{"id":"https://openalex.org/W7225742934","doi":"https://doi.org/10.4269/ajtmh.26-0246","title":"Heartland Virus Disease in the United States, 2018\u20132024","display_name":"Heartland Virus Disease in the United States, 2018\u20132024","publication_year":2026,"publication_date":"2026-11-10","ids":{"openalex":"https://openalex.org/W7225742934","doi":"https://doi.org/10.4269/ajtmh.26-0246"},"language":"en","primary_location":{"id":"doi:10.4269/ajtmh.26-0246","doi":"https://doi.org/10.4269/ajtmh.26-0246","is_oa":false,"landing_page_url":"https://doi.org/10.4269/ajtmh.26-0246","pdf_url":null,"source":{"id":"https://openalex.org/S100045985","display_name":"American Journal of Tropical Medicine and Hygiene","issn_l":"0002-9637","issn":["0002-9637","1476-1645"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315658","host_organization_name":"American Society of Tropical Medicine and Hygiene","host_organization_lineage":["https://openalex.org/P4310315658"],"host_organization_lineage_names":["American Society of Tropical Medicine and Hygiene"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American Journal of Tropical Medicine and Hygiene","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5071924109","display_name":"Hannah Padda","orcid":"https://orcid.org/0000-0002-0142-4951","observed_orcids":["https://orcid.org/0000-0002-0142-4951"]},"institutions":[{"id":"https://openalex.org/I1289490764","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hannah Padda","raw_affiliation_strings":["Arboviral Diseases Branch, US Centers for Disease Control and Prevention, Fort Collins, Colorado, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Arboviral Diseases Branch, US Centers for Disease Control and Prevention, Fort Collins, Colorado, USA;","institution_ids":["https://openalex.org/I1289490764"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082122612","display_name":"Molly Baker","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210144731","display_name":"Missouri Department of Health and Senior Services","ror":"https://ror.org/041qkag73","country_code":"US","type":"government","lineage":["https://openalex.org/I4210144731"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Molly Baker","raw_affiliation_strings":["Missouri Department of Health and Senior Services, Jefferson City, Missouri, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Missouri Department of Health and Senior Services, Jefferson City, Missouri, USA;","institution_ids":["https://openalex.org/I4210144731"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016733825","display_name":"Monica Beddo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210144731","display_name":"Missouri Department of Health and Senior Services","ror":"https://ror.org/041qkag73","country_code":"US","type":"government","lineage":["https://openalex.org/I4210144731"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Monica Beddo","raw_affiliation_strings":["Missouri Department of Health and Senior Services, Jefferson City, Missouri, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Missouri Department of Health and Senior Services, Jefferson City, Missouri, USA;","institution_ids":["https://openalex.org/I4210144731"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161390716","display_name":"Morgan Smith","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210142286","display_name":"Kentucky Department for Public Health","ror":"https://ror.org/05a33s425","country_code":"US","type":"government","lineage":["https://openalex.org/I4210136104","https://openalex.org/I4210142286"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Morgan Smith","raw_affiliation_strings":["Division of Epidemiology and Health Planning, Kentucky Department for Public Health, Frankfort, Kentucky, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Epidemiology and Health Planning, Kentucky Department for Public Health, Frankfort, Kentucky, USA;","institution_ids":["https://openalex.org/I4210142286"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077846917","display_name":"Stephen Hedges","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210163784","display_name":"Arkansas Department of Health","ror":"https://ror.org/054p2n359","country_code":"US","type":"government","lineage":["https://openalex.org/I4210163784"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stephen Hedges","raw_affiliation_strings":["Arkansas Department of Health, Little Rock, Arkansas, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Arkansas Department of Health, Little Rock, Arkansas, USA;","institution_ids":["https://openalex.org/I4210163784"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161394553","display_name":"Jonathan