{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T12:32:46Z","timestamp":1763037166127},"reference-count":7,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,7,29]],"date-time":"2016-07-29T00:00:00Z","timestamp":1469750400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zoonoses and Public Health"],"published-print":{"date-parts":[[2018,3]]},"abstract":"Summary<\/jats:title>Lyme disease (LD<\/jats:styled-content>) is the most common vector\u2010borne disease in Maryland and the United States. Surveillance for LD<\/jats:styled-content> is valuable for understanding the burden of the disease, particularly to assess whether the disease is spreading and to appreciate who is affected. However, not all cases of LD<\/jats:styled-content> in Maryland are reported, and surveillance practices vary across each of Maryland's 24 local health departments (LHD<\/jats:styled-content>s). To better understand this variability and to systematically characterize the surveillance process, we surveyed Maryland's LHD<\/jats:styled-content>s regarding LD<\/jats:styled-content> surveillance. The Maryland Local Health Department Lyme Disease Surveillance Survey has been administered annually since 2011. Questions asked each year included whether all LD<\/jats:styled-content> reports are investigated or only a subset, and how many reports are not entered into the surveillance database. Since 2011, Maryland has lost surveillance personnel for LD<\/jats:styled-content>. Each year from 2009 to 2012, a median 3598 (range 2462 to 5722) reports were not entered into the surveillance database and hence not investigated. These reports represent 43\u201355% of all reports received for the year. Over time, more LHD<\/jats:styled-content>s chose to streamline their LD<\/jats:styled-content> investigation approach by investigating only those reports that met the criteria for laboratory evidence of infection: in 2008, 5 (21%) LHD<\/jats:styled-content>s investigated only a subset of LD<\/jats:styled-content> reports; by 2013, this increased to 15 (63%). There is wide variability across LHD<\/jats:styled-content>s in how LD<\/jats:styled-content> investigations are conducted. Maryland LHD<\/jats:styled-content>s have experienced a loss of LD<\/jats:styled-content> surveillance personnel with a concomitant increase in the number of LHD<\/jats:styled-content>s adopting a streamlined approach to investigating cases. These findings underscore the tremendous burden of LD<\/jats:styled-content> on the public health agencies and highlight the need for alternative approaches that can both reduce burden and preserve surveillance data quality.<\/jats:p>","DOI":"10.1111\/zph.12275","type":"journal-article","created":{"date-parts":[[2018,2,12]],"date-time":"2018-02-12T11:27:19Z","timestamp":1518434839000},"page":"247-253","source":"Crossref","is-referenced-by-count":7,"title":["Characterizing Lyme Disease Surveillance in an Endemic State"],"prefix":"10.1111","volume":"65","author":[{"given":"H. J.","family":"Rutz","sequence":"first","affiliation":[{"name":"Maryland Department of Health and Mental Hygiene Center for Zoonotic and Vector\u2010borne Diseases Baltimore MD USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SB.","family":"Wee","sequence":"additional","affiliation":[{"name":"Maryland Department of Health and Mental Hygiene Center for Zoonotic and Vector\u2010borne Diseases Baltimore MD USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. A.","family":"Feldman","sequence":"additional","affiliation":[{"name":"Maryland Department of Health and Mental Hygiene Center for Zoonotic and Vector\u2010borne Diseases Baltimore MD USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,7,29]]},"reference":[{"key":"e_1_2_9_2_1","article-title":"A retrospective analysis of an estimating procedures for Lyme disease surveillance in Massachusetts and Minnesota","author":"Bjork J.","year":"2016","journal-title":"Zoonoses Public Health"},{"key":"e_1_2_9_3_1","unstructured":"CDC 2008:Lyme disease 2008 Case Definition. Available at:http:\/\/wwwn.cdc.gov\/NNDSS\/script\/casedef.aspx?CondYrID=751&DatePub=2008-01-01(accessed on 24 February 2015)."},{"key":"e_1_2_9_4_1","unstructured":"CDC 2014:Lyme Disease Cases by State. Available at:http:\/\/www.cdc.gov\/lyme\/stats\/chartstables\/reportedcases_statelocality.html(accessed on 24 February 2015)."},{"key":"e_1_2_9_5_1","unstructured":"COMAR 2015:Reportable Diseases Conditions Outbreaks and Unusual Manifestations; Submitting Clinical Materials. Available at:http:\/\/www.dsd.state.md.us\/comar\/getfile.aspx?file=10.06.01.03.htm(accessed on 24 February 2015)."},{"key":"e_1_2_9_6_1","article-title":"Evaluation of an estimating procedure for Lyme disease surveillance in New York state","author":"Lukacik G.","year":"2016","journal-title":"Zoonoses Public Health"},{"key":"e_1_2_9_7_1","unstructured":"Maryland DHMH 2013.Lyme Disease in Maryland by Jurisdiction: 2000\u20102013. Available at:http:\/\/phpa.dhmh.maryland.gov\/IDEHASharedDocuments\/2013Rates.pdf(accessed on 24 February 2015)."},{"key":"e_1_2_9_8_1","article-title":"Exploring an alternative approach to Lyme disease surveillance in Maryland","author":"Rutz H.","year":"2016","journal-title":"Zoonoses Public Health"}],"container-title":["Zoonoses and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fzph.12275","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/zph.12275","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T19:54:37Z","timestamp":1694634877000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/zph.12275"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7,29]]},"references-count":7,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1111\/zph.12275"],"URL":"https:\/\/doi.org\/10.1111\/zph.12275","archive":["Portico"],"relation":{},"ISSN":["1863-1959","1863-2378"],"issn-type":[{"value":"1863-1959","type":"print"},{"value":"1863-2378","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7,29]]}}}