape index, slope, and aspect, and including lags on each of our climatic variables, we created environmental niche models of Lyme in the NRHD. We did so using both Boosted Regression Trees (BRT) and Maximum Entropy (MaxEnt) modeling, the two most common niche modeling algorithms in the field today. We found that Lyme is strongly associated with higher density of developed-herbaceous edges within 100-meters from the home. Forest patch density was also significant at both 100-meter and 300-meter levels. This supports the notion that the fine scale peridomestic environment is significant to Lyme outcomes, and must be considered even if one were to account for fragmentation at a wider scale, as well as variations in climate and terrain. / M.S. / Lyme disease is the most common vector-borne disease in the United States today. Infecting about 330,000 Americans per year, the disease continues to spread geographically. Originally found only in New England, the disease is now common in Virginia. The New River Health District, where we did our study, sees over 200 cases per year. Lyme disease is mostly spread by the bite of the black-legged tick. As such we can predict where Lyme cases might be found if we understand the environmental needs of these ticks. The ticks themselves depend on warm summer temperatures, mild winter lows, and summer wetness. But they are also affected by forest fragmentation which drives up the population of white-footed mice, the tick’s primary host. The mice are particularly fond of the interface between forests and open fields. These edge habitats provide food and cover for the mice, and in turn support a large population of ticks. Many existing studies have demonstrated this link, but all have done so across broad scales such as counties or census tracts. To our knowledge, no such studies have investigated forest fragmentation near the home of known Lyme cases. To fill this gap in our knowledge, we made use of high-resolution forest cover data to identify forest-field edge habitats and small isolated forest patches. We then calculated the total density of both within 100, 200 and 300 meters of the homes of known Lyme cases, and compared these to values from non-cases using statistical modeling. We also included winter and summer temperatures, rainfall, elevation, slope, aspect, and terrain shape. We found that a large amount of forest-field edges within 100 meters of a home increases the risk of Lyme disease to residents of that home. The same can be said for isolated forest patches. Even after accounting for all other variables, this effect was still significant. This information can be used by health departments to predict which neighborhoods may be most at risk for Lyme. They can then increase surveillance in those areas, warn local doctors, or send out educational materials.

Les réservoirs de Borrelia burgdorferi jouent un rôle clé pour assurer sa transmission dans l’environnement. Récemment, de nouveaux acaricides, comme le fluralaner, présentant une efficacité élevée contre les tiques et une longue durée d’action, ont été commercialisés sur le marché des médicaments vétérinaires. Cibler les réservoirs de B. burgdorferi, comme les souris du genre Peromyscus, avec le fluralaner permettrait : d’abord, d’en altérer le cycle endémique; ensuite, de réduire la densité de tiques infectées dans l’environnement ; et, ultimement, de réduire le risque de transmission de la maladie de Lyme (ML). En premier lieu, l’efficacité du fluralaner à tuer des larves de l’espèce Ixodes scapularis infestant des souris du genre Peromyscus a été démontrée en laboratoire. Lors d’infestations expérimentales, des doses de 12,5 et 50 mg/kg ont tué > 90 % des larves d’I. scapularis dans les 4 jours suivant l’administration du traitement. Cependant, cette efficacité a été réduite à moins de 5 % dans les 30 premiers jours. En second lieu, dans le cadre d’une étude controllée non randomisée, des appâts de fluralaner ont été administrés répétitivement à une population de micromammifères sauvages à des densités de 2,1 ou 4,4 appâts/1000 m2 pendant 3 à 4 ans. L’efficacité du traitement à réduire l’infestation des micromammifères a, au préalable, été évaluée. Les densités de 2,1 et 4,4 ont respectivement réduit de 68 % et 86 % le nombre de larves infestant les souris du genre Peromyscus. Seule la densité de 4,4 a réduit significativement le nombre de nymphes de 72 %. Après quoi, l’effet des deux densités d’appâts sur le cycle endémique de B. burgdorferi a été évalué par le biais de 3 paramètres : 1- la prévalence de Peromyscus spp. infectées (PIM), 2- la densité de nymphes en quête (DON), 3- la prévalence de nymphes infectées par B. burgdorferi (NIP). La