scholarly journals Study of general practitioner consultations for tick bites at high, medium and low incidence areas for Lyme borreliosis in England and Wales

2020 ◽  
Vol 67 (5) ◽  
pp. 591-599
Author(s):  
Emma L. Gillingham ◽  
Jessica L. Hall ◽  
Richard J. Birtles ◽  
Kevin J. Bown ◽  
Jolyon M. Medlock ◽  
...  
Keyword(s):  
General Practitioner ◽  
Lyme Borreliosis ◽  
Tick Bites ◽  
England And Wales ◽  
Low Incidence

Child Health Services in England and Wales: An Overview

PEDIATRICS ◽  
1990 ◽  
Vol 86 (6) ◽  
pp. 1032-1036
Author(s):  
Shirley Goodwin
Keyword(s):  
Health Policy ◽  
General Practitioner ◽  
National Health Service ◽  
Child Health ◽  
Health Service ◽  
Health Services ◽  
Social Security ◽  
Child Health Services ◽  
England And Wales ◽  
The Impact

Child health services in England and Wales are rendered largely through the National Health Service and Social Security. The activities of local authorities are also important to child health. The structure and scope of services offered children by each of these is presented and discussed, with special attention to changes anticipated during the next 2 years. The care of children is integrated into the system serving all ages, so that services are difficult to evaluate and resources are shared with other groups. Health policy for children is fragmentary, although encouraging trends are visible in the evolution of existing policy. The impact of impending changes in hospital, community, and general practitioner services on the care of children is unclear at this time.

General Practitioner Referral of Patients with Lower Gastrointestinal Symptoms

1988 ◽  
Vol 81 (2) ◽  
pp. 87-88 ◽  
Author(s):  
R G Springall ◽  
I P Todd
Keyword(s):  
General Practitioner ◽  
Gastrointestinal Symptoms ◽  
Accurate Diagnosis ◽  
Direct Access ◽  
Colorectal Disease ◽  
Rectal Examination ◽  
Low Incidence

Of 500 consecutive patients with symptoms of colorectal disease referred to a specialist hospital for outpatient assessment, 305 were studied. There was a low incidence of examination by the general practitioner; less than half the patients had a rectal examination and 31% had no examination at all. In cases where GPs made a diagnosis, this was correct in half, which both demonstrates the potential for dangerous misdiagnosis and confirms the fact that many anorectal conditions can be identified by the history alone. It is suggested that direct-access clinics in a colorectal unit would minimize delay in accurate diagnosis. The resource implications for such a system would be limited in terms of special investigations and additional clinic facilities.

scholarly journals Leprosy in England and Wales 1953–2012: surveillance and challenges in low incidence countries

BMJ Open ◽  
2016 ◽  
Vol 6 (5) ◽  
pp. e010608 ◽  
Author(s):  
Nicholas Fulton ◽  
Laura F Anderson ◽  
John M Watson ◽  
Ibrahim Abubakar
Keyword(s):  
England And Wales ◽  
Low Incidence

Prevention of Lyme Borreliosis Infection after Tick Bites

1998 ◽  
Vol 72 (5) ◽  
pp. 512-516 ◽  
Author(s):  
Kenji MIYAMOTO ◽  
Yoshio HASHIMOTO
Keyword(s):  
Lyme Borreliosis ◽  
Tick Bites

scholarly journals Increased awareness and knowledge of Lyme Borreliosis and tick bite prevention among the general population in France: 2016 and 2019 health barometer survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alexandra Septfons ◽  
Julie Figoni ◽  
Arnaud Gautier ◽  
Noémie Soullier ◽  
Henriette de Valk ◽  
...  
Keyword(s):  
General Population ◽  
Lyme Borreliosis ◽  
Age Groups ◽  
Tick Bite ◽  
Tick Bites ◽  
Protective Measures ◽  
Information Campaigns ◽  
Phone Survey ◽  
Risk Areas ◽  
The Impact

Abstract Background Lyme borreliosis (LB) is the most frequent tick-borne disease in France. In the absence of a vaccine, LB prevention mainly relies on reducing tick bites. In 2016, the French Ministry of Health launched a national plan against tick-borne infections, including a prevention component. To evaluate the impact of this prevention strategy, we assessed knowledge and practices of tick bite prevention using the 2016 and 2019 national surveys on health attitudes and beliefs known as the French Health Barometer. Methods The Health Barometer is a repeated nationwide phone survey conducted annually on a random sample aged 18 to 75 years living in mainland France. In 2016 and 2019, participants were asked, among others, about their exposure to ticks, their behavior and practices regarding tick bites, and their knowledge about LB and its prevention. Results In 2019, 30% of the population reported a lifetime tick bite and 6% in the last year, an increase from 25% and 4%, respectively, in 2016 (p < 0.001). In 2019, 25% of the population felt exposed to tick bites compared to 23% in 2016 (p < 0.001). The proportion of participants who had heard about LB and who considered themselves well informed respectively increased from 66% and 29% in 2016 to 79% and 41% in 2019, (p < 0.001). In 2019 compared to 2016, a greater part of the French population applied protective measures against tick bites, particularly wearing protective clothing (74% vs 66%, p < 0.001) and regular tick checks and prompt tick removal after exposure (54% vs 47%, p < 0.001). Conclusions A substantial proportion of French residents are exposed to tick bites and apply protective measures. Our findings indicate a trend toward an increased knowledge and awareness of tick bites and LB between 2016 and 2019 in France. Our results can be used to target future information campaigns to specific age groups or at-risk areas in addition to the general population. However, we need to further study the barriers to the use of preventive measures.

