{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:23:32Z","timestamp":1787016212305,"version":"build-2736575974"},"reference-count":8,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,9,10]],"date-time":"2016-09-10T00:00:00Z","timestamp":1473465600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zoonoses and Public Health"],"published-print":{"date-parts":[[2018,3]]},"abstract":"Summary<\/jats:title>\n \n Despite the mandatory nature of Lyme disease (\n LD<\/jats:styled-content>\n ) reporting in New York State (\n NYS<\/jats:styled-content>\n ), it is believed that only a fraction of the\n LD<\/jats:styled-content>\n cases diagnosed annually are reported to public health authorities. Lack of complete\n LD<\/jats:styled-content>\n case reporting generally stems from (i) lack of report of provider\u2010diagnosed cases where supportive laboratory testing is not ordered or results are negative (i.e. provider underreporting) and (ii) incomplete case information (clinical laboratory reporting only with no accompanying clinical information) such that cases are considered \u2018suspect\u2019 and not included in national and statewide case counts (i.e. case misclassification). In an attempt to better understand\n LD<\/jats:styled-content>\n underreporting in\n NYS<\/jats:styled-content>\n , a two\u2010part study was conducted in 2011 using surveillance data from three counties. Case misclassification was assessed by obtaining medical records on suspect cases and reclassifying according to the surveillance case definition. To assess provider underreporting, lists of patients for whom\n ICD<\/jats:styled-content>\n \u20109\u2010\n CM<\/jats:styled-content>\n code 088.81 (\n LD<\/jats:styled-content>\n ) had been used were reported to NYS Department of Health (\n NYSDOH<\/jats:styled-content>\n ). These lists were matched to the\n NYSDOH<\/jats:styled-content>\n case reporting system, and medical records were requested on patients not previously reported; cases were then classified according to the case definition. When including both provider underreporting and case misclassification, approximately 20% (range 18.4\u201324.6%) more\n LD<\/jats:styled-content>\n cases were identified in the three\u2010county study area than were originally reported through standard surveillance. The additional cases represent a minimum percentage of unreported cases; the true percentage of unreported cases is likely higher. Unreported cases were more likely to have a history of erythema migrans (\n EM<\/jats:styled-content>\n ) rash and were more likely to be young paediatric cases. Results of the study support the assertion that\n LD<\/jats:styled-content>\n cases are underreported in\n NYS<\/jats:styled-content>\n . Initiatives to increase reporting should highlight the importance of reporting clinically diagnosed\n EM<\/jats:styled-content>\n and be targeted to those providers most likely to diagnose\n LD<\/jats:styled-content>\n , specifically providers treating paediatric patients.\n <\/jats:p>","DOI":"10.1111\/zph.12307","type":"journal-article","created":{"date-parts":[[2016,9,10]],"date-time":"2016-09-10T02:54:31Z","timestamp":1473476071000},"page":"238-246","source":"Crossref","is-referenced-by-count":27,"title":["Lyme Disease Surveillance in New York State: an Assessment of Case Underreporting"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6343-6109","authenticated-orcid":false,"given":"J.","family":"White","sequence":"first","affiliation":[{"name":"New York State Department of Health Albany NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Noonan\u2010Toly","sequence":"additional","affiliation":[{"name":"New York State Department of Health Albany NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Lukacik","sequence":"additional","affiliation":[{"name":"New York State Department of Health Albany NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Thomas","sequence":"additional","affiliation":[{"name":"New York State Department of Health Albany NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Hinckley","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Fort Collins CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Hook","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention Fort Collins CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. B.","family":"Backenson","sequence":"additional","affiliation":[{"name":"New York State Department of Health Albany NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,9,10]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"CDC 2013:CDC provides estimate of Americans diagnosed with Lyme disease each year. Available at:http:\/\/www.cdc.gov\/media\/releases\/2013\/p0819-lyme-disease.html(accessed 9 Sept 2014)."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/173.5.1260"},{"key":"e_1_2_8_4_1","unstructured":"CSTE 2011:Revised national surveillance case definition for Lyme disease. Available at:http:\/\/wwwn.cdc.gov\/nndss\/conditions\/lyme-disease\/case-definition\/2011\/(accessed 3 Nov 2015)."},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid1802.101219"},{"key":"e_1_2_8_6_1","first-page":"643","article-title":"Epidemiologic features of Lyme disease in New York","volume":"57","author":"Hanrahan J. P.","year":"1984","journal-title":"Yale J. Biol. Med."},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00124784-199623000-00017"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a009462"},{"key":"e_1_2_8_9_1","doi-asserted-by":"crossref","first-page":"1230","DOI":"10.1001\/jama.1991.03470090064033","article-title":"The geographic spread and temporal increase of the Lyme disease epidemic","volume":"266","author":"White D. J.","year":"1991","journal-title":"JAMA"}],"container-title":["Zoonoses and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fzph.12307","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fzph.12307","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/zph.12307","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T15:54:45Z","timestamp":1694620485000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/zph.12307"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9,10]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1111\/zph.12307"],"URL":"https:\/\/doi.org\/10.1111\/zph.12307","archive":["Portico"],"relation":{},"ISSN":["1863-1959","1863-2378"],"issn-type":[{"value":"1863-1959","type":"print"},{"value":"1863-2378","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,9,10]]}}}