Vector-borne Diseases: An Ongoing Threat

Vector-borne diseases (VBDs) are responsible for significant morbidity and mortality worldwide. In the United States, VBDs continue to increase, with 9 new VBDs identified since 2004 and most recently in 2017 a new vector, Haemaphysalis longicornis. Vectors such as ticks, mosquitoes, and fleas are capable of transmitting bacteria, viruses, and parasites. This updated review of the current recommendations for the diagnosis and treatment of Lyme disease, Rocky Mountain spotted fever, ehrlichiosis, and West Nile virus will help prepare nurse practitioners to provide safe, competent care for their patients and communities at large. (C) 2019 Elsevier Inc. All rights reserved.