scholarly journals AWARENESS OF LYME BORRELIOSIS OF THE PATIENTS OF TERNOPIL REGIONAL TB DISPENSARY

2017 ◽  
Author(s):  
L. P. Melnyk ◽  
L. A. Hryshchuk ◽  
M. Koziol–Montewka ◽  
P. S. Tabas ◽  
R. O. Klos
Keyword(s):  
Nervous System ◽  
Lyme Disease ◽  
Borrelia Burgdorferi ◽  
Lyme Borreliosis ◽  
Preventive Measures ◽  
Epidemiological Data ◽  
Sufficient Information ◽  
Tick Bites ◽  
The World ◽  
History Of

Background. Lyme disease has many clinical features similar tothose in sarcoidosis and tuberculosis. Epidemiological data in the world, in particular in Ukraine, proves the increase in Lyme borreliosis incidence. Ternopil region is endemic with Lyme borreliosis.Objective. The research was aimed to investigate the prevalence of infection with Borrelia burgdorferi and epidemiology features of borreliosis among the patients of Ternopil Regional TB Dispensary.Methods. In total, 29 patients were admitted to Departments of Differential Diagnostic, TB Therapy and TB Surgery of Ternopil Regional TB Dispensary in October 2016-January 2017. All the surveyed answered the questions of an integrated international questionnaire, where they noted the area and a number of tick bites, described the removal method, noted the survey for borreliosis pathogen and complaints after tick bites.Results. It was established that 5 respondents had a history of tick bites episodes, but only in one case the patient was examined of borreliosis. Tick bites were noticed in 3 patients with sarcoidosis and 1 with tuberculosis (TB) and exudative pleurisy, respectively.Conclusions. The absence of appeals for medical care, lack of sufficient information on Lyme borreliosis and disuse of preventive measures for tick bites by the interviewed patients of Ternopil regional TB dispensary departments proves the need of improvement of health education on Lyme borreliosis (LB) among this category of population. 24 (82.7%) of 29 respondents did not remember the tick bite. The symptoms of (LB) are similar to those in sarcoidosis and tuberculosis (pleural lesions, heart, joints, nervous system, skin), and the presence of tick bites gives the reasons to examine these patients of Borrelia burgdorferi senso lato.

scholarly journals Disseminated and chronic Lyme borreliosis in Norway, 1995 – 2004

2005 ◽  
Vol 10 (10) ◽  
pp. 1-2 ◽  
Author(s):  
K Nygård ◽  
A B Brantsaeter ◽  
R Mehl
Keyword(s):  
Lyme Borreliosis ◽  
Erythema Migrans ◽  
Clinical Manifestations ◽  
Laboratory Diagnosis ◽  
Incidence Rates ◽  
Tick Bites ◽  
Serological Tests ◽  
Clear Trend ◽  
Acrodermatitis Chronica Atrophicans ◽  
Insect Repellents

Lyme borreliosis is the most common tickborne infection in Norway. All clinical manifestations of Lyme borreliosis other than erythema migrans are notifiable to Folkehelseinstituttet, the Norwegian Institute of Public Health. During the period 1995-2004 a total of 1506 cases of disseminated and chronic Lyme borreliosis were reported. Serological tests were the basis for laboratory diagnosis in almost all cases. The annual numbers of cases showed no clear trend over the period, but varied each year between 120 and 253 cases, with the highest number of cases reported in 2004. Seventy five per cent of cases with information on time of onset were in patients who fell ill during the months of June to October. There was marked geographical variation in reported incidence rates, with the highest rates reported from coastal counties in southern and central Norway. Fifty six per cent of the cases were in males and 44% in females. The highest incidence rate was found in children aged between 5 and 9 years. Neuroborreliosis was the most common clinical manifestation (71%), followed by arthritis/arthralgia (22%) and acrodermatitis chronica atrophicans (5%). Forty six per cent of patients were admitted to hospital. Prevention of borreliosis in Norway relies on measures to prevent tick bites, such as use of protective clothing and insect repellents, and early detection and removal of ticks. Antibiotics are generally not recommended for prophylaxis after tick bites in Norway.

Habitats of Limnaea truncatula in England and Wales during Dry Seasons

1938 ◽  
Vol 16 (4) ◽  
pp. 213-260 ◽  
Author(s):  
B. G. Peters
Keyword(s):  
Liver Fluke ◽  
England And Wales ◽  
New Methods ◽  
Dry Seasons ◽  
Low Incidence ◽  
Methods Of Control ◽  
The Ideal

1. The complacent attitude that fluke is no longer a disease of importance is attacked on the grounds that the recent low incidence of the disease is largely due to a temporary scarcity of the intermediary, Limnaea truncatnla.2. A description is given of methods of making contacts, taking samples, and recording observations in a survey of typical habitats of L. truncatula in England and Wales.3. Twenty-two such habitats are described in some detail.4. These form the basis of a brief discussion on factors contributing to the ideal habitat, knowledge of which is desirable for the elaboration of new methods of control.5. A provisional map showing the distribution of liver fluke in England and Wales is appended.

Sign in / Sign up

Export Citation Format

Share Document