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Fig. 2 | BMC Public Health

Fig. 2

From: Malaria and Lyme disease - the largest vector-borne US epidemics in the last 100 years: success and failure of public health

Fig. 2

Incidence rates over time (years) for four vector-borne diseases. Arrows and the associated notes indicate main control and prevention measures employed during the time period. a Malaria (USA reproduced from [17] human-to-human pathogen transmission by a mosquito vector. Main control measures focused on the mosquito vector and included drainage, ditching, biological control with mosquitofish, and Paris Green larviciding in the early years, large-scale federal public works projects after 1933, and in-house DDT sprays 1945–1949 [10, 12, 21, 29, 30]. b Lyme disease (USA, MMWR Morb Mortal Wkly Rep: June 28, 1985 / 34 (10) 376–8; October 06, 1989 / 38 (43) 668–72; Jun 28, 1991 / 40 (10):417–21; March 16, 2001 / 50 (18);181–5; May 7, 2004 / 53 (12) 365–9; June 15, 2007 / 56 (29) 573–6; May 4, 2018 / 67 (12) 496–501) enzootic transmission between tick vectors and rodent hosts. Main preventative measures included public education, personal protection, landscape modification, and backyard treatments [53,54,55,56]. c Tick-borne encephalitis (USSR/Russia reproduced from [57] enzootic transmission between tick vectors and rodent hosts [57, 58]. Very large-scale DDT applications targeted tick vectors in 1960s to 1971. A TBE vaccine has been widely available since early 1980s. d Tularemia (USSR/Russia reproduced from [59] enzootic transmission between mostly tick vectors and rodent hosts, also other routes [59, 60]. Very large scale control efforts in 1940s–1960s included mass-vaccinations, targeting tick vectors with DDT, and greatly reducing the host rodent populations by hunting, trapping, and poisoning. Since 1960s a limited number of people in the risk areas are vaccinated annually

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