title: Epidemiology of Lyme disease in low-incidence states.
abstract: Lyme disease is the most common vector-borne disease in the U.S. Surveillance data from four states with a low-incidence of Lyme disease was evaluated. Most cases occurred after travel to high-incidence Lyme disease areas. Cases without travel-related exposure in low-incidence states differed epidemiologically; misdiagnosis may be common in these areas.
authors.affiliation: Epidemic Intelligence Service Program, United States; Bacterial Diseases Branch, Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, United States. Electronic address: xdd2@cdc.gov.
authors.forename: Joseph D
authors.initials: JD
authors.lastname: Forrester
authors.affiliation: Epidemic Intelligence Service Program, United States; Bacterial Diseases Branch, Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, United States.
authors.forename: Meghan
authors.initials: M
authors.lastname: Brett
authors.affiliation: Florida Department of Health, United States.
authors.forename: James
authors.initials: J
authors.lastname: Matthias
authors.affiliation: Florida Department of Health, United States.
authors.forename: Danielle
authors.initials: D
authors.lastname: Stanek
authors.affiliation: South Carolina Department of Health and Environmental Control, United States.
authors.forename: Chasisity Brown
authors.initials: CB
authors.lastname: Springs
authors.affiliation: Office of Communicable Disease Epidemiology, Washington State Department of Health, United States.
authors.forename: Nicola
authors.initials: N
authors.lastname: Marsden-Haug
authors.affiliation: Office of Communicable Disease Epidemiology, Washington State Department of Health, United States; CDC/CSTE Applied Epidemiology Fellowship Program, United States.
authors.forename: Hanna
authors.initials: H
authors.lastname: Oltean
authors.affiliation: Division of Disease Control and Prevention, Utah Department of Health, United States.
authors.forename: JoDee Summers
authors.initials: JS
authors.lastname: Baker
authors.affiliation: Bacterial Diseases Branch, Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, United States.
authors.forename: Kiersten J
authors.initials: KJ
authors.lastname: Kugeler
authors.affiliation: Bacterial Diseases Branch, Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, United States.
authors.forename: Paul S
authors.initials: PS
authors.lastname: Mead
authors.affiliation: Bacterial Diseases Branch, Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, United States. Electronic address: cue0@cdc.gov.
authors.forename: Alison
authors.initials: A
authors.lastname: Hinckley
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D019353:Endemic Diseases; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D008193:Lyme Disease / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D014195:Travel; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: Borrelia burgdorferi; Lyme disease; Misdiagnosis