Ticks, mammals and birds - Ecology of ticks & B. burgdorferi

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Ticks, mammals and birds - Ecology of ticks & B. burgdorferi Jolyon Medlock Head of Medical Entomology & Zoonoses Ecology MRA - ERD Public Health England

Overview of presentation Ticks Introduction to the British tick fauna Focus on Ixodes ricinus the sheep/deer tick Tick surveillance at a national scale Tick mapping at a landscape scale national parks/aonbs Tick mapping at a habitat scale impact of woodland management Tick mapping in urban areas Mammals & birds Understanding the ecology of Lyme borrelia in ticks and role of wildlife 199 Tick distribution in the UK

The British tick fauna Ixodes ricinus Dermacentor reticulatus 22 species recorded 19 Hard ticks (Ixodid) 15 Ixodes species Dermacentor reticulatus Haemaphysalis punctata Hyalomma marginatum (imported by migrant birds) Rhipicephalus sanguineus (imported by pets, not native) 3 Soft ticks (Argasid) 2 Argas/Carios 1 Ornithodoros rarely imported on seabirds Carios vespertilionis 200

Hard ticks (Ixodid ticks) Live outdoors, some are nidiculous (i.e. nest-dwelling); arduous lifestyle, require a chance meeting with animals. Once attached, they engorge slowly, dispersed by their hosts - long distances on migratory birds Spend most of their time questing for blood hosts and attached to their hosts - high mortality rates due to host grooming, predation and environmental factors Hard sclerotised plate (scutum), forward-projecting capitulum. Except in male, all stages have a small scutum to allow them to engorge In the male the scutum completely covers its body. It does not engorge. It has armoured plates, to retain moisture levels. 201

Ixodes specialist parasites of wildlife 7 species are principally bird ticks: Ixodes arboricola Tree-hole nesting birds Ixodes caledonicus Cliff nesting birds Ixodes frontalis Passerine birds Ixodes lividus Sand martins Ixodes rothschildi Burrow nesting birds Ixodes unicavatus Coastal birds Ixodes uriae Cliff colony birds 202 Humans are rarely bitten, only as accidental hosts

Ixodes specialist parasites of wildlife 6 species are principally mammal ticks: Ixodes acuminatus Small mammals Ixodes apronophorus Wetland mammals Ixodes canisuga Fox tick Ixodes ventalloi Rabbit tick Ixodes trianguliceps Burrowing small mammals Ixodes vespertilionis Horseshoe bats 203 Humans are rarely bitten, only as accidental hosts

Ixodes hexagonus Hedgehog tick Ixodes parasites of humans 2 species are mammal ticks but do bite humans: Ixodes ricinus Deer/Sheep/Pasture/Caster bean tick Humans are occasional hosts 204 Humans are frequent hosts

Hedgehog tick, Ixodes hexagonus

Unusual & Imported ticks Hyalomma marginatum Unusual 206 & Imported ticks

Ixodes ricinus (Deer/sheep tick) Larva Nymph 1.4 mm Adult male Adult female 3.3mm long Larva 3 pairs of legs Male scutum covers entire body Nymph and Female are similar female much larger with genital aperture and porose area 207 Ixodes ricinus

Nationwide tick surveillance 80 Number of submissions of ticks to TRS (2005-2012) 1400 submissions ~8000 ticks since 2005 from TRS Public, GPs, Vets, Wildlife charities Further 10,000 ticks from field studies 70 60 50 40 30 20 10 0 Advice to public on tick bites Advice on managing ticks in gardens Tick awareness material Tick identification to public, GPs and Vets 0 9 0 3 6 9 12 4 7 10 0 3 6 9 12 2 5 8 11 4 7 10 3 6 9 12 3 6 9 2005 2006 2007 2008 2009 2010 2011 2012 208 Tick distribution in the UK tick@phe.gov.uk

209 Tick awareness leaflets Raising public awareness of ticks

Ixodes ricinus distribution (2005-2009) (1880-2004) 2010-2013 210 BRC Tick surveillance

