Abstract
To evaluate the spread of Lyme disease in New Jersey, we conducted a statewide cross-sectional study of Lyme disease seroprevalence in a high-risk occupational group of outdoor employees. Of the 689 employees who participated in the study, 39 (5.7 percent) were positive for antibody to B. burgdorferi, the causative agent of Lyme disease. Seroprevalence varied markedly by county; unexpectedly high seroprevalence rates were found in several northern counties (Sussex, Hudson, and Hunterdon). Furthermore, some southern counties (Atlantic, Cape May, and Ocean) with large tick populations (as measured by self-reported exposure to ticks) had low seroprevalence rates which were inversely correlated with self-reported preventive practices. These data suggest that lyme disease, as measured by seroprevalence of antibody to B. burgdorferi, may be spreading beyond the southern portion of the state where it had been previously well documented and that preventive behaviors may play an important role in minimizing the risk of the disease.
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- Bowen G. S., Griffin M., Hayne C., Slade J., Schulze T. L., Parkin W. Clinical manifestations and descriptive epidemiology of Lyme disease in New Jersey, 1978 to 1982. JAMA. 1984 May 4;251(17):2236–2240. [PubMed] [Google Scholar]
- Bowen G. S., Schulze T. L., Hayne C., Parkin W. E. A focus of Lyme disease in Monmouth County, New Jersey. Am J Epidemiol. 1984 Sep;120(3):387–394. doi: 10.1093/oxfordjournals.aje.a113903. [DOI] [PubMed] [Google Scholar]
- Bowen G. S., Schulze T. L., Parkin W. L. Lyme disease in New Jersey, 1978-1982. Yale J Biol Med. 1984 Jul-Aug;57(4):661–668. [PMC free article] [PubMed] [Google Scholar]
- Craft J. E., Grodzicki R. L., Steere A. C. Antibody response in Lyme disease: evaluation of diagnostic tests. J Infect Dis. 1984 May;149(5):789–795. doi: 10.1093/infdis/149.5.789. [DOI] [PubMed] [Google Scholar]
- Hanrahan J. P., Benach J. L., Coleman J. L., Bosler E. M., Morse D. L., Cameron D. J., Edelman R., Kaslow R. A. Incidence and cumulative frequency of endemic Lyme disease in a community. J Infect Dis. 1984 Oct;150(4):489–496. doi: 10.1093/infdis/150.4.489. [DOI] [PubMed] [Google Scholar]
- Lastavica C. C., Wilson M. L., Berardi V. P., Spielman A., Deblinger R. D. Rapid emergence of a focal epidemic of Lyme disease in coastal Massachusetts. N Engl J Med. 1989 Jan 19;320(3):133–137. doi: 10.1056/NEJM198901193200301. [DOI] [PubMed] [Google Scholar]
- Schulze T. L., Bowen G. S., Lakat M. F., Parkin W. E., Shisler J. K. Geographical distribution and density of Ixodes dammini (Acari: Ixodidae) and relationship to Lyme disease transmission in New Jersey. Yale J Biol Med. 1984 Jul-Aug;57(4):669–675. [PMC free article] [PubMed] [Google Scholar]
- Schulze T. L., Bowen G. S., Lakat M. F., Parkin W. E., Shisler J. K. The role of adult Ixodes dammini (Acari: Ixodidae) in the transmission of Lyme disease in New Jersey, USA. J Med Entomol. 1985 Jan 18;22(1):88–93. doi: 10.1093/jmedent/22.1.88. [DOI] [PubMed] [Google Scholar]
- Schulze T. L., Lakat M. F., Bowen G. S., Parkin W. E., Shisler J. K. Ixodes dammini (Acari: Ixodidae) and other ixodid ticks collected from white-tailed deer in New Jersey, USA. I. Geographical distribution and its relation to selected environmental and physical factors. J Med Entomol. 1984 Nov 29;21(6):741–749. doi: 10.1093/jmedent/21.6.741. [DOI] [PubMed] [Google Scholar]
- Schwartz B. S., Goldstein M. D. Lyme disease: a review for the occupational physician. J Occup Med. 1989 Sep;31(9):735–742. doi: 10.1097/00043764-198909000-00010. [DOI] [PubMed] [Google Scholar]
- Smith P. F., Benach J. L., White D. J., Stroup D. F., Morse D. L. Occupational risk of Lyme disease in endemic areas of New York State. Ann N Y Acad Sci. 1988;539:289–301. doi: 10.1111/j.1749-6632.1988.tb31863.x. [DOI] [PubMed] [Google Scholar]
- Steere A. C. Lyme disease. N Engl J Med. 1989 Aug 31;321(9):586–596. doi: 10.1056/NEJM198908313210906. [DOI] [PubMed] [Google Scholar]
- Steere A. C., Malawista S. E., Hardin J. A., Ruddy S., Askenase W., Andiman W. A. Erythema chronicum migrans and Lyme arthritis. The enlarging clinical spectrum. Ann Intern Med. 1977 Jun;86(6):685–698. doi: 10.7326/0003-4819-86-6-685. [DOI] [PubMed] [Google Scholar]
- Steere A. C., Taylor E., Wilson M. L., Levine J. F., Spielman A. Longitudinal assessment of the clinical and epidemiological features of Lyme disease in a defined population. J Infect Dis. 1986 Aug;154(2):295–300. doi: 10.1093/infdis/154.2.295. [DOI] [PubMed] [Google Scholar]