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2. Economic Burden of Reported Lyme Disease in High-Incidence Areas, United States, 2014-2016

Author

Hook, Sarah A., Jeon, Seonghye, Niesobecki, Sara A., Hansen, AmberJean P., Meek, James I., Bjork, Jenna K.H., Dorr, Franny M., Rutz, Heather J., Feldman, Katherine A., White, Jennifer L., Backenson, P. Bryon, Shankar, Manjunath B., Meltzer, Martin I., and Hinckley, Alison F.

Subjects
Statistics, Economic aspects, Care and treatment, Health care costs -- Statistics, Lyme disease -- Statistics -- Economic aspects -- Care and treatment, Medical care, Cost of -- Statistics
Abstract

Lyme disease is a bacterial illness caused primarily by infection with Borrelia burgdorferi, transmitted by the bite of infected Ixodes scapularis and I. pacificus ticks in the United States. Early [...]

Published
2022
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5. Assessment of Knowledge, Attitudes, and Practices Toward Ticks and Tickborne Disease among Healthcare Professionals Working in Schools in New York and Maryland.

Author

Howard, Kristen, Beck, Alyssa, Kaufman, Alison, Rutz, Heather, Hutson, Jeré, Crum, David, Rowe, Adam, Marx, Grace, Hinckley, Alison, and White, Jennifer

Subjects
HEALTH literacy, NURSES, CROSS-sectional method, SELF-efficacy, RESEARCH funding, TICKS, DESCRIPTIVE statistics, CONFIDENCE, NURSES' attitudes, PHYSICIAN practice patterns, SCHOOL nursing, STUDENT health, HEALTH education, TICK-borne diseases, SCHOOL health services, LYME disease, PREVENTIVE health services
Abstract

Healthcare Professionals Working in Schools (HPWS) are responsible for providing health services to students and play a role in providing education to prevent illnesses, including tickborne diseases (TBD). Providing TBD education to children has been shown to increase prevention behaviors and knowledge of TBD symptoms, but little is known regarding the current state of TBD awareness among HPWS. In spring 2019 we conducted a cross-sectional knowledge, attitudes, and practices (KAP) survey of HPWS in two states with a high incidence of Lyme disease (LD) to inform design of TBD prevention programs. The survey queried general knowledge of TBDs, school practices regarding TBDs, and availability of TBD resources. Overall, higher confidence, experience, risk perception, prior training on TBD, and more years employed as a HPWS were independently associated with knowledge of LD transmission, symptoms, and correct tick removal practices. State and local health departments should consider prioritizing engagement with HPWS to provide educational opportunities about tickborne diseases. [ABSTRACT FROM AUTHOR]

Published
2024
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8. sj-docx-1-jsn-10.1177_10598405221099484 - Supplemental material for Assessment of Knowledge, Attitudes, and Practices Toward Ticks and Tickborne Disease among Healthcare Professionals Working in Schools in New York and Maryland

Author

Howard, Kristen, Beck, Alyssa, Kaufman, Alison, Rutz, Heather, Hutson, Jeré, Crum, David, Rowe, Adam, Marx, Grace, Hinckley, Alison, and White, Jennifer

Subjects
111099 Nursing not elsewhere classified, FOS: Clinical medicine, FOS: Health sciences, 111403 Paediatrics, Education
Abstract

Supplemental material, sj-docx-1-jsn-10.1177_10598405221099484 for Assessment of Knowledge, Attitudes, and Practices Toward Ticks and Tickborne Disease among Healthcare Professionals Working in Schools in New York and Maryland by Kristen Howard, Alyssa Beck, Alison Kaufman, Heather Rutz, Jeré Hutson, David Crum, Adam Rowe, Grace Marx, Alison Hinckley and Jennifer White in The Journal of School Nursing

Published
2022
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9. Evaluating public acceptability of a potential Lyme disease vaccine using a population-based, cross-sectional survey in high incidence areas of the United States

Author

Hook, Sarah A., primary, Hansen, AmberJean P., additional, Niesobecki, Sara A., additional, Meek, James I., additional, Bjork, Jenna K.H., additional, Kough, Erin M., additional, Peterson, Molly S., additional, Schiffman, Elizabeth K., additional, Rutz, Heather J., additional, Rowe, Adam J., additional, White, Jennifer L., additional, Peel, Jennifer L., additional, Biggerstaff, Brad J., additional, and Hinckley, Alison F., additional

