Tick-borne pathogens may be transmitted intrastadially and transstadially within a single vector generation as well as vertically between generations. Understanding the mode and relative efficiency of this transmission is required for infection control. In this study, we established that adult male Rhipicephalus microplus ticks efficiently acquire the protozoal pathogen Babesia equi during acute and persistent infections and transmit it intrastadially to naïve horses. Although the level of parasitemia during acquisition feeding affected the efficiency of the initial tick infection, infected ticks developed levels of >10 4 organisms/pair of salivary glands independent of the level of parasitemia during acquisition feeding and successfully transmitted them, indicating that replication within the tick compensated for any initial differences in infectious dose and exceeded the threshold for transmission. During the development of B. equi parasites in the salivary gland granular acini, the parasites expressed levels of paralogous surface proteins significantly different from those expressed by intraerythrocytic parasites from the mammalian host. In contrast to the successful intrastadial transmission, adult female R. microplus ticks that fed on horses with high parasitemia passed the parasite vertically into the eggs with low efficiency, and the subsequent generation (larvae, nymphs, and adults) failed to transmit B. equi parasites to naïve horses. The data demonstrated that intrastadial but not transovarial transmission is an efficient mode for B. equi transmission and that persistently infected horses are an important reservoir for transmission. Consequently, R. microplus male ticks and persistently infected horses should be targeted for disease control.The maintenance of tick-borne infections in natural reservoir hosts is dependent upon the efficiency of acquisition and transmission events at the tick-host and tick-pathogen interfaces (7,20). Effective control of tick-borne infectious disease requires knowledge of the ability of specific vector stages to acquire, amplify, and transmit the pathogen. There are three nonmutually exclusive modes of tick-borne transmission (4). The first mode is transstadial transmission that occurs when a tick stage (e.g., larval or nymphal) acquires the pathogen from a mammalian reservoir host and a subsequent life cycle stage within the same tick generation transmits the pathogen to an uninfected host (11,18,20). In the second mode, ticks transmit the pathogen intrastadially; the pathogen is acquired by the tick, and following movement between individual animal hosts, the same tick stage transmits the pathogen to a naïve animal (18). In the third mode, transovarial passage is followed by pathogen transmission by one or more stages in the subsequent generation (3, 7). All three modes occur in the transmission of the apicomplexan parasites of the genus Babesia (4); however, the mode used by a given Babesia sp. cannot be inferred but, rather, requires testing and quantification of the ...