Epidemic and Spatial Dynamics of Lyme Disease in New York State, 1990–2000

Haiyan Chen; Dennis J. White; Thomas B. Caraco; Howard H. Stratton

doi:10.1603/0022-2585(2005)042[0899:EASDOL]2.0.CO;2

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Haiyan Chen,¹ Dennis J. White,^2,3 Thomas B. Caraco,⁴ Howard H. Stratton⁵

¹Department of Health Promotion and Policy, University of Maryland Dental School, Baltimore, 666 W Baltimore St., Baltimore, MD 21201
²Arthropod-Borne Disease Program, Bureau of Communicable Disease Control, New York State Department of Health, Albany, NY 12237
³Department of Epidemiology, School of Public Health, University at Albany, State University of New York, Albany, NY 12144
⁴Department of Biological Science, University at Albany, State University of New York, Albany, NY 12222
⁵Department of Biometry and Statistics, School of Public Health, University at Albany, State University of New York, Albany, NY 12144

Abstract

Lyme disease (LD) occurrence in New York State (NYS) has not only increased over time but also spread throughout the state from the original disease focus in southeastern NYS. Few studies have investigated this epidemic and spatial dynamic in great detail. Using data from the NYS Department of Health Lyme Registry Surveillance System, we summarized epidemic and spatial characteristics of LD in NYS for the 11-yr time period from 1990 through 2000. New epidemiological trends associated with age, sex, and residential influences on LD over time were found. An empirical Bayes approach was used to produce maps of smoothed incidence at different time points to give a foundation for future state and local health funding plans and education programs.

Citation Download Citation

Haiyan Chen, Dennis J. White, Thomas B. Caraco, and Howard H. Stratton "Epidemic and Spatial Dynamics of Lyme Disease in New York State, 1990–2000," Journal of Medical Entomology 42(5), 899-908, (1 September 2005). https://doi.org/10.1603/0022-2585(2005)042[0899:EASDOL]2.0.CO;2

Received: 31 December 2004; Accepted: 29 April 2005; Published: 1 September 2005