Effect of Surveillance Method on Reported Characteristics of Lyme Disease, Connecticut, 1996–2007

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Ertel, Starr-Hope ; Nelson, Randall S. ; Cartter, Matthew L.
• Description:
  To determine the effect of changing public health surveillance methods on the reported epidemiology of Lyme disease, we analyzed Connecticut data for 1996-2007. Data were stratified by 4 surveillance methods and compared. A total of 87,174 reports were received that included 79,896 potential cases. Variations based on surveillance methods were seen. Cases reported through physician-based surveillance were significantly more likely to be classified as confirmed; such case-patients were significantly more likely to have symptoms of erythema migrans only and to have illness onset during summer months. Case-patients reported through laboratory-based surveillance were significantly more likely to have late manifestations only and to be older. Use of multiple surveillance methods provided a more complete clinical and demographic description of cases but lacked efficiency. When interpreting data, changes in surveillance method must be considered.
• Subjects:
  Adolescent Adult Aged Bacteria Child Child, Preschool Connecticut Data Collection Endemic Diseases Epidemiologic Methods Female Humans Incidence Infant Lyme Disease Male Middle Aged Population Surveillance Public Health Practice Research Seasons Vector-borne Infections Young Adult

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• Source:
  Emerg Infect Dis. 18(2):242-247.
• Document Type:
  Journal Article
• Volume:
  18
• Issue:
  2
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:60e57dc1bc0098aa1af32a8edc75089b31b06ff065a66d4ea58ee3eb8fc9d982
• Download URL:
  https://stacks.cdc.gov/view/cdc/18449/cdc_18449_DS1.pdf
• File Type:
  [PDF - 303.97 KB ]