Details:

Alternative Title:
Emerg Infect Dis
Personal Author:
Hatchette, Todd F. ; Johnston, B. Lynn ; Schleihauf, Emily ; Mask, Angela ; Haldane, David ; ... More +
Hatchette, Todd F. ; Johnston, B. Lynn ; Schleihauf, Emily ; Mask, Angela ; Haldane, David ; Drebot, Michael ; Baikie, Maureen ; Cole, Teri J. ; Fleming, Sarah ; Gould, Richard ; Lindsay, Robbin Less -
Description:
Ixodes scapularis ticks, which transmit Borrelia burgdorferi, the causative agent of Lyme disease (LD), are endemic to at least 6 regions of Nova Scotia, Canada. To assess the epidemiology and prevalence of LD in Nova Scotia, we analyzed data from 329 persons with LD reported in Nova Scotia during 2002-2013. Most patients reported symptoms of early localized infection with rash (89.7%), influenza-like illness (69.6%), or both; clinician-diagnosed erythema migrans was documented for 53.2%. In a separate serosurvey, of 1,855 serum samples screened for antibodies to B. burgdorferi, 2 were borderline positive (both with an indeterminate IgG on Western blot), resulting in an estimated seroprevalence of 0.14% (95% CI 0.02%-0.51%). Although LD incidence in Nova Scotia has risen sharply since 2002 and is the highest in Canada (16/100,000 population in 2013), the estimated number of residents with evidence of infection is low, and risk is localized to currently identified LD-endemic regions.
Subjects:
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Adolescent Adult Aged Aged, 80 And Over Animals Child Child, Preschool Disease Vectors Female Humans Infant Ixodes Lyme Disease Male Middle Aged Seroepidemiologic Studies Ticks
Source:
Emerg Infect Dis. 21(10):1751-1758
Pubmed ID:
26401788
Pubmed Central ID:
PMC4593424
Document Type:
Journal Article
Place as Subject:
Nova Scotia, Canada
Collection(s):
Emerging Infectious Diseases
Main Document Checksum:
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urn:sha256:f0e355e39059be8527fa1bf63a06114d7a685d08c1ee817c6b2c1770c2f6ae12
Download URL:
https://stacks.cdc.gov/view/cdc/34700/cdc_34700_DS1.pdf
File Type:

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