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American Journal of Public Health, Vol. 81, Issue 6 714-718, Copyright © 1991 by American Public Health Association

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Lyme disease: a proposed ecological index to assess areas of risk in the northeastern United States.

T L Schulze, R C Taylor, G C Taylor and E M Bosler

Division of Epidemiology and Disease Control, New Jersey State Department of Health, Trenton 08625.

BACKGROUND: Recent public awareness has resulted in a demand for information about ways to reduce the risk of acquiring Lyme disease. METHODS: Twenty-two school properties and recreational areas within a Lyme disease endemic area of central Monmouth County, New Jersey were evaluated for risk of transmission using an ecological index on the suitability, amount, and access to Ixodes dammini habitat by target human populations and the abundance of infected adult ticks. RESULTS: The characterization of tick habitat accurately predicted the elimination of 11 sites from concern. Of the remaining 11 sites, six were classified high risk and five as moderate risk. On-site tick surveys identified infected I. dammini adults at only four sites (three risk; one moderate risk). CONCLUSIONS: These results indicate that the use of selected ecological parameters provides a cost-effective method to rapidly identify areas at risk for Lyme disease transmission.




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J. D. Klein, S. C. Eppes, and P. Hunt
Environmental and Life-style Risk Factors for Lyme Disease in Children
Clinical Pediatrics, July 1, 1996; 35(7): 359 - 363.
[Abstract] [PDF]


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Copyright © 1991 by the American Public Health Association