Lyme Disease Hall of Shame
Matthew L. Cartter, MD
Lyme disease is a serious bacterial infection caused by a tick bite and
affects humans and animals.
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This page contains citations and abstracts for medical and scientific articles from the National Institutes of Health (NIH), National Library of Medicine (NLM) MEDLINE database about Lyme disease by Matthew L. Cartter, MD.
Table of Contents
General information about Matthew L. Cartter, MD
MEDLINE search link for Lyme disease citations and abstracts with Cartter as author
Summaries of all MEDLINE citations on Lyme disease for Matthew L. Cartter, MD
Complete text of all MEDLINE citations on Lyme disease for Matthew L. Cartter, MD
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For more information on Lyme disease
General information about Matthew L. Cartter, MD
Matthew L. Cartter, MD
------------------------------------
(860)509-7994
Connecticut Department of Public Health
Epidemiology
410 Capitol Avenue
P.O. Box 340308
Hartford, CT 06134-0308
Phone: (860)509-8000
The following link was used to find all MEDLINE citations and abstracts pertaining
to Lyme disease with Cartter as one of the authors:
MEDLINE - Cartter AND Lyme disease - 10 citations found on 2 Feb 00
Summaries of all MEDLINE citations on Lyme disease for Matthew L. Cartter, MD
COMMENT: I mean, who would have thunk?
Who would have thunk that...
1 - "The incidence of Lyme disease was positively correlated with tick
abundance...". Furthermore, "...the number of I. scapularis ticks
infected by B. burgdorferi ...was highly correlated with the incidence
of Lyme disease in Connecticut."
Who would have thunk that the...
2 - Incidence of Lyme disease is dependent on where one resides.
Who would have thunk that...
3 - One's prevention practices regarding Lyme disease are dependent on
what one knows about Lyme disease.
Who would have thunk that...
4 - "Physician underreporting of Lyme disease underestimates the
public health impact of Lyme disease."
Who would have thunk that...
5 - "Lyme disease is an important health problem in school-aged children
living in southeastern Connecticut." COMMENT: And this "brillant" fact
was determined in 1995, 20 years after Lyme disease was discoverd in
southeastern Connecticut - in children - who were misdiagnosed as having
juvenile rheumatoid arthritis - by rheumatiods.
6 - "Borrelia burgdorferi is widely distributed in I. scapularis
populations in Connecticut."
7 - Title: Reinfection with Borrelia burgdorferi. [No abstract
available.]
Who would have thunk that...
8 - "Students who believed a specific behavior was preventive were 3-6
times more likely than others to practice that behavior. Schools in
endemic areas should educate students about Lyme disease."
9 - Title: Lyme disease and pregnancy. [No abstract available.]
Who would have thunk that...
10 - "Continued reporting of cases with supporting clinical information
is needed to improve Lyme disease surveillance and establish disease
trends."
Complete text of all MEDLINE citations on Lyme disease for Matthew L. Cartter, MD
1
TITLE:
Temporal correlations between tick abundance and prevalence of
ticks infected with Borrelia burgdorferi and increasing incidence of
Lyme disease.
AUTHORS: Stafford KC 3rd; Cartter ML; Magnarelli LA; Ertel SH;
Mshar PA
AUTHOR AFFILIATION:
Department of Entomology, The Connecticut Agricultural Experiment
Station, New Haven 06504-1106, USA.
kcstaff@caes.state.ct.us
NLM PUBMED CIT. ID: 9574684 NLM CIT. ID: 98233871
SOURCE: J Clin Microbiol 1998 May;36(5):1240-4
ABSTRACT:
The abundance of host-seeking Ixodes scapularis nymphs, the principal
vector for the Lyme disease agent, Borrelia burgdorferi, in Old Lyme,
Lyme, and East Haddam, Connecticut, was compared with the incidence
of reported human Lyme disease in the 12-town area around the
Connecticut River and the State of Connecticut for the period 1989 to
1996. Ticks were sampled from lawns and woodlands by dragging flannel
over the vegetation and examined for the presence of B. burgdorferi
by indirect fluorescent antibody staining. The infection rate of the
nymphal ticks by B. burgdorferi during the 9-year period was 14.3%
(of 3,866), ranging from 8.6% (1993) to 24.4% (1996). The incidence
of Lyme disease was positively correlated with tick abundance in the
12 town area (r = 0.828) and the State of Connecticut (r = 0.741). An
entomological risk index based upon the number of I. scapularis ticks
infected by B. burgdorferi was highest in 1992, 1994, and 1996 and
was highly correlated with the incidence of Lyme disease in
Connecticut (r = 0.944). The number of Lyme disease cases has been
influenced, in part, by annual changes in population densities of I.
scapularis and, presumably, a corresponding change in the risk of
contact with infected ticks. Based upon tick activity and spirochetal
infection rates, epidemiologically based Lyme disease case reports on
a regional scale appear to reflect real trends in disease.
