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.
Subject:
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Adolescent
Adult
Aged
Aged, 80 And Over
Animals
Borrelia Burgdorferi
Canada
Child
Child, Preschool
Disease Vectors
Epidemiology
Epidemiology Of Lyme Disease, Nova Scotia, Canada, 2002–2013
Female
Humans
Infant
Ixodes
Lyme Disease
Male
Middle Aged
Nova Scotia
Research
Seroepidemiologic Studies
Seroprevalence
Ticks
Vector-borne Infections
Ticks

Source:
Emerg Infect Dis. 21(10):1751-1758 ;
Pubmed ID:
26401788
Pubmed Central ID:
PMC4593424
Document Type:
Journal Article ;
Collection(s):
Emerging Infectious Diseases
Main Document Checksum:
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urn:sha256:f0e355e39059be8527fa1bf63a06114d7a685d08c1ee817c6b2c1770c2f6ae12
File Type:

Supporting Files

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