Province worries Lyme disease is spreading into N.B.

Published Friday July 10th, 2009
A5

The provincial government is urging people to protect themselves against Lyme disease, but so far it hasn't collected much information about the number of infected ticks in New Brunswick.

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Submitted photo
Its bite is worse than its bark: Above is a photo of the tick that transmits Lyme disease, from larva to nymph to adult male to adult female. The nymphal tick is the one that most frequently infects humans and it’s about the size of a poppy seed.

Lyme disease is a bacterial infection that's most frequently passed to humans through the bite of an infected blacklegged tick.

Ticks generally live in wooded areas and may attach themselves to humans, wildlife and pets that move past tree branches and through tall brush.

An infected person might develop a rash and could experience symptoms such as headaches, fevers, a stiff neck, fatigue, soreness in different areas of the body, joint pain and swelling. The symptoms can appear in stages and last for months or even years.

There were 878 cases of Lyme disease in Maine in 2008, an increase of 66 per cent from 2006.

New Brunswick reported only seven confirmed cases of Lyme disease between 1997-2007, but researchers believe that blacklegged ticks are spreading further into this part of the country.

Dr. Jacqueline Badcock, a consultant for zoonotic diseases with the Department of Health, said that doesn't mean people should stay out of the woods. She said anyone who enjoys the outdoors should learn about Lyme disease and take measures to protect themselves.

"You want to take some precautions, like using socks, long-sleeved clothing, insect repellents like DEET, and doing a tick check after you come out of the woods," she said.

"And, of course, if you do have any symptoms, you should immediately go see your doctor for a followup."

But if the Department of Health believes ticks and Lyme disease are spreading, why isn't it collecting specimens in the wild to measure the risk to New Brunswickers?

Badcock said the province only collects information about ticks reported to doctors and veterinarians.

She said it would take a major effort to adequately survey the entire province for ticks.

"Where would you start?" she said.

"To collect ticks in the wild, you're either doing small rodent trapping where you're actually setting up cages for mice to be in, or you're physically walking the area with a drag cloth. So it'd be pretty hard to sample the entire province."

She said there's an area near Saint John where ticks are established, and the Department of Health has been trying to increase awareness in the region about the disease.

Badcock said New Brunswick also isn't keeping track of how many tests doctors order for Lyme disease.

She said it has contacted doctors across the province to remind them to keep their eyes open for signs of the illness.

"Doctors have received a letter from the Department of Health and there is a fair bit of information on our website for physicians," she said.

"It has a lot of links to the ongoing current information on Lyme and that would include both diagnostics and treatment."

Mouth of Keswick resident Kathy White knows all about the effects of Lyme disease.

She battled fatigue, shooting pains and disorientation for 16 years before she was able to confirm she had Lyme disease.

White contracted the disease in 1990 during a trip to Cleveland, N.Y.

She fell ill soon after returning home and spent years searching for answers from physicians and specialists in New Brunswick and the United States.

White was misdiagnosed as having chronic fatigue syndrome, fibromyalgia and clinical depression. She said she wondered if she'd ever get her life back.

In 2006, she finally found a doctor in British Columbia who knew how to help her. He put her on antibiotics and she began to gradually fight her way back to good health.

White said she's glad to see the province is starting to recognize the importance of educating people about Lyme disease.

She said she hopes nobody else has to go through what she did, but she doesn't blame the physicians who tried to help her.

"It seemed like they wouldn't even accept the possibility of Lyme disease," she said.

"You were just pooh-poohed every time you brought it up. You can't really blame your (general practitioners) because they send you to the specialists. And they just don't deal with it a lot, I guess."

Now White sees a physician in Maine. She said she's still dealing with the effects of Lyme disease.

"I still have fatigue and we're trying to figure out if that's residual from the Lyme disease or something else," she said.

"Every time I have a symptom, it's in the back of my head. When you've struggled with something for so long, it's always in your mind."

 

