Veterinary Parasitology 192 (2013) 273–278
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Veterinary Parasitology
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Short communication
Prevention of transmission of Babesia canis by Dermacentor reticulatus
ticks to dogs treated with an imidacloprid/flumethrin collar
a,∗ b c,d
Josephus J. Fourie , Dorothee Stanneck , Frans Jongejan
a
ClinVet International (Pty) Ltd., P.O. Box 11186, Universitas, Bloemfontein 9321, South Africa
b
Bayer Animal Health GmbH, BHC Business Group Animal Health, Clinical Development, Building 6700, 51368 Leverkusen, Germany
c
Utrecht Centre for Tick-borne Diseases (UCTD), Faculty of Veterinary Medicine, Utrecht University, Yalelaan 1, 3584 CL Utrecht, The Netherlands
d
Department of Veterinary Tropical Diseases, Faculty of Veterinary Science, University of Pretoria, Private Bag X04, Onderstepoort 0110, South Africa
a r t i c l e i n f o a b s t r a c t
®
Article history:
A group of 8 dogs was treated with an imidacloprid/flumethrin collar (Seresto ) 28 days
Received 13 June 2012
prior to infestation with adult Dermacentor reticulatus ticks, infected with Babesia canis.
Received in revised form 17 October 2012
The ability of the collar to prevent transmission of B. canis in the treated group was com-
Accepted 18 October 2012
pared to an untreated control group. All 8 dogs in the untreated control group became
infected with B. canis parasites, which were detected in blood smears as early as day 6 post
Keywords:
tick-application. All control dogs developed clinical signs of babesiosis and were rescue-
Imidacloprid
Flumethrin treated with imidocarb dipropionate. These dogs also developed specific B. canis antibodies
Collar as identified by serology (IFA test) and were confirmed PCR/RLB positive.
Dermacentor reticulatus None of the 8 dogs treated with the imidacloprid/flumethrin collar became infected with
Ticks B. canis, which was confirmed by the absence of specific B. canis antibodies and babesial
Babesia canis DNA as confirmed by PCR/RLB.
Transmission blocking
The collar caused 96.02% of the ticks to die within 48 h post challenge and this increased
to 100% within 4 days. Although a high percentage of 44% of the Dermacentor ticks were
infected with B. canis, they were unable to transmit the infection to the treated group.
Hence, the imidacloprid/flumethrin collar effectively prevented transmission of B. canis 1
month after application onto the dogs.
© 2012 Elsevier B.V. Open access under CC BY-NC-ND license.
1. Introduction 2009). Moreover, over the past two decades several novel
tick-borne infections have been identified, whereas oth-
Worldwide, dogs are exposed to a broad range of proto- ers are regarded as re-emerging diseases of dogs (Chomel,
zoan and bacterial pathogens transmitted by infected ticks. 2011).
Canine babesiosis, monocytic ehrlichiosis and granulocytic The vectorial capacity of ticks infesting dogs varies
anaplasmosis are the pre-dominant tick-borne diseases of widely. For instance, the cosmopolitan tick, Rhipicephalus
dogs (Jongejan and Uilenberg, 2004). Ticks and tick-borne sanguineus, transmits Babesia vogeli, Babesia gibsoni, Hep-
diseases that affect dogs in different regions of the world atozoon canis, Ehrlichia canis and Rickettsia conorii, and
are expanding (Chomel, 2011). Since international travel probably also Anaplasma platys, the cause of throm-
with companion animals is now quite common, ticks and bocyic anaplasmosis. Ixodes ricinus ticks are widely
associated diseases are also crossing borders and are caus- distributed throughout Europe, where they transmit Bor-
ing novel emerging disease threats (Beugnet and Marié, relia burgdorferi and Anaplasma phagocytophilum, both
zoonotic pathogens, which are affecting a broad range of
hosts, including dogs.
In this paper we have studied the ornate dog tick, Der-
∗ macentor reticulatus, which is a vector of a broad spectrum
Corresponding author. Tel.: +27 51 445 2424; fax: +27 51 445 2421.