2
TITLE:
Residential setting as a risk factor for Lyme disease in a
hyperendemic region.
AUTHORS: Cromley EK; Cartter ML; Mrozinski RD; Ertel SH
AUTHOR AFFILIATION:
Department of Geography, University of Connecticut, Storrs 06269-2148,
USA.
NLM PUBMED CIT. ID: 9525534 NLM CIT. ID: 98184446
SOURCE: Am J Epidemiol 1998 Mar 1;147(5):472-7
ABSTRACT:
The hypothesis that residence in a uniform medium-density residential
development is associated with lower incidence of Lyme disease is
tested with data from a rural, 12-town region of south-central
Connecticut where the disease is hyperendemic. The residential
setting for 424 cases identified by active surveillance from 1993
through 1995 was determined. Cases located within the Eastern Coastal
ecologic region, where tick densities are known to be higher than
inland and where most of the population in the region resides, were
selected for further analysis. Within this region, residence in a
homogeneous area of medium-density development at least 30 acres (12
ha) in size was associated with a two- to 10-fold lower level of risk
than residence in surrounding less developed areas, depending on the
estimate of residential population. Type of residential development
may be an important factor to consider, in addition to other
environmental variables, in studies of peridomestic vector-borne
disease in human populations.
3
TITLE:
Predisposing factors for individuals' Lyme disease prevention
practices: Connecticut, Maine, and Montana.
AUTHORS: Herrington JE Jr; Campbell GL; Bailey RE; Cartter ML
Adams M; Frazier EL; Damrow TA; Gensheimer KF
AUTHOR AFFILIATION:
Division of Vector-Borne Infectious Diseases, Centers for Disease
Control and Prevention, Fort Collins, CO 80522, USA.
NLM PUBMED CIT. ID: 9431299 NLM CIT. ID: 98093327
SOURCE: Am J Public Health 1997 Dec;87(12):2035-8
ABSTRACT:
OBJECTIVES: This study examined factors that predispose individuals to
protect against Lyme disease. METHODS: Knowledge, attitude, and
practice questions concerning Lyme disease prevention were included
in the Behavioral Risk Factor Surveillance surveys in Connecticut,
Maine, and Montana. A total of 4246 persons were interviewed.
RESULTS: Perceived risk of acquiring Lyme disease, knowing anyone
with Lyme disease, knowledge about Lyme disease, and believing Lyme
disease to be a common problem were significantly associated with
prevention practices. CONCLUSIONS: Predisposing factors differ
substantially between states and appear related to disease incidence.
Personal risk, knowing someone with Lyme disease, and cognizance
about Lyme disease and acting on this information are consistent with
social learning theories.
4
TITLE:
Underreporting of Lyme disease by Connecticut physicians, 1992.
AUTHORS: Meek JI; Roberts CL; Smith EV Jr; Cartter ML
AUTHOR AFFILIATION:
Connecticut Department of Public Health, New Haven, USA.
NLM PUBMED CIT. ID: 10186700 NLM CIT. ID: 98428329
SOURCE: J Public Health Manag Pract 1996 Fall;2(4):61-5
ABSTRACT:
To determine the magnitude of underreporting of Lyme disease, a random
sample of Connecticut physicians was surveyed in 1993. The magnitude
of underreporting was assessed by comparing physician estimates of
Lyme disease diagnoses with reports of Lyme disease sent by
physicians to the Connecticut Lyme disease surveillance system.
Complete questionnaires were returned by 59 percent (412/698) of
those surveyed. Of the 224 respondents who indicated that they had
made a diagnosis of Lyme disease in 1992, only 56 (25 percent)
reported a case of Lyme disease that year. Survey results suggested
that, at best, only 16 percent of Lyme disease cases were reported in
1992. Physician underreporting of Lyme disease underestimates the
public health impact of Lyme disease.
5
TITLE:
Prospective assessment of Lyme disease in a school-aged
population in Connecticut.
AUTHORS: Feder HM Jr; Gerber MA; Cartter ML; Sikand V;
Krause PJ
AUTHOR AFFILIATION:
Department of Pediatrics, University of Connecticut Health Center,
Farmington 06030-3960, USA.
NLM PUBMED CIT. ID: 7751720 NLM CIT. ID: 95271085
SOURCE: J Infect Dis 1995 May;171(5):1371-4
ABSTRACT:
To determine the incidence and cumulative frequency of Lyme disease in
a school-aged population in an area in which Lyme disease is endemic,
serum specimens were obtained before and after the 1990-1992 tick
seasons from 410 middle and high school students in southeastern
Connecticut. Sera were tested for serologic evidence of infection
with Borrelia burgdorferi, and students were questioned about
physician- confirmed episodes of clinical Lyme disease. At
enrollment, 29 (7%) students had a history of Lyme disease, and of
these, 12 (41%) were seropositive for B. burgdorferi infection.
