Thursday, May 30, 2019

More studies on the effectiveness of various Lyme disease prevention measures

In looking to see if I could find the full text, I came upon this site where a physician rated the study and provided citations.


Effectiveness of personal protective measures to prevent Lyme disease.
Vázquez M, Muehlenbein C, Cartter M, Hayes EB, Ertel S, Shapiro ED
Emerging Infect Dis 2008 Feb; 2(14):210-6

Full Study:  

How can we prevent Lyme disease?
Hayes EB, Piesman J
N Engl J Med 2003 Jun 12; 24(348):2424-30


Emergence of Lyme disease in Hunterdon County, New Jersey, 1993: a case-control study of risk factors and evaluation of reporting patterns.
Orloski KA, Campbell GL, Genese CA, Beckley JW, Schriefer ME, Spitalny KC, Dennis DT
Am J Epidemiol 1998 Feb 15; 4(147):391-7

Full study here:  

Case-control study of risk factors for incident Lyme disease in California.
Ley C, Olshen EM, Reingold AL
Am J Epidemiol 1995 Nov 1; 9 Suppl(142):S39-47

Abstract only:  

Lyme Disease Prevention Results of a Population-Based Case–Control Study

Peridomestic Lyme Disease Prevention

Results of a Population-Based Case–Control Study

Neeta P. Connally, PhD, Amanda J. Durante, PhD, Kimberly M. Yousey-Hindes, MPH, James I. Meek, MPH, Randall S. Nelson, DVM, Robert Heimer, PhD

Background: Purpose:




Peridomestic Lyme disease–prevention initiatives promote personal protection, landscape modification, and chemical control.

A 32-month prospective age- and neighborhood-matched case–control study was con- ducted in Connecticut to evaluate the effects of peridomestic prevention measures on risk of Lyme disease.

The study was conducted in 24 disease-endemic Connecticut communities from 2005 to 2007. Subjects were interviewed by telephone using a questionnaire designed to elicit disease-prevention measures during the month prior to the case onset of erythema migrans. Data were analyzed in 2008 by conditional logistic regression. Potential confound- ers, such as occupational/recreational exposures, were examined.

Between April 2005 and November 2007, interviews were conducted with 364 participants with Lyme disease, and 349 (96%) were matched with a suitable control. Checking for ticks within 36 hours of spending time in the yard at home was protective against Lyme disease (OR􏰎0.55; 95% CI􏰎0.32, 0.94). Bathing within 2 hours after spending time in the yard was also protective (OR􏰎0.42; 95% CI􏰎0.23, 0.78). Fencing of any type or height in the yard, whether it was contiguous or not, was protective (OR􏰎0.54; 95% CI􏰎0.33, 0.90). No other landscape modifications or features were significantly protective against Lyme disease.

The results of this study suggest that practical activities such as checking for ticks and bathing after spending time in the yard may reduce the risk of Lyme disease in regions where peridomestic risk is high. Fencing did appear to protect against infection, but the mechanism of its protection is unclear.

(Am J Prev Med 2009;37(3):201–206) © 2009 American Journal of Preventive Medicine)