Vector-borne parasitic infections in dogs in the Baltic and Nordic countries: A questionnaire study to veterinarians on canine babesiosis and infections with Dirofilaria immitis and Dirofilaria repens
Abstract
Canine vector-borne diseases have been spreading northwards in Europe, and canine babesiosis and infections with Dirofilaria immitis (heartworm) and Dirofilaria repens have been diagnosed also in the Baltic and the Nordic countries. We used an online questionnaire to survey how large a proportion of veterinarians in the Baltic (Estonia, Latvia, and Lithuania) and the Nordic countries (Denmark, Finland, Iceland, Norway, and Sweden) saw canine babesiosis cases and dogs infected with D. immitis and D. repens in 2016. In addition, questions regarding transmission, zoonotic potential, clinical signs, and treatment of the infections were asked. The questionnaire was completed by 122 veterinarians. In 2016, 23% of them had seen at least one case of canine babesiosis, 15% at least one dog with D. immitis infection, and 9% at least one dog with D. repens infection. A veterinarian working in the Baltic countries had 12.2 times higher odds to have seen a canine babesiosis case and 9.3 times higher odds to have seen a dog with D. repens infection than a veterinarian working in the Nordic countries did. While 48% of the veterinarians knew that canine babesiosis is not considered a zoonosis, 26% knew that D. immitis is zoonotic and 34% knew that D. repens is zoonotic. The results suggested that autochthonous cases of the three vector-borne parasitic infections were seen by veterinarians in the Baltic countries, whereas most cases seen by veterinarians in the Nordic countries appeared to be imported. A substantial proportion of the veterinarians did not know whether the parasites are zoonotic.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Based on questionnaire answers, autochthonous cases of D. immitis infections were seen by veterinarians in the Baltic countries, whereas most cases in Nordic countries appeared to be imported.
“Based on the answers to a questionnaire, autochthonous cases of D. immitis infections were seen by veterinarians in the Baltic countries, whereas most cases seen by veterinarians in the Nordic countries appeared to be imported [64].”
From What has happened to heartworm disease in Europe in the last 10 years? (2022) · cites this paper as [64]
In a questionnaire study, 11.0% of veterinarians practicing in Nordic countries reported having seen dogs with D. immitis infection, 3.0% reported D. repens infection in 2016, and a majority of cases were in dogs with a history of travel or import.
“Results of a questionnaire study among veterinarians showed that 11.0% of the participating veterinarians who were practicing in Nordic countries reported having seen dogs with D. immitis infection, 3.0% reported having seen dogs with D. repens infection in 2016, and a majority of the cases were reported to be in dogs with a history of travel or import [56].”
From Dirofilaria spp. and Angiostrongylus vasorum: current risk of spreading in Central and Northern Europe. (2021) · cites this paper as [56]
Almost a fourth of veterinarians practicing in Baltic countries reported having seen dogs with D. repens infection, and none of these dogs had a history of travel or import.
“almost a fourth of veterinarians practicing in Baltic countries reported having seen dog(s) with D. repens infection, and none of these had a history of travel or import [56].”
From Dirofilaria spp. and Angiostrongylus vasorum: current risk of spreading in Central and Northern Europe. (2021) · cites this paper as [56]
Cites
Human and animal dirofilariasis: The emergence of a zoonotic mosaic
Simón, F., Siles-Lucas, M., Morchón, R., González-Miguel, J., Mellado, I., Carretón, E., & Montoya-Alonso, J. A. (2012) · Clinical Microbiology Reviews · doi:10.1128/cmr.00012-12 · Cited by 834 · see citing works
Homer, M. J., Aguilar-Delfín, I., Telford, S. R., Krause, P. J., & Persing, D. H. (2000) · Clinical Microbiology Reviews · doi:10.1128/cmr.13.3.451 · Cited by 829 · see citing works
Schnittger, L., Rodríguez, A. E., Florin‐Christensen, M., & Morrison, D. A. (2012) · Infection Genetics and Evolution · doi:10.1016/j.meegid.2012.07.004 · Cited by 601 · see citing works
A review of canine babesiosis: the European perspective
Solano‐Gallego, L., Sainz, Á., Roura, X., Estrada‐Peña, A., & Miró, G. (2016) · Parasites & Vectors · doi:10.1186/s13071-016-1596-0 · Cited by 395 · see citing works
Homer, M. J., Aguilar-Delfín, I., Telford, S. R., et al. (2000) · Clinical Microbiology Reviews · doi:10.1128/cmr.13.3.451-469.2000 · Cited by 371 · see citing works
Climate and Dirofilaria infection in Europe
Genchi, C., Rinaldi, L., Mortarino, M., Genchi, M., & Cringoli, G. (2009) · Veterinary parasitology · doi:10.1016/j.vetpar.2009.03.026 · Cited by 349 · see citing works
Is heartworm disease really spreading in Europe?