E-mail address: [email protected] (J.J. Fourie). of pathogens, including B. canis in dogs, Babesia caballi
0304-4017 © 2012 Elsevier B.V. Open access under CC BY-NC-ND license. http://dx.doi.org/10.1016/j.vetpar.2012.10.017
274 J.J. Fourie et al. / Veterinary Parasitology 192 (2013) 273–278
in horses, Anaplasma marginale in cattle and a number adult dogs of mixed breed mainly mongrel. All dogs were
of zoonotic rickettsial species. D. reticulatus is expanding dewormed and did not harbour any ticks at the initiation
its distributional range within Europe into, for instance, of the study. The dogs had not been treated with an aca-
Hungary, The Netherlands, Norway and elsewhere (Sréter ricide/insecticide spot-on/spray for 12 weeks prior to tick
et al., 2005; Matjila et al., 2005; Øines et al., 2010). This has infestation (day 0). All were serologically negative for B.
led to cases of canine babesiosis being detected in regions canis prior to day −35. The study animals were acclimatised
where the disease had previously not been encountered, for 7 days prior to the treatment. The study animals were
which adds to the relevance of practicing acaricidal tick kept individually in pens in compliance with local animal
control on dogs. welfare regulation.
Therefore, acaridical treatment that kills ticks and thus All the animals were observed daily for general health
reduces the effective tick population capable of transmiting conditions and clinical signs of adverse reactions to treat-
disease-inducing pathogens, seems evident. Importantly, it ment. All dogs were subjected to a clinical examination
would be a significant step forward, if it could be demon- on days −35, +7, +14, +21 and +27. Additionally clinical
strated that the rapid killing of infected ticks on dogs could examinations were conducted on all dogs displaying clini-
actually prevent tick-borne disease to develop at all. cal signs (elevated body temperature, anaemia, haematuria
Acaricidal control of ticks on dogs is a nessessity in many and/or icterus) associated with babesiosis. The dogs were
parts of the world. The active compounds are predomi- observed on an approximately hourly basis for 4 h after
nantly applied as shampoos, powders, spot-ons, sprays and fitting the collar for possible adverse events. Rectal body
impregnated collars. Acaricide impregnated collars have temperatures were recorded daily from days +6 to +13.
been widely used against ticks on companion animals (Van Clinical examinations were conducted and two blood
den Bos and Curtis, 2002; Fourie et al., 2003; Estrada- smears were prepared for dogs displaying abnormally high
◦
Pena and Reme, 2005). For instance, flumethrin, a synthetic body temperatures (>39.4 C).
pyrethroid, has been extensively used in livestock as an Blood for PCR was collected from all dogs diagnosed
acaricide over the past 25 years and has also been used with babesiosis as confirmed on a blood smear and from
in a collar preparation in combination with propoxur to all dogs not yet diagnosed with babesiosis on days +14,
control ticks on dogs (Fourie et al., 2003). Furthermore, +21 and +28. Blood was collected in EDTA tubes and stored
◦
imidacloprid is a highly effective insecticide, registered for at −30 C prior to DNA extraction. PCR amplification and
use in dogs and cats as a spot-on product and is also avail- reverse line blot hybridisation (RLB) was carried out as
able in combination with permethrin (another pyrethroid) described by Matjila et al. (2005), employing an improved
®
for spot-on use in dogs (Advantix ) (Hellmann et al., laboratory protocol for detecting and differentiation of
2003). canine Babesia species. The protocol was improved by the
Recently, a combination of imidacloprid (10%) with addition of an internal quality plasmid control to check
flumethrin (4.5%) has been formulated in a collar matrix whether all probes were functioning properly. PCR-RLB
which proved safe to dogs and cats. Moreover, this col- tests were only conducted on blood samples collected from
lar exhibited a sustained high level of efficacy against ticks dogs that were diagnosed with B. canis infection based on
(Stanneck et al., 2012). Consequently, this collar may have blood smears or IFA test.
the potential to prevent the transmission of vector-borne Blood for serology (IFA test) was collected on day +14,
◦
diseases. +21 and +28 and frozen at −20 C until assayed for B. canis
This study was designed with the aim to evaluate the antibodies. An indirect fluorescent antibody (IFA) test was
efficacy of an imidacloprid/flumethrin collar formulation in used with B. canis antigen as substrate (Uilenberg et al.,
preventing the transmission of B. canis to dogs by infected 1989). All sera were diluted at 1:80. Sera were recorded as
D. reticulatus ticks. positive if specific fluorescence was observed at dilution
1:80 or negative (no fluorescence).