prévalence d’infection des souris par B. burgdorferi a chuté de 60 à 37 % après deux années de déploiements du traitement. Le traitement a provoqué une réduction de la DON de 45 à 63 % dans les zones traitées. Aucun effet n’a été observé sur le dernier paramètre. En troisième lieu, la pharmacologie du fluralaner a été caractérisée chez des souris du genre Peromycus dans une étude réalisée en laboratoire. Les données recueillies ont été utilisées pour simuler et interpréter différents scénarios de traitement de souris Peromyscus spp. pour une durée équivalente aux pics d’activités des larves et des nymphes d’I. scapularis. Les simulations ont permis d’identifier un jeu de scénarios qui conféreraient une protection contre les tiques pendant toute la saison d’activité des stades immatures d’I. scapularis. L’étude de la pharmacologie des acaricides chez les espèces ciblées et la modélisation de la pharmacocinétique représentent des étapes cruciales pour développer ce type d’intervention. Cette thèse a permis d’entreprendre le développement d’une approche ciblant les réservoirs de B. burgdorferi en utilisant une molécule de la famille des isoxazolines. L’approche décrite a montré le potentiel d’altérer le cycle endémique de B. burgdorferi et de réduire la densité de nymphes infectées dans l’environnement. Plus généralement, en intégrant des études sur la pharmacologie du fluralaner en laboratoire et des études terrains, elle permet d’initier la réflexion quant à l’importance d’avoir un cadre de développement commun pour structurer la recherche autour de ce type d’approches. / Reservoirs of Borrelia burgdorferi play a key role in ensuring its transmission in the environment. Recently, new acaricides, such as fluralaner, with high efficacy against ticks and a long duration of action have been commercialized in the veterinary drug market. Targeting B. burgdorferi reservoirs, such as Peromyscus spp. mice, with fluralaner would yield the following benefits: first, alter its transmission in the environment; second, reduce the density of B. burgdorferi-infected ticks in the environment; and, ultimately, reduce the risk of Lyme disease (LD). Firstly, the efficacy of fluralaner for killing Ixodes scapularis larvae infesting Peromyscus mice was demonstrated in a laboratory setting. Doses of 12.5 and 50 mg/kg showed > 90% efficacy at killing I. scapularis larvae infesting Peromyscus spp. mice within 4 days of treatment during experimental infestations. However, efficacy was reduced to less than 5% beyond 30 days. Secondly, in a non-randomized controlled study, fluralaner baits were repeatedly administered to a wild population of small mammals at densities of 2.1 or 4.4 baits/1000m2 over a period of 3 to 4 years. First, the treatment's efficacy at reducing small mammal infestation was evaluated. Densities of 2.1 and 4.4 baits/1000m2 reduced the number of larvae infesting Peromyscus mice by 68% and 86% respectively. Only the density of 4.4 baits/1000m2 significantly reduced the number of nymphs by 72%. Next, the effect of the both bait densities on the B. burgdorferi endemic cycle was evaluated through 3 parameters: i- the prevalence of B. burgdorferi-infected Peromyscus spp. mice (PIM), ii- the density of questing nymphs (DON), and iii- the prevalence of B. burgdorferi in questing nymphs (NIP). Mouse infection by B. burgdorferi decreased from 60 to 37% following two years of treatment deployment. The treatment reduced the DON by 45-63% in the treated areas but no effect was observed on B. burgdorferi prevalence in the NIP. Thirdly, fluralaner pharmacology was characterized in Peromycus mice in a laboratory setting. The data collected were used to simulate and interpret different treatment scenarios for Peromyscus mice over a period corresponding to the peak activities of I. scapularis larvae and nymphs. The simulations identified a set of treatment scenarios that confer protection against ticks for an entire season of I. scapularis activity. The results indicate that investigation of acaricide pharmacology in target species and pharmacokinetic modeling are critical steps in the development of this type of intervention. This thesis initiated the development of an approach targeting B. burgdorferi reservoirs using a molecule of the isoxazoline family. This approach showed potential for disrupting the endemic cycle of B. burgdorferi and reducing the density of B. burgdorferi-infected nymphs in the environment. More broadly, by integrating studies on fluralaner pharmacology in laboratory and field settings, this work has initiated a reflection on the importance of establishing a general development framework to structure research around this type of approach.

