Assessment of occupational exposure of soldiers to Lyme disease and Borrelia miyamotoi disease in selected military training areas from northern Poland.

Abstract

Ixodes ricinus tick is a vector of bacteria of Borreliella genus and Borrelia miyamotoi. Exposure to ticks constitutes occupational risk to soldiers, but the current knowledge on this subject is still limited. Therefore, the aim of this study was to evaluate tick abundance and prevalence of infection with Borreliella spp. and/or B. miyamotoi. Ticks were collected from vegetation on Drawsko, Ustka and Orzysz military training areas. Additionally, ticks infesting soldiers were also obtained. Ticks were examined by nested PCR and sequencing of flaB gene fragment. General Linear Models of One Variable was used for analysis of mean tick abundance and Maximum Likelihood technique based on log-linear analysis of contingency tables was used for analysis of prevalence of pathogens in ticks. Molecular phylogenetic analyses were also performed. 852 I. ricinus were collected from vegetation from three military areas. The overall mean abundance of ticks was almost 4 ticks/100 m². Season of study had a significant effect on density of total ticks, infected nymphs and females and infected nymphs, which were higher in spring-early summer. Total prevalence of pathogens was 25.7% in 711 questing ticks, and 16.0% in 282 I. ricinus collected from soldiers. Six species of Borreliella and Borrelia were identified with predominance of B. afzelii. It should be assumed that there is a risk for soldiers of acquiring infection after tick bite. The awareness of presence of pathogens in ticks should be raised in military.