Many emerging infectious diseases have a zoonotic origin [1]. Their occurrence depends on the probability of contact between pathogens, potential vectors and hosts [2]. Ticks are important vectors of pathogens in Western Europe [3, 4]. Studies on tick abundance, tick infections, and their drivers focus on two types of associations and factors: (i) the temporal variation with climatic and meteorological factors (e.g. [5, 6] and (ii) the spatial variation and physical with environmental factors (e.g. [5, 7–9]. Some studies considered both temporal and spatial aspects [10–12]. In Western Europe, the main tick vector is Ixodes ricinus. Its life cycle ranges from two to three years with three active stages (larva, nymph, and adult). This generalist species feeds on a broad range of vertebrates, including mammals, birds, and reptiles [13]. They take a single blood meal by stage and migrate down the litter to moult or to lay eggs. They spend extended periods off-host in the environment, e.g., woodlands or pastures, for questing, moulting and diapausing, which present a strong seasonal variation [14, 15]. Forests are tick primary habitats and are often associated with high tick abundance at regional (e.g. [11, 16, 17] and local scales (e.g. [7, 8, 10, 14]).
In this study, we focus on three tick-borne diseases (TBD) in a Belgian peri-urban forest: Lyme borreliosis, tularaemia and Q fever. Lyme borreliosis (LB) is the most widespread TBD in Western Europe [18, 19]. If untreated, an infection may result in skin, neurological, musculoskeletal, or cardiac complications [18, 20]. This multi-systemic inflammatory disease is caused by spirochetes from the species complex Borrelia burgdorferi sensu lato [19, 20]. This species complex contains several human pathogens, e.g., B. afzelii, B. garinii, B. burgdorferi sensu stricto, B. bavariensis and B. spielmanii [18, 20–22]. They are associated with different clinical symptoms [18, 23, 24]. Borrelia burgdorferi s.s. in the north-eastern United States is particularly arthritogenic [25]. Borrelia garinii and B. afzelii cause LB in Europe, the first one being associated with most typical Lyme neuroborreliosis cases, and the latter to less specific clinical symptoms and skin manifestations [18, 23]. The roles of the other genospecies are unclear [18, 26]. In Belgium, the prevalence of B. burgdorferi s.l. in ticks collected from humans was estimated at 13.9% [27], and the incidence of LB at 103 per 100,000 inhabitants (95% UI 87–120) [28]. Based on the annual number of hospitalizations and positive results of laboratory tests, there was no evidence of any increase in LB in Belgium between 2003 and 2012 [29].
Tularaemia is a disease with initial flu-like symptoms which can evolve towards serious clinical manifestations and significant mortality if untreated, occurring mainly in the Northern Hemisphere [30]. Several routes of infection exist, including skin contact with infected animals, ingestion of contaminated water, and arthropod bites [30, 31]. The route of infection and strain virulence lead to the different forms of the disease [30]. The ulceroglandular and glandular clinical forms are the most common in Central Europe and Belgium [32] and they frequently result from arthropod bite or animal contact. The agent of tularaemia is the gram-negative intracellular bacterium Francisella tularensis, a gamma-Proteobacteria of the Francisellaceae family [33]. Four subspecies have been identified: tularensis (type A), highly virulent and present in North America, holarctica (type B), in Central Europe and the whole northern hemisphere in general, mediasiatica, in Central Asia, and novicida [34]. Its main reservoirs are lagomorphs and rodents [33]. Tularaemia is rare in Belgium, but the number of detected cases is increasing, similarly with an increasing number of serological tests: 14 cases between 1950 and 2017, including 11 between 2010 and 2017 and 5 in 2017 [32].
Q fever is caused by the intracellular gram-negative bacterium Coxiella burnetii, a gamma(γ)-Proteobacteria of the Legionella order [35, 36]. This pathogen infects a wide range of hosts, including dogs, cats, bovine, deer, rodents, reptiles, fish, birds and ticks [37, 38]. In ruminants, the main clinical manifestations are reproduction disorders and abortions [36]. In humans, it can cause acute or chronic illness, but the diagnosis is challenging because most human infections are sub-clinical or give flu-like symptoms [37–39]. In Belgium, Q fever is widespread in Belgian domestic ruminants [40] and 25 cases of Q fever are confirmed yearly [41]. Infections generally occur through inhalation of C. burnetii contaminated aerosols in milk, faeces, urine and birth products or abortions from infected ruminants [37, 39, 42]. Coxiella burnetii was found in 40 tick species, and tick bites constitute another way of transmission, probably less important than the airborne one [39, 42]. During three major outbreaks of Q fever in the Netherlands in 2007, 2008 and 2009, the prevalence of C. burnetii in questing I. ricinus was less than 0.2% [43] while Pacheco et al. [44] found a C. burnetii infection of 44.6% in Amblyomma tigrinum adult ticks in Argentina.
Variations in tick abundance [21, 45] and infection rates [21, 45, 46] in endemic areas are key components of TBD risk assessment. Peri-urban forests are of particular interest, for both providing suitable habitats for ticks, that is, having a high level of hazard, and being visited intensively by humans, that is, generating high exposure [14, 19, 47, 48]. Variability in tick abundance and pathogen prevalence within forests is less known but may be substantial [8, 10]. The aim of this study is to analyse the heterogeneity of tick abundance and prevalence of three tick-borne pathogens (B. burgdorferi s.l., F. tularensis and C. burnetii) at the intra-seasonal time scale and within a peri-urban forest. We hypothesize that tick abundance is not homogeneous within a forest stand and is affected by within-forest heterogeneity.