Popovitch","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1331244672","display_name":"Illinois Department of Public Health","ror":"https://ror.org/027bk5v43","country_code":"US","type":"government","lineage":["https://openalex.org/I1331244672","https://openalex.org/I4391767654"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jonathan Popovitch","raw_affiliation_strings":["Division of Infectious Diseases, Illinois Department of Public Health, Springfield, Illinois, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Infectious Diseases, Illinois Department of Public Health, Springfield, Illinois, USA;","institution_ids":["https://openalex.org/I1331244672"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038928582","display_name":"Stephanie Lindemann","orcid":"https://orcid.org/0000-0002-7923-5616","observed_orcids":["https://orcid.org/0000-0002-7923-5616"]},"institutions":[{"id":"https://openalex.org/I4210113071","display_name":"Kansas Department of Health and Environment","ror":"https://ror.org/0258b0610","country_code":"US","type":"government","lineage":["https://openalex.org/I4210113071"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stephanie Lindemann","raw_affiliation_strings":["Kansas Department of Health and Environment, Topeka, Kansas, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kansas Department of Health and Environment, Topeka, Kansas, USA;","institution_ids":["https://openalex.org/I4210113071"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109709011","display_name":"Erin M. Petro","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210113071","display_name":"Kansas Department of Health and Environment","ror":"https://ror.org/0258b0610","country_code":"US","type":"government","lineage":["https://openalex.org/I4210113071"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Erin Petro","raw_affiliation_strings":["Kansas Department of Health and Environment, Topeka, Kansas, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kansas Department of Health and Environment, Topeka, Kansas, USA;","institution_ids":["https://openalex.org/I4210113071"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084723391","display_name":"Abelardo C. Moncayo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210128310","display_name":"Tennessee Department of Health","ror":"https://ror.org/03wmmfz90","country_code":"US","type":"government","lineage":["https://openalex.org/I4210128310"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Abelardo C. Moncayo","raw_affiliation_strings":["Vector-Borne Diseases Program, Tennessee Department of Health, Nashville, Tennessee, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Vector-Borne Diseases Program, Tennessee Department of Health, Nashville, Tennessee, USA;","institution_ids":["https://openalex.org/I4210128310"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161401391","display_name":"Teresa Fisher","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1289992829","display_name":"NC Department of Health and Human Services","ror":"https://ror.org/0293qmt12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289992829"]},{"id":"https://openalex.org/I4210134062","display_name":"North Carolina Division of Public Health","ror":"https://ror.org/034t5cp02","country_code":"US","type":"government","lineage":["https://openalex.org/I4210134062"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Teresa Fisher","raw_affiliation_strings":["Division of Public Health, North Carolina Department of Health and Human Services, Raleigh, North Carolina, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Public Health, North Carolina Department of Health and Human Services, Raleigh, North Carolina, USA;","institution_ids":["https://openalex.org/I1289992829","https://openalex.org/I4210134062"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052549016","display_name":"Julie Coughlin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800466922","display_name":"Iowa Department of Human Services","ror":"https://ror.org/0077tm911","country_code":"US","type":"government","lineage":["https://openalex.org/I2800466922"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Julie Coughlin","raw_affiliation_strings":["Iowa Department of Health and Human Services, Des Moines, Iowa, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Iowa Department of Health and Human Services, Des Moines, Iowa, USA;","institution_ids":["https://openalex.org/I2800466922"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161378771","display_name":"Kira Richardson","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kira Richardson","raw_affiliation_strings":["Vector-Borne and Zoonotic Disease Program, Indiana Department of Health, Indianapolis, Indiana, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Vector-Borne