{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T04:01:09Z","timestamp":1776139269798,"version":"3.50.1"},"reference-count":53,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T00:00:00Z","timestamp":1673395200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100014116","name":"Ontario Veterinary College, University of Guelph","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014116","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Zoonoses and Public Health"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Lyme disease risk areas have increased across Canada in recent decades with the ongoing range expansion of <jats:italic>Ixodes scapularis<\/jats:italic> and <jats:italic>Borrelia burgdorferi<\/jats:italic>. Different methodologies are used by federal and provincial governments to determine local Lyme disease risk, which can make comparisons between regions challenging. In this study, seven Canadian Lyme disease risk classification methodologies were compared with each other to highlight the strengths and limitations of how each definition measured <jats:italic>I. scapularis<\/jats:italic> and <jats:italic>B. burgdorferi<\/jats:italic> risk. Each methodology was applied to active surveillance data from Ontario, and per cent agreement and kappa statistics were calculated. The methodologies varied in their measurements of the risk of exposure to <jats:italic>I. scapularis<\/jats:italic> and <jats:italic>B. burgdorferi<\/jats:italic> based on their use of active surveillance techniques, multiple types of collected surveillance data and laboratory confirmation of <jats:italic>B. burgdorferi<\/jats:italic>. Most initial Lyme disease risk site classifications were maintained over time. Kappa and per cent agreement statistics highlighted large differences between 8 of the 15 methodology pairings, indicating the presence of inconsistencies between most methodologies. Accurate, consistent surveillance and assessment of the spread of <jats:italic>I. scapularis<\/jats:italic> and its pathogens will aid with communicating Lyme disease risk to the public and preventing tick\u2010borne pathogen transmission.<\/jats:p>","DOI":"10.1111\/zph.13023","type":"journal-article","created":{"date-parts":[[2023,1,11]],"date-time":"2023-01-11T09:59:31Z","timestamp":1673431171000},"page":"294-303","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparing Canadian Lyme disease risk area classification methodologies"],"prefix":"10.1111","volume":"70","author":[{"given":"Emily L.","family":"Robinson","sequence":"first","affiliation":[{"name":"Department of Population Medicine Ontario Veterinary College, University of Guelph  Guelph Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire M.","family":"Jardine","sequence":"additional","affiliation":[{"name":"Department of Pathobiology Ontario Veterinary College, University of Guelph  Guelph Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Curtis","family":"Russell","sequence":"additional","affiliation":[{"name":"Enteric, Zoonotic and Vector\u2010Borne Diseases, Public Health Ontario  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katie M.","family":"Clow","sequence":"additional","affiliation":[{"name":"Department of Population Medicine Ontario Veterinary College, University of Guelph  Guelph Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,1,11]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Alberta Health Services. 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(2021).La maladie de Lyme et les maladies transmises par les tiques.https:\/\/www.inspq.qc.ca\/zoonoses\/maladie\u2010de\u2010lyme"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1603\/ME11210"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102664.2012.02112.x"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.3752\/9780968932186"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/jmedent\/32.2.143"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/jmedent\/36.3.255"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/jmedent\/47.1.99"},{"key":"e_1_2_9_28_1","article-title":"Manitoba annual tick\u2010borne disease report 2015","volume":"40","author":"Manitoba Health Seniors and Active Living","year":"2016","journal-title":"Manitoba Health, Seniors and Active Living"},{"key":"e_1_2_9_29_1","unstructured":"Manitoba Health Seniors and Active Living. 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