Depuis les années 90, les études réalisées au Canada ont permis d’identifier de nouvelles zones endémiques de l’agent de la maladie de Lyme, Borrelia burgdorferi, ou de sa tique vectrice, Ixodes scapularis. Ces régions représentent des zones privilégiées pour étudier le cycle de transmission dans son contexte environnemental. L’objectif principal de ce projet est d’étudier les relations spirochètes – tiques - hôtes et les facteurs environnementaux impliqués dans le cycle de transmission à partir des données du vecteur et de l’agent pathogène recueilli dans le Sud-Ouest du Québec de 2007 à 2008. Tout d’abord sera décrite la saisonnalité des tiques et des associations entre le vecteur et les hôtes rongeurs capturés. En effet, l’identification de la saisonnalité spécifique à chaque stade de la tique I. scapularis permet d’établir quels seront les mois propices pour effectuer les futures collectes de tiques. La saisonnalité synchrone des tiques immatures en quête peut également être un indicateur de la nature ou des souches de B. burgdorferi retrouvées. L’association des tiques immatures à différentes espèces ou à différentes classes d’hôtes (c.-à-d. âge, sexe, statut reproductif) a également été explorée. Nos résultats montrent que les souris du genre Peromyscus, principalement les mâles adultes, contribuent significativement à la survie et au développement du complexe I. scapularis - B. burgdorferi. Les tamias et les écureuils contribuent aussi à la survie et au développement des populations de la tique I. scapularis. Ensuite les associations entre le vecteur et les hôtes cervidés ont été examinées en tenant compte des facteurs environnementaux associés à leur niveau d’infestation. Ceci a permis d’évaluer l’utilisation des cerfs à titre de sentinelles pour le vecteur et les agents pathogènes. D’après nos résultats, bien qu’ils soient des sentinelles efficaces pour détecter Anaplasma phagocytophilum, les cerfs semblent des sentinelles inefficaces pour détecter les zones d’établissement du complexe I. scapularis-B. burgdorferi. Enfin, une analyse de l’impact de la diversité des hôtes et de l’habitat sur l’abondance de la tique I. scapularis et la prévalence de B. burgdorferi a été effectuée et ce, en tenant compte d’autres facteurs environnementaux. Ces analyses ont permis de déterminer les facteurs critiques pour l’établissement du complexe I. scapularis – B. burgdorferi et d’explorer la contribution relative de diverses espèces d’hôtes. D’après nos études, la diversité de la communauté d’hôte et la diversité de l’habitat influencent le complexe I. scapularis - B. burgdorferi. De plus, le climat (la température et les précipitations) joue un rôle significatif dans l’établissement, la survie et le développement des populations d’I. scapularis. Ce projet de recherche a permis d’explorer et d’identifier divers facteurs environnementaux biotiques et abiotiques influençant l’établissement du complexe I. scapularis - B. burgdorferi dans le Sud-Ouest du Québec. Ceux-ci pourraient être utilisés à titre d’indicateurs environnementaux du risque de la maladie de Lyme au Québec et possiblement ailleurs au Canada. / Since the 90s in Canada, studies have identified new endemic areas for the agent of Lyme disease, Borrelia burgdorferi and the tick vector, Ixodes scapularis. These newly endemic areas for complex I. scapularis - B. burgdorferi are prime areas to study the transmission cycle in its environmental context. The main objective of this project is to study the spirochete-tick-host relationships and environmental factors involved in the transmission cycle from the data of the vector and the pathogen collected in southwestern Quebec, 2007 to 2008. First, a description of the seasonality of ticks and associations between the vector and captured rodent hosts was performed. The identification of specific seasonality at each stage of the tick I. scapularis establishes months conducive to make the future collections of ticks. Synchronous seasonality of questing immature ticks may also be an indicator of the nature or strain of B. burgdorferi found. In addition, the association of immature ticks in different species or different classes of hosts (i.e. age, sex, reproductive status) was explored. The Peromyscus mice and adult males in particular contributed significantly to the survival and development of complex I. scapularis-B. burgdorferi. Chipmunks and squirrels also contributed to the survival