{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T07:37:56Z","timestamp":1782632276449,"version":"3.54.5"},"reference-count":49,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Ethics"],"accepted":{"date-parts":[[2010,9,17]]},"published-print":{"date-parts":[[2011,2]]},"abstract":"<jats:p>Johnson and Stricker published an opinion piece in the <jats:italic>Journal of Medical Ethics<\/jats:italic> presenting their perspective on the 2008 agreement between the Infectious Diseases Society of America (IDSA) and the Connecticut Attorney General with regard to the 2006 IDSA treatment guideline for Lyme disease. Their writings indicate that these authors hold unconventional views of a relatively common tick-transmitted bacterial infection caused by the spirochete <jats:italic>Borrelia burgdorferi<\/jats:italic>. Therefore, it should come as no surprise that their opinions would clash with the IDSA's evidence-based guidelines for the diagnosis and treatment of Lyme disease. Their allegations of conflict of interest against the IDSA resemble those made against the National Institutes of Health, the Food and Drug Administration and the Centers for Disease Control and Prevention in 2000, which were found to be baseless. It is the responsibility of all physicians and medical scientists to stand up to antiscientific, baseless and unethical attacks on those who support an evidence-based approach to caring for patients.<\/jats:p>","DOI":"10.1136\/jme.2009.032896","type":"journal-article","created":{"date-parts":[[2010,11,22]],"date-time":"2010-11-22T21:05:38Z","timestamp":1290459938000},"page":"68-73","source":"Crossref","is-referenced-by-count":18,"title":["Scientific evidence and best patient care practices should guide the ethics of Lyme disease activism: Table 1"],"prefix":"10.1136","volume":"37","author":[{"given":"Paul G","family":"Auwaerter","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan S","family":"Bakken","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymond J","family":"Dattwyler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J Stephen","family":"Dumler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John J","family":"Halperin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"McSweegan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert B","family":"Nadelman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"O'Connell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil K","family":"Sood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"Weinstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary P","family":"Wormser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2010,11,21]]},"reference":[{"key":"2025092413553061000_37.2.68.1","doi-asserted-by":"publisher","DOI":"10.1136\/jme.2008.026526"},{"key":"2025092413553061000_37.2.68.2","unstructured":"IDSA News Release. Agreement ends Lyme disease investigation by Connecticut Attorney General. Medical validity of IDSA guidelines not challenged. 2008. http:\/\/www.idsociety.org\/Content.aspx?id=11182 (accessed 1 Nov 2010)."},{"key":"2025092413553061000_37.2.68.3","unstructured":"Agreement between the Connecticut Attorney General and the Infectious Diseases Society of America. 2008. http:\/\/www.ct.gov\/ag\/lib\/ag\/health\/idsaagreement.pdf (accessed 1 Nov 2010)."},{"key":"2025092413553061000_37.2.68.4","doi-asserted-by":"publisher","DOI":"10.1086\/654809"},{"key":"2025092413553061000_37.2.68.5","doi-asserted-by":"publisher","DOI":"10.1086\/508667"},{"key":"2025092413553061000_37.2.68.6","doi-asserted-by":"publisher","DOI":"10.1002\/art.24418"},{"key":"2025092413553061000_37.2.68.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0264-410X(01)00500-X"},{"key":"2025092413553061000_37.2.68.8","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra072023"},{"key":"2025092413553061000_37.2.68.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(03)00308-5"},{"key":"2025092413553061000_37.2.68.10","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38933.585764.AE"},{"key":"2025092413553061000_37.2.68.11","doi-asserted-by":"publisher","DOI":"10.1586\/14789072.2.1.S1"},{"key":"2025092413553061000_37.2.68.12","doi-asserted-by":"publisher","DOI":"10.1002\/art.24314"},{"key":"2025092413553061000_37.2.68.13","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39554.592014.BE"},{"key":"2025092413553061000_37.2.68.14","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200107123450202"},{"key":"2025092413553061000_37.2.68.15","doi-asserted-by":"publisher","DOI":"10.2174\/0929867013373570"},{"key":"2025092413553061000_37.2.68.16","doi-asserted-by":"publisher","DOI":"10.1038\/nature03180"},{"key":"2025092413553061000_37.2.68.17","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2710.2005.00631.x"},{"key":"2025092413553061000_37.2.68.18","first-page":"1","article-title":"Surveillance for Lyme disease \u2013 United States, 1992\u20132006","volume":"57","author":"Bacon","year":"2008","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2025092413553061000_37.2.68.19","doi-asserted-by":"publisher","DOI":"10.1016\/S0306-9877(03)00060-4"},{"key":"2025092413553061000_37.2.68.20","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp061181"},{"key":"2025092413553061000_37.2.68.21","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.42.7.1268"},{"key":"2025092413553061000_37.2.68.22","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-199609000-00003"},{"key":"2025092413553061000_37.2.68.23","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000071227.23769.9E"},{"key":"2025092413553061000_37.2.68.24","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2009.05.011"},{"key":"2025092413553061000_37.2.68.25","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000284604.61160.2d"},{"key":"2025092413553061000_37.2.68.26","doi-asserted-by":"publisher","DOI":"10.1086\/313899"},{"key":"2025092413553061000_37.2.68.27","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000265517.66976.28"},{"key":"2025092413553061000_37.2.68.28","unstructured":"O'Connell S . Recommendations for diagnosis and treatment of Lyme borreliosis: guidelines and consensus from specialist societies and expert groups in Europe and North America. 