211 Vector risk mapping Nationwide geo-spatial mapping

Mapping Ixodes ricinus at a landscape scale, e.g. national park / AONB Mapping ticks in an AONB/National Park Surveying publicly accessible sites Eco/environ variables Refining risk Predictor variables (landscape) - W, SW, SE and E aspects - Calcareous & neutral grassland; heathland - Impermeable soils - Impermeable bedrock & superficial geologies - Presence of cattle & sheep grazing - Reduced slope - High soil moisture - Lower midday temperatures Identifying risk factors 212 Mapping ticks at a regional scale Medlock et al. 2008

Mapping Ixodes ricinus at a habitat scale - implications for woodland management 213 Managing ticks at a habitat scale Medlock et al. 2012

Impact of habitat corridors on Ixodes ricinus - the role of field margins as habitats for ticks 214 Understanding impact of habitat connectivity on ticks across landscapes

Building in urban green space Salisbury City tick abundance Tick abundance 40 9% prevalence of B. burgdorferi Potential conflicts between infectious disease health risk and biodiversity goals: Need to include vector risk assessment in Environmental Impact 10 Example of peri-urban Assessments tick & Borrelia area 0 Sarum Down Sarum track Stratford Mill Hudson's Field Castle Hill Harnham Chalk Harnham Riverside Harnham Slope Harnham Steps Britford Farm Hampton Park Bemerton Heath Bemerton Riverside Quidhampton Wood Bemerton Water Meadows Bishopdown Park Bishopdown Railway Burrough's Hill Laverstock Down Church Road Avon Valley Sports Centre Wyndham Park Churchill Gardens 215 Ticks in urban green space Locations

Early warning of increased tick activity Tick activity for seasonal forecasting 14 30 60 12 Ticks/10m Temp Vegetation 25 50 Tick abundance 10 8 6 4 20 15 10 Temperature 20 Mar 27 Mar 04 Apr 10 Apr 19 Apr 26 Apr 01 May 09 May 22 May 30 May 03 Jun 11 Jun 21 Jun 28 Jun 05 Jul 10 Jul 19 Jul 24 Jul 30 Jul 09 Aug 14 Aug 23 Aug 30 Aug 05 Sep 11 Sep 20 Sep 27 Sep 04 Oct 40 30 20 Vegetation height 2 5 10 0 0 0 Date 216 Tick seasonality

Large mammals: - Deer species - Sheep Not generally involved in transmission cycles; localised transmission through cofeeding in sheep reported; both important tick hosts Woodland birds: - T. merula - E. rubecula - P. colchicus Medium-sized mammals: - Sc. carolinensis - Le. europaeus Small mammals: - Ap. sylvestris - Ap. flavicollis - My. glareolus - S. araneus - M. agrestis Feed - Host seasonal dynamics - Seasonal changes in tick infestation rates - Seasonal changes in tick infection rates - Differences in Borrelia genospecies cycles Blood host Feed Feed & infect ADULT FEMALE moult Lyme borreliosis Transmission cycle Trans-stadial transmission Source of infection, Less conspicuous High no., High risk What ecological Acquire factors infection are driving high Borrelia prevalence rates in NYMPHS ticks? Feed -Deer & infect numbers Trans-stadial - Habitat transmission - Game bird releases - Seasonality moult Acquire - infection Urban v rural LARVAE Source of infection, More conspicuous Low no. lower risk HUMAN Low probability of infection - Seasonal activity of Questing tick stages - Tick prevalence rates - Seasonal behaviour of humans, hence exposure Trans-ovarial transmission very low: <2%

