Vogt R L
Vermont Department of Health.
Public Health Rep. 1992 Nov-Dec;107(6):644-6.
In 1990, the Council of State and Territorial Epidemiologists and the Centers for Disease Control made Lyme disease (LD) nationally notifiable and developed a national case definition. State epidemiologists were surveyed about their State LD surveillance system. Responses were received from all States and the District of Columbia. As of November 1991, LD was notifiable in 45 States. A total of 44 of these 45 States use the 1990 national case definition for case confirmation. Twenty-five State health departments offer diagnostic testing for LD, and 38 States have conducted surveys for infected ticks. This study has shown that there has been greater standardization of LD reporting with the adoption of a new national case definition for LD. However, many States confirm cases using data that are not a part of the criteria used for the national case definition.
1990年,州和地区流行病学家委员会以及疾病控制中心将莱姆病(LD)列为全国应报告疾病,并制定了全国病例定义。对各州流行病学家进行了关于其州莱姆病监测系统的调查。收到了来自所有州和哥伦比亚特区的回复。截至1991年11月,45个州中有45个州可报告莱姆病。这45个州中的44个州使用1990年全国病例定义来确认病例。25个州卫生部门提供莱姆病诊断检测,38个州对感染蜱虫进行了调查。本研究表明,随着采用新的莱姆病全国病例定义,莱姆病报告的标准化程度有所提高。然而,许多州使用的数据并非全国病例定义标准的一部分来确认病例。