Reiner K L, Huycke M M, McNabb S J
General Communicable Diseases Division, Oklahoma State Department of Health (OSDH), Oklahoma City.
J Okla State Med Assoc. 1991 Oct;84(10):503-9.
Lyme disease is a tick-borne illness that primarily occurs in the United States in three endemic areas: the northeast, upper midwest, and pacific coastal regions. Although Oklahoma is considered a non-endemic area of Lyme disease, other tick-borne infections such as Rocky Mountain spotted fever, ehrlichiosis, and tularemia occur at endemic levels. In order to determine the extent of Lyme disease in Oklahoma, the Oklahoma State Department of Health collected information on all possible cases of Lyme disease. The first reported Oklahoma case occurred in 1985. In 1988, and 1989, 8 and 25 cases, respectively, of Lyme disease were reported in Oklahoma residents who acquired their infection indigenously. The mean age of case-patients was 38 years. Twenty-eight of 33 (85%) case-patients were white, and 4 of 33 (12%) were American Indian (race was unknown for 1 case-patient). The female/male ratio was 2.3. Most case-patients had onset of illness between May and September. Twenty-two counties reported cases, with Oklahoma County accounting for 4 of 33 (12%). Only 21 of 33 (64%) recalled a tick bite, and only 19 of 33 (58%) had erythema migrans. Continued active case-finding and passive reporting (as now mandated by state law) will further increase our knowledge of the epidemiology, ecology, and prevention of Lyme disease in Oklahoma.
莱姆病是一种由蜱传播的疾病，主要发生在美国的三个流行地区：东北部、中西部上游和太平洋沿岸地区。尽管俄克拉荷马州被认为是莱姆病的非流行地区，但其他蜱传播感染，如落基山斑疹热、埃立克体病和兔热病，在该地区呈地方流行水平。为了确定俄克拉荷马州莱姆病的流行程度，俄克拉荷马州卫生部收集了所有可能的莱姆病病例信息。俄克拉荷马州首例报告病例发生于1985年。1988年和1989年，分别有8例和25例莱姆病病例报告给了在当地感染的俄克拉荷马州居民。病例患者的平均年龄为38岁。33例病例患者中有28例（85%）为白人，33例中有4例（12%）为美国印第安人（1例病例患者的种族未知）。女性/男性比例为2.3。大多数病例患者在5月至9月间发病。22个县报告了病例，俄克拉荷马县占33例中的4例（12%）。33例中只有21例（64%）回忆起被蜱叮咬，33例中只有19例（58%）出现了游走性红斑。持续开展主动病例搜索和被动报告（如目前州法律所要求的）将进一步增加我们对俄克拉荷马州莱姆病的流行病学、生态学和预防的了解。