Role of small mammals at I. ricinus hosts - Wood mouse (Apodemus sylvaticus) most important rodent host of larvae in UK (Dorset) - Peak infestation in August - Support 120/larvae/hectare/day - Higher than Bank vole (Dorset: 30/larvae/ha/day) - Similar reports across Europe - Bank vole (Myodes glareolus) develops resistance to tick bites - Reduced rates of engorgement - Reduced moulting rates - Wood mice support higher tick fecundity - Yellow-necked mouse (Ap. flavicollis) No UK studies, but similar data in Europe to WM - Black striped mouse (Ap. agrarius) most important rodent host in continental Europe: UK absent - Larval infestation rates 2-3 x other small mammals - Nymphal infestation rates 5x - Infection rates 58% higher - In Germany contributes 5 times more spirochetal infection - Absence in UK is therefore important 218 Small mammals and Ixodes ricinus

Small mammals and Borrelia afzelii - Small mammals are important amplifying hosts of B. burgdorferi, particularly B. afzelii - Infected by infective nymphs or transovarially infected larvae - Life long infection (7-40 months) - Bank voles develop lower immunity to spirochaetes -> develop higher infection rates: possibly more important in transmission cycles, however engorged ticks develop less well - Strong association between small mammal rodents with B. afzelii - Studies in Slovakia on infection rates - Engorged nymphs from small mammals: 47% infected - Questing nymphs: 7% infected 219 Small mammals and Borrelia

Role of other small/medium sized mammals - Shrews (Sorex araneus, S. minutus) - Efficient tick predators - European studies: 80% infestation rates; mean 40-60 larvae/shrew; 18% infect - Dormice - Hazel dormouse (Muscardinus avellanarius) arboreal, winter hibernation - Fat dormouse (Glis glis) Germany: L infest 2-3x, N infest 20x - 9 yrs, synanthropic, 70% infected, 95% derived N - Grey squirrel (Sciurus carolinensis) - Norfolk studies: mean L 8-19 compared to mouse L 1-4: upto 100 larvae - More important in spring/early summer more arboreal in autumn - Red squirrel (Sciurus vulgaris) - Switzerland study: 370L (64%), 380N (69%), 1 F on 1 animal cf. QL 3%, Qn 34% - 70% infection rates (Bbss, Ba) - Siberian chipmunk (in France) - potential new host and reservoir 220 Other mammals

Role of other animals - Hedgehog (Erinaceous europaeus) - Highly infested with ticks: Ireland study - >400L, 60N on 1 adult - Also infested with I. hexagonus: - In Switzerland means 50L, 11N, 2.5 F I. ricinus - Co-infested in woodlands, mono-infested (IH) in urban areas: IH 24% - Silent cycle of transmission - Lizards - Important dilution hosts in North America - Intensity of LD transmission negatively associated with Sand lizard dist in Ger. - Migratory birds (Swedish study) - 23000 migrant birds surveyed, 2% infest, mean 2ticks/bird, 98% IR - 30% of ticks in spring infected - >6.8m ticks enter Sweden each spring, 4.7m leave in autumn; 1.3m infected - Redwing migratory restlessness reactivating latent infections 221 Other animals

Role of woodland birds - Ground feeding passerines are very important in Bb transmission - Most important species (83% infested) are (Czech studies): - Robin (Erithacus rubecula) - Blackbird (Turdus merula) - Song thrush (Turdus philomelos) - Robin fed 51% of all larvae feeding on birds - Blackbird fed 54% of all nymphs (highest infestations 50 L and 20N/bird) - Infection rates: 6-16% in larvae; 12-22% in nymphs - Turdus sp. and E. rubecula very important amplifiers for B. garinii and B. valaisiana 222 Woodland birds

223 Pheasant Role of pheasant - ~20 million pheasant (Phasianus colchicus) released in UK each year - Densities in Dorset/Wiltshire studies: 500-1200 birds/km 2 - Feed large numbers of nymphs: - 43n/bird in April; 23n/bird in June - Most important host nymphal host - Male birds 4x infestation rates testosterone and immunosuppression - Infection rates in ticks from pheasant (Dorset): - 22% infected, cf. 0% questing population - Mostly B. garinii (neuroborreliosis) and B. valaisiana important amplifiers no evidence of B, afzelii : possibly eliminated - Feed large numbers of questing nymphs -> exposure; infected adult ticks - Reduction in B. afzelii zooprophylactic role

