title: Assessing the prevention effectiveness of local Lyme disease control.
abstract: The effectiveness of any public health intervention is determined by its theoretical efficacy and by the level of engagement of the target population. A computer simulation model and basic epidemiologic concepts were used to estimate the effectiveness of interventions for preventing Lyme disease in a hypothetical community. The process for estimating numbers of Lyme disease cases prevented by each intervention is described. This assessment compares the effectiveness of alternative community-based prevention strategies, illuminates the limitations and distributive effects of interventions, and helps clarify available prevention options for community residents.
authors.affiliation: Epidemiology Section, National Centers for Infectious Diseases, Fort Collins, Colorado, USA.
authors.forename: E B
authors.initials: EB
authors.lastname: Hayes
authors.forename: G O
authors.initials: GO
authors.lastname: Maupin
authors.forename: G A
authors.initials: GA
authors.lastname: Mount
authors.forename: J
authors.initials: J
authors.lastname: Piesman
mesh_terms: D003140:Communicable Disease Control / Q000592:standards*; D018672:Community Health Planning; D003198:Computer Simulation; D006266:Health Education; D006801:Humans; D008193:Lyme Disease / Q000517:prevention & control*; D009511:New England / Q000453:epidemiology; D015397:Program Evaluation; D012307:Risk Factors; D013983:Tick Control