Evidence map›Paper›PMID 33507921›Full record

ArticlePLoS biology2021

Why Lyme disease is common in the northern US, but rare in the south: The roles of host choice, host-seeking behavior, and tick density.

Howard S Ginsberg, Graham J Hickling, Russell L Burke, Nicholas H Ogden, Lorenza Beati, Roger A LeBrun, Isis M Arsnoe, Richard Gerhold, Seungeun Han, Kaetlyn Jackson and 6 more

Erratum issuedAbstract read
In one paragraph

Article in PLoS biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed.

  1. Article
  2. Why are the ticks winning, and what can we do about it?Ticks and tick-borne diseases · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Pathogens (Basel, Switzerland) · 2025
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Howard S GinsbergUS Geological Survey, Patuxent Wildlife Research Center, Woodward-PSE, University of Rhode Island, Kingston, Rhode Island, United States of America.ORCID 0000-0002-4933-2466
Graham J HicklingCenter for Wildlife Health, University of Tennessee Institute of Agriculture, Knoxville, Tennessee, United States of America.ORCID 0000-0002-1894-7505
Russell L BurkeDepartment of Biology, Hofstra University, Hempstead, New York, United States of America.
Nicholas H OgdenPublic Health Risk Sciences Division, National Microbiology Laboratory, Public Health Agency of Canada, Ste-Hyacinthe, Quebec, Canada.
Lorenza BeatiUS National Tick Collection, Institute for Coastal Plain Science, Georgia Southern University, Statesboro, Georgia, United States of America.
Roger A LeBrunDepartment of Plant Sciences and Entomology, University of Rhode Island, Kingston, Rhode Island, United States of America.
Isis M ArsnoeDepartment of Fisheries and Wildlife, Michigan State University, East Lansing, Michigan, United States of America.
Richard GerholdCenter for Wildlife Health, University of Tennessee Institute of Agriculture, Knoxville, Tennessee, United States of America.
Seungeun HanComparative Medicine and Integrative Biology, Michigan State University, East Lansing, Michigan, United States of America.ORCID 0000-0002-9463-6012
Kaetlyn JacksonDepartment of Biology, Hofstra University, Hempstead, New York, United States of America.
Lauren MaestasCenter for Wildlife Health, University of Tennessee Institute of Agriculture, Knoxville, Tennessee, United States of America.ORCID 0000-0001-7820-9478
Teresa MoodyCenter for Wildlife Health, University of Tennessee Institute of Agriculture, Knoxville, Tennessee, United States of America.
Genevieve PangDepartment of Fisheries and Wildlife, Michigan State University, East Lansing, Michigan, United States of America.
Breann RossDepartment of Biology, Hofstra University, Hempstead, New York, United States of America.
Eric L RulisonDepartment of Plant Sciences and Entomology, University of Rhode Island, Kingston, Rhode Island, United States of America.
Jean I TsaoDepartment of Fisheries and Wildlife, Michigan State University, East Lansing, Michigan, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lyme disease is common in the northeastern United States, but rare in the southeast, even though the tick vector is found in both regions. Infection prevalence of Lyme spirochetes in host-seeking ticks, an important component to the risk of Lyme disease, is also high in the northeast and northern midwest, but declines sharply in the south. As ticks must acquire Lyme spirochetes from infected vertebrate hosts, the role of wildlife species composition on Lyme disease risk has been a topic of lively academic discussion. We compared tick-vertebrate host interactions using standardized sampling methods among 8 sites scattered throughout the eastern US. Geographical trends in diversity of tick hosts are gradual and do not match the sharp decline in prevalence at southern sites, but tick-host associations show a clear shift from mammals in the north to reptiles in the south. Tick infection prevalence declines north to south largely because of high tick infestation of efficient spirochete reservoir hosts (rodents and shrews) in the north but not in the south. Minimal infestation of small mammals in the south results from strong selective attachment to lizards such as skinks (which are inefficient reservoirs for Lyme spirochetes) in the southern states. Selective host choice, along with latitudinal differences in tick host-seeking behavior and variations in tick densities, explains the geographic pattern of Lyme disease in the eastern US.

Indexed as

Disease VectorsAnimalsAnimals, WildBorrelia burgdorferiClimateDisease ReservoirsGeographyHost-Seeking BehaviorHost SpecificityHumansLizardsLyme DiseaseMicePopulation DensityPrevalenceRats

Identifiers

PMID33507921
PMCPMC7842935

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.