A Review on Important Zoonotic Bacterial Tick-Borne Diseases in the Eastern Mediterranean Region

Manijeh Yousefi Behzadi1,2, Ehsan Mostafavi1,2, Mahdi Rohani3

  • 1Department of Epidemiology and Biostatics, Research Centre for Emerging and Reemerging Infectious Diseases, Pasteur Institute of Iran, Tehran, Iran.

Abstract

Insights

Emerging tick-borne zoonotic diseases pose a significant threat in the Eastern Mediterranean Region (EMRO). Q fever is most common, while Lyme disease is less frequent, with Iran reporting all three studied diseases.

Area of Science:

  • Public Health
  • Infectious Diseases
  • Veterinary Medicine

Background:

  • Zoonotic diseases constitute over half of emerging infectious diseases globally.
  • Arachnids, particularly ticks, are significant vectors for transmitting diseases to humans.
  • The Eastern Mediterranean Region (EMRO) faces substantial health risks from emerging zoonotic diseases due to population density near farms and international trade.

Purpose of the Study:

  • To review and analyze the prevalence of three key tick-borne diseases (Lyme disease, Tularemia, and Q fever) in Iran and other EMRO countries.
  • To identify patterns and frequency of these diseases within the region.

Main Methods:

  • A comprehensive literature search was conducted using PubMed, Web of Science, and Google.
  • Keywords related to Lyme disease, Tularemia, Q fever, and EMRO countries were used.
  • Data were systematically collected and organized by country for each disease.

Main Results:

  • Fifteen countries within the EMRO region reported at least one emerging infectious disease.
  • Q fever was the most frequently reported infection, whereas Lyme disease was less common.
  • Iran has documented cases of all three investigated tick-borne diseases.

Conclusions:

  • Tick-borne diseases are prevalent across EMRO countries, highlighting favorable conditions for transmission.
  • Developing integrated disease management strategies and control programs for tick-borne diseases (TBDs) is crucial.
  • Prioritizing research into TBD control and exploring the breeding of disease-resistant livestock are recommended.