Publications

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correlation between tick density and pathogen endemicity, new hampshire.to assess the endemicity of tick-borne pathogens in new hampshire, we surveyed adult tick vectors. pathogens were more prevalent in areas of high tick density, suggesting a correlation between tick establishment and pathogen endemicity. infection rates in ticks correlated with disease frequency in humans.200919331738
three sudden cardiac deaths associated with lyme carditis - united states, november 2012-july 2013.lyme disease is a multisystem illness caused by borrelia burgdorferi, a spirochete transmitted by certain species of ixodes ticks. approximately 30,000 confirmed and probable cases of lyme disease were reported in the united states in 2012, primarily from high-incidence states in the northeast (connecticut, delaware, maine, maryland, massachusetts, new hampshire, new jersey, new york, pennsylvania, rhode island, and vermont) and upper midwest (minnesota and wisconsin). common manifestations incl ...201324336130
lyme disease knowledge, beliefs, and practices of new hampshire primary care physicians.lyme disease is the most commonly reported vectorborne illness in the united states and is endemic in many counties in the northeast, including counties in new hampshire. previous studies conducted elsewhere on lyme disease have indicated substantial differences between physician practices and published consensus guidelines for diagnosis and treatment.200212150460
tick bite and lyme disease-related emergency department encounters in new hampshire, 2010-2014.lyme disease (ld) is a common tick-borne disease in new hampshire (nh). while ld is a reportable condition and cases are counted for public health surveillance, many more people receive care for tick bites or diagnoses of ld than are reflected in surveillance data. nh's emergency department (ed) data system was queried for tick bite and ld-related encounters. chief complaint text was queried for words related to ld or tick bites. international classification of diseases 9th revision (icd-9) code ...201728432738
canine exposure to borrelia burgdorferi and prevalence of ixodes dammini (acari: ixodidae) on deer as a measure of lyme disease risk in the northeastern united states.surveillance programs that identify areas where both the vector (ixodes dammini) and etiologic agent (borrelia burgdorferi) are present may identify the risk of lyme disease and its spread earlier and more accurately than do programs relying on any single method, particularly human case reports. hunter-killed deer (n = 1,204) from 22 counties in maryland, massachusetts, new hampshire, new york, and pennsylvania were examined in fall 1989 and all ectoparasites were identified. the following sprin ...19938433324
ixodes dammini and borrelia burgdorferi in northern new england and upstate new york. 19873585637
emerging cases of powassan virus encephalitis in new england: clinical presentation, imaging, and review of the literature.powassan virus (powv) is a rarely diagnosed cause of encephalitis in the united states. in the northeast, it is transmitted by ixodes scapularis, the same vector that transmits lyme disease. the prevalence of powv among animal hosts and vectors has been increasing. we present 8 cases of powv encephalitis from massachusetts and new hampshire in 2013-2015.201626668338
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