Surveillance for Lyme disease--United States, 1992-1998.

摘要: PROBLEM/CONDITION Lyme disease is caused by infection with the spirochete Borrelia burgdorferi and most commonly reported vector-borne in United States. transmitted to humans infected Ixodes scapularis I. pacificus ticks. typically evidenced its early stage a characteristic rash (erythema migrans), accompanied nonspecific symptoms (e.g., fever, malaise, fatigue, headache, myalgia, arthralgia). can usually be treated successfully standard antibiotic regimens. REPORTING PERIOD 1992-1998. DESCRIPTION OF SYSTEM surveillance data are CDC through National Electronic Telecommunication System for Surveillance, computerized public health database nationally notifiable diseases. During 1992-1998, regarding cases of included county state residence, age, sex, date onset. Descriptive analyses were performed, cumulative incidence state, county, age group, sex calculated. RESULTS total 88,967 was 49 states District Columbia, number increasing from 9,896 1992 16,802 1998. A 92% eight northeastern mid-Atlantic two north-central states. Children aged 5-9 years adults 45-54 had highest mean annual incidence. INTERPRETATION highly focal disease, majority occurring The increased during Geographic seasonal patterns correlate distribution feeding habits vector ticks, pacificus. PUBLIC HEALTH ACTION results presented this report will help clinicians evaluate prior probability provide framework targeting human vaccine use other prevention treatment interventions.