Rocky Mountain spotted fever (RMSF) is a severe tickborne disease that can reach epidemic proportions in communities with certain social and ecologic risk factors. In some areas, the case-fatality rate of brown dog tick-associated RMSF is up to 50%. Because of the spread of brown dog tick–associated RMSF in the southwestern United States and northern Mexico, the disease has the potential to emerge and become endemic in other communities that have large populations of free-roaming dogs, brown dog ticks, limited resources, and low provider awareness of the disease. By using a One Health approach, interdisciplinary teams can identify communities at risk and prevent severe or fatal RMSF in humans before cases occur. We have developed a conceptual framework for RMSF prevention to enable communities to identify their RMSF risk level and implement prevention and control strategies.

落基山斑疹热 （RMSF） 是一种严重的蜱传疾病，在具有某些社会和生态风险因素的社区中可达到流行病的程度。在一些地区，棕色狗蜱相关 RMSF 的病死率高达 50%。由于与棕色狗蜱相关的 RMSF 在美国西南部和墨西哥北部传播，该疾病有可能在其他社区出现并成为地方病，这些社区拥有大量自由漫游的狗、棕色狗蜱、资源有限和提供者对该疾病的认识较低。通过使用 One Health 方法，跨学科团队可以识别有风险的社区，并在病例发生之前预防人类严重或致命的 RMSF。我们制定了 RMSF 预防概念框架，使社区能够确定其 RMSF 风险水平并实施预防和控制策略。