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Volume 6, Number 4—August 2000

Dispatch

Lyme Disease Surveillance in England and Wales, 1986-1998

Robert P. Smith*, Susan O'Connell†, and Stephen Palmer‡Comments to Author 
Author affiliations: *PHLS Communicable Disease Surveillance Centre, Cardiff, Wales, United Kingdom; †Public Health Laboratory, Southampton, United Kingdom; and ‡University of Wales College of Medicine, Cardiff, Wales, United Kingdom

Main Article

Table

Clinical features reported in 796 patients with Lyme borreliosis, England and Wales, 1986-1998

1986-1992 1993-1996 1997-98 Total
No. (%) No. (%) No. (%) No. (%)
Total reportsa 227 (100) 235 (100) 334(100) 796 (100)
Any insect bite 67 (30) 79 (34) 140 (42) 286 (36)
Tick bite 53 (23) 74 (32) 128 (38) 255 (32)
Arthritis 16 (7) 5 (2) 11 (3) 32 (4)
Other musculo- skeletal symptoms 58 (26) 31 (13) 49 (15) 138 (17)
Skin involvement 80 (35) 125 (53) 204 (61) 409 (51)
Erythema migrans 64 (28) 97 (41) 164 (49) 325 (41)
Erythema migrans & tick bite 27 (12) 41 (17) 72 (22) 140 (18)
Neurobor- reliosis 47 (21) 28 (12) 43 (13) 118 (15)
Other neurologic symptoms 46 (20) 16 (7) 20 (6) 82 (10)
Cardiac involvement 2 (0.9) 1 (0.4) 2(0.6) 5 (0.6)

aPatients may have multiple exposures/symptoms.

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