Ticks and Tick-Borne Pathogens in Popular Recreational Areas in Tallinn, Estonia: The Underestimated Risk of Tick-Borne Diseases

This study reveals a significant presence of ticks and tick-borne pathogens in urban recreational areas of Tallinn, Estonia. During the period of May-June 2018, 815 <i>Ixodes</i> ticks were collected from an area of 11,200 m² using the flagging method. Tick density reached up to 18.8 ticks per 100 m², indicating a high concentration of ticks in these urban green spaces. Pathogen analysis demonstrated that 34% of the collected ticks were infected with at least one pathogen. Specifically, <i>Borrelia burgdorferi</i> s.l., the causative agent of Lyme borreliosis, was detected in 17.4% of the ticks; <i>Rickettsia</i> spp. was detected in 13.5%; <i>Neoehrlichia mikurensis</i> was detected in 5.5%; <i>Borrelia miyamotoi</i> was detected in 2.6%; and <i>Anaplasma phagocytophilum</i> and tick-borne encephalitis virus were detected in 0.5% each. These findings indicate that the prevalence and abundance of ticks and tick-borne pathogens in these urban environments are comparable to or even exceed those observed in natural endemic areas. Given the increasing incidence of Lyme borreliosis in Central and Northern Europe, the risk of tick bites and subsequent infection in urban recreational sites should not be underestimated. Public health measures, including enhanced awareness and precautionary information, are essential to mitigate the risk of tick-borne diseases in these urban settings.