Parrott C, Johnson K, Strauss S, Greco M, Israel E, Schwartz B S
Somerset County Health Department, Westover, Maryland.
Md Med J. 1993 Feb;42(2):165-8.
Lyme disease is endemic to the Assateague Island area. Using a questionnaire and serosurvey, we examined the extent of tick exposure, compliance with recommended Lyme disease personal preventive activities, and risk of the disease in 86 outdoor workers on Assateague Island before and after the summer of 1989. Despite high self-reported tick exposure and relatively long employment durations on the island, there was no evidence of current or past infection with Borrelia burgdorferi, the causative agent of Lyme disease. Lyme disease knowledge and use of several personal strategies were high, but compliance with these preventive strategies was not universal. These data suggest that even in this high-risk population, intensive educational efforts are necessary to encourage Lyme disease preventive behavior, but the current level of compliance may have decreased the risk of Lyme disease on the island.
莱姆病在阿萨蒂格岛地区呈地方性流行。我们通过问卷调查和血清学调查，对1989年夏季前后阿萨蒂格岛上86名户外工作者的蜱虫接触程度、对推荐的莱姆病个人预防措施的依从性以及患病风险进行了研究。尽管自我报告的蜱虫接触率很高，且在岛上的工作时间相对较长，但没有证据表明存在当前或过去感染莱姆病病原体伯氏疏螺旋体的情况。对莱姆病的了解以及几种个人预防策略的采用率很高，但对这些预防策略的依从性并不普遍。这些数据表明，即使在这个高危人群中，也需要大力开展教育工作以鼓励采取莱姆病预防行为，但目前的依从水平可能已经降低了该岛上莱姆病的发病风险。
