title: Incidence and hospitalisation rates of Lyme borreliosis, France, 2004 to 2012.
abstract: Lyme borreliosis (LB) has become a major concern recently, as trends in several epidemiological studies indicate that there has been an increase in this disease in Europe and America over the last decade. This work provides estimates of LB incidence and hospitalisation rates in France. LB data was obtained from the Sentinelles general practitioner surveillance network (2009–2012) and from the Programme de Médicalisation des Systèmes d’Information (PMSI) data processing centre for hospital discharges (2004–09). The yearly LB incidence rate averaged 42 per 100,000 inhabitants (95% confidence interval (CI): 37–48), ranging from 0 to 184 per 100,000 depending on the region. The annual hospitalisation rate due to LB averaged 1.55 per 100,000 inhabitants (95% CI: 1.42–1.70). Both rates peaked during the summer and fall and had a bimodal age distribution (5–10 years and 50–70 years). Healthcare providers should continue to invest attention to prompt recognition and early therapy for LB, whereas public health strategies should keep promoting use of repellent, daily checks for ticks and their prompt removal.
authors.affiliation: Sorbonne Universites, UPMC Univ Paris 06, UMR_S 1136, F-75013, Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Vandenesch
authors.forename: C
authors.initials: C
authors.lastname: Turbelin
authors.forename: E
authors.initials: E
authors.lastname: Couturier
authors.forename: C
authors.initials: C
authors.lastname: Arena
authors.forename: B
authors.initials: B
authors.lastname: Jaulhac
authors.forename: E
authors.initials: E
authors.lastname: Ferquel
authors.forename: V
authors.initials: V
authors.lastname: Choumet
authors.forename: C
authors.initials: C
authors.lastname: Saugeon
authors.forename: E
authors.initials: E
authors.lastname: Coffinieres
authors.forename: T
authors.initials: T
authors.lastname: Blanchon
authors.forename: V
authors.initials: V
authors.lastname: Vaillant
authors.forename: T
authors.initials: T
authors.lastname: Hanslik
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D025065:Borrelia burgdorferi / Q000302:isolation & purification*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005602:France / Q000453:epidemiology; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008193:Lyme Disease / Q000453:epidemiology* / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D018571:Sentinel Surveillance; D017678:Sex Distribution; D013987:Ticks / Q000469:parasitology*; D055815:Young Adult