Abstract Surveillance for Lyme disease (LD) was initiated by CDC in 1982,1 and in January 1991, LD became nationally reportable.2 Forty-six states reported cases in 1989 and 1990, but the occurrence in nature of the causative bacterium, Borrelia burgdorferi, has not been documented in all of these states. From 1982 through 1989, the annual reported number of cases of LD increased 18-fold (from 497 to 8803, respectively) and from 1986 through 1989 nearly doubled each year. The provisional total of 7997 cases for 1990 suggests a plateau in this trend of rapid annual increase. This report summarizes surveillance of LD during 1990 in Connecticut, Georgia, Michigan, Missouri, New Jersey, and Wisconsin. Connecticut In 1990, the Connecticut Department of Health Services (CDHS) reported 704 cases (22 per 100 000 population) of LD based on the new national surveillance case definition adopted by the Council of State and Territorial Epidemiologists (CSTE) References 1. Schmid GP, Horsley R, Steere AC, et al. Surveillance of Lyme disease in the United States, 1982 . J Infect Dis 1985;161:1144-9.Crossref 2. Wharton M, Chorba TL, Vogt RL, Morse DL, Buehler JW. Case definitions for public health surveillance . MMWR 1990;39(no. (RR-13) ):19-21. 3. Ciesielski CA, Markowitz LE, Horsley R, Hightower AW, Russell H, Broome CV. The geographic distribution of Lyme disease in the United States . Ann NY Acad Sci 1988;539:283-8.Crossref 4. CDC. Tickborne diseases—Georgia, 1989 . MMWR 1990;39:397-9. 5. Georgia Department of Human Resources. Lyme disease—1990 . Georgia Epidemiology Report 1991;7:2-3. 6. Wisconsin Division of Health. Lyme disease update . Wisconsin Epidemiology Bulletin 1991; 13:1-4. 7. Ciesielski CA, Markowitz LE, Horsley R, Hightower AW, Russell H. Broome CV. Lyme disease surveillance in the United States, 1983-1986 . Rev Infect Dis 1989;11( (suppl 6) ):S1435-41.Crossref 8. CDC. Lyme disease—United States, 1987 and 1988 . MMWR 1989;38:668-72.
Archives of Dermatology – American Medical Association
Published: Sep 1, 1991