and Zoonotic Disease Program, Indiana Department of Health, Indianapolis, Indiana, USA;","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079483636","display_name":"Jennifer L. White","orcid":"https://orcid.org/0000-0001-6343-6109","observed_orcids":["https://orcid.org/0000-0001-6343-6109"]},"institutions":[{"id":"https://openalex.org/I1298060332","display_name":"New York State Department of Health","ror":"https://ror.org/04hf5kq57","country_code":"US","type":"government","lineage":["https://openalex.org/I1298060332"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jennifer White","raw_affiliation_strings":["Bureau of Communicable Disease Control, New York State Department of Health, Albany, New York, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bureau of Communicable Disease Control, New York State Department of Health, Albany, New York, USA;","institution_ids":["https://openalex.org/I1298060332"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005140315","display_name":"Krystal L. Mason","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1314730391","display_name":"Pennsylvania Department of Health","ror":"https://ror.org/00ra1fg11","country_code":"US","type":"government","lineage":["https://openalex.org/I1314730391"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Krystal Mason","raw_affiliation_strings":["Bureau of Epidemiology, Pennsylvania Department of Health, Harrisburg, Pennsylvania, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bureau of Epidemiology, Pennsylvania Department of Health, Harrisburg, Pennsylvania, USA;","institution_ids":["https://openalex.org/I1314730391"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048543294","display_name":"Ashley Schafer","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ashley Schafer","raw_affiliation_strings":["Disease Investigation and Surveillance, Chester County Health Department, West Chester, Pennsylvania, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Disease Investigation and Surveillance, Chester County Health Department, West Chester, Pennsylvania, USA;","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045325015","display_name":"James Broyhill","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1313473894","display_name":"Virginia Department of Health","ror":"https://ror.org/00j2wht38","country_code":"US","type":"government","lineage":["https://openalex.org/I1313473894"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"James Broyhill","raw_affiliation_strings":["Division of Surveillance and Investigation, Virginia Department of Health, Richmond, Virginia, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Surveillance and Investigation, Virginia Department of Health, Richmond, Virginia, USA","institution_ids":["https://openalex.org/I1313473894"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110928365","display_name":"Kelly A. Fitzpatrick","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1289490764","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kelly A. Fitzpatrick","raw_affiliation_strings":["Arboviral Diseases Branch, US Centers for Disease Control and Prevention, Fort Collins, Colorado, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Arboviral Diseases Branch, US Centers for Disease Control and Prevention, Fort Collins, Colorado, USA;","institution_ids":["https://openalex.org/I1289490764"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085127892","display_name":"Janeen J. Laven","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1289490764","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Janeen Laven","raw_affiliation_strings":["Arboviral Diseases Branch, US Centers for Disease Control and Prevention, Fort Collins, Colorado, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Arboviral Diseases Branch, US Centers for Disease Control and Prevention, Fort Collins, Colorado, USA;","institution_ids":["https://openalex.org/I1289490764"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040023880","display_name":"Amanda J. Panella","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1289490764","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Amanda Panella","raw_affiliation_strings":["Arboviral Diseases Branch, US Centers for Disease Control and Prevention, Fort Collins, Colorado, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Arboviral Diseases Branch, US Centers for Disease Control and Prevention, Fort Collins, Colorado, USA;","institution_ids":["https://openalex.org/I1289490764"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005892166","display_name":"Jason O. Velez","orcid":"https://orcid.org/0000-0003-1853-4222","observed_orcids":["https://orcid.org/0000-0003-1853-4222"]},"institutions":[{"id":"https://openalex.org/I1289490764","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jason