2. Materials and methods A laboratory-bred D. reticulatus tick strain infected with
Babesia canis-was used in the artificial infestations. A sam-
The study was conducted according to International ple of D. reticulatus ticks was taken from the batch of ticks to
Cooperation on Harmonization of Technical Requirements be used for infestation and the infection rate determined.
for Registration of Veterinary Medicinal Products Guide- 16 out of 36 ticks (44%) were found to be infected with
line 9: Good Clinical Practice (Anonymous, 2000). The study Babesia canis by PCR-RLB analysis. RLB analysis also con-
was a parallel group design, randomised, unicentre, con- firmed that the ticks were not infected with any other
trolled efficacy study using two groups of eight dogs each. known tick-borne pathogen. Adult ticks, which were used
Group 1: negative control (n = 8); Group 2: dogs fitted with in the artificial infestations, were unfed, at least 1 month
the collar on day −28 (n = 8). The negative control group old and had a balanced sex ratio (50% female: 50% male).
was not treated with a placebo collar making blinding of Each dog was artificially infested with approximately 50
the study impossible. On day −30 the 16 dogs were ranked ticks on day 0. The time of infestation was recorded for all
according to body weight, within gender (9 male and 7 animals.
female), in descending order from 16.6 to 10.8 kg indi- The time of tick counting was recorded. Day +2, +3,
vidual body weight. Animal ID’s were used to break ties. +4 and +5 tick counts were conducted in situ. During the
Within each gender animals were then blocked into blocks in situ thumb counts, ticks were categorised according to
of two dogs each. Within each block, dogs were randomly categories 1, 2, 4 and 5. The ticks counted and removed
allocated to Groups 1 or 2. The dogs were sub adult and on day +6 were categorised within gender (male/female)
J.J. Fourie et al. / Veterinary Parasitology 192 (2013) 273–278 275
Table 1
Categorization of ticks for counting.
Category General findings Attachment status
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 Live Free Attached; engorged
a
2 Live Attached; unengorged
b
3 Live Attached; engorged 4 Killed Free a
5 Killed Attached; unengorged
b
6 Killed Attached; engorged
0 0 0 0 0 0 0 0 0 0 0 0 0
a Attached; unengorged 2 2 1
No filling of the alloscutum evident.
b
Obvious or conspicuous filling of the alloscutum evident. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Dead
Free
according to categories 1–6 (see Table 1), adapted after
Marchiondo et al. (2007).
SAS Version 8 (release 8.02 TS Level 02M0) was used
0 0 0 0 0 0 0 0 for all the statistical analyses. Efficacy against ticks was 5 9 5 5 8 10 10
18
Attached; engorged
calculated for each treatment group at each assessment
day according to the formulas given below (EMEA, 2007).
Due to the fact that small and even zero tick counts were
+6
recorded, it was expected that the tick counts would not
0 0 0 0 0 0 0 0
6 4 6
follow a normal distribution. It was therefore decided day
Attached; unengorged 12 17 23 12 15
that the primary efficacy calculations would be based on
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Study Live Free
geometric means rather than arithmetic means. The cal-
culations were based on the geometric means of the tick
(count + 1) data. One (1) was subsequently subtracted from
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Attached 2
the result to obtain a meaningful value for the geomet-
ric mean of each treatment group. Percent efficacy against
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Dead Free
ticks was calculated as follows:
− G +5 G
mc mt
= × ,
Efficacy (%) 100 0 0 0 0 0 0 0 0
G day
20 mc Attached 18 26 34 22 14 16 18
where Gmc is the geometric number of live ticks (categories 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Study Live Free
1–3) on dogs in the negative control group (Group 1) at a
specific time point. Gmt is the geometric mean number of infestation).
live ticks and dead ticks (categories 1–3 and 6; (see Table 1) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Attached
after
residual efficacies) in the treatment group (Group 2) at a
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 specific time point (EMEA, 2007). Dead Free days
6
Descriptive statistics (mean, minimum, maximum, +4
and
standard deviation, CV%, geometric mean and median) on
5
0 0 0 0 0 0 0 0 day
20 20 Attached 28 35 21 16 22 22
tick counts for the various assessment days were calcu- 4,
3, lated.
