Surveillance for Lyme disease -- United States, 1992-1998.

Problem/Condition: Lyme disease is caused by infection with the spirochete Borrelia burgdorferi and is the most commonly reported vectorborne disease in the United States. Borrelia burgdorferi is transmitted to humans by infected Ixodes scapularis and I. pacificus ticks. Lyme disease is typically ev...

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Publicado en:MMWR: Morbidity & Mortality Weekly Report Vol. 49; no. 16; pp. 1 - 12
Autores principales: Orloski KA, Hayes EB, Campbell GL, Dennis DT
Formato: statistics tables/charts Journal Article
Publicado: Centers for Disease Control & Prevention (CDC) 4/28/2000
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 4/28/2000
      vid: 49
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      pub: Centers for Disease Control & Prevention (CDC)
      place: Atlanta, Georgia
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        atl: Surveillance for Lyme disease -- United States, 1992-1998.
      aug:
        au:
          Orloski KA
          Hayes EB
          Campbell GL
          Dennis DT
      sug:
        subj:
          Lyme Disease Epidemiology
          Disease Surveillance United States
          United States
          Lyme Disease Prevention and Control
          Child
          Middle Age
          Incidence
          Adolescence
          Lyme Disease Vaccines
          Child: 6-12 years
          Middle Aged: 45-64 years
          Adolescent: 13-18 years
      ab: Problem/Condition: Lyme disease is caused by infection with the spirochete Borrelia burgdorferi and is the most commonly reported vectorborne disease in the United States. Borrelia burgdorferi is transmitted to humans by infected Ixodes scapularis and I. pacificus ticks. Lyme disease is typically evidenced in its early stage by a characteristic rash (erythema migrans), accompanied by nonspecific symptoms (e.g., fever, malaise, fatigue, headache, myalgia, and arthralgia). Lyme disease can usually be treated successfully with standard antibiotic regimens. Reporting Period: 1992-1998. Description of System: Lyme disease surveillance data are reported to CDC through the National Electronic Telecommunication System for Surveillance, a computerized public health database for nationally notifiable diseases. During 1992-1998, data regarding reported cases of Lyme disease included county and state of residence, age, sex, and date of onset. Descriptive analyses were performed, and cumulative incidence by state, county, age group, and sex were calculated. Results: During 1992-1998, a total of 88,967 cases of Lyme disease was reported to CDC by 49 states and the District of Columbia, with the number of cases increasing from 9,896 in 1992 to 16,802 in 1998. A total of 92% of cases was reported from eight northeastern and mid-Atlantic states and two north-central states. Children aged 5-9 years and adults aged 45-54 years had the highest mean annual incidence. Interpretation: Lyme disease is a highly focal disease, with the majority of reported cases occurring in the northeastern and north-central United States. The number of reported cases of Lyme disease increased during 1992-1998. Geographic and seasonal patterns of disease correlate with the distribution and feeding habits of the vector ticks, I. scapularis and I. pacificus. Public Health Action: The results presented in this report will help clinicians evaluate the prior probability of Lyme disease and provide the framework for targeting human Lyme disease vaccine use and other prevention and treatment interventions.
      pubtype: Academic Journal
      doctype:
        statistics
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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