Changing case definition: An analysis of its impact on Lyme disease surveillance in Nova Scotia

Author:

Nsitem, K, Cram, J, Khan, A, Ryan, C, Hatchette, TF, Deeks, S, Passerini, L, Trecker, M, and McIsaac, K

Publication type:

Journal Article

Publication date:

2026-02

Journal/Series title:

Can Commun Dis Rep

Volume:

Issue:

1-2

URL:

https://www.canada.ca/content/dam/phac-aspc/documents/services/reports-publicati...

Abstract:

When the current LD case definition was applied to historic surveillance data, past rates of confirmed LD increased suggesting under-reporting of clinical presentation of LD to public health in high incidence jurisdictions.