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Lyme Disease. By Jaime Guzman and Jenelle Sherman. What is Lyme Disease?. Bacteria Infection spread through the blood caused by Bacterium genus and species- Borrelia burgdorferi Outer surface protein C ( OspC ) of the Lyme disease spirochetes is an important virulence factor
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Lyme Disease By Jaime Guzman and Jenelle Sherman
What is Lyme Disease? • Bacteria Infection spread through the blood caused by Bacterium genus and species-Borreliaburgdorferi • Outer surface protein C (OspC) of the Lyme disease spirochetes is an important virulence factor • Thought at first to be arthritis
First Case Reported • 1975, Old Lyme Connecticut • Connecticut conducted a laboratory-based program of surveillance for Lyme disease from July 1, 1984, to March 1, 1986. • Indirect immunofluorescence antibody (IFA) and enzyme-linked immunosorbent assays (ELISA) were used to detect antibodies to Borreliaburgdorferi, the spirochete that causes the disease.
Transmission(Vector) • transmitted to humans through the bite of infected blacklegged ticks. (usually deer ticks) • Must be attached for 36-48 hrs before bacterium can be transmitted • Although no cases of Lyme disease have been linked to blood transfusion, scientists have found that the Lyme disease bacteria can live in blood that is stored for donation.
Symptoms • The incubation period is 3-32 days, transmission occurs in less than 24 hours. • Stage 1- “Bulls-eye” rush in about 75% of rash's, flu-like illness without cough. • Stage 2- Affects skin, musculoskeletal, nervous system, lymphadenopath, heart, facial palsy and meningitis. • Stage 3 - Chronic arthritis or encephalitis
Stages • Stage 1 also called Early Localized- which means the disease has not spread yet. • Stage 2 also called Early Disseminated- Which means the disease has begun to spread. • Stage 3 also called Late Disseminated- Which means the disease has spread through the blood stream. • Symptoms in Stage 2 may not appear until months later, Stage 3 may not appear until years later.
Interesting facts • Lyme disease bacteria can live in blood that is stored for donation. • There is no credible evidence that Lyme disease can be transmitted through air, food, water, or from the bites of mosquitoes, flies, fleas, or lice. • here are no reports of Lyme disease transmission from breast milk.
Prevalence • The ratio of Lyme Disease infection is 7.9 cases for every 100,000 persons. • It is becoming an endemic across the northern areas of North America. • Lyme disease has be reported in 49 states.
Who is at risk? • Northeast and mid-Atlantic, from northeastern Virginia to Maine • North central states, mostly in Wisconsin and Minnesota • West Coast, particularly northern California • This is primarily a warm weather disease. The ticks normally feed from April to October; the nymphs are most active between May and August. • Also, more people are outdoors during the warm weather months. Adult ticks can remain active well into the winter if the winter is mild.
Risk Factors • What risk factors can lead to being affected? • Outside Activities (hiking, gardening, hunting) • Pets exposed to ticks • Walking in high grass areas
Treatment • Antibiotics for 2-4 weeks • If found early the disease can be cured with antibiotics • Even after treatment, some patients still feel pain from causes unknown. • Complications from untreated Lyme Disease include long term joint inflammation, Brain and Nervous system problems, memory disorders, and sleep and vision problems.
Prevention • Avoid wooded and bushy areas with high grass and leaf litter. • Walk in the center of trails. • Use repellents that contain 20% or more DEET (N, N-diethyl-m-toluamide • Use products that contain permethrin on clothing. • Find and Remove Ticks from Your Body • A Lyme disease vaccine is no longer available. The vaccine manufacturer discontinued production in 2002, citing insufficient consumer demand.
http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002296/ • http://www.cdc.gov/lyme/ • http://www.aldf.com/ • http://lymedisease.org/ • http://www.lymediseaseassociation.org/ • http://www.mosquitosquad.com/disease/LymeDisease.html • http://www.ct.gov/dph/cwp/view.asp?a=3136&q=388506 • http://www.historyofvaccines.org/content/articles/history-lyme-disease-vaccine