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American Journal of Epidemiology Vol. 131, No. 5: 877-885
Copyright © 1990 by The Johns Hopkins University School of Hygiene and Public Health


research-article

LYME DISEASE IN OUTDOOR WORKERS: RISK FACTORS, PREVENTIVE MEASURES, AND TICK REMOVAL METHODS

BRIAN S. SCHWARTZ1 2 and MICHAEL D. GOLDSTEIN3,

1Clinical Epidemiology Unit, Section of General Internal Medicine, Department of Medicine, University of Pennsylvania Philadelphia, PA
3Center for Occupational Medicine, Department of Environmental Protection Trenton, NJ 08825

Reprint requests to Dr. Michael Goldstein, Center for Occupational Medicine, Department of Environmental Protection, 401 E. State Street, Trenton, NJ 08625

A statewide cross-sectional study of risk factors for seropositivity for antibody to Borrelia burgdorferi in outdoor workers in New Jersey was performed in September and October 1988. The crude odds ratio associated with exposure to ticks on the primary state job was 2.2 (95% confidence interval (Cl) 0.7–9.0). After adjustment for multiple confounding variables with logistic regression, the adjusted occupational tick exposure odds ratio was 5.1 (95% Cl 1.1–23.6). Additional analyses revealed that any use of insect repellent or antibiotics may have decreased the risk of Lyme disease in these workers (adjusted odds ratios for not using insect repellent or antibiotics were 2 (95% Cl 1.0–4.0) and Z3 (95% Cl 0.8–6.7), respectively). These data suggest that Lyme disease is a hazard of outdoor work and that increased recognition of this fact will be necessary to prevent Lyme disease in these workers.

Borrella; Lyme disease; Lyme disease, prevention and control; occupational diseases; ticks


2Present address: Johns Hopkins University School of Hygiene and Public Health, Division of Occupational Medicine, Baltimore, MD


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