and development of I. scapularis populations. Second, the associations between vector and examined deer was described taking into account the environmental factors associated with the level of infestation and the use of deer as sentinels for the vector and the pathogen was evaluated. According to our results, the deer are effective sentinels to detect Anaplasma phagocytophilum, but seem ineffective or imprecise to detect endemic areas for complex I. scapularis-B. burgdorferi. Finally, an analysis of the impact of the host diversity and habitat on the abundance of I. scapularis and prevalence of B. burgdorferi considering other environmental factors was performed. These analyzes were used to determine the critical factors in the establishment of complex I. scapularis-B. burgorferi and explore the relative contribution of various host species. According to our studies, the diversity of the host community and habitat influences the complex I. scapularis-B. burgdorferi. On the other hand, the climate (temperature and precipitation) plays a significant role in the establishment, survival and development of the I. scapularis populations. This study allowed us to explore and identify various biotic and abiotic environmental factors influencing the establishment of complex I. scapularis-B. burgdorferi in southwestern Quebec. These environmental factors could be used as environmental indicators of the risk of Lyme disease in Quebec and possibly elsewhere in Canada.

No description available.

La maladie de Lyme est émergente au Canada; le risque engendré par cette maladie vient en partie de la ténacité de son vecteur et des méthodes limitées pour réduire son abondance dans l’environnement. Actuellement, peu de moyens de prévention visent de manière efficace et sécuritaire le réservoir principal de la bactérie responsable de la maladie, la souris à patte blanche Peromyscus leucopus. L’objectif de ce projet était d’évaluer l’efficacité des isoxazolines, une nouvelle classe d’antiparasitaire, lorsqu’administré sous forme d’appâts oraux aux micromammifères résidents d’un site endémique pour la maladie de Lyme. Les appâts furent distribués lors de l’été 2018 et 2019, sur les terrains choisis du parc national des Mille-Îles, en Ontario. La capture de micromammifères, en terrain traité et non traité, nous permit d’évaluer l’infestation (nombre de tiques par souris) du réservoir Peromyscus alors que l’effet du traitement sur la densité de tiques dans l’environnement fut estimé par la technique de flanelle. L’impact de la molécule d’isoxazoline employée (sarolaner versus fluralaner), de la biodiversité et du type d’environnement (caractéristiques de la forêt, température, humidité) fut également évalué. Des modèles linéaires mixtes binomiale négative furent composés pour déterminer l’impact de chacune des variables mesurées et du traitement sur les variables dépendantes, soit le nombre de tiques sur les souris capturées et la densité de nymphes dans l’environnement. Après deux étés de traitement, les souris capturées sur les microsites traités furent significativement moins infestées que les souris capturées sur les microsites contrôles pour 3 des 5 sites étudiés. Par contre, aucune diminution significative du nombre de nymphes dans l’environnement ne fut observée, probablement dû à la courte durée du devis d’étude. La densité de nymphes dans l’environnement variait toutefois en fonction de l’année d’échantillonnage et était positivement corrélée avec la biodiversité au niveau du microsite. Le nombre de tiques sur Peromyscus spp. était associé au sexe (les mâles étant plus infesté) et à la taille de l’animal, au mois et à l’année de la capture, à une forte densité de larves dans l’environnement et au traitement effectué sur le microsite de capture. Le fluralaner se montra plus efficace à réduire l’infestation moyenne des rongeurs. Cette étude fut la première à étudier l’utilisation de saronaler oral chez le réservoir principal de l’agent de la maladie de Lyme en milieu naturel. L’effet du traitement chez les micromammifères est prometteur, mais son efficacité pour réduire la densité de tiques dans l’environnement reste à confirmer. / Lyme disease is the most common vector-borne disease in North America; the risk caused by the disease is partly due to its tick vector’s tenacity and limited number of approaches to reduce its abundance in the environment. Few existing methods efficiently and safely target