scholarly journals Geographic Expansion of Lyme Disease in Michigan, 2000–2014

2017 ◽  
Vol 4 (1) ◽  
Author(s):  
Paul M. Lantos ◽  
Jean Tsao ◽  
Lise E. Nigrovic ◽  
Paul G. Auwaerter ◽  
Vance G. Fowler ◽  
...  
Keyword(s):  
Lyme Disease ◽  
Lake Michigan ◽  
Ixodes Scapularis ◽  
Incidence Rates ◽  
Upper Peninsula ◽  
Department Of Health ◽  
Lower Peninsula ◽  
Geographic Expansion ◽  
Low Incidence ◽  
Distribution Studies

Abstract Background Most Lyme disease cases in the Midwestern United States are reported in Minnesota and Wisconsin. In recent years, however, a widening geographic extent of Lyme disease has been noted with evidence of expansion eastwards into Michigan and neighboring states with historically low incidence rates. Methods We collected confirmed and probable cases of Lyme disease from 2000 through 2014 from the Michigan Department of Health and Human Services, entering them in a geographic information system. We performed spatial focal cluster analyses to characterize Lyme disease expansion. We compared the distribution of human cases with recent Ixodes scapularis tick distribution studies. Results Lyme disease cases in both the Upper and Lower Peninsulas of Michigan expanded more than 5-fold over the study period. Although increases were seen throughout the Upper Peninsula, the Lower Peninsula particularly expanded along the Indiana border north along the eastern shore of Lake Michigan. Human cases corresponded to a simultaneous expansion in established I scapularis tick populations. Conclusions The geographic distribution of Lyme disease cases significantly expanded in Michigan between 2000 and 2014, particularly northward along the Lake Michigan shore. If such dynamic trends continue, Michigan—and possibly neighboring areas of Indiana, Ohio, and Ontario, Canada—can expect a continued increase in Lyme disease cases.

scholarly journals Distribution of American Beech (Fagus grandifolia) and Beech Scale (Cryptococcus fagisuga Lind.) in Michigan from 2005 to 2009

2011 ◽  
Vol 28 (4) ◽  
pp. 173-179 ◽  
Author(s):  
Daniel J. Wieferich ◽  
Deborah G. McCullough ◽  
Daniel B. Hayes ◽  
Nancy J. Schwalm
Keyword(s):  
Lake Michigan ◽  
Fagus Grandifolia ◽  
Lake Huron ◽  
Beech Bark Disease ◽  
Residential Areas ◽  
American Beech ◽  
Upper Peninsula ◽  
Invasive Insect ◽  
Cryptococcus Fagisuga ◽  
Lower Peninsula

Abstract Beech scale (Cryptococcus fagisuga Lind.) (Hemiptera; Coccidae), an invasive insect associated with beech bark disease, was discovered in 2000 in a localized area of northwest Lower Michigan and one area in the eastern Upper Peninsula. From 2005 to 2009, we surveyed 809 sites in 73 Michigan counties to determine whether American beech (Fagus grandifolia) trees were present and, if so, whether trees had been colonized by beech scale. Beech trees were present in 696 sites in forest, recreation, and residential areas. By 2009, beech scale had infested beech trees in 8 of 15 counties in the Upper Peninsula, 14 of 68 counties in the Lower Peninsula, one of three islands in Lake Michigan, and all three sampled islands in Lake Huron. Colonization of islands more than 20 km from infestations on the mainland suggest that beech scale was likely introduced by humans or birds. Rates of expansion of 12 discrete beech scale populations varied from 3.3 to 14.3 km per year.

scholarly journals First Report of Beech Bark Disease in Michigan

Plant Disease ◽  
2001 ◽  
Vol 85 (8) ◽  
pp. 921-921 ◽  
Author(s):  
J. G. O'Brien ◽  
M. E. Ostry ◽  
M. E. Mielke ◽  
R. Mech ◽  
R. L. Heyd ◽  
...  
Keyword(s):  
Lake Michigan ◽  
Personal Communication ◽  
Scale Insect ◽  
Fagus Grandifolia ◽  
Beech Bark Disease ◽  
Upper Peninsula ◽  
First Report ◽  
Recreation Areas ◽  
Lower Peninsula ◽  
Lake Site

