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Lyme Diseases Cases
Jump 40% In US

By Dan Shapley
Poughkeepsie Journal
5-7-4
 
Mid-Hudson Valley children are at the heart of a 40 percent increase in Lyme disease cases from 2001 to 2002, according to the latest national numbers from the Centers for Disease Control and Prevention.
 
Columbia County had the highest incidence of Lyme disease in the nation in 2001 and 2002. Dutchess ranked second in 2002, moving up from fourth a year earlier. Greene ranked seventh.
 
Nationwide, 23,763 cases were reported in 2002, up from 17,029 in 2001.
 
Patients were most likely to have illness through the warm months, with illness peaking in June and July.
 
Children ages 5-14 and adults ages 50-59 were most likely to get Lyme. In the 12 states where most illness occurred, including New York, 6-year-olds were more likely than any other age to get Lyme.
 
Concentration affected
 
Kristin Chiparri, 12, has had Lyme disease for eight years. The sixth-grader has started receiving intravenous antibiotic treatments that are working, and she and her mother, Carol, are hopeful the ordeal will soon be over.
 
Because of concentration problems her doctor attributed to Lyme, Kristin is tutored at her home in Poughkeepsie part of the day.
 
''My classmates, they always ask why I go into school late, and leave early. They say, 'You're lucky, you're lucky,' '' she said. But she'd take a full day of school over Lyme disease in a heartbeat.
 
Lyme disease is caused by a bacterium carried by black-legged ticks, a tiny, blood-sucking arachnid. The disease can cause joint pain, fever and fatigue, leading to more serious complications if not treated properly. Antibiotics often are effective, though the necessary length of treatment has been controversial.
 
Some of the increase in cases may be due to better surveillance and reporting, the CDC said. And serious medical complications from Lyme disease have dropped locally, according to statistics from the Dutchess County Department of Health.
 
In 1997, 22 percent of Dutchess Lyme patients reported serious heart complications. By 2002, it was fewer than 1 percent. The story is the same for central nervous system complications, which had affected 10 percent of patients in 1997, but fewer than 1 percent since.
 
Doctors are diagnosing Lyme disease better, and treating it early. Officials credit a public education program spearheaded by the Health Department, the American Lyme Disease Foundation and the Institute of Ecosystem Studies in Millbrook. That coalition also is studying ways to reduce ticks in the environment.
 
Arthritis still affects roughly 20 percent of Dutchess patients, and patients experiencing other muscle symptoms appear to have gone up, from about 14 percent in 1997 to 21 percent in 2002.
 
The CDC urged people to take precautions like removing ticks promptly, using insecticides wisely, landscaping yards to remove tick habitat and using insect repellent.
 
''People really can prevent Lyme disease,'' said Dr. Erin Staples, a CDC epidemiologist.
 
On the Web
 
For tips on avoiding tick-borne diseases, visit www.stopticks.org
 


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