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Lyme Disease
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The following specified Reportable Disease, (Ontario Regulation 559/91 and amendments under the Health Protection and Promotion Act, 1990) is to be reported to the Local Medical Office of Health.
Note: Diseases marked and all respiratory infection outbreaks in institutions should be reported immediately to the Medical Officer of Health by telephone. Other diseases are to be reported the next working day.

Form

reportable_disease_form_LGL

Surveillance Case Definition: Lyme Disease

Confirmed Case: Endemic
a)isolation of Borrelia burgdorferi from a clinical specimen or
b)erythema migrans observed by a physician or
c)at least one clinically compatible late manifestation (neurologic, cardiac, or musculoskeletal) and laboratory evidence of B. burgdorferi infection


PLEASE NOTE THE 1000 ISLANDS REGION IS AN ENDEMIC AREA
THE HEALTH UNIT WILL ARRANGE FOR TESTING OF TICKS REMOVED FROM PATIENTS FREE OF CHARGE.


Confirmed Case: Non-endemic
a) erythema migrans observed by a physician and laboratory evidence
   of B. burgdorferi infection

Probable Case
Endemic:
a) physician recognition of erythema migrans as reported by patient

Non Endemic:
a) Compatible late manifestation(neurologic, cardiac or musculoskeletal)
    and laboratory evidence for B. burgdorferi
infection
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