Beech bark disease of American beech (Fagus grandifolia) is caused by the interaction of an introduced scale insect (Cryptococcus fagisuga) and the native fungus Nectria galligena, or N. coccinea var. faginata, which is thought to be introduced. Infestations of the insect precede development of the disease, and N. galligena is often found before N. coccinea var. faginata. Previously published records indicate that the beech scale extends as far west as eastern Ohio (2) and southern Ontario (Sajan, personal communication). The scale is now well established in several locations in both the Upper Peninsula (UP) and Lower Peninsula (LP) of Michigan. The scale insect has been found in beech stands throughout three counties (Oceana, Mason, and Muskegon) along the Lake Michigan shore in the LP, extending for at least 100 km from north to south, and occurring up to about 80 km inland. In the eastern UP, beech scale has been found in four counties (Alger, Chippewa, Luce, and Schoolcraft). The heaviest beech scale infestations are distributed around Ludington State Park in the west central LP and the Bass Lake Forest Campground in the eastern UP. The extent of the insect infestation suggests that it has been present in Michigan for many years, with anecdotal accounts placing the first observations of beech scale at Ludington State Park around 1990. These infection centers are distant from previously known beech scale infestations and are located in heavily used recreation areas, suggesting that the insect may have been transported by human activity. Perithecia of N. coccinea var. faginata were found in Ludington State Park in the LP at N 44° 1.951', W 86° 29.956' and perithecia of N. galligena were found at the Bass Lake site in the UP, at N 46° 27.748', W 85° 42.478'. The identity of the fungi collected from each location was confirmed by measurements of perithecium and ascospore morphology (1). Perithecia at both sites were scarce and difficult to find. Surveys planned for the summer and fall of 2001 will further delimit the occurrence and distribution of the pathogens involved in the disease in Michigan. To our knowledge, this is the first report of the beech scale and beech bark disease in Michigan, with N. galligena and N. coccinea var. faginata identified as the pathogens. References: (1) H. V. T. Cotter and R. O. Blanchard. Plant Dis. 65:332–334, 1981. (2) M. E. Mielke et al. Plant Dis. 69:905, 1985.

scholarly journals One Health in Action: Lyme Disease

2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Veronica A. Fialkowski ◽  
Erik Foster ◽  
Kim Signs ◽  
Mary Grace Stobierski
Keyword(s):  
Lyme Disease ◽  
Human Services ◽  
One Health ◽  
Lake Michigan ◽  
Disease Diagnosis ◽  
Environmental Investigation ◽  
Department Of Health ◽  
Local Residents ◽  
The One ◽  
Provide Health Education

The response to public concern of an increase in tick populations and Lyme disease prompted by a local veterinarian on a Lake Michigan island is a prime example of the One Health approach. Due to an increase in Lyme disease diagnosis in pets, the Michigan Department of Health and Human Services were invited to the island to conduct an environmental investigation and provide health education to local residents.

TBE in Italy

2020 ◽  
Keyword(s):  
Surveillance System ◽  
Ad Hoc ◽  
National Level ◽  
Case Series ◽  
Incidence Rates ◽  
Mountainous Regions ◽  
North East ◽  
The North ◽  
Tick Borne Encephalitis ◽  
Low Incidence

Italy is considered a low-incidence country for tick-borne encephalitis (TBE) in Europe.1 Areas at higher risk for TBE in Italy are geographically clustered in the forested and mountainous regions and provinces in the north east part of the country, as suggested by TBE case series published over the last decade.2-5 A national enhanced surveillance system for TBE has been established since 2017.6 Before this, information on the occurrence of TBE cases at the national level in Italy was lacking. Both incidence rates and the geographical distribution of the disease were mostly inferred from endemic areas where surveillance was already in place, ad hoc studies and international literature.1

scholarly journals 1428. Lyme Disease Treatment in the United States: Prescribing Patterns from a Nationwide Commercial Insurance Database, 2016-2018

