Landscape-scale analysis of raccoon rabies surveillance reveals different drivers of disease dynamics across latitude.

When raccoon rabies first invaded the mid-Atlantic United States, epizootics were larger, longer, and more pronounced than those in its historic, more southern, range, suggesting a North-South gradient in disease dynamics. In addition, due to higher raccoon densities and concentrated feeding sources, urban areas might sustain larger epizootics, suggesting an urban-rural gradient might likewise influence dynamics. Here we leverage long-term surveillance data on raccoon rabies, collated by the Centers for Disease Control and Prevention, United States Department of Agriculture, and state and local public health agencies to better understand the role of latitude and urbanness for raccoon rabies epizootiology. Our analysis utilizes surveillance data from the 20 states composing the raccoon rabies enzootic area across 2006-2018. We identified effects of latitude and human population density (a proxy for urbanness) on the county-level probability of detecting raccoon rabies. We find that: 1) in the northeastern US, more samples are submitted in the summer, and more positive results are obtained, albeit with a lower likelihood of a given sample being found to be rabid, while these trends are independent of season at southern latitudes; 2) the association between urbanness and risk of rabies cases varies across latitude, with greater rabies presence in rural vs. urban counties in the south and a more consistent risk across urbanness in the north; and 3) the most consistent predictors of raccoon rabies detection are spatiotemporal effects, suggesting that recent detection of cases in a county or its neighbors are more informative of raccoon rabies dynamics than are general metrics like latitude and urbanness. Statistical and spatial long-term studies like these not only can improve understanding of wildlife disease patterns but can help guide public health and wildlife management efforts in areas most at risk for raccoon rabies virus infection.