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For more information about Lyme disease, please check the Department of Health's website:
http://www.gnb.ca/0053/disprev/LymeDisease-e.asp
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Adam Bowie, Fredericton on 10/07/09 11:30:24 AM AST
Thank you Bowie and the Daily Gleaner for this great article on Lyme disease. In-depth follow-up is needed for necessary awareness and prevention tools so others do not suffer as White did for 16 yrs. NB Health taking the steps of advising physicians to watch for signs is good, but do you know that there is no inclusion in medical school curriculum for tick-borne diseases? It is the fastest growing infectious disease in North America. US CDC states 27,000 cases with an error factor of 10, so 250,000 annually is probable; and compare this to Canada's less than 100 cases/yr. Canada lags in education, testing, surveillance, reporting, and treatment. Many cases of Lyme are misdiagnosed as FM, CFS, MS, arthritis, Crohn's, dementia, etc. US incidence map: http://www.cdc.gov/ncidod/dvbid/images/riskmap_ld.gif
Most people, like White, must go to the US for diagnosis and treatment. Learn about Lyme: http://www.drerniemurakami.com/
Children are at highest risk, please be aware.
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Mary deLisser, Abbotsford on 10/07/09 04:55:23 PM AST
It was with great pleasure that i read your well written article today. Lyme disease is a problem that affects many people worldwide and yet, few know much about it. It is important that the word gets out to all Canadians and that our government and health system start to take notice and deal with this devastating illness. This is not a problem that only affects Americans; there are many Canadians currently ill with Lyme and, without doubt, many more will be in the near future. As a family member of a Lyme sufferer, i have seen the constant battle she has gone through to get properly diagnosed and treatment in Canada. Like the woman cited in your article, she has been forced to seek treatment in the U.S. Shame on our health system for not addressing what is clearly recognized to be an epidemic in the rest of the world.
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julia bjerre, vancouver on 11/07/09 12:29:14 AM AST
Thank you Adam and the Daily Gleaner for posting a much needed warning about Lyme Disease.This is not going to go away,no matter how much the powers that be bury their heads in the sand. It's just going to get worse and I know as it stands now our doctors are not equipped to diagnose this.We need better testing and we also need to screen for Lyme when giving blood.Thats why better testing is crucial.I was bitten outside of Ganaoque. No bulls eye rash.This is one of the falicies told to our medical professionals. I was diagnosed with Multiple Sclerosis over 12 years ago, because the doctors didn't realize that Lyme can present itself much like MS.The plaques on an MRI and countless symptoms are the same.I spent a year on an MS injectable (Avonex) and have no idea what longterm damage this can cause. I know in the shortterm it can surpress the immune system allowing Lyme to get worse.I must note here that Canines have better testing methods than we do and better care.You could be next.
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L. McBain, RR#2 Chesterville on 11/07/09 02:27:01 PM AST
Thank you for doing such an indepth article on Lyme Disease. You have likely helped many people.

Anyone with Fibromyalgia or chronic fatigue or irritable bowel should certainly investigate whether they can get better with treatment.

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Sherry Drew, Lethbridge on 11/07/09 04:41:16 PM AST
Thank you Adam for the time and research you put into this article.

A couple of years ago our dog picked up two ticks when we were in Florida. We saved the ticks in secure containers. When we arrived home we had the ticks identified as black-legged ticks and then tested for any tick borne infectious diseases. I would suggest that anyone finding a tick on themselves or their pet take the time to send it away to be identified and tested for Lyme disease and/or other tick borne infectious diseases.

From the Department of Health website:

Ticks can be submitted directly to the National Microbiology Laboratory for identification and testing. For information on tick submissions see http://www.phac-aspc.gc.ca/id-mi/tickinfo-eng.php or http://www.phac-aspc.gc.ca/id-mi/tickinfo-fra.php.




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Kathy White, Fredericton on 13/07/09 10:13:46 PM AST
Thanks John Scott for the photo!

Sherry
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Sherry Drew, Lethbridge on 14/07/09 01:16:39 AM AST
Awareness is key to hopefully preventing this dreadful disease. Thanks for writing this article and spreading the word.
I too have Lyme Diseae, I'm not sure how long i have had it, but finally had positive serology November 2008 after suffering severely from many of the symptoms listed in the above article for almost 10 months. I will finally start treatment and hopefully "Get my Life Back".
I never had the Classic Bulls Eye Rash , so I am not really sure how long i have had or when i was bitten by a tick. I have travelled in NC, USA, Vancouver Island, and camped in the Longpoint , Ontario area for many years, Ticks have been found in all these areas with Lyme Disease.
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B Kinsella, london, Ont on 14/07/09 08:02:13 AM AST
Thank you for pointing out the seriousness of Lyme Disease in NB and indeed Canada as a whole. Those of us with chronic Lyme are in serious trouble in finding help for this disease.Precaution when outside is the answer to prevention and can't be sressed enough also people should send all ticks found on themselves and their pets away to be tested, any vet will do this for you. Those of us with chronic Lyme are in a battle to have the disease recognized and treated so any articles that warn of the ticks in the Province will help in the long run. In the USA justification in treating chronic Lyme is being legislated. Our country must do the same.Thank you so much for highlighting this issue.
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cathie smith, riverview on 14/07/09 11:26:17 AM AST
Lyme disease is alive and well in Canada but is seriously under-diagnosed.

The Canadian Public Health Laboratory Network has tied the hands of doctors by requiring the doctor to know if a person has been in an area where they know Lyme disease exists before the doctor can make the diagnosis. see http://www.canlyme.com/guidelines_07.htm

Dr. Badcock is correct in wondering how can they possibly tell where Lyme disease is in NB. Lyme is randomly carried into areas by migratory birds at the rate of about a quarter billion ticks per season according to Dr. Nick Ogden. How can anyone know where the next case will be? ... that is medically insane. As Dr. Badcock says, "Where would you start?".

Then, for our Canadian labs to use testing that has failed every major study for accuracy is guaranteeing we will have few cases of Lyme but the highest rates in the world of diseases linked to Lyme.

Jim Wilson,
President, Canadian Lyme Disease Foundation
www.canlyme.com
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Jim Wilson, Westbank, BC on 14/07/09 12:04:36 PM AST
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