1. Tick-borne Disease Surveillance Catherine M. Brown, DVM, MSc, MPH State Public Health Veterinarian Massachusetts Department of Public Health

2. Tick-borne diseases are a problem in Massachusetts……

3. ….especially on the Cape and Islands

8. Who should be reporting?  Health care providers and laboratories are required under 105 CMR 300.100 to report anaplasmosis and babesiosis cases What should be reported?  Any healthcare provider diagnosed case of disease Anaplasmosis and Babesiosis Disease Surveillance

9. How is data collected? Physician sees a patient Physician suspects disease Lab test ordered and is positive MDPH-SLI LBOH

16. Who should be reporting? HHealth care providers and laboratories are required under 105 CMR 300.100 to report Lyme disease cases What should be reported? AAny healthcare provider diagnosed case of Lyme disease based on clinical signs and symptoms regardless of whether or not laboratory confirmation testing was done Lyme Disease Surveillance

18. Where should a physician report a patient who has Lyme disease?  to the MDPH Office of Integrated Surveillance and Informatics program via confidential fax at 617-983-6813. When should Lyme disease be reported?  As soon as possible after a diagnosis is made. Lyme Disease Surveillance

19. How is data collected? Physician sees a patient MDPH-SLI Teleform completed Teleform generated and sent to physician Physician diagnoses Lyme disease Lab test ordered and is positive LBOH

24. Any questions? Division of Epidemiology and Immunization 617-983-6800