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

Ertel, Starr-Hope; Nelson, Randall S.; Cartter, Matthew L.

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

Published Date:

Feb 2012

Source:

Emerg Infect Dis. 18(2):242-247.

[PDF-303.97 KB]

Details:

Personal Authors:

Ertel, Starr-Hope ; Nelson, Randall S. ; Cartter, Matthew L. ;

Keywords:

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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.

Document Type:

Journal Article

Collection(s):

Emerging Infectious Diseases

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