Surveillance for childhood Lyme disease by the Canadian Pediatric Surveillance Program (CPSP): Initial findings
CPS ePoster Library. Lindsay R. Jun 25, 2015; 99185; 123
Dr. Robbin Lindsay
Dr. Robbin Lindsay
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Background: Lyme disease, a tick-borne zoonoses caused by the bacterium Borrelia burgdorferi, is emerging in Canada, mostly due to the spread of tick vectors into central and eastern Canada. Surveillance in the US suggests that children, especially those 5 to 9 years of age, are at increased risk of infection.
Objectives: Surveillance for childhood Lyme disease was initiated in July 2014 to i) explore incidence in children in Canada; ii) identify emerging locations of, and environmental risk factors for, Lyme disease; iii) define the spectrum of clinical presentation in Canadian children; iv) describe diagnostic methods used by paediatricians; and vi) describe treatment regimens used and the frequency of post-treatment clinical manifestations of Lyme disease.
Methods: Using the established methodology of the CPSP, approximately 2500 pediatricians receive a monthly electronic survey to report cases of suspected Lyme disease. Case reporters subsequently receive a paper-based, structured questionnaire by mail. The national case definition is used to determine cases as probable or confirmed Lyme disease cases.
Results: As of November 2014 20 cases (age range 2-12) have been reported from 3 provinces (Ontario, Quebec and Nova Scotia). Validation of these reports is in progress. We will describe in this presentation the process and questionnaire used to obtain information on childhood cases of Lyme will be described, and initial data from cases reported in 2014.
Conclusion: A pediatrician based reporting program to determine the frequency and characteristics of childhood Lyme disease cases in Canada appears feasible. The program will continue until 2017, and will define the specific epidemiology of this important infection in Canadian children.
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