Post by Admin/ Traveler on Nov 11, 2017 19:49:03 GMT
*Surveillance for Lyme Disease – United States, 2008-2015*
Surveillance for Lyme 2008 - 2015
Amy M. Schwartz, MPH*; Alison F. Hinckley, PhD*; Paul S. Mead, MD*; Sarah A. Hook, MA*; Kiersten J. Kugeler, PhD*
(each person with an * by their name is a CDC employee!!!!)
Abstract
Problem/Condition: Lyme disease is the most commonly reported vectorborne disease in the United States but is geographically focal. The majority of Lyme disease cases occur in the Northeast, mid-Atlantic, and upper Midwest regions. Lyme disease can cause varied clinical manifestations, including erythema migrans, arthritis, facial palsy, and carditis. Lyme disease occurs most commonly among children and older adults, with a slight predominance among males.
Reporting Period: 2008–2015.
Description of System: Lyme disease has been a nationally notifiable condition in the United States since 1991. Possible Lyme disease cases are reported to local and state health departments by clinicians and laboratories. Health department staff conduct case investigations to classify cases according to the national surveillance case definition. Those that qualify as confirmed or probable cases of Lyme disease are reported to CDC through the National Notifiable Diseases Surveillance System. States with an average annual incidence during this reporting period of ≥10 confirmed Lyme disease cases per 100,000 population were classified as high incidence. States that share a border with those states or that are located between areas of high incidence were classified as neighboring states. All other states were classified as low incidence.
Results: During 2008–2015, a total of 275,589 cases of Lyme disease were reported to CDC (208,834 confirmed and 66,755 probable). Although most cases continue to be reported from states with high incidence in the Northeast, mid-Atlantic, and upper Midwest regions, case counts in most of these states have remained stable or decreased during the reporting period. In contrast, case counts have increased in states that neighbor those with high incidence. Overall, demographic characteristics associated with confirmed cases were similar to those described previously, with a slight predominance among males and a bimodal age distribution with peaks among young children and older adults. Yet, among the subset of cases reported from states with low incidence, infection occurred more commonly among females and older adults. In addition, probable cases occurred more commonly among females and with a higher modal age than confirmed cases.
Interpretation: Lyme disease continues to be the most commonly reported vectorborne disease in the United States. Although concentrated in historically high-incidence areas, the geographic distribution is expanding into neighboring states. The trend of stable to decreasing case counts in many states with high incidence could be a result of multiple factors, including actual stabilization of disease incidence or artifact due to modifications in reporting practices employed by some states to curtail the resource burden associated with Lyme disease surveillance.
**Trav here now,
So, at first this all sounds good - and yet I have been involved with these infections for long enough to know that this is nothing more than misdirection. Why? Look at how they keep repeating "concentrated in historically high-incidence areas". Seems innocent enough, right? But it's not. So why are all the reported cases coming from those areas? Because not only doctors, but even the CDC is not reporting/following up on the positive test reports. I was CDC positive in 2008 and yet, when my doctor tried to report it, he was told that because I sought treatment outside of my state (zero LLMD's in my state of Arkansas), it had to be registered in the state that was doing the testing (Missouri) -and yet it couldn't be registered there, because I'm not a resident of Missouri.
How's that for a nice catch 22 they have us in?
For others, their doctors won't report the positive test. So we have to be careful to not help spread this type of misinformation, and realize what we are reading is nothing more than misinformation.
Also note that each of these people that contributed to this article is employed by the CDC - Hmmmmmmm.
If you keep looking in that article, scrolling down to the references used - many are officials of the CDC that have written these articles!!!! So, they like to use their own articles to prove/disprove whatever they wish - no matter what the "undiluted' research says.
So, stay vigilant and don't fall for these articles!!
Surveillance for Lyme 2008 - 2015
Amy M. Schwartz, MPH*; Alison F. Hinckley, PhD*; Paul S. Mead, MD*; Sarah A. Hook, MA*; Kiersten J. Kugeler, PhD*
(each person with an * by their name is a CDC employee!!!!)
Abstract
Problem/Condition: Lyme disease is the most commonly reported vectorborne disease in the United States but is geographically focal. The majority of Lyme disease cases occur in the Northeast, mid-Atlantic, and upper Midwest regions. Lyme disease can cause varied clinical manifestations, including erythema migrans, arthritis, facial palsy, and carditis. Lyme disease occurs most commonly among children and older adults, with a slight predominance among males.
Reporting Period: 2008–2015.
Description of System: Lyme disease has been a nationally notifiable condition in the United States since 1991. Possible Lyme disease cases are reported to local and state health departments by clinicians and laboratories. Health department staff conduct case investigations to classify cases according to the national surveillance case definition. Those that qualify as confirmed or probable cases of Lyme disease are reported to CDC through the National Notifiable Diseases Surveillance System. States with an average annual incidence during this reporting period of ≥10 confirmed Lyme disease cases per 100,000 population were classified as high incidence. States that share a border with those states or that are located between areas of high incidence were classified as neighboring states. All other states were classified as low incidence.
Results: During 2008–2015, a total of 275,589 cases of Lyme disease were reported to CDC (208,834 confirmed and 66,755 probable). Although most cases continue to be reported from states with high incidence in the Northeast, mid-Atlantic, and upper Midwest regions, case counts in most of these states have remained stable or decreased during the reporting period. In contrast, case counts have increased in states that neighbor those with high incidence. Overall, demographic characteristics associated with confirmed cases were similar to those described previously, with a slight predominance among males and a bimodal age distribution with peaks among young children and older adults. Yet, among the subset of cases reported from states with low incidence, infection occurred more commonly among females and older adults. In addition, probable cases occurred more commonly among females and with a higher modal age than confirmed cases.
Interpretation: Lyme disease continues to be the most commonly reported vectorborne disease in the United States. Although concentrated in historically high-incidence areas, the geographic distribution is expanding into neighboring states. The trend of stable to decreasing case counts in many states with high incidence could be a result of multiple factors, including actual stabilization of disease incidence or artifact due to modifications in reporting practices employed by some states to curtail the resource burden associated with Lyme disease surveillance.
**Trav here now,
So, at first this all sounds good - and yet I have been involved with these infections for long enough to know that this is nothing more than misdirection. Why? Look at how they keep repeating "concentrated in historically high-incidence areas". Seems innocent enough, right? But it's not. So why are all the reported cases coming from those areas? Because not only doctors, but even the CDC is not reporting/following up on the positive test reports. I was CDC positive in 2008 and yet, when my doctor tried to report it, he was told that because I sought treatment outside of my state (zero LLMD's in my state of Arkansas), it had to be registered in the state that was doing the testing (Missouri) -and yet it couldn't be registered there, because I'm not a resident of Missouri.
How's that for a nice catch 22 they have us in?
For others, their doctors won't report the positive test. So we have to be careful to not help spread this type of misinformation, and realize what we are reading is nothing more than misinformation.
Also note that each of these people that contributed to this article is employed by the CDC - Hmmmmmmm.
If you keep looking in that article, scrolling down to the references used - many are officials of the CDC that have written these articles!!!! So, they like to use their own articles to prove/disprove whatever they wish - no matter what the "undiluted' research says.
So, stay vigilant and don't fall for these articles!!