Renjie Hu

Detection and Identification of Spotted Fever Group Rickettsiae in Dermacentor Species from Southern California

Abstract Dermacentor occidentalis Marx and Dermacentor variabilis (Say) commonly bite humans in California. These Dermacentor species may play a role in transmitting spotted fever group (SFG) rickettsiae to humans in many parts of the state where Dermacentor andersoni Stiles, a known vector for the etiologic agent of Rocky Mountain spotted fever, Rickettsia rickettsii, is absent. However, the specific rickettsial agents present in these ticks and their current prevalence are poorly understood. In total, 365 D. occidentalis and 10 D. variabilis were collected by flagging vegetation at 16 sites in five counties of southern California. The presence of SFG rickettsial DNA in these ticks was detected with rOmpA and GltA gene polymerase chain reaction (PCR) assays. The rickettsial species were identified by sequencing PCR amplicons. Of 365 D. occidentalis, 90 (24.7%) contained R. rhipicephali DNA, 28 (7.7%) contained DNA of unclassified genotype 364D, two (0.55%) contained R. bellii DNA, and one (0.3%) contained R. rickettsii DNA. Of 10 D. variabilis, four (40%) contained only R. rhipicephali. Four new genotypes of R. rhipicephali were discovered. For the first time, we detected R. rickettsii in D. occidentalis. Our study provides the first molecular data on the prevalence and species identification of SFG rickettsiae circulating in populations of these California ticks. Because neither D. variabilis nor R. rickettsii were abundant, 364D should be evaluated further as a potential cause of human SFG rickettsioses in southern California.

Genetic analysis of invasive Aedes albopictus populations in Los Angeles County, California and its potential public health impact.

The Asian tiger mosquito, Aedes albopictus, is an anthropophilic aggressive daytime-biting nuisance and an efficient vector of certain arboviruses and filarial nematodes. Over the last 30 years, this species has spread rapidly through human travel and commerce from its native tropical forests of Asia to every continent except Antarctica. In 2011, a population of Asian tiger mosquito (Aedes albopictus) was discovered in Los Angeles (LA) County, California. To determine the probable origin of this invasive species, the genetic structure of the population was compared against 11 populations from the United States and abroad, as well as preserved specimens from a 2001 introduction into California using the mitochondrial cytochrome c oxidase 1 (CO1) gene. A total of 66 haplotypes were detected among samples and were divided into three main groups. Aedes albopictus collected in 2001 and 2011 from LA County were genetically related and similar to those from Asia but distinct from those collected in the eastern and southeastern United States. In view of the high genetic similarities between the 2001 and 2011 LA samples, it is possible that the 2011 population represents in part the descendants of the 2001 introduction. There remains an imperative need for improved surveillance and control strategies for this species.

A Focus of Dogs and Rickettsia massiliae―Infected Rhipicephalus sanguineus in California

A recurrent focus of Rhipicephalus sanguineus infestation was investigated in a suburban area of southern California after reports of suspected Rocky Mountain spotted fever in two dogs on the same property. Abundant quantities of Rh. sanguineus were collected on the property and repeatedly from each dog, and Rickettsia massiliae DNA was detected by polymerase chain reaction (PCR). Whole blood and serum samples from four dogs were tested by using PCR and microimmunofluorescent assay for antibodies against spotted fever group rickettsiae. Serum samples from all four dogs contained antibodies reactive with R. massiliae, R. rhipicephali, R. rickettsii, and 364D Rickettsia but no rickettsial DNA was detected by PCR of blood samples. Serum cross-absorption and Western blot assays implicated R. massiliae as the most likely spotted fever group rickettsiae responsible for seropositivity. To our knowledge, this is the first detection of R. massiliae in ticks in California.

Tick-borne relapsing fever and Borrelia hermsii, Los Angeles County, California, USA.

A patient presumably acquired this illness after exposure to ticks in mountains near Los Angeles.

An Assessment of Mosquito Production and Nonchemical Control Measures in Structural Stormwater Best Management Practices in Southern California

ABSTRACT A 3-year study was conducted to assess mosquito production in structural stormwater Best Management Practices (BMPs) installed by the California Department of Transportation in San Diego and Los Angeles Counties. Thirty-seven BMPs were monitored weekly for presence and relative abundance of immature mosquitoes and for conditions conducive to mosquito production. Species identified were Aedes squamiger, Anopheles franciscanus, An. hermsi, Culex quinquefasciatus, Cx. stigmatosoma, Cx. tarsalis, Culiseta incidens, and Cs. inornata. Structures designed with accessible, permanent sources of standing water in sumps, vaults, or basins were observed to support immatures all year. In BMPs intended to drain rapidly and completely, observed larval habitats resulted from design features, component failure, construction flaws, and non-stormwater runoff flows. Specific nonchemical mitigation measures to minimize or eliminate mosquito production were developed, implemented, and evaluated. This study provides a 1st assessment of mosquito production, species composition, and nonchemical control measures in structural stormwater BMPs in southern California.