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S720-S720
Author(s):  
Amy M Beeson ◽  
Grace E Marx ◽  
Amy M Schwartz ◽  
Alison F Hinckley
Keyword(s):  
United States ◽  
Lyme Disease ◽  
Standard Treatment ◽  
Age Distribution ◽  
Public Health Problem ◽  
The United States ◽  
Adverse Outcomes ◽  
Prescribing Patterns ◽  
Antibiotic Prescribing ◽  
Low Incidence

Abstract Background Lyme disease (LD) is the most common vector-borne disease in the United States and is a significant public health problem. The use of non-standard antibiotic treatment regimens for LD has been associated with adverse effects; however, the overall landscape of treatment has not been described previously. We aimed to describe real-world antibiotic prescribing patterns for LD. Methods We performed a retrospective analysis of the MarketScan commercial claims database of outpatient encounters from 2016-2018 in the United States. We identified all individuals with a visit that included an LD diagnosis code and a prescription within 30 days of the visit for one or more of 12 antibiotics that may be prescribed for LD. We then categorized each individual as having received either standard or non-standard treatment during the two-year period. Standard treatment was defined as treatment with a first, second or third-line antibiotic for LD, for no longer than 30 days, and for no more than two episodes during the study period. Descriptive and multivariable analyses were performed to compare characteristics of people who received standard vs non-standard treatment for LD. Results A total of 84,769 prescriptions met criteria for inclusion, written for 45,926 unique patients. The mean duration of prescriptions was 21.4 days (SD 10.8). Most individuals (84.5%) treated for LD received standard treatment during the study period. Female gender (OR 1.5, p< 0.0001) and age 19-45 (p=0.0003) were significantly associated with being prescribed non-standard LD treatment. Treatment in low-incidence states (OR 2.2 compared to high-incidence states, p< 0.0001) and during non-summer months (OR 2.2, p< 0.0001) was more likely to be non-standard. Age distribution of patients receiving treatment for Lyme disease, by gender and age at first prescription Seasonality of standard versus non-standard treatment of Lyme disease Conclusion In this population of employed, young, and insured patients, young and middle-aged women were at the highest risk of receiving non-standard LD treatment. Treatments prescribed in states with low incidence of LD or during non-summer months were also more likely to be non-standard, a trend which likely reflects misdiagnosis or overtreatment of LD. Future studies are needed to further define prescriber and patient factors associated with non-standard LD treatment and related adverse outcomes. Disclosures All Authors: No reported disclosures

High SNP density in the blacklegged tick, Ixodes scapularis, the principal vector of Lyme disease spirochetes

2013 ◽  
Vol 4 (1-2) ◽  
pp. 63-71 ◽  
Author(s):  
Janice Van Zee ◽  
William C. Black ◽  
Michael Levin ◽  
Jerome Goddard ◽  
Joshua Smith ◽  
...  
Keyword(s):  
Lyme Disease ◽  
Ixodes Scapularis ◽  
Principal Vector ◽  
Blacklegged Tick

scholarly journals Human Coinfection withBorrelia burgdorferiandBabesia microtiin the United States

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Kristen L. Knapp ◽  
Nancy A. Rice
Keyword(s):  
United States ◽  
Lyme Disease ◽  
Causative Agent ◽  
Ixodes Scapularis ◽  
Immunological Response ◽  
The United States ◽  
Babesia Microti ◽  
Current State ◽  
Tick Borne Disease ◽  
Multiple Pathogens

