{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T01:09:13Z","timestamp":1789607353696,"version":"build-2803163510"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,7,8]],"date-time":"2016-07-08T00:00:00Z","timestamp":1467936000000},"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","award":["1U50CK000204\u201001"],"award-info":[{"award-number":["1U50CK000204\u201001"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004956","name":"Minnesota Department of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004956","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":"<jats:title>Summary<\/jats:title><jats:p>Lyme disease (<jats:styled-content style=\"fixed-case\">LD<\/jats:styled-content>), anaplasmosis, babesiosis and other tick\u2010borne diseases (<jats:styled-content style=\"fixed-case\">TBD<\/jats:styled-content>s) attributed to <jats:italic>Ixodes<\/jats:italic> ticks are thought to be widely underreported in the United States. To identify <jats:styled-content style=\"fixed-case\">TBD<\/jats:styled-content> cases diagnosed in 2009, but not reported to the Minnesota Department of Health (<jats:styled-content style=\"fixed-case\">MDH<\/jats:styled-content>), diagnostic and procedural billing codes suggestive of tick\u2010borne diseases were used to select medical charts for retrospective review in medical facilities serving residents of a highly endemic county in Minnesota. Of 444 illness events, 352 (79%) were not reported. Of these, 102 (29%) met confirmed or probable surveillance case criteria, including 91 (26%) confirmed <jats:styled-content style=\"fixed-case\">LD<\/jats:styled-content> cases with physician\u2010diagnosed erythema migrans (<jats:styled-content style=\"fixed-case\">EM<\/jats:styled-content>). For each confirmed and probable <jats:styled-content style=\"fixed-case\">LD<\/jats:styled-content>, probable anaplasmosis and confirmed babesiosis case reported to <jats:styled-content style=\"fixed-case\">MDH<\/jats:styled-content> in 2009, 2.8, 1.3, 1.2 and 1.0 cases were likely diagnosed, respectively. These revised estimates provide a more accurate assessment and better understanding of the burden of these diseases in a highly endemic county.<\/jats:p>","DOI":"10.1111\/zph.12291","type":"journal-article","created":{"date-parts":[[2016,7,8]],"date-time":"2016-07-08T10:17:22Z","timestamp":1467973042000},"page":"230-237","source":"Crossref","is-referenced-by-count":42,"title":["Underreporting of Lyme and Other Tick\u2010Borne Diseases in Residents of a High\u2010Incidence County, Minnesota, 2009"],"prefix":"10.1111","volume":"65","author":[{"given":"E. K.","family":"Schiffman","sequence":"first","affiliation":[{"name":"Minnesota Department of Health St. Paul MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"McLaughlin","sequence":"additional","affiliation":[{"name":"Minnesota Department of Health St. Paul MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. A. E.","family":"Ray","sequence":"additional","affiliation":[{"name":"Minnesota Department of Health St. Paul MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. M.","family":"Kemperman","sequence":"additional","affiliation":[{"name":"Minnesota Department of Health St. Paul MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. F.","family":"Hinckley","sequence":"additional","affiliation":[{"name":"Division of Vector\u2010Borne Disease Centers for Disease Control and Prevention Fort Collins CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. G.","family":"Friedlander","sequence":"additional","affiliation":[{"name":"Minnesota Department of Health St. Paul MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. F.","family":"Neitzel","sequence":"additional","affiliation":[{"name":"Minnesota Department of Health St. Paul MN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,7,8]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Communicable Disease Reporting Rules Minn.2005. R. Chapter 4605.7500 et.seq."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.18.3.484-509.2005"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1086\/324517"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a009568"},{"key":"e_1_2_7_6_1","unstructured":"Centers for Disease Control and Prevention (CDC).2008a.Lyme disease (Borrelia burgdorferi) 2008 Case Definition. National Notifiable Diseases Surveillance System (NNDSS).http:\/\/wwwn.cdc.gov\/nndss\/conditions\/lyme-disease\/."},{"key":"e_1_2_7_7_1","unstructured":"Centers for Disease Control and Prevention (CDC).2008b.Ehrlichiosis and Anaplasmosis 2008 Case Definition. National Notifiable Diseases Surveillance System (NNDSS).http:\/\/wwwn.cdc.gov\/nndss\/conditions\/search\/anaplasmosis\/."},{"key":"e_1_2_7_8_1","first-page":"1","article-title":"Summary of notifiable diseases \u2013 United States, 2009","volume":"58","author":"Centers for Disease Control and Prevention (CDC)","year":"2011","journal-title":"MMWR Morb. Mortal. Wkly Rep."},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/173.5.1260"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/155.9.866"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid1802.101219"},{"key":"e_1_2_7_12_1","first-page":"1743","article-title":"Epidemiology of Lyme disease in Olmsted County, MN, 1975\u20131990","volume":"19","author":"Matteson E.L.","year":"1992","journal-title":"J. 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