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As the weather heats up, so does the risk of Lyme disease—and the controversy surrounding diagnosis and treatment. Lyme disease is on the rise in New Jersey, where dense forests and vegetation provide a veritable paradise for the deer tick.
Some in the medical community believe Lyme disease can linger for years (even after treatment) with severe consequences; they refer to this condition as chronic Lyme. The Lyme Disease Association, a national advocacy group based in New Jersey, wants the disease diagnosis to be based on symptoms, with the testing serving as an adjunct rather than as the authority. Wormser, the infectious diseases chief at New York Medical College and an IDSA panel member, says research will help soften the Lyme debate.
The findings were made by researchers from Oregon State University, who studied 15-20 million-year-old amber from the Dominican Republic that offer the oldest fossil evidence ever found of Borrelia, a type of spirochete-like bacteria that to this day causes Lyme disease. In a related study, published in Cretaceous Research, OSU scientists announced the first fossil record of Rickettsial-like cells, a bacteria that can cause various types of spotted fever. Oetzi, the Stone Age man found frozen in the Alps, is the oldest documented case of Lyme disease, which researchers say existed 15 million years ago.

Humans have probably been getting diseases, including Lyme disease, from tick-borne bacteria as long as there have been humans, Poinar said.
In its most recent data, the Centers for Disease Control says 4,598 new cases of Lyme disease were reported in New Jersey in 2009, the second highest in the nation—and an increase from the 3,214 cases in 2008. May is Lyme Disease Month, and now is a good time to learn about prevention and detection (see box, page 37). A single dose of an antibiotic may also be used to treat Lyme disease preventively in certain high-risk patients who believe they have been bitten by a tick but do not have symptoms. It can cause problems with joints, the heart and central nervous system, but researchers didn’t even know it existed until 1975. The oldest documented case is the Tyrolean iceman, a 5,300-year-old mummy found in a glacier in the Italian Alps.'Before he was frozen in the glacier, the iceman was probably already in misery from Lyme disease,' Poinar said. This grotesque little creature carries the bacterium (Borrelia burgdorferi) that causes Lyme disease. Miller, vice chief of the section of infectious disease at Saint Barnabas Medical Center and clinical associate professor of medicine at UMDNJ.

Not all ticks are infected, and the risk for contracting the disease increases the longer the tick is attached to the body. However, it is often mistaken for other health conditions.Surging deer populations in many areas are causing a rapid increase in Lyme disease – the confirmed and probable cases of Lyme disease in Nova Scotia nearly tripled in 2013 over the previous year.
Symptoms: Early StageWithin one to four weeks of being bitten by an infected tick, most people will experience some symptoms of Lyme disease.
Symptoms: As the Infection SpreadsIf the disease is not detected and treated in its early stages, it can extend to more areas of the body, affecting the joints, heart, and nervous system (after several weeks to months after the initial bite).

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