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Study Live Free (2,
The groups were compared using an ANOVA with a
day
treatment effect after a logarithmic transformation on the
tick (count + 1) data. The level of significance of the formal
0 0 0 0 0 0 0 0 0 0 0 0 0 Attached 2 1 2 count
tests was set at 5%, all tests were two sided.
A protection failure (successfully infected) was regarded and
0 0 0 0 0 0 0 0 0 0 0 0 0 Dead Free 2 1 1
when a dog in the treatment group tested serologically pos-
+3
itive for Babesia canis antibodies as well as positive for B.
category
0 0 0 0 0 0
1 1
canis DNA in PCR-RLB assay. day
Attached 19 28 34 19 15 21 22 21
tick
The percentage protection for the treatment group was
by 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Study Live Free
calculated as follows:
Tc − Tt
group
= × , Protection (%) 100 T
c 0 0 0 0 0 0 0 0 0 0 Attached 3 1 1 3 1 5
where Tc is the total number of infected dogs in the negative
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Dead Free 1
control Group 1 and T is the total number of infected dogs treatment
t
in the treatment Group 2. +2
each
0 0 0 0 3 1 3 1 for day
20 20
Attached 21 26 34 23 24 18
3. Results
1 2
2
0 0 0 0 0 0 0 0 0 Study Live Free 2 counts
The tick counts for the two study groups are given 10 1 ID Group 2 3 4 5 6 7 80 Group 2 3 4 50 61 70 81
Table
in Table 2. The geometric mean tick counts recorded for Tick
276 J.J. Fourie et al. / Veterinary Parasitology 192 (2013) 273–278
Table 3
Mean tick counts by treatment group and percentage efficacies.
Day Geometric mean tick counts
Group 1 – negative control Group 2 – dogs fitted with collar
b a
+2 23.1 0.9 b a
+3 21.8 0.2 b a
+4 22.4 0.0 b a
+5 20.3 0.0
a
+6 18.7 0.0
Day Efficacies (%)
Group 2 – (dogs fitted with collar)
+2b 96.02 +3b 99.1 +4b 100.0 +5b 100.0
+6 100.0
a
Geometric mean tick count differs statistically significantly (p < 0.05) from that recorded for the negative control Group 1.
b
In situ counts.
Table 4
A summary of clinical observations recorded.
Dog number Group Day Fever Blood smear Other observations
◦
3 40.5 C Positive for Babesia canis Not observed
1 +6 ◦
7 39.8 C Positive for B. canis Not observed
◦
2 39.9 C B. canis + Haemoglobinuria
◦
3 39.4 C B canis + Haemoglobinuria
◦
5 39.5 C B. canis + Not observed
1 ◦
6+7 40.3 C B. canis + Haemoglobinuria
◦
8 39.7 C B. canis + Not observed
◦
7 40.5 C B. canis + Haemoglobinuria
◦
1 2 38.7 C Negative for B. canis Tremors – nervousness
6E1 208 1 +9 No fever; blood smear positive for B. canis. Depressed; enlarged spleen; pale mucous membranes
both groups are summarised in Table 3. A mean tick count Eight of 8 untreated control dogs developed specific anti-
of 23.1 was recorded for the untreated negative control bodies to B. canis on one or more post-challenge time
group on day +2 indicating a vigorous tick challenge. Effi- points (Table 5). None of the treated dogs tested positive
cacy values (%) based on geometric mean tick counts for for B. canis antibodies on any of the post challenge time
the treated group are also summarised in Table 3. The points (Table 5). PCR-RLB tests that were conducted on dogs
collar was highly effective against challenges with D. retic- that were diagnosed with B. canis based on blood smear
ulatus ticks 1 month after application. Tick mortality as
high as 96.02% was recorded 48 h post challenge with
Table 5
100% of all infested ticks being dead within 4 days post
Babesia canis antibodies in individual dogs according to treatment group.
challenge.
−
The clinical signs observed in the untreated control Dog number Group Day 35 Day 0 Day 14 Day 21 Day 28
group were correlated with onset and progress of babesio-
1 – – POS POS POS
sis and are summarised in Table 4. On day 6 post tick 2– – POS POS POS
3 – – POS POS POS
application, two dogs reacted with fever and Babesia para-
4 – – POS POS POS
sites were detected in blood smears. The next day both dogs 1
5 – – POS POS POS
displayed fever again and parasites were again detected.
