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Previous Volume 348:2424-2430 June 12, 2003 Number 24 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The number of cases of Lyme disease reported in the United States has increased from 491 cases in 1982,¹ the first year of national surveillance, to 17,029 in 2001,² despite federal, state, and local efforts to prevent the disease. About 60,000 cases are reported each year in Europe.³ Most efforts at prevention have focused on spreading information about how Lyme disease is transmitted and on encouraging people to use repellents, wear protective clothing, and check themselves for ticks. These strategies are inexpensive and unlikely to be harmful, but their effectiveness has not been conclusively demonstrated. It is possible that these . . . [Full Text of this Article]

The Case for Primary Prevention

Opportunities for Prevention

Strategies for Primary Prevention

Tick Checks

Prophylactic Treatment after Tick Bites

Tick Control

Future Techniques for Tick Control

Conclusions

Source Information

From the Division of Vector-Borne Infectious Diseases, Centers for Disease Control and Prevention, Fort Collins, Colo.

Address reprint requests to Dr. Piesman at the Centers for Disease Control and Prevention, P.O. Box 2087, Rampart Rd., Fort Collins, CO 80522, or at jfp2@cdc.gov.

Related Letters:

Preventing Lyme Disease
Haufs M. G., Hayes E. B., Piesman J.
Extract | Full Text | PDF  
N Engl J Med 2003; 349:1192, Sep 18, 2003. Correspondence

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