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Lyme Disease Essay

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Lyme disease has emerged as the most common vector borne infectious disease in the United States and has presented a growing challenge to public health officials over the past three decades. The infection represents a significant disease burden to the population of the United States with nearly 30,000 new cases diagnosed per year and an estimated additional 270,000 annual incident cases that go unreported. The disease results from a bacterial infection with the spirochete bacteria B. burgdorferi. This bacterial agent is transmitted to humans from the bite of a tick and is most commonly associated Ixodes species blacklegged ticks. These ticks represent the largest genus of the family Ixodidae and mainly inhabit temperate forest or grassland …show more content…

Recent research results suggest that ticks must remain attached to a human for 36-48 hours to efficiently transmit B. burgdorferi so early recognition and removal can be effective in preventing Lyme disease (Cook, 2015). Thus, nymphs represent the greatest risk for infection and have been implicated as the vector in the majority of Lyme disease cases in the United States. Although adults can transmit the disease, nymphs, which are about the size of a poppy seed, are relatively undetectable and significantly less likely to be removed within 48 hours of attachment. As a result, most new cases of Lyme disease occur in the summer months between May and August when nymph activity reaches its peak (Marques, …show more content…

Typical incubation periods between initial infection and symptom presentation is between 7 and 14 days. The classic symptomology indicating infection is the development of Erythema-Migrans, which is a bulls-eye shaped rash or legion that emanates from the site of the original tick bite. Although this is considered the characteristically identifiable symptom of early Lyme disease infection, studies have shown that as few as 35% of patients develop a rash (Nadelman et al., 1996). Other common indications of early Lyme disease include, flu-like symptoms and the development of Bell’s palsy. Common treatments for early stage cases include oral antibiotics and are highly effective in relieving infections. However, patients who do not receive treatment and develop CLD or acquire Post Lyme Disease Syndrome can experience significantly more severe health problems. Symptoms of these conditions include those found in early stages as well as, cognitive impairment, insomnia, neuropathy, and heart problems (Wormser et al., 2006). The nature of this bacterial infection and its increasing global incidence has made it a disease of significant interest in the public health and medical

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