Role of deer - Very important host for all stages - Irish studies on Fallow deer: L/50m N/30s A/30s Inf qn Inf qa Deer 22-118 33-34 5-6.6 1.7% 3.1% No deer 1.5-5.5 1.6-12.5 0.1-1.2 12.4% 17.9% - Dilution hosts for Bb - Swedish studies - Compared moulted ticks from deer (0%) to questing N (7-11%) - 20% n infection rates: need 300,000 nymphs for infection - Typical infestation <100 nymphs - 100 ticks/kg vole v 3.7 ticks/kg deer -> immunity, low infection rates - Role of deer: increase tick numbers; dilute infection rates -> sustain tick pop 224 Deer

Role of livestock - Sheep - Upland sheep feed 80% of all larvae, >95% all N and A - No systemic infection in sheep - Studies in Scotland confirm co-feeding transmission - Cattle 225 Livestock - N:A 9cms; transmission during max. peaks of infestation - Zooprophylactic role on transmission - French studies: infection rates in questing ticks inside/outside cattle enclosures - 4x lower infection rates in Nymphs inside enclosures - 6x lower in Adults - Could we use cattle to dilute infection rates, and mop up ticks?

Large mammals: - Deer species - Sheep Not generally involved in transmission cycles; localised transmission through cofeeding in sheep reported; both important tick hosts Woodland birds: - T. merula - E. rubecula - Host seasonal dynamics - Seasonal changes in tick infestation rates - Seasonal changes in tick infection rates - Differences in Borrelia genospecies cycles Blood host Feed Feed & infect ADULT FEMALE moult Lyme borreliosis Transmission cycle Source of infection, Less conspicuous High no., High risk Could understanding the ecology of NYMPHS Borrelia burgdorferi be employed Feed & in infect understanding: 1. Rates of exposure Trans-stadial 2. Determinants for high risk areas transmission 3. Targeted management/grazing regimes to minimise moult ticks and Borrelia - P. colchicus Medium-sized mammals: - Sc. carolinensis - Le. europaeus Small mammals: - Ap. sylvestris - Ap. flavicollis - My. glareolus - S. araneus - M. agrestis Acquire infection Acquire infection Feed LARVAE Trans-stadial transmission Source of infection, More conspicuous Low no. lower risk HUMAN Low probability of infection - Seasonal activity of Questing tick stages - Tick prevalence rates - Seasonal behaviour of humans, hence exposure Trans-ovarial transmission very low: <2%

- Heterogeneity of infection rates - Impact of habitats and hosts - Differences in genospecies rates Tick abundance per 5m 2 14 12 10 8 6 4 2 0 Mapping Borrelia infection rates in ticks across a landscape South Wiltshire Urban fringe sites as high as 0 9% Mean no ticks/5m 2 Wiltshire tick abundance 40 Heterogeneity of B. burgdorferi prevalence Tick abundance by major habitat type Seven regions of southern England 20 compared (Exmoor, 80 75 in questing ticks pilot study Dartmoor, New Forest, Surrey, Wiltshire, London, Salisbury) Prevalence ranged from 0-10% Alvediston Chicklade Cholderton Donheads East Knoyle Farley Fovant Gutch Common Hindon Pitton Pythouse West Knoyle Win Green Winterslow Bowerchalke Charlton AS Coombe Bissett Deanland Grovely East Stockton Sutton Mandeville Yarnbury Pepperbox Burcombe Great Durnford Grovely West Hamptworth Langley Redlynch Whiteparish Wilton Woodford Bentley Buxbury Chilmark Figsbury Wardour Wylye Wiltshire sites Ticks / 5m 2 High biodiverse woodland sites had low prevalence 4 out of 5 of the sites showed dominance of one genospecies Woodland High Woodland Low Woodland edge Chalk scrub Chalk grassland Habitat type 227 Understanding ecological drivers of Borrelia burgdorferi

Lisa Jameson Jolyon Medlock Kayleigh Hansford Maaike Pietzsch Alex Vaux

Lyme disease conference 9 October 2013