{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:18:25Z","timestamp":1791389905924,"version":"4.3.3"},"reference-count":22,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,9,4]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p>Colorado tick fever (CTF) virus is an arbovirus maintained in an enzootic cycle between Rocky Mountain wood ticks (<jats:italic>Dermacentor andersoni<\/jats:italic>) and rodent species in the western United States. Individuals with CTF typically present with symptoms including fever, headache, myalgia, and lethargy, with a biphasic illness frequently occurring. We reviewed data on CTF cases reported to the national U.S. arboviral disease surveillance system and identified through testing at the CDC to characterize the epidemiology of CTF from 2013\u20132022. During this period, 148 CTF cases were identified, all likely infected in an endemic area in one of six states (Montana, Wyoming, Oregon, Colorado, Utah, Idaho). A median of 11 cases (range: 5\u201337) were identified per year, with an average annual national incidence of 0.04 cases per million population. The median age of cases was 55 years (range: 1\u201384 years), and 96 (65%) were male. Most (<jats:italic>n<\/jats:italic> = 145; 98%) cases acquired infection from April through July. The hospitalization rate was 16% (16 of 102 cases with data), and no deaths were reported. These findings substantiate the continued circulation of CTF virus in the western United States, highlighting the importance of implementing approaches to ensure CTF awareness for medical providers and providing education on tick bite prevention strategies for residents and visitors to risk areas.<\/jats:p>","DOI":"10.4269\/ajtmh.24-0044","type":"journal-article","created":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T13:37:34Z","timestamp":1720532254000},"page":"598-602","source":"Crossref","is-referenced-by-count":7,"title":["Colorado Tick Fever in the United States, 2013\u20132022"],"prefix":"10.4269","volume":"111","author":[{"given":"Anna","family":"Fagre","sequence":"first","affiliation":[{"name":"Arboviral Diseases Branch, Centers for Disease Control and Prevention, Fort Collins, Colorado;"},{"name":"Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Lehman","sequence":"additional","affiliation":[{"name":"Arboviral Diseases Branch, Centers for Disease Control and Prevention, Fort Collins, Colorado;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan L.","family":"Hills","sequence":"additional","affiliation":[{"name":"Arboviral Diseases Branch, Centers for Disease Control and Prevention, Fort Collins, Colorado;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","series-title":"J Infect Dis","first-page":"384","article-title":"Colorado tick fever. 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A comparison of complement-fixation, immunofluorescence, and plaque-reduction methods","volume":"18","author":"Emmons","year":"1969"},{"key":"b22","series-title":"Diseases","first-page":"92","article-title":"Genomic evaluation of the genus Coltivirus indicates genetic diversity among Colorado tick fever virus strains and demarcation of a new species","volume":"9","author":"Hughes","year":"2021"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/111\/3\/article-p598.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/111\/3\/article-p598.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/111\/3\/article-p598.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T19:57:57Z","timestamp":1725479877000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/111\/3\/article-p598.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,4]]},"references-count":22,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.24-0044","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,4]]}}}