“…Here, it is of paramount importance to stop to carry out a deeper and more detailed analysis; we cannot go unnoticed globalisation, exports, imports, and equine transport between cities or countries, are a focus of spread worldwide [ 68 ], over the years we have been able to verify how the expansion of markets can be beneficial for countries, even so, it brings with it different problems as has been experienced with other epidemics and over the years with the transmission of emerging and re-emerging diseases, between continents [ 69 ]. Environmental aspects, also play a key role in these cycles, then a OneHealth approach for rickettsiosis is critical, as is related to environmental health, animal health and human health at the same time [ [70] , [71] , [72] ].…”