{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T15:39:57Z","timestamp":1780760397173,"version":"3.54.1"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2024,2,8]],"date-time":"2024-02-08T00:00:00Z","timestamp":1707350400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Creativity Hub"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>We obtained samples from the Department of Defense Serum Repository from soldiers who were stationed at Fort Liberty, North Carolina, between 1991 and 2019 to assess temporal trends in tick-borne rickettsiosis and ehrlichiosis. Serological evidence of infection was common, with nearly 1 in 5 (18.9%) demonstrating antibodies. We observed significant decreases in Rickettsia seroprevalence (adjusted odds ratio [aOR], 0.42 [95% CI, .27\u2013.65], P = .0001) while over the same period Ehrlichia seroprevalence, albeit less common, nearly doubled (aOR, 3.61 [95% CI, 1.10\u201313.99], P = .048). The increase in Ehrlichia seroprevalence likely reflects increased transmission resulting from the expanding geographic range of the lone star tick.<\/jats:p>","DOI":"10.1093\/infdis\/jiae028","type":"journal-article","created":{"date-parts":[[2024,2,8]],"date-time":"2024-02-08T20:21:54Z","timestamp":1707423714000},"page":"319-322","source":"Crossref","is-referenced-by-count":3,"title":["Changes in the Seroprevalence of Tick-Borne <i>Rickettsia<\/i> and <i>Ehrlichia<\/i> Among Soldiers\u2014Fort Liberty, North Carolina, 1991\u20132019"],"prefix":"10.1093","volume":"230","author":[{"given":"Emmanuel M","family":"Rockwell","sequence":"first","affiliation":[{"name":"Department of Biostatistics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haley A","family":"Abernathy","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Gillings School of Global Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lanya M","family":"Evans","sequence":"additional","affiliation":[{"name":"Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Bhowmik","sequence":"additional","affiliation":[{"name":"Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana A","family":"Giandomenico","sequence":"additional","affiliation":[{"name":"Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna S","family":"Salzer","sequence":"additional","affiliation":[{"name":"Rickettsial Zoonoses Branch, Division of Vector-Borne Diseases, Centers for Disease Control and Prevention , Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos J","family":"Maldonado","sequence":"additional","affiliation":[{"name":"Department of Research\/Clinical Investigation, Womack Army Medical Center , Fort Liberty"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y Sammy","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Research\/Clinical Investigation, Womack Army Medical Center , Fort Liberty"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9489-6324","authenticated-orcid":false,"given":"Ross M","family":"Boyce","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Gillings School of Global Public Health"},{"name":"Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill"},{"name":"Carolina Population Center, University of North Carolina at Chapel 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Island, New York, during 2011\u20132021","volume":"12","author":"Sajib","year":"2023","journal-title":"Pathogens"},{"key":"2024081523523217700_jiae028-B8","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1186\/s13071-014-0607-2","article-title":"Prevalence of rickettsiales in ticks removed from the skin of outdoor workers in North Carolina","volume":"7","author":"Lee","year":"2014","journal-title":"Parasit Vectors"},{"key":"2024081523523217700_jiae028-B9","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1016\/j.ttbdis.2013.09.001","article-title":"Ticks and spotted fever group rickettsiae of southeastern Virginia","volume":"5","author":"Nadolny","year":"2014","journal-title":"Ticks Tick Borne Dis"},{"key":"2024081523523217700_jiae028-B10","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1089\/vbz.2013.1509","article-title":"Ehrlichia and spotted fever group rickettsiae surveillance in Amblyomma americanum in Virginia through use of a novel six-plex real-time 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