the principal host for the bacteria, white-footed mice Peromyscus leucopus.The objective of this thesis was to evaluate the efficacy of a new family of antiparasitic drug, isoxazolines, when passively administered as an oral bait to micromammals in endemic site for Lyme disease. Oral baits were distributed during the summer of 2018 and 2019 on five selected sites in the Thousand Islands National Park. Density of ticks in the environment was estimated using drag sampling while small mammal trapping allowed biodiversity and infestation (number of ticks per mouse) to be assess. Impact of isoxazoline used (sarolaner or fluralaner), biodiversity and characteristics of environment (type of forests, temperature, humidity) were also evaluated. Linear mixed models were fitted to determine the impact of measured variables and treatment on infestation level and density of questing nymphs. Results show a significant reduction in tick load for mice captured on treatment plots compared to control plots for 3 out of 5 sites. However, we did not observe a significant reduction in the density of questing nymphs, probably due to the limited duration of the study. Density of nymphs followed interannual variation and was best explained by humidity levels at the time of sampling and plot-level host biodiversity. Peromyscus spp. infestation was linked to the sex (male being more infested) and body length of the mice, high density of questing larvae, year and month of capture and treatment applied to the microsite. Fluralaner showed to be more efficient at reducing mice average tick load. This study was the first to use oral sarolaner to treat the most important reservoir for the Lyme disease agent in the environment. Our protocol did not significantly reduce questing nymphs in the environment for the duration of this study but could potentially diminish Lyme disease human risk with long term use through reduced Peromyscus infestation.

Lyme disease is an emerging tick-borne illness in Canada, with human case numbers increasing 15- to 20-fold since Lyme disease became nationally notifiable in 2009 until the present. In Ontario, Canada's largest province by population, average Lyme disease incidence across the province is similar to that of national estimates. However, in eastern Ontario, which is near tick endemic regions in the northeastern Unites States, Lyme disease incidence is disproportionately higher compared to the rest of the province. The objectives of this thesis are to identify environmental Lyme disease risk areas in Ontario, to explore spatiotemporal trends in Lyme disease emergence, and to identify neighbourhood-level socioecological risk factors for Lyme disease. In addition, this thesis also aims to assess the risk of other tick-borne illnesses that are transmitted by the blacklegged tick, Ixodes scapularis, which is also the main vector for Lyme disease in Canada. Using maximum entropy species distribution modelling to correlate blacklegged tick occurrence data with environmental variables, predictive risk models for I. scapularis and the Lyme disease pathogen, Borrelia burgdorferi, were developed. The model prediction was used to classify low and high environment risk areas and, using a case-control epidemiological study, we assessed that residence in risk areas was a strong predictor of Lyme disease. However, this relationship was modulated by socioecological factors linked to higher overall rurality of the locality of home residence. Spatial cluster analyses further revealed that human Lyme disease cases clustered in regions with the high numbers of reported B. burgdorferi-infected ticks in the environment. Many individuals residing in large metropolitan regions, like the City of Ottawa, reported tick exposures outside their public health unit of residence; however, local clusters of Lyme disease were also detected in suburban regions near conservation areas, trails, and urban woodlands. The prevalence of other tick-borne pathogens was low, although several pathogens of public health significance including Borrelia miyamotoi and Anaplasma phagocytophilum were detected at multiple sites surveyed for ticks between 2017-2021. Overall, this thesis identify patterns in Lyme disease emergence (and potentially other tick-borne illnesses), defines environmental risk areas for Lyme disease in Ontario, and highlights important socioecological risk factors for Lyme disease in eastern Ontario.