Open research questions in Vector-borne infectious diseases
31 unresolved questions extracted from the limitations and future-work sections of 620 Vector-borne infectious diseases papers in our library. Each links back to the study that raised it.
What the literature leaves open
Third, genomic character- ization was limited to analysis of the S segment, whereas full-genome sequencing would provide more comprehensive insight into genetic diversity, reassortment events, and phylogeographic relationships of circulating strains. Towards a sustainable one health approach to Crimean–Congo hemorrhagic fever pre- vention: focus areas and gaps in knowledge.
Integrated surveillance, virus isolation and phylogenetic characterization of Crimean-Congo hemorrhagic fever virus in Central Kazakhstan · 2026 · DOIBackground Previously, at least ten spotted fever group Rickettsia (SFGR) species were detected in wildlife and hard ticks in Xinjiang Uygur Autonomous Region (XUAR, northwestern China), whereas human infection remains scarcely studied.
Clinical characteristics and epidemiological analysis of 23 cases of tick-borne rickettsiosis in Xinjiang Uygur Autonomous Region · 2026 · DOIIntroduction: Tick-borne-disease (TBD) risk is high along the Appalachian Trail (AT), yet little is known about how long-distance hikers practice recommended prevention behaviors.
Tick-Borne Disease Prevention in Long-Distance Appalachian Trail Hikers: A Health Belief Model Approach · 2026 · DOICHSs are essential for cuticle formation and peritrophic matrix (PM) biogenesis and represent validated targets of several acaricides, yet their roles in ticks remain poorly defined.
Disruption of chitin synthases impairs tick feeding and reproduction, validating a broad-spectrum acaricide target · 2026 · DOIThe use of new technologies such as multiomics biomarkers, metagenomics, T-cell assays, and AI-enhanced diagnostics is promising but has not yet been tested in a prospective multicentre study.
Epidemiology, diagnosis and emerging therapies for Lyme disease of the Northern Hemisphere · 2026 · DOIThis study had several limitations. Participants were enrolled with signs and symptoms of early LD at clinical sites on Long Island and in Central Wisconsin, representing only two different U.S. geographic regions. Also, due to the variability in presentation of EM, it is possible that not all of the skin lesions suspected to be EM were actually EM (4). Similarly, constitutional symptoms attributed to early LD in this study are non-specific, and it’s likely that not all symptoms present at enrollment were due to early LD. Testing was performed at three different laboratories, which could have introduced variability to the results. Zeus second-tier testing was only performed on cases classified as LC Lyme and endemic controls, and (unlike the other assays) was not performed on the 62 cases that were not classified as laboratory confirmed by LDB. Finally, samples were not originally tested following the two-tiered algorithm protocols. Rather, all samples were tested using first- and second-tier tests, regardless of the first-tier test outcome, which is not standard practice. However, the two-tiered testing algorithm results were applied retrospectively to model standard practice.
Evaluation of standard and modified two-tiered testing algorithms using well-characterized early Lyme disease samples · 2026 · DOIThe study confirms an enzootic focus of Theileria orientalis in Herzegovina driven by subclinical infections suggesting endemic stability, but does not investigate the specific vector competence of local Ixodes ricinus populations or identify which MPSP (major piroplasm surface protein) types are circulating in this focus.
First detection of Anaplasma phagocytophilum and enzootic focus of Theileria orientalis in cattle from Bosnia and Herzegovina · 2026 · DOIThe paper demonstrates that microscopic diagnostics have limitations compared to PCR for detecting piroplasms in cattle, but does not quantify the diagnostic sensitivity and specificity differential between these methods for the specific Theileria orientalis and Babesia species detected in Bosnia and Herzegovina cattle.
First detection of Anaplasma phagocytophilum and enzootic focus of Theileria orientalis in cattle from Bosnia and Herzegovina · 2026 · DOIThe study identifies a distinct ruminant-associated group I lineage of Anaplasma phagocytophilum ankA gene in the Bosnian isolate, but does not characterize the wildlife–Ixodes ricinus cycles that may facilitate spillover to cattle and humans. Systematic surveillance of wildlife reservoirs and tick vector populations in Bosnia and Herzegovina is needed to assess this spillover risk.
First detection of Anaplasma phagocytophilum and enzootic focus of Theileria orientalis in cattle from Bosnia and Herzegovina · 2026 · DOIFuture research should focus on the exact role of tick-derived molecules in driving sensitization to help develop targeted preventive strategies.
Tick-Induced Cutaneous and Allergic Manifestations: Differential Diagnosis Between Lyme Borreliosis and Alpha-Gal Syndrome · 2026 · DOIturanicus stands out the potential vectors, while further investigation into the implications of diverse range of arthropods in epidemiology of this bacterium.
Rickettsia massiliae and its public health significance across Palearctic and Oriental regions: a scoping review · 2026 · DOIDespite sporadic reports based on conventional diagnostic methods, the true prevalence and epidemiological status of the disease in India remain poorly understood.