Velez","raw_affiliation_strings":["Arboviral Diseases Branch, US Centers for Disease Control and Prevention, Fort Collins, Colorado, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Arboviral Diseases Branch, US Centers for Disease Control and Prevention, Fort Collins, Colorado, USA;","institution_ids":["https://openalex.org/I1289490764"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043614950","display_name":"Jennifer A. Lehman","orcid":"https://orcid.org/0000-0001-7114-208X","observed_orcids":["https://orcid.org/0000-0001-7114-208X"]},"institutions":[{"id":"https://openalex.org/I1289490764","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jennifer Lehman","raw_affiliation_strings":["Arboviral Diseases Branch, US Centers for Disease Control and Prevention, Fort Collins, Colorado, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Arboviral Diseases Branch, US Centers for Disease Control and Prevention, Fort Collins, Colorado, USA;","institution_ids":["https://openalex.org/I1289490764"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113652043","display_name":"Carolyn V. Gould","orcid":"https://orcid.org/0000-0002-8216-0803","observed_orcids":["https://orcid.org/0000-0002-8216-0803"]},"institutions":[{"id":"https://openalex.org/I1289490764","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Carolyn V. Gould","raw_affiliation_strings":["Arboviral Diseases Branch, US Centers for Disease Control and Prevention, Fort Collins, Colorado, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Arboviral Diseases Branch, US Centers for Disease Control and Prevention, Fort Collins, Colorado, USA;","institution_ids":["https://openalex.org/I1289490764"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5043273698","display_name":"J. Erin Staples","orcid":"https://orcid.org/0000-0002-1446-4071","observed_orcids":["https://orcid.org/0000-0002-1446-4071"]},"institutions":[{"id":"https://openalex.org/I1289490764","display_name":"Centers for Disease Control and Prevention","ror":"https://ror.org/042twtr12","country_code":"US","type":"government","lineage":["https://openalex.org/I1289490764","https://openalex.org/I1299022934"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"J. Erin Staples","raw_affiliation_strings":["Arboviral Diseases Branch, US Centers for Disease Control and Prevention, Fort Collins, Colorado, USA;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Arboviral Diseases Branch, US Centers for Disease Control and Prevention, Fort Collins, Colorado, USA;","institution_ids":["https://openalex.org/I1289490764"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":13,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12047","display_name":"Viral Infections and Vectors","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12047","display_name":"Viral Infections and Vectors","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10296","display_name":"Vector-borne infectious diseases","score":0.0015999999595806003,"subfield":{"id":"https://openalex.org/subfields/2405","display_name":"Parasitology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10166","display_name":"Mosquito-borne diseases and control","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7918999791145325},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.7123000025749207},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.7049000263214111},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.6503999829292297},{"id":"https://openalex.org/C524204448","wikidata":"https://www.wikidata.org/wiki/Q788926","display_name":"Infectious disease (medical specialty)","level":3,"score":0.5220000147819519},{"id":"https://openalex.org/C2780084366","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demographics","level":2,"score":0.44909998774528503},{"id":"https://openalex.org/C2780727368","wikidata":"https://www.wikidata.org/wiki/Q1928978","display_name":"Viral disease","level":3,"score":0.421099990606308},{"id":"https://openalex.org/C2522874641","wikidata":"https://www.wikidata.org/wiki/Q808","display_name":"Virus","level":2,"score":0.4140999913215637},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.35040000081062317},{"id":"https://openalex.org/C138894074","wikidata":"https://www.wikidata.org/wiki/Q7201694","display_name":"Plaque reduction neutralization test","level":4,"score":0.3497999906539917},{"id":"https://openalex.org/C159047783","wikidata":"https://www.wikidata.org/wiki/Q7215","display_name":"Virology","level":1,"score":0.3483000099658966},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.33709999918937683},{"id":"https://openalex.org/C2780664029","wikidata":"https://www.wikidata.org/wiki/Q5282120","display_name":"Disease