Underreporting of Lyme and Other Tick-Borne Diseases in Residents of a High-Incidence County, Minnesota, 2009
| Autor: | J. A. E. Ray, C. McLaughlin, M. M. Kemperman, D. F. Neitzel, E. K. Schiffman, Alison F. Hinckley, H. G. Friedlander |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Anaplasmosis
Veterinary medicine Pediatrics medicine.medical_specialty Epidemiology Minnesota 030231 tropical medicine 03 medical and health sciences 0302 clinical medicine Lyme disease Babesiosis medicine Animals Humans 030212 general & internal medicine Disease Notification Retrospective Studies Lyme Disease Disease surveillance Tick-borne disease Ixodes General Veterinary General Immunology and Microbiology biology business.industry Incidence Incidence (epidemiology) Public Health Environmental and Occupational Health medicine.disease biology.organism_classification LYME Infectious Diseases business Encephalitis Tick-Borne |
| Zdroj: | Zoonoses and Public Health. 65:230-237 |
| ISSN: | 1863-1959 |
| DOI: | 10.1111/zph.12291 |
| Popis: | Lyme disease (LD), anaplasmosis, babesiosis and other tick-borne diseases (TBDs) attributed to Ixodes ticks are thought to be widely underreported in the United States. To identify TBD cases diagnosed in 2009, but not reported to the Minnesota Department of Health (MDH), diagnostic and procedural billing codes suggestive of tick-borne diseases were used to select medical charts for retrospective review in medical facilities serving residents of a highly endemic county in Minnesota. Of 444 illness events, 352 (79%) were not reported. Of these, 102 (29%) met confirmed or probable surveillance case criteria, including 91 (26%) confirmed LD cases with physician-diagnosed erythema migrans (EM). For each confirmed and probable LD, probable anaplasmosis and confirmed babesiosis case reported to MDH in 2009, 2.8, 1.3, 1.2 and 1.0 cases were likely diagnosed, respectively. These revised estimates provide a more accurate assessment and better understanding of the burden of these diseases in a highly endemic county. |
| Databáze: | OpenAIRE |
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