Seronegative students (397) were followed prospectively over a total
of 796 person years. At enrollment, 381 students (93%) had no history
of Lyme disease, and of these, 1 (0.3%) was seropositive. During this
period, 8 students developed clinical Lyme disease and 3 had
asymptomatic infections with B. burgdorferi. The incidences of
clinical Lyme disease and asymptomatic B. burgdorferi infection were
10.1 and 3.8 cases/1000 person-years, respectively. Lyme disease is
an important health problem in school-aged children living in
southeastern Connecticut.
6
TITLE:
Geographic distribution of white-tailed deer with ticks and
antibodies to Borrelia burgdorferi in Connecticut.
AUTHORS: Magnarelli LA; Anderson JF; Cartter ML
AUTHOR AFFILIATION:
Department of Entomology, Connecticut Agricultural Experiment Station,
New Haven 06504.
NLM PUBMED CIT. ID: 8256460 NLM CIT. ID: 94078601
SOURCE: Yale J Biol Med 1993 Jan-Feb;66(1):19-26
ABSTRACT:
Ticks and blood specimens were collected from white-tailed deer
(Odocoileus virginianus) in Connecticut and analyzed to identify foci
for Lyme borreliosis. Males and females of Ixodes scapularis, the
chief vector of Borrelia burgdorferi, were collected from deer in
five of eight counties during 1989-1991. Analysis by indirect
fluorescent antibody (IFA) staining of midgut tissues showed that
prevalence of infection was highest (9.5% of 367 ticks) in south
central and southeastern Connecticut. Infected I. scapularis also
were collected from southwestern regions of the state (12.1% of 99
ticks), but prevalence of infection in northern counties was
considerably lower (0.8% of 124 ticks). Deer sera, obtained in 1980
and 1989-1991, were analyzed by an enzyme-linked immunosorbent assay
or by IFA staining methods. Antibodies to B. burgdorferi were
detected in sera collected from all eight counties in Connecticut.
Deer had been infected by this spirochete in at least 50 towns, 17
(34%) of which are in south central and southeastern parts of the
state. Borrelia burgdorferi is widely distributed in I. scapularis
populations in Connecticut.
7
TITLE:
Reinfection with Borrelia burgdorferi.
AUTHORS: Cartter ML; Hadler JL
NLM PUBMED CIT. ID: 2758830 NLM CIT. ID: 89337713
SOURCE: Conn Med 1989 Jun;53(6):376-7
[No abstract available.]
8
TITLE:
Lyme disease prevention--knowledge, beliefs, and behaviors among
high school students in an endemic area.
AUTHORS: Cartter ML; Farley TA; Ardito HA; Hadler JL
NLM PUBMED CIT. ID: 2758823 NLM CIT. ID: 89337705
SOURCE: Conn Med 1989 Jun;53(6):354-6
ABSTRACT:
We surveyed 153 high school students in an area highly-endemic for
Lyme disease. All students were familiar with Lyme disease; 14
students reported having had the disease. Ninety per cent of students
believed tick-avoidance behavior could prevent Lyme disease, but
fewer than half reported practicing any preventive behaviors.
Students who believed a specific behavior was preventive were 3-6
times more likely than others to practice that behavior. Schools in
endemic areas should educate students about Lyme disease.
9
TITLE:
Lyme disease and pregnancy.
AUTHORS: Cartter ML; Hadler JL; Gerber MA; Mofenson L
NLM PUBMED CIT. ID: 2758822 NLM CIT. ID: 89337701
SOURCE: Conn Med 1989 Jun;53(6):341-2
[No abstract available.]
10
TITLE:
The epidemiology of Lyme disease in Connecticut.
AUTHORS: Cartter ML; Mshar P; Hadler JL
NLM PUBMED CIT. ID: 2758819 NLM CIT. ID: 89337695
SOURCE: Conn Med 1989 Jun;53(6):320-3
ABSTRACT:
The overall incidence for Lyme disease for Connecticut residents in
1988 was 22 per 100,000. The highest rates were among residents of
New London (108 per 100,000) and Middlesex Counties (72 per 100,000),
although the greatest increase in incidence between 1985 and 1988
occurred among residents of Fairfield County (2 per 100,000 in 1985,
14 per 100,000 in 1988). Lyme disease is a statewide problem; in 1988
cases were reported among residents of 104 of Connecticut's 169 towns
and cities. The disease burden in some communities is high with case
rates approaching 1% of the population per year. Data from 1977 and
1985 suggest a three- to eightfold increase during that period in the
occurrence of Lyme disease in the communities near the mouth of the
Connecticut River. Continued reporting of cases with supporting
clinical information is needed to improve Lyme disease surveillance
and establish disease trends.
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Art Doherty.
Last updated on 6 February 2000 by
Art Doherty
Lompoc, California
doherty@utech.net
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