Friday, June 19, 2009

Lyme Reporting in Georgia

Physicians in Georgia please report your Lyme cases here. No where is the double bind reporting of the Dearborn commission seen more clearly then in the Georgia CDC stats for Lyme. Below are two charts that project what reporting should have been and a projected actual. It is a far different trend than is shown by the CDC currently for Lyme in Georigia.

The Lyme Double Bind: if a patient shows up with a bullseye rash they will not yet be positive on the ELISA or Western Blot(because most of the OspA lines have been removed). You could withhold antibiotics and wait for the tests to show positive results. But the longer you wait the sicker your patient becomes. With the ever growing evidence of Chronic Lyme you could be risking your patients neurological health by waiting. So you say forget the CDC and you treat your patient on the spot like any good doctor would.

But now you have a different problem. You have an epidemic growing in your state and no one knows its scope. Call to action for Georgia Physicians. Please create a new Lyme reporting data base among yourselves. Anonymity for both the patient and physicians is critical.

Metric One: Clinical presentation of Lyme without rash
Metric Two: Clinical presentation of Lyme with rash
Metric Three: ELISA presentation of Lyme without rash
Metric Four: ELISA presentation of Lyme with rash
Metric Five: Meets CDC requirments

What your trend should look like.... note: (2009 reporting should be 4 to 5 times hire than stated below due to high acorn production increasing the amount of white foot mice that act as hosts for Lyme caring ticks.)

















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