In 2018, Heartland disease virus infected 2 persons in Illinois, USA. In 2019, ticks were collected at potential tick bite exposure locations and tested for Heartland and Bourbon viruses. A Heartland virus-positive pool of adult male Amblyomma americanum ticks was found at 2 locations, 439 km apart, suggesting widespread distribution in Illinois.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323525PMC
http://dx.doi.org/10.3201/eid2607.200110DOI Listing

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