{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T22:58:13Z","timestamp":1772319493512,"version":"3.50.1"},"reference-count":28,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,4,22]],"date-time":"2017-04-22T00:00:00Z","timestamp":1492819200000},"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":[[2017,12]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Lyme disease (LD) is a common tick\u2010borne 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\u2010related encounters. Chief complaint text was queried for words related to LD or tick bites. International Classification of Diseases 9th Revision (ICD\u20109) codes were queried for the LD diagnosis code (088.81). Emergency department patient data were matched to reportable disease data to determine the proportion of ED patients reported to the health department as a suspected LD case. Data were analysed to calculate frequencies for key demographic and reporting characteristics. From 2010 to 2014, 13,615 tick bite or LD\u2010related ED encounters were identified in NH, with most due to tick bites (76%). Of 3,256 patients with a LD\u2010related ED encounter, 738 (23%) were reported to the health department as a suspected LD case. The geographic distribution of ED patients was similar to reported LD cases; however, the regions of the state that experienced higher rates of ED encounters were different than the regions that observed higher rates of reported LD cases. Seasonal distribution of ED encounters peaked earlier than reported LD cases with a second peak in the fall. While age and sex distribution was similar among ED patients and reported LD cases, the rates for children 5\u00a0years and younger and adults 65\u00a0years and older were greater for ED encounters. Patients frequently visit the ED to seek care for tick bites and suspected LD. Results of ED data analyses can be used to target education, in particular for ED providers and the public through timely distribution of evidence\u2010based educational materials and training programmes.<\/jats:p>","DOI":"10.1111\/zph.12361","type":"journal-article","created":{"date-parts":[[2017,4,22]],"date-time":"2017-04-22T08:04:07Z","timestamp":1492848247000},"page":"655-661","source":"Crossref","is-referenced-by-count":6,"title":["Tick bite and Lyme disease\u2010related emergency department encounters in New Hampshire, 2010\u20132014"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3468-5151","authenticated-orcid":false,"given":"E. R.","family":"Daly","sequence":"first","affiliation":[{"name":"New Hampshire Department of Health and Human Services Concord NH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Fredette","sequence":"additional","affiliation":[{"name":"New Hampshire Department of Health and Human Services Concord NH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. A.","family":"Mathewson","sequence":"additional","affiliation":[{"name":"New Hampshire Department of Health and Human Services Concord NH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Dufault","sequence":"additional","affiliation":[{"name":"New Hampshire Department of Health and Human Services Concord NH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D. J.","family":"Swenson","sequence":"additional","affiliation":[{"name":"New Hampshire Department of Health and Human Services Concord NH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. P.","family":"Chan","sequence":"additional","affiliation":[{"name":"New Hampshire Department of Health and Human Services Concord NH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,4,22]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"1","article-title":"Framework for evaluating public health surveillance systems for early detection of outbreaks: Recommendations from the CDC working group","volume":"53","author":"Bueller J. 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