{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:55:54Z","timestamp":1777877754253,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2021,4,27]],"date-time":"2021-04-27T00:00:00Z","timestamp":1619481600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vector-Borne and Zoonotic Diseases"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>\n                    Babesiosis is a tick-borne disease that is caused by intraerythrocytic protozoan parasites of the genus Babesia. Common symptoms of babesiosis are generally characterized as nonspecific flu-like symptoms, such as fever or chills. Human infections are reported to the Centers for Disease Control and Prevention (CDC) through the National Notifiable Diseases Surveillance System (NNDSS). This study summarizes data of\n                    <jats:italic toggle=\"yes\">Babesia<\/jats:italic>\n                    infections reported to the CDC by the NNDSS from 2011 to 2018. In total, there were 14,159 reported cases of babesiosis, and the incidence rate was 5.55 cases per million persons per year, displaying an increasing trend during the study period. The demographic group most affected was middle-aged and elderly white males. Infections were most abundant in the New England and the Mid-Atlantic regions of the United States. Our study provides useful results for a basic understanding of incidence, spatial and temporal distribution, and severity of babesiosis.\n                  <\/jats:p>","DOI":"10.1089\/vbz.2020.2754","type":"journal-article","created":{"date-parts":[[2021,3,19]],"date-time":"2021-03-19T12:44:56Z","timestamp":1616157896000},"page":"391-395","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Using Data Surveillance to Understand the Rising Incidence of Babesiosis in the United States, 2011\u20132018"],"prefix":"10.1177","volume":"21","author":[{"given":"Alexandra","family":"Bishop","sequence":"first","affiliation":[{"name":"Department of Biology, Texas A&amp;M University, College Station, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsiao-Hsuan","family":"Wang","sequence":"additional","affiliation":[{"name":"Ecological Systems Laboratory, Department of Ecology and Conservation Biology, Texas A&amp;M University, College Station, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William E.","family":"Grant","sequence":"additional","affiliation":[{"name":"Ecological Systems Laboratory, Department of Ecology and Conservation Biology, Texas A&amp;M University, College Station, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,4,27]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6453a1"},{"key":"e_1_3_4_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/tid.12740"},{"key":"e_1_3_4_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/vbz.2019.2598"},{"key":"e_1_3_4_5_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.2011.10-0613"},{"key":"e_1_3_4_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pt.2017.12.006"},{"key":"e_1_3_4_7_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.ss6806a1"},{"key":"e_1_3_4_8_1","doi-asserted-by":"publisher","DOI":"10.1086\/595010"},{"key":"e_1_3_4_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ttbdis.2018.01.006"},{"key":"e_1_3_4_10_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.15-0540"},{"key":"e_1_3_4_11_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid1812.111392"},{"key":"e_1_3_4_12_1","first-page":"505","article-title":"Babesiosis surveillance\u201418 states, 2011","volume":"61","author":"Herwaldt BL","year":"2012","unstructured":"Herwaldt BL, , Montgomery S, , Woodhall D, , Bosserman EA. 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