Genchi, C., Rinaldi, L., Cascone, C., Mortarino, M., & Cringoli, G. (2005) · Veterinary Parasitology · doi:10.1016/j.vetpar.2005.04.009 · Cited by 222 · see citing works
Clinical management of canine babesiosis
Ayoob, A. L., Hackner, S. G., & Prittie, J. E. (2009) · Journal of Veterinary Emergency and Critical Care · doi:10.1111/j.1476-4431.2009.00489.x · Cited by 89 · see citing works
Canine babesiosis: a perspective on clinical complications, biomarkers, and treatment
Kelly, P. J., Köster, L. S., & Lobetti, R. G. (2015) · Veterinary Medicine Research and Reports · doi:10.2147/vmrr.s60431 · Cited by 87 · see citing works
First case of babesiosis caused by Babesia canis canis in a dog from Norway
Øines, Ø., Storli, K., & Brun‐Hansen, H. (2010) · Veterinary Parasitology · doi:10.1016/j.vetpar.2010.03.024 · Cited by 47 · see citing works
Paulauskas, A., Radzijevskaja, J., Karvelienė, B., Grigonis, A., Aleksandravičienė, A., Zamokas, G., Babickaitė, L., Sabūnas, V., & Petkevičius, S. (2014) · Veterinary Parasitology · doi:10.1016/j.vetpar.2014.09.001 · Cited by 25 · see citing works
Autochthonous canine babesiosis caused by Babesia canis canis in Latvia
Berzina, I., Capligina, V., Baumanis, V., Ranka, R., Cirule, D., & Matise, I. (2013) · Veterinary Parasitology · doi:10.1016/j.vetpar.2013.03.015 · Cited by 25 · see citing works
Dirofilaria repens Microfilaremia in Three Dogs in Estonia
Jokelainen, P., Mõtsküla, P. F., Heikkinen, P., Ülevaino, E., Oksanen, A., & Lassen, B. (2016) · Vector-Borne and Zoonotic Diseases · doi:10.1089/vbz.2015.1833 · Cited by 22 · see citing works
Self-citationDirofilaria repens infection in a dog imported to Norway
Sævik, B. K., Jörundsson, E., Stachurska-Hagen, T., Tysnes, K. R., Brun‐Hansen, H., Wikström, H. C., & Robertson, L. J. (2014) · Acta veterinaria Scandinavica · doi:10.1186/1751-0147-56-6 · Cited by 20 · see citing works
Cerebral babesiosis and acute respiratory distress syndrome in a dog
Daste, T., Lucas, M., & Aumann, M. (2013) · Journal of Veterinary Emergency and Critical Care · doi:10.1111/vec.12114 · Cited by 19 · see citing works
Fatal Babesia canis canis infection in a splenectomized Estonian dog
Tiškina, V., Čapligina, V., Must, K., Bērziņa, I., Ranka, R., & Jokelainen, P. (2016) · Acta veterinaria Scandinavica · doi:10.1186/s13028-016-0189-4 · Cited by 15 · see citing works
Self-citationCase report: Babesia canis infection in a dog.
Louhelainen, M., & Spillmann, T. (2009) · Cited by 3 · see citing works
Heartworm infection caused by Dirofilaria immitis in a dog imported to Norway.