burden","level":3,"score":0.3253999948501587},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.30660000443458557},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.2937999963760376},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.2879999876022339},{"id":"https://openalex.org/C116675565","wikidata":"https://www.wikidata.org/wiki/Q3241045","display_name":"Outbreak","level":2,"score":0.2838999927043915},{"id":"https://openalex.org/C22070199","wikidata":"https://www.wikidata.org/wiki/Q192995","display_name":"Vaccination","level":2,"score":0.2680000066757202},{"id":"https://openalex.org/C2776480101","wikidata":"https://www.wikidata.org/wiki/Q3555250","display_name":"Disease surveillance","level":3,"score":0.2612000107765198},{"id":"https://openalex.org/C135763542","wikidata":"https://www.wikidata.org/wiki/Q106016","display_name":"Genotype","level":3,"score":0.257099986076355},{"id":"https://openalex.org/C2993083740","wikidata":"https://www.wikidata.org/wiki/Q7897815","display_name":"Geographic variation","level":3,"score":0.25279998779296875}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.4269/ajtmh.26-0246","doi":"https://doi.org/10.4269/ajtmh.26-0246","is_oa":false,"landing_page_url":"https://doi.org/10.4269/ajtmh.26-0246","pdf_url":null,"source":{"id":"https://openalex.org/S100045985","display_name":"American Journal of Tropical Medicine and Hygiene","issn_l":"0002-9637","issn":["0002-9637","1476-1645"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315658","host_organization_name":"American Society of Tropical Medicine and Hygiene","host_organization_lineage":["https://openalex.org/P4310315658"],"host_organization_lineage_names":["American Society of Tropical Medicine and Hygiene"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American Journal of Tropical Medicine and Hygiene","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"ABSTRACT.":[0],"Heartland":[1,20],"virus":[2,21],"(HRTV),":[3],"a":[4,11],"tick-borne":[5,27],"virus,":[6],"was":[7],"first":[8],"discovered":[9],"as":[10],"cause":[12],"of":[13,77,82,91,110,114,177,208,242,249],"human":[14],"disease":[15,22,48,95,112,181,210,223],"in":[16,18,121,125,198,213],"Missouri":[17],"2011.":[19],"presents":[23],"similarly":[24],"to":[25,158],"other":[26],"infectious":[28],"diseases,":[29],"with":[30,93,107,162,172,174],"acute":[31],"febrile":[32],"illness":[33,154],"accompanied":[34],"by":[35,49],"thrombocytopenia,":[36],"leukopenia,":[37],"and":[38,59,74,85,129,140,146,168,195,229,234,245],"elevated":[39],"liver":[40],"enzymes.":[41],"In":[42],"2018,":[43],"diagnostic":[44,204],"testing":[45],"for":[46,80],"HTRV":[47],"reverse":[50],"transcriptase":[51],"polymerase":[52],"chain":[53],"reaction,":[54],"IgM":[55],"microsphere":[56],"immunosorbent":[57],"assay,":[58],"plaque":[60],"reduction":[61],"neutralization":[62],"test":[63],"became":[64],"routinely":[65],"available":[66],"at":[67],"the":[68,72,88,126,206,214,222,243],"CDC.":[69],"We":[70],"describe":[71],"demographics":[73],"geographic":[75,200],"distribution":[76],"patients":[78,92,101,106,116,134,161,173,182],"tested":[79],"evidence":[81,109,176],"HRTV":[83,94,111,163,178,180,209,250],"disease,":[84,164,179],"we":[86,103],"note":[87],"clinical":[89],"outcomes":[90],"identified":[96,104,212],"during":[97,156],"2018\u20132024.":[98],"Of":[99],"279":[100],"tested,":[102],"38":[105],"laboratory":[108],"(median":[113,185],"5":[115],"per":[117],"year).":[118],"Patients":[119],"resided":[120],"13":[122],"states":[123],"located":[124],"eastern,":[127],"southeastern,":[128],"central":[130],"United":[131,215],"States.":[132],"All":[133],"were":[135,144,166,183],"ages":[136],"50":[137],"years":[138,191],"old":[139],"older,":[141],"29":[142],"(76%)":[143],"male,":[145],"most":[147],"(":[148],"n":[149],"=":[150,187],"36;":[151],"95%)":[152],"had":[153],"onset":[155],"April":[157],"September.":[159],"Among":[160],"92%":[165],"hospitalized,":[167],"13%":[169],"died.":[170],"Compared":[171],"no":[175],"older":[184],"age":[186],"68":[188],"versus":[189],"51":[190],"old,":[192],"P":[193],"<0.05)":[194],"more":[196,218],"limited":[197],"their":[199],"distribution.":[201],"Through":[202],"routine":[203],"testing,":[205],"number":[207],"cases":[211],"States":[216],"has":[217],"than":[219],"doubled,":[220],"but":[221],"remains":[224],"relatively":[225],"uncommon.":[226],"Continued":[227],"surveillance":[228],"increased":[230],"awareness":[231],"among":[232],"clinicians":[233],"public":[235,246],"health":[236,247],"officials":[237],"can":[238],"help":[239],"improve":[240],"understanding":[241],"epidemiology":[244],"burden":[248],"disease.":[251]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-11T00:00:00"}