2009. http:\/\/www.aldf.com\/pdf\/ECCMID_Poster_4.22.10.pdf (accessed 1 Nov 2010)."},{"key":"2025092413553061000_37.2.68.29","doi-asserted-by":"publisher","DOI":"10.1002\/ana.21707"},{"key":"2025092413553061000_37.2.68.30","doi-asserted-by":"publisher","DOI":"10.1086\/595684"},{"key":"2025092413553061000_37.2.68.31","unstructured":"Schachar v . American Academy of Ophthalmology Inc. 870 F2d 397 (7th Cir 1989)."},{"key":"2025092413553061000_37.2.68.32","doi-asserted-by":"publisher","DOI":"10.1001\/jama.301.6.665"},{"key":"2025092413553061000_37.2.68.33","doi-asserted-by":"publisher","DOI":"10.1086\/592247"},{"key":"2025092413553061000_37.2.68.34","first-page":"590","article-title":"Recommendations for test performance and interpretation from the Second National Conference on Serologic Diagnosis of Lyme Disease","volume":"44","author":"Centers for Disease Control and Prevention","year":"1995","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2025092413553061000_37.2.68.35","doi-asserted-by":"publisher","DOI":"10.1111\/j.1574-695X.2006.00139.x"},{"key":"2025092413553061000_37.2.68.36","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1155\/2007\/495108","article-title":"The laboratory diagnosis of Lyme borreliosis: guidelines from the Canadian Public Health Laboratory Network","volume":"18","author":"Canadian Public Health Laboratory Network","year":"2007","journal-title":"Can J Infect Dis Med Microbiol"},{"key":"2025092413553061000_37.2.68.37","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2004.01019.x"},{"key":"2025092413553061000_37.2.68.38","unstructured":"Societe Pathologie Infectieuse de Langue Francaise. 16e Conference de Consensus en Therapeutique Infectieuse. Borreliose de Lyme: demarches diagnostiques, therapeutiques et preventives. http:\/\/www.infectiologie.com\/site\/medias\/_documents\/consensus\/2006-Lyme_court.pdf. (Short English version: http:\/\/www.infectiologie.com\/site\/medias\/english\/Lyme_shortext-2006.pdf (accessed 1 Nov 2010)."},{"key":"2025092413553061000_37.2.68.39","unstructured":"European Concerted Action on Lyme Borreliosis (EUCALB) website recommendations on treatment: http:\/\/meduni09.edis.at\/eucalb\/cms\/index.php?option=com_content&task=view&id=44&Itemid=74 (accessed 1 Nov 2010)."},{"key":"2025092413553061000_37.2.68.40","unstructured":"Whelan D . Lyme Inc. Forbes Magazine, March 12 2007. http:\/\/www.forbes.com\/forbes\/2007\/0312\/096.html (accessed 1 Nov 2010)."},{"key":"2025092413553061000_37.2.68.41","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2008.02.013"},{"key":"2025092413553061000_37.2.68.42","unstructured":"Federal agencies generally meet requirements for disclosure and review of financial interests related to Lyme disease. GAO-01\u2013787R, 2001. http:\/\/www.gao.gov\/new.items\/d01787r.pdf (accessed 1 Nov 2010)."},{"key":"2025092413553061000_37.2.68.43","unstructured":"Lyme Disease: HHS Programs and Resources. GAO-01\u2013755, 2001. http:\/\/www.gao.gov\/new.items\/d01755.pdf (accessed 1 Nov 2010)."},{"key":"2025092413553061000_37.2.68.44","doi-asserted-by":"crossref","unstructured":"O'Connell S . Lyme wars. BMJ 2007. http:\/\/www.bmj.com\/cgi\/eletters\/335\/7626\/910#182538 (accessed 1 Nov 2010).","DOI":"10.1136\/bmj.39363.530961.AD"},{"key":"2025092413553061000_37.2.68.45","doi-asserted-by":"publisher","DOI":"10.1038\/nm1108-1135"},{"key":"2025092413553061000_37.2.68.46","unstructured":"Kalb C . Lyme time in DC: unraveling how to best treat the disease. Newsweek, 30 July 2009."},{"key":"2025092413553061000_37.2.68.47","unstructured":"Final findings of scientific misconduct. NIH Guide Volume 22, No 23, 25 June 1993. http:\/\/grants.nih.gov\/grants\/guide\/notice-files\/not93-177.html (accessed 1 Nov 2010)."},{"key":"2025092413553061000_37.2.68.48","doi-asserted-by":"crossref","first-page":"1375","DOI":"10.1056\/NEJM198511283132202","article-title":"Target platelet antigen in homosexual men with immune thrombocytopenia","volume":"313","author":"Stricker","year":"1985","journal-title":"N Engl J Med"},{"key":"2025092413553061000_37.2.68.49","unstructured":"Gershon A . Lyme article was riddled with inaccuracies \u2013 putting patients at risk. J Med Ethics. Published Online: 21 May 2009. http:\/\/jme.bmj.com\/content\/35\/5\/283\/reply#medethics_el_2422? (accessed 1 Nov 2010)."}],"container-title":["Journal of Medical Ethics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jme.2009.032896","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T20:55:40Z","timestamp":1758747340000},"score":1,"resource":{"primary":{"URL":"https:\/\/jme.bmj.com\/lookup\/doi\/10.1136\/jme.2009.032896"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,11,21]]},"references-count":49,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2011,1,20]]},"published-print":{"date-parts":[[2011,2]]}},"alternative-id":["10.1136\/jme.2009.032896"],"URL":"https:\/\/doi.org\/10.1136\/jme.2009.032896","relation":{},"ISSN":["0306-6800","1473-4257"],"issn-type":[{"value":"0306-6800","type":"print"},{"value":"1473-4257","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,11,21]]}}}