Vatne, L. I. (2015) · Companion Animal Practice · Cited by 3 · see citing works
Flagged first, then by citations
1 of the 19 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Recent advances on Dirofilaria repens in dogs and humans in Europe
Capelli, G., Genchi, C., Baneth, G., Bourdeau, P., Brianti, E., Cardoso, L., Danesi, P., Fuehrer, H.-P., Giannelli, A., Ionică, A. M., et al. (2018) · Parasites & Vectors · doi:10.1186/s13071-018-3205-x · Cited by 298 · see citing works
Fuehrer, H.-P., Morelli, S., Unterköfler, M. S., Bajer, A., Bakran-Lebl, K., Dwużnik-Szarek, D., Farkas, R., Grandi, G., Heddergott, M., Jokelainen, P., et al. (2021) · Pathogens · doi:10.3390/pathogens10101268 · Cited by 96 · see citing works
Self-citationBajer, A., Beck, A., Beck, R., Behnke, J. M., Dwużnik-Szarek, D., Eichenberger, R. M., Farkas, R., Fuehrer, H., Heddergott, M., Jokelainen, P., et al. (2022) · Microorganisms · doi:10.3390/microorganisms10050945 · Cited by 89 · see citing works
Self-citationWhat has happened to heartworm disease in Europe in the last 10 years?
Morchón, R., Montoya-Alonso, J. A., Rodríguez-Escolar, I., & Carretón, E. (2022) · Pathogens · doi:10.3390/pathogens11091042 · Cited by 69 · see citing works
Alsarraf, M., Levytska, V. A., Mierzejewska, E. J., Poliukhovych, V., Rodo, A., Alsarraf, M., Kavalevich, D., Dwużnik-Szarek, D., Behnke, J. M., & Bajer, A. (2021) · Scientific Reports · doi:10.1038/s41598-020-80208-1 · Cited by 47 · see citing works
Exposure of humans to the zoonotic nematode <i>Dirofilaria immitis</i> in Northern Portugal
Fontes-Sousa, A. P., Silvestre-Ferreira, A. C., Carretón, E., Esteves-Guimarães, J., Maia-Rocha, C., Oliveira, P., Lobo, L., Morchón, R., Araújo, F., Simón, F., et al. (2019) · Epidemiology and Infection · doi:10.1017/s0950268819001687 · Cited by 27 · see citing works
Parasites in the changing world – Ten timely examples from the Nordic-Baltic region
Deksne, G., Davidson, R. K., Buchmann, K., Kärssin, A., Kirjušina, M., Gavarāne, I., Miller, A. L., Pálsdóttir, G. R., Robertson, L. J., Mørk, T., et al. (2020) · Parasite Epidemiology and Control · doi:10.1016/j.parepi.2020.e00150 · Cited by 25 · see citing works
Self-citationBajer, A., Kowalec, M., Levytska, V. A., Mierzejewska, E. J., Alsarraf, M., Poliukhovych, V., Rodo, A., Wężyk, D., & Dwużnik-Szarek, D. (2022) · Pathogens · doi:10.3390/pathogens11050499 · Cited by 21 · see citing works
Deksne, G., Jokelainen, P., Oborina, V., Lassen, B., Akota, I., Kutanovaite, O., Zaleckas, L., Cīrule, D., Tupīts, A., Pimanovs, V., et al. (2020) · Vector-Borne and Zoonotic Diseases · doi:10.1089/vbz.2020.2651 · Cited by 18 · see citing works
Self-citationMikola, N., Oborina, V., & Jokelainen, P. (2019) · Vector-Borne and Zoonotic Diseases · doi:10.1089/vbz.2019.2502 · Cited by 17 · see citing works
Self-citationAutochthonous Angiostrongylus vasorum in Finland
Tiškina, V., Lindqvist, E., Blomqvist, A., Orav, M., Stensvold, C. R., & Jokelainen, P. (2019) · Veterinary Record Open · doi:10.1136/vetreco-2018-000314 · Cited by 15 · see citing works
Self-citationEpidemiological Study of Canine Babesiosis and Hepatozoonosis in the South of Romania
Cimpan, A. A., Nachum‐Biala, Y., Ben-Shitrit, B., Miron, L. D., & Baneth, G. (2020) · Acta Parasitologica · doi:10.2478/s11686-020-00199-x · Cited by 11 · see citing works