6 – – – POS –
Both were treated with imidocarb dipropionate (12%) and 7––– POS POS
recovered. Four other dogs developed fever on day 7 8 – – POS POS POS
and were positive on blood smears (Table 4). The two
1 – – – – –
remaining dogs in the untreated group did not develop 2 – – – – –
fever, but were depressed with pale mucous membranes 3 – – – – –
4 – – – – –
and enlarged spleen upon palpation with blood smears 2
5– – – – –
revealing the presence of Babesia parasites. All 8 dogs
6 – – – – –
were rescue treated with imidocarb dipropionate and fully 7 – – – – –
recovered. 8– – – – –
All dogs included in the study tested negative for B. −
POS: positive for Babesia canis antibodies; , negative for Babesia canis
canis antibodies in the IFA assay prior to tick infestation. antibodies.
J.J. Fourie et al. / Veterinary Parasitology 192 (2013) 273–278 277
Table 6
Detection of Babesia canis DNA by PCR/RLB in individual dogs.
Dog number Group Day 6 Day 7 Day 8 Day 9 Day 10 Day 11 Day 12 Day 13
1 – – – POS – – – –
2 – POS – – – – – –
3 POS – – – – – – –
4 – – – POS – – – –
1
5 – POS – – – – – –
6 – POS – – – – – –
7 POS – – – – – – –
8 – POS – – – – – –
1 – – – – – – – –
2 – – – – – – – –
3 – – – – – – – –
4 – – – – – – – –
2
5 – – – – – – – –
6 ––––– – – –
7 – – – – – – – –
8– – – – – – – –
POS: confirmed positive for Babesia canis DNA; −, tested negative.
evaluation were all confirmed B. canis positive at differ- 8 months (Stanneck et al., 2012). This proven sustainable
ent time points from day 6 to day 9 after tick challenge high efficacy of the collar over 8 months strongly suggests
(Table 6). that the prevention of B. canis transmission may have the
The level of protection (100%) of the imidaclo- same duration.
prid/flumethrin collar in preventing transmission of B. canis Transmission blocking has become a novel standard in
by infected Dermacentor ticks is summarised in Table 7, the evaluation of the capacity of anti-tick compounds to
together with the 95% confidence interval (69–100%) and prevent transmission of tick-borne pathogens to dogs: The
p-value (0.0002) from the Fisher’s exact test. transmission blocking model for D. reticulatus ticks as used
in the present study was recently developed and used suc-
cessfully for the first time with a novel combination of
4. Discussion and conclusion
®
fipronil, amitraz and (S)-methoprene (Certifect ) (Jongejan
et al., 2011). The advantage of this model is that the chal-
The imidacloprid/flumethrin collar, which has recently
® lenge load with infected ticks can be pre-determined and
been registered (Seresto ) by Bayer Animal Health GmbH
standardised. Several other studies have been carried out
(Leverkusen, Germany) was well tolerated by the dogs.
to ascertain the capability of various anti-tick compounds
The efficacy of 96.02% of ticks killed 48 h post challenge,
to prevent transmission of tick-borne pathogens to dogs.
which increased to 100% mortality within 4 days, was in
In these studies, dogs were either exposed to infected
line with the reported efficacy above 97% against adult D.
ticks under field conditions or infected ticks were collected
reticulatus ticks (Stanneck et al., 2012). Moreover, the speed
from the field and tested on dogs under controlled lab-
of kill by the collar against infesting ticks is of particular
oratory conditions (Spencer et al., 2003; Jacobson et al.,
importance with respect to the ability to block transmis-
2004; Blackburn et al., 2004; Last et al., 2007; McCall et al.,
sion of pathogens. Evidently, this speed was sufficient in
2011).
order to prevent transmission of mature Babesia sporo-
For instance, the capacity of an amitraz-impregnated
zoites into the treated dogs, whereas they were readily
collar to block transmission of Babesia rossi by Haema-
transmitted to the untreated control group. Development
physalis elliptica ticks has been evaluated in the field in
of Babesia sporoblasts into mature sporozoites within the
South Africa. Eight of 30 control dogs (26.6%) became
tick’s salivary gland was therefore prevented by the treat-
PCR/RLB positive during the trial period, which lasted
ment, despite the fact that 44% of the ticks were infected.
