Rapid emergence of a focal epidemic of Lyme disease in coastal Massachusetts.

@article{Lastavica1989RapidEO,
  title={Rapid emergence of a focal epidemic of Lyme disease in coastal Massachusetts.},
  author={C C Lastavica and Mark L. Wilson and Victor Berardi and Andrew L Spielman and R D Deblinger},
  journal={The New England journal of medicine},
  year={1989},
  volume={320 3},
  pages={133-7}
}
We describe a focal epidemic of Lyme disease, which spread from a nature preserve and affected an adjacent community of permanent residents in coastal Massachusetts. The attack rate from 1980 through 1987 was 35 percent among 190 residents living within 5 km of the nature preserve and was greatest (66 percent) among those living closest to the preserve. The risk of infection bore little relation to sex or age. Late Lyme disease, which clustered near the preserve, occurred mainly in residents… CONTINUE READING

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