New Insights into the Prevalence of Dirofilaria immitis in Hungary
Jerzsele, Á., Kovács, D., Fábián, P., Fehérvári, P., Paszerbovics, B., Bali, K., Kaszab, E., Mayer, N., & Karancsi, Z. (2025) · Animals · doi:10.3390/ani15091198 · Cited by 10 · see citing works
Knowledge of Mongolian Veterinarians Towards Canine Vector-Borne Disease
Davitt, C., Traub, R. J., Batsukh, B., Battur, B., Pfeffer, M., & Wiethoelter, A. (2022) · One Health · doi:10.1016/j.onehlt.2022.100458 · Cited by 10 · see citing works
Atapattu, U., Colella, V., Traub, R. J., & Wiethoelter, A. (2024) · PLoS neglected tropical diseases · doi:10.1371/journal.pntd.0012365 · Cited by 5 · see citing works
Mõttus, M., Mõtsküla, P. F., & Jokelainen, P. (2024) · Parasites & Vectors · doi:10.1186/s13071-024-06217-5 · Cited by 5 · see citing works
Self-citationBurlak, V. A., Fedorova, V. S., & Николаевич, А. Г. (2022) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2022.04.04.487071 · Cited by 1 · see citing works
Turchenko, O. (2021) · EUREKA Health Sciences · doi:10.21303/2504-5679.2021.001616
Oral dirofilariasis mimicking endodontic failure: a case report
Kārkle, A., Silina, K., Akota, I., Krūmiņa, A., Vaskevica, A., Katrīna, G., Neimane, L., & Slaidina, A. (2026) · BMC Oral Health · doi:10.1186/s12903-026-08115-x
Dirofilaria spp. Detection in Dog Blood Samples from Southern Poland—A Retrospective Data Analysis
Pawełczyk, O., Iwase, P., Wierzba, B., & Szłapka‐Kosarzewska, J. (2026) · Infectious Disease Reports · doi:10.3390/idr18030052
Uusitalo, R., Huhtamo, E., Sormunen, J. J., Kinnunen, P. M., Aalto, J., Kallio, E. R. K., Kant, R., Mäkelä, H., Culverwell, C. L., Kolstela, J., et al. (2026) · Scandinavian Journal of Infectious Diseases · doi:10.1080/23744235.2026.2703130
- Authors
- Tiškina, V., & Jokelainen, P.
- Affiliations
- Estonian University of Life Sciences (EE)
- Statens Serum Institut (DK)
- Corresponding author
- Tiškina, Valentina
- ORCID
- Jokelainen, Pikka
- Venue
- Veterinary Parasitology
- Publisher
- Elsevier BV
- Published
- 2017-09
- Volume
- 244
- Pages
- 7-11
- ISSN
- 0304-4017 (ISSN-L)
- OpenAlex
- W2737342850
- Cited by
- 21
- References
- 19
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 2 · 2022: 5 · 2021: 3 · 2020: 3 · 2019: 3 · 2018: 1
- FWCI
- 1.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Veterinary Parasitology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Base Financing of Estonian University of Life Sciences (8P160014VLVP)
- Topics
- Life Sciences › Immunology and Microbiology › Parasitology › Vector-borne infectious diseases
- Health Sciences › Medicine › Infectious Diseases › Parasitic Diseases Research and Treatment
- Health Sciences › Veterinary › Small Animals › Helminth infection and control
- Keywords
- canine babesiosis, Dirofilaria immitis, Dirofilaria repens, dogs, Baltic states, Nordic countries, zoonotic potential, autochthonous infection, imported infections, clinical signs, treatment
- MeSH terms
- Animals, Babesia, Babesiosis, Dirofilaria immitis, Dirofilariasis, Dog Diseases, Dogs, Surveys and Questionnaires, Scandinavian and Nordic Countries, Veterinarians, Dirofilaria repens
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review