In Canada, the environmental suitability for Borrelia burgdorferi and Anaplasma phagocytophilum vectors, Ixodes scapularis and Ixodes pacificus, appears to be growing. In 1991, there was one known endemic location for I. scapularis while currently there are at least eleven. An estimated 8–12% of the 50–175 million adventitious I. scapularis ticks that enter Canada on birds are positive for B. burgdorferi.
I am a scientist and a Lyme disease sufferer, and I am writing to warn you about the realities of Lyme disease, and the failure of our governments to acknowledge its prevalence in Canada. This story is filled with controversy, I am one of its victims, and I am far from alone.
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By Gerry Bellett, Vancouver Sun, August 6, 2009 8:01 PM Dr. LaVerne Clifford Kindree has been admitted to the Order... View Article
Committee on Lyme Disease and Other Tick-Borne Diseases: The State of the Science; Institute of Medicine
There is controversy regarding whether objective neurobiological abnormalities exist after intensive antibiotic treatment for Lyme disease.
Lyme neuroborreliosis is a tick-borne illness with central and peripheral nervous system manifestations. Clinical features and methods for accurate diagnosis differ across world regions owing to different causative Borrelia species. The importance of these distinctions is highlighted by a 12 year old Canadian girl who acquired Lyme neuroborreliosis in Europe.
This is both a disturbing and an exciting time in the world of Lyme disease. Disturbing because the medical and public health communities have failed to stem the steady increase in the number of cases of Lyme disease over the last 2 decades – with an expansion of over 35% between 2006-2007 alone. Exciting because advances in medical technology are leading to breakthroughs in how we understand this disease.
November 13, 2009 (Philadelphia, Pennsylvania) — Two separate analyses presented here at the Infectious Diseases Society of America (IDSA) 47th Annual Meeting revealed that most of the society's treatment guidelines are based on expert opinion, nonrandomized trials, and case studies.
Medical doctors have a great deal to contribute to public policy debates. But the systems that have developed within the profession and within government stifle public debate among doctors and attempt to create a phoney unity that works against the public interest, as we are slowly learning.
Evidence Based Medicine began as a “bottom-up” paradigm that taught medical residents to search the literature for the best available evidence and to critically appraise it for making patient care decisions.
Few diseases have aroused more emotional attention in the press and the public than Lyme disease.
The recently published monkey study by Embers and colleagues regarding the persistence of Lyme after antibiotic treatment is important for two distinct reasons.
The CDC clinical criteria for Lyme Disease which exist for the purpose of monitoring the rate of Lyme disease nationally are quite narrowly defined in order to ensure a high degree of specificity in the diagnosis
A review of Strategic and Policy Issues
Lyme meningitis, the major cause of childhood meningitis in an endemic area: A population based study