Geographic Expansion of Lyme Disease in the Southeastern United States, 2000-2014.

Abstract

Background.  The majority of Lyme disease cases in the United States are acquired on the east coast between northern Virginia and New England. In recent years the geographic extent of Lyme disease has been expanding, raising the prospect of Lyme disease becoming endemic in the southeast. Methods.  We collected confirmed and probable cases of Lyme disease from 2000 through 2014 from the Virginia Department of Health and North Carolina Department of Public Health and entered them in a geographic information system. We performed spatial and spatiotemporal cluster analyses to characterize Lyme disease expansion. Results.  There was a marked increase in Lyme disease cases in Virginia, particularly from 2007 onwards. Northern Virginia experienced intensification and geographic expansion of Lyme disease cases. The most notable area of expansion was to the southwest along the Appalachian Mountains with development of a new disease cluster in the southern Virginia mountain region. Conclusions.  The geographic distribution of Lyme disease cases significantly expanded in Virginia between 2000 and 2014, particularly southward in the Virginia mountain ranges. If these trends continue, North Carolina can expect autochthonous Lyme disease transmission in its mountain region in the coming years.

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Citation

Published Version (Please cite this version)

10.1093/ofid/ofv143

Publication Info

Lantos, Paul M, Lise E Nigrovic, Paul G Auwaerter, Vance G Fowler, Felicia Ruffin, R Jory Brinkerhoff, Jodi Reber, Carl Williams, et al. (2015). Geographic Expansion of Lyme Disease in the Southeastern United States, 2000-2014. Open Forum Infect Dis, 2(4). p. ofv143. 10.1093/ofid/ofv143 Retrieved from https://hdl.handle.net/10161/12049.

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Scholars@Duke

Lantos

Paul Michael Lantos

Professor of Medicine

I am interested in the spatial epidemiology of infectious diseases. My research utilizes geographic information systems (GIS) and geostatistical analyses to understand the spatial and spatiotemporal distribution of diseases, and their relationship with environmental and demographic factors. I currently have active studies evaluating the spatial distribution of numerous domestic and international infectious diseases, including SARS-CoV-2 (COVID-19), cytomegalovirus, influenza, and Lyme disease. Additionally I am interested in maternal-child health, and I have a number of ongoing studies of neighborhood health disparities in obstetrical care and birth outcomes. I am interested in GIS education and have conducted workshops on public health GIS in Mongolia and China.

Ruffin

Felicia Ruffin

Research Program Leader, Tier 1
Pan

William Kuang-Yao Pan

Elizabeth Brooks Reid and Whitelaw Reid Associate Professor

William Pan, PhD, Assistant Professor of Global Environmental Health, joined the faculty at Duke in 2011. He holds a joint appointment at DGHI and the Nicholas School of Environment, and is Adjunct Assistant Professor in the Department of International Health at Johns Hopkins Bloomberg School of Public Health. Pan’s research interests focuses on Population, Health, and Environmental interactions in developing countries, with particular interest in translational research directed toward sustainable development activities and global environmental health. He has worked in countries throughout Latin America and Africa on topics ranging from land use change, reproductive health, migration, tuberculosis, HIV, enteric infections, and childhood nutrition. Pan received his doctoral training in Biostatistics from UNC-Chapel Hill with a focus on demography and spatial analysis. He also received a Master of Public Health from Rollins School of Public Health at Emory University.


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