Two Pathogens and One Disease: Detection and Identification of Flea-Borne Rickettsiae in Areas Endemic for Murine Typhus in California

ABSTRACT Results of an environmental assessment conducted in a newly emergent focus of murine typhus in southern California are described. Opossums, Didelphis virginiana Kerr, infested with cat fleas, Ctenocephalides felis Buché, in the suburban area were abundant. Animal and flea specimens were tested for the DNA of two flea-borne rickettsiae, Rickettsia typhi and Rickettsia felis. R. felis was commonly detected in fleas collected throughout this area while R. typhi was found at a much lower prevalence in the vicinity of just 7 of 14 case-patient homes identified. DNA of R. felis, but not R. typhi, was detected in renal, hepatic, and pulmonary tissues of opossums. In contrast, there were no hematologic polymerase chain reaction findings of R. felis or R. typhi in opossums, rats, and cats within the endemic area studied. Our data suggest a significant probability of human exposure to R. felis in the area studied; however, disease caused by this agent is not recognized by the medical community and may be misdiagnosed as murine typhus using nondiscriminatory serologic methods.

Detection of Rickettsia felis and Rickettsia typhi in an area of California endemic for murine typhus

Rickettsial Zoonoses Branch, National Center for Zoonotic, Vector-Borne and Enteric Diseases, Centers for Disease Control and Prevention, Atlanta, GA, California Department of Public Health, VectorBorne Disease Section, Ontario, CA, Orange County Vector Control District, Garden Grove, CA, USA, Long Beach Department of Health and Human Services, Vector Management Program, Long Beach, CA, USA, and Long Beach Department of Health and Human Services, Animal Control Division, Long Beach, CA, USA

The Eco-epidemiology of Pacific Coast Tick Fever in California

Rickettsia philipii (type strain “Rickettsia 364D”), the etiologic agent of Pacific Coast tick fever (PCTF), is transmitted to people by the Pacific Coast tick, Dermacentor occidentalis. Following the first confirmed human case of PCTF in 2008, 13 additional human cases have been reported in California, more than half of which were pediatric cases. The most common features of PCTF are the presence of at least one necrotic lesion known as an eschar (100%), fever (85%), and headache (79%); four case-patients required hospitalization and four had multiple eschars. Findings presented here implicate the nymphal or larval stages of D. occidentalis as the primary vectors of R. philipii to people. Peak transmission risk from ticks to people occurs in late summer. Rickettsia philipii DNA was detected in D. occidentalis ticks from 15 of 37 California counties. Similarly, non-pathogenic Rickettsia rhipicephali DNA was detected in D. occidentalis in 29 of 38 counties with an average prevalence of 12.0% in adult ticks. In total, 5,601 ticks tested from 2009 through 2015 yielded an overall R. philipii infection prevalence of 2.1% in adults, 0.9% in nymphs and a minimum infection prevalence of 0.4% in larval pools. Although most human cases of PCTF have been reported from northern California, acarological surveillance suggests that R. philipii may occur throughout the distribution range of D. occidentalis.

Rickettsia felis in cat fleas, Ctenocephalides felis parasitizing opossums, San Bernardino County, California

Los Angeles and Orange Counties are known endemic areas for murine typhus in California; however, no recent reports of flea‐borne rickettsioses are known from adjacent San Bernardino County. Sixty‐five opossums (Didelphis virginiana) were trapped in the suburban residential and industrial zones of the southwestern part of San Bernardino County in 2007. Sixty out of 65 opossums were infested with fleas, primarily cat fleas, Ctenocephalides felis (Bouché, 1835). The flea minimum infection rate with Rickettsia felis was 13.3% in pooled samples and the prevalence was 23.7% in single fleas, with two gltA genotypes detected. In spite of historic records of murine typhus in this area, no evidence for circulation of R. typhi in fleas was found during the present study. Factors contributing to the absence of R. typhi in these cat fleas in contrast to its presence in cat fleas from Orange and Los Angeles Counties are unknown and need to be investigated further in San Bernardino County.

Association between Culex quinquefasciatus (Diptera: Culicidae) Oviposition and Structural Features of Belowground Stormwater Treatment Devices

ABSTRACT Belowground stormwater treatment devices referred to as Best Management Practices (BMPs) can be persistent sources of Culex quinquefasciatus Say (Diptera: Culicidae) mosquitoes and in urban environments necessitate routine monitoring and insecticide treatment for control. The design of certain structural features of BMPs may discourage mosquito entry and oviposition, potentially reducing the need for control measures. From August 2007 to November 2008,29 BMPs were intermittently monitored for the presence of mosquitoes and compared against selected structural features. A bucket ovitrap was developed to estimate entry of oviposition-site-seeking females into BMPs via egg raft counts. The number of egg rafts collected was positively associated with larger diameters and shorter lengths of conveyance pipe from the nearest inlet or outlet and with increasing number of pickholes in BMP manhole covers. In contrast, the number of days pickholes were sealed against adult mosquito entry was negatively associated with eggs rafts. Findings suggest that the design of belowground BMPs and their conveyance systems can influence mosquito oviposition inside these structures. Specific design criteria with the greatest potential to minimize mosquito production and provide safe access for monitoring and control activities are discussed.