Borrelia burgdorferi, the causative agent of Lyme disease, andBabesia microti, a causative agent of babesiosis, are increasingly implicated in the growing tick-borne disease burden in the northeastern United States. These pathogens are transmitted via the bite of an infected tick vector,Ixodes scapularis, which is capable of harboring and inoculating a host with multiple pathogens simultaneously. Clinical presentation of the diseases is heterogeneous and ranges from mild flu-like symptoms to near-fatal cardiac arrhythmias. While the reason for the variability is not known, the possibility exists that concomitant infection with bothB. burgdorferiandB. microtimay synergistically increase disease severity. In an effort to clarify the current state of understanding regarding coinfection withB. burgdorferiandB. microti, in this review, we discuss the geographical distribution and pathogenesis of Lyme disease and babesiosis in the United States, the immunological response of humans toB. burgdorferiorB. microtiinfection, the existing knowledge regarding coinfection disease pathology, and critical factors that have led to ambiguity in the literature regarding coinfection, in order to eliminate confusion in future experimental design and investigation.

Infections Caused by Spirochetes: Syphilis, Lyme Disease, Leptospirosis

2018 ◽  
Author(s):  
Patrick Duff
Keyword(s):  
Lyme Disease ◽  
Latent Infection ◽  
Congenital Syphilis ◽  
Ixodes Scapularis ◽  
Severe Disease ◽  
Erythema Migrans ◽  
Treponema Pallidum ◽  
Mild Disease ◽  
Drug Of Choice ◽  
In Pregnancy

Syphilis is caused by the spirochete Treponema pallidum. It is classified as primary, secondary, tertiary, and latent infection. If left untreated, syphilis can cause devastating injury to the fetus. The drug of choice for treatment of syphilis in pregnancy is penicillin. Lyme disease is caused by Borrelia burgdorferi and is transmitted by the Ixodes scapularis tick. The principal clinical manifestation of Lyme disease is erythema migrans, but patients may also develop arthritis and cardiac and neurologic abnormalities. Congenital Lyme disease has not been reported. The drug of choice for treatment of Lyme disease in pregnancy is amoxicillin. Leptospirosis is usually acquired from direct contact with urine of infected animals or through contaminated water, soil, or vegetation. Pregnant women with mild disease should be treated with oral amoxicillin. Patients with severe disease should be hospitalized and treated with intravenous penicillin or ampicillin. This review contains 5 figures, 5 tables, and 19 references. Key Words: clinical infection, congenital syphilis, latent infection, leptospirosis, Lyme disease, syphilis

scholarly journals Monitoring of Nesting Songbirds Detects Established Population of Blacklegged Ticks and Associated Lyme Disease Endemic Area in Canada

Healthcare ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 59 ◽  
Author(s):  
John D. Scott ◽  
Emily L. Pascoe ◽  
Muhammad S. Sajid ◽  
Janet E. Foley
Keyword(s):  
Lyme Disease ◽  
Endemic Area ◽  
Ixodes Scapularis ◽  
Borrelia Burgdorferi Sensu Lato ◽  
Blacklegged Tick ◽  
Local Residents ◽  
Novel Method ◽  
Flab Gene ◽  
Local Healthcare ◽  
Established Population

This study provides a novel method of documenting established populations of bird-feeding ticks. Single populations of the blacklegged tick, Ixodes scapularis, and the rabbit tick, Haemaphysalis leporispalustris, were revealed in southwestern Québec, Canada. Blacklegged tick nymphs and, similarly, larval and nymphal rabbit ticks were tested for the Lyme disease bacterium, Borrelia burgdorferi sensu lato (Bbsl), using PCR and the flagellin (flaB) gene, and 14 (42%) of 33 of blacklegged tick nymphs tested were positive. In contrast, larval and nymphal H. leporsipalustris ticks were negative for Bbsl. The occurrence of Bbsl in I. scapularis nymphs brings to light the presence of a Lyme disease endemic area at this songbird nesting locality. Because our findings denote that this area is a Lyme disease endemic area, and I. scapularis is a human-biting tick, local residents and outdoor workers must take preventive measures to avoid tick bites. Furthermore, local healthcare practitioners must include Lyme disease in their differential diagnosis.

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