Published
2022
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13. Tuberculosis Mortality in the United States: Epidemiology and Prevention Opportunities

Author

Beavers, Suzanne F., primary, Pascopella, Lisa, additional, Davidow, Amy L., additional, Mangan, Joan M., additional, Hirsch-Moverman, Yael R., additional, Golub, Jonathan E., additional, Blumberg, Henry M., additional, Webb, Risa M., additional, Royce, Rachel A., additional, Buskin, Susan E., additional, Leonard, Michael K., additional, Weinfurter, Paul C., additional, Belknap, Robert W., additional, Hughes, Stephen E., additional, Warkentin, Jon V., additional, Welbel, Sharon F., additional, Miller, Thaddeus L., additional, Kundipati, Saini R., additional, Lauzardo, Michael, additional, Barry, Pennan M., additional, Katz, Dolly J., additional, Garrett, Denise O., additional, Graviss, Edward A., additional, Flood, Jennifer M., additional, Abernathy, Veronica, additional, Ahmedov, Sevim, additional, Alston, Winnie, additional, Anger, Holly, additional, Barash, Elizabeth, additional, Berger (posthumously), Rob, additional, Colson, Paul W., additional, Conwill, David, additional, Corro, Mario, additional, Cronin, Wendy, additional, Gordon, Kaitron, additional, Goswami, Neela D., additional, Hobbs, Connie, additional, Holcombe, Michael, additional, Hufnagel, Eileen, additional, Jonda, Carol, additional, Maltas, Gina, additional, Matthew, Trini, additional, Miranda, Wilson, additional, Moongrace, Lexa, additional, Munguia, Guadalupe, additional, Murray, Ellen, additional, O’Leary, Ellen, additional, Oxtoby, Margaret, additional, Pang, Jenny, additional, Romo, Laura, additional, Rutz, Heather, additional, Salcedo, Katya, additional, Savage, Shonita, additional, Singh, Rashmi, additional, Schechter, Gisela, additional, Sevilla, Anna, additional, Stein-Hart, Trudy, additional, Sterling, Tim, additional, Tapia, Jane, additional, Teeter, Larry, additional, Vergeon, Jennifer, additional, Wall, Kirsten, additional, and Weis, Stephen, additional

Published
2018
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14. Impacts of misclassification on Lyme disease surveillance.

Author

Rutz, Heather, Hogan, Brenna, Hook, Sarah, Hinckley, Alison, and Feldman, Katherine

Subjects
*LYME disease, *PUBLIC health, *BORRELIA burgdorferi, *RELAPSING fever, *DRUG side effects
Abstract

In Maryland, Lyme disease (LD) is the most widely reported tickborne disease. All laboratories and healthcare providers are required to report LD cases to the local health department. Given the large volume of LD reports, the nuances of diagnosing and reporting LD, and the effort required for investigations by local health department staff, surveillance for LD is burdensome and subject to underreporting. To determine the degree to which misclassification occurs in Maryland, we reviewed medical records for a sample of LD reports from 2009. We characterized what proportion of suspected and "not a case" reports could be reclassified as confirmed or probable once additional information was obtained from medical record review, explored the reasons for misclassification, and determined multipliers for a more accurate number of LD cases. We reviewed medical records for reports originally classified as suspected (n = 44) and "not a case" (n = 92). Of these 136 records, 31 (23%) suspected cases and "not a case" reports were reclassified. We calculated multipliers and applied them to the case counts from 2009, and estimate an additional 269 confirmed and probable cases, a 13.3% increase. Reasons for misclassification fell into three general categories: lack of clinical or diagnostic information from the provider; surveillance process errors; and incomplete information provided on laboratory reports. These multipliers can be used to calculate a better approximation of the true number of LD cases in Maryland, but these multipliers only account for underreporting due to misclassification, and do not account for cases that are not reported at all (e.g., LD diagnoses based on erythema migrans alone that are not reported) or for cases that are not investigated. Knowing that misclassification of cases occurs during the existing LD surveillance process underscores the complexities of LD surveillance, which further reinforces the need to find alternative approaches to LD surveillance. [ABSTRACT FROM AUTHOR]

Published
2019
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