NJDOH LYME DISEASE CASE INVESTIGATION FORM NJDOH Form CDS-14 2025

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Lyme disease in the United States is concentrated heavily in the northeast and upper Midwest; it does not occur nationwide.
Risk Factors In the United States, Lyme disease occurs primarily in the Northeast and upper Midwest. About 95% of Lyme disease cases occur in 14 states: Connecticut, Delaware, Maine, Maryland, Massachusetts, Minnesota, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia, and Wisconsin.
Abstract. Background: The Rule of 7s classifies children as low-risk for Lyme meningitis with the absence of the following: 7 days of headache, any cranial neuritis or 70% cerebrospinal fluid mononuclear cells.
Where is Lyme disease most common? Lyme disease cases are reported most often in Northeastern states. Pennsylvania had 29.2% of all reported cases from 20162019. New Jersey followed with 11.7%, and New York reported 11.6%.
Patients with prolonged symptoms due to Lyme disease usually get better over time without additional antibiotics, but it can take many months to feel completely well.
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It occurs most commonly in the Northeast, mid-Atlantic, and upper-Midwest regions. Lyme disease bacteria are spread to humans through the bite of infected blacklegged ticks. Typical symptoms include fever, headache, fatigue, and a characteristic skin rash called erythema migrans.
If left untreated, people may develop neurological symptoms and heart problems, and have an approximately 60 percent chance of developing Lyme arthritis.
Usually, Lyme disease completely resolves with a short course of antibiotics. But Lyme disease is not always a simple illnessit can cause prolonged symptoms if left untreated and sometimes even despite effective treatment, a phenomenon which is not well understood.

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