Lyme disease is a growing public health problem. This presentation covers the changing epidemiology of Lyme disease and the clinical applications of surveillance data.
Learning objectives:
- Understand the purpose and limitations of the surveillance case definition (SCD) of Lyme disease
- Understand the epidemiology of Lyme disease
- Understand the clinical role of Lyme disease epidemiologic data
Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.
Evidence-based bibliography for further study
• https://wwwn.cdc.gov/nndss/conditions/lyme-disease/case-definition/2017/ Accessed March 15, 2020.
• Engstrom SM, Shoop E, Johnson RC. Immunoblot interpretation criteria for serodiagnosis of early Lyme disease. J Clin Microbiol 1995; 33:419 – 427.
• Dressler F, Whalen JA; Reinhardt BN; Steere AC. Western blotting in the serodiagnosis of Lyme disease. J Infect Dis 1993; 167(2): 392-400.
• Eisen RJ, Eisen L Beard CB. County-Scale Distribution of Ixodes scapularis and Ixodes pacificus (Acari: Ixodidae) in the Continental United States. Journal of Medical Entomology, 53(2), 2016, 349–386.
• Naleway AL, Belongia EA, Kazmierczak JJ, Greenlee RT, Davis JP. Lyme disease incidence in Wisconsin: a comparison of state-reported rates and rates from a population-based cohort. Am J Epidemiol. 2002 Jun 15;155(12):1120-1127.
• https://www.cdc.gov/lyme/datasurveillance/index.html?CDC_AA_refVal=https%3A%2F%2Fww w.cdc.gov%2Flyme%2Fstats%2Findex.html Accessed March 15, 2020
• https://www.cdc.gov/lyme/stats/graphs.html. Accessed March 15, 2020.
• https://www.cdc.gov/lyme/datasurveillance/charts-figures-recent.html. Accessed March 15, 2020.
• Mead P. Statement by Paul Mead MD, M.P.H., Medical Epidemiologist, Division of Vector-Borne Infectious Diseases, National Center for Infectious Diseases, Center for Disease Control and Prevention, US Department of Health and Human Services on Hearing: CDC’s Lyme Disease Prevention and Control Activities at public hearing in re Lyme disease, State of Connecticut, Department of Public Health, 29 January 2004.
• Nigrovic LE, Neville DN, Balamuth F, Bennett JE, Levas MN, Garro AC; for Pedi Lyme Net. A minority of children diagnosed with Lyme disease recall a preceding tick bite. Ticks Tick Borne Dis. 2019 Feb 26. pii: S1877-959X(18)30496-5. doi: 10.1016/j.ttbdis.2019.02.015.
• Berger BW. Dermatologic manifestations of Lyme disease. Rev Infect Dis 1989;11(Suppl 6):6:S1475-S1481.
• Nadelman RB, Hanincová K, Mukherjee P, et al. Differentiation of reinfection from relapse in recurrent Lyme disease. N Engl J Med. 2012 Nov 15;367(20):1883-1890.