for 6 months. None of the treated dogs became infected
Moreover, it has been demonstrated that this collar has a
with babesiosis during the same period (Last et al., 2007).
sustained acaricidal (48 h killing) efficacy over a period of
Furthermore, in a laboratory study targetting B. burgdor-
feri, when challenge infestation was conducted 28 days
after application of fipronil/(S)-methoprene, the treatment
Table 7
Comparison of treated and control dog group for Babesia canis infection. prevented all but 2 of 16 dogs from becoming infected
and was 97.6% effective against tick infestation 48 h after
Group 1 Group 2
tick challenge (Jacobson et al., 2004). In addition, imi-
(n = 8) (n = 8)
dacloprid/permethrin spot-on prevented transmission of
Infected 8 0
A. phagocytophilum from field collected Ixodes scapularis
Non-infected 0 8
ticks reported by Blagburn et al. (2004). Recently, the
% Infected 100 0
% Protection – 100 ability of the topical combination of fipronil, amitraz
95% Confidence interval: % protection 69–100
and (S)-methoprene protected dogs from B. burgdorferi
p-Value – 0.0002
and A. phagocytophilum using dual infected field collected
278 J.J. Fourie et al. / Veterinary Parasitology 192 (2013) 273–278
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the speed of transmission and the early events after tick
Blagburn, B.L., Spencer, J.A., Billeter, S.A., Drazenovich, N.L., Butler, J.M.,
attachment may be easier to address by using in vitro tick
Land, T.M., Dykstra, C.C., Stafford, K.C., Pough, M.B., Levy, S.A., Bledsoe,
feeding methods (Kröber and Guerin, 2007). D.L., 2004. Use of imidacloprid–permethrin to prevent transmission of
Anaplasma phagocytophilum from naturally infected Ixodes scapularis
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analysed the data. FJ wrote the first draft of the manuscript,
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which was subsequently revised and the final version
of the prophylactic efficacy of amitraz-impregnated collars against
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Assoc. 78, 63–65.
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Competing interests
D.E., 2007. World Association for the Advancement of Veteri-
nary Parasitology (W.A.A.V.P.) guidelines for evaluating the efficacy
This clinical study was completely funded by Bayer of parasiticides for the treatment, prevention and control of
flea and tick infestation on dogs and cats. Vet. Parasitol. 145,
Animal Health GmbH Monheim, Germany, of which D.
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Stanneck (Germany) is an employee. ClinVet, of which J.J.
McCall, J.W., Baker, C.F., Mather, T.N., Chester, S.T., McCall, S.D., Irwin, J.P.,
Fourie is an employee, is an independent, South African, Young, S.L., Cramer, L.G., Pollmeier, M.G., 2011. The ability of a topical
novel combination of fipronil, amitraz and (S)-methoprene to pro-
Contract Research Organisation contracted to manage the
tect dogs from Borrelia burgdorferi and Anaplasma phagocytophilum
conduct of the study. F. Jongejan is PhD supervisor of JJF
infections transmitted by Ixodes scapularis. Vet. Parasitol. 179,
and Professor at the Universities of Pretoria and Utrecht. 335–342.
Matjila, P.T., Nijhof, A.M., Taoufik, A., Houwers, D., Teske, E., Penzhorn,
All authors voluntarily publish this article and have no
B.L., de Lange, T., Jongejan, F., 2005. Autochthonous canine babesiosis
personal interest in these studies other than publishing
in The Netherlands. Vet. Parasitol. 131, 23–29.
the scientific findings that they have been involved in via Øines, Ø., Storli, K., Brun-Hansen, H., 2010. First case of babesiosis caused
planning, initiating, monitoring and conducting the inves- by Babesia canis canis in a dog from Norway. Vet. Parasitol. 171,
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D.L., Blagburn, B.L., 2003. Evaluation of permethrin and imidacloprid
Acknowledgement for prevention of Borrelia burgdorferi transmission from blacklegged
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staff at Clinvet International (Republic of South Africa) in reticulatus and Ixodes ricinus in Hungary: evidence for change? Vet.
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