While Amblyomma helvolum is a well-known specialist parasite of reptiles, particularly the Komodo dragon ( Varanus komodoensis ), its infestation of atypical hosts remains poorly documented.
Human infestation by Amblyomma helvolum in the Komodo dragon habitat: implications for wildlife conservation · 2026 · DOImicroplus as the authors could not establish it), and an unidentified Amblyomma species (Kenya) (4, 7, 13, 18, 30).
Detection and phylogenetic characterization of Jingmen tick virus in <i>Amblyomma mixtum</i> ticks from Costa Rica · 2026 · DOItyphi in the Turkistan and Almaty oblast of Kazakhstan, which in turn indicates an urgent need for further study of the role of endemic typhus in the structure of fever of unknown origin in the southern region of Kazakhstan.
Analysis of seroprevalence of antibodies to Rickettsia typhi in the population of the southern region of Kazakhstan · 2019 · DOIIt seems that parasitism of a tick on another conspecific specimen, when at least one of them is infected by a microorganism, may be a yet poorly explored route of transmission of pathogens or symbionts between the ticks.
Conspecific hyperparasitism in the <i>Hyalomma excavatum</i> tick and considerations on thebiological and epidemiological implications of this phenomenon · 2019 · DOISome authors have purported an etiological role of Spiroplasma in causing transmissible spongiform encephalopathies (TSEs), but convincing proof is lacking.
Although a county-level vector distribution map exists for the United States, its accuracy is limited by arbitrary categories of its reported presence.
A climate-based model predicts the spatial distribution of the Lyme disease vector Ixodes scapularis in the United States. · 2003 · DOI
Most-cited papers in Vector-borne infectious diseases
- A climate-based model predicts the spatial distribution of the Lyme disease vector Ixodes scapularis in the United States. · Environmental Health Perspectives · 2003 · 191 citations
- Geographic Distribution of Suspected Alpha-gal Syndrome Cases — United States, January 2017–December 2022 · MMWR Morbidity and Mortality Weekly Report · 2023 · 107 citations
- Surveillance for Lyme Disease After Implementation of a Revised Case Definition — United States, 2022 · MMWR Morbidity and Mortality Weekly Report · 2024 · 65 citations
- Trends in Reported Babesiosis Cases — United States, 2011–2019 · MMWR Morbidity and Mortality Weekly Report · 2023 · 59 citations
- Zoonotic occupational diseases in forestry workers – Lyme borreliosis, tularemia and leptospirosis in Europe · Annals of Agricultural and Environmental Medicine · 2015 · 47 citations
- Prevalence of tick-borne pathogens in an urban park in Rome, Italy · Annals of Agricultural and Environmental Medicine · 2014 · 44 citations
- Spiroplasma – an emerging arthropod-borne pathogen? · Annals of Agricultural and Environmental Medicine · 2015 · 43 citations
- No net effect of host density on tick‐borne disease hazard due to opposing roles of vector amplification and pathogen dilution · Ecology and Evolution · 2022 · 34 citations
- Changing Trends in Age and Sex Distributions of Lyme Disease—United States, 1992-2016 · Public Health Reports · 2021 · 24 citations
- First molecular evidence of <i>Borrelia burgdorferi</i> sensu lato in goats, sheep, cattle and camels in Tunisia · Annals of Agricultural and Environmental Medicine · 2016 · 23 citations
Most recent work
- Evaluation of standard and modified two-tiered testing algorithms using well-characterized early Lyme disease samples · Journal of Clinical Microbiology · 2026
- Tissue-specific and sex-dependent microbiome structure in East African cattle ticks (Amblyomma gemma and Rhipicephalus pulchellus) and their bovine hosts · Infection Genetics and Evolution · 2026
- Homologous and Heterologous Immunization with a PIV5-Based Modified OspA Vaccine Confers Equivalent Protection Against Tick-Transmitted Borrelia burgdorferi · bioRxiv · 2026
- Metagenomic surveillance of tick-borne pathogens and microbiomes in Huntingdon County, Pennsylvania · One Health · 2026
- Editorial Note: Multispacer Sequence Typing Relapsing Fever Borreliae in Africa · PLoS neglected tropical diseases · 2026
- Understanding the spatiality in neglected tropical diseases: An ethnographic study of scrub typhus in Puducherry, India · Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine · 2026
- Further insights into the sialome switch of Amblyomma americanum adult females · BMC Genomics · 2026
- Could global warming cause a range expansion or shift of Lyme disease in the U.S. state of Maryland? A mathematical modelling approach · Royal Society Open Science · 2026
- Red Blood Cell Exchange Transfusion for Severe Babesiosis · JAMA Internal Medicine · 2026
- First detection of Anaplasma phagocytophilum and enzootic focus of Theileria orientalis in cattle from Bosnia and Herzegovina · Frontiers in Veterinary Science · 2026
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