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Appendix E: Public Comment Summary
Pages 525-530

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From page 525...
... This appendix contains a list of questions asked during each session. The questions have been annotated, but they, along with any comments submitted during the workshop, can be found in their entirety in the committee's Public Access File.1 SURVEILLANCE, SPECTRUM, AND BURDEN OF TICK-BORNE DISEASES • Why is Borrelia burgdorferi the only recognized cause of Lyme dis ease in the United States?
From page 526...
... • What genetic characteristics make one more susceptible to Lyme disease? • Are there any strains of Babesia that, given current lab techniques, are only able to be clinically diagnosed?
From page 527...
... • Do changes in the immune system alter the effectiveness of antibi otic treatment when recommended dosages are bacteriostatic not bactericidal? • Is there any way to determine which stage of Lyme disease a patient with chronic Lyme disease is in whether through test results or the chronological progression of symptoms?
From page 528...
... SCIENCE, SOCIETY, AND DISEASE • For medical and psychological communities, what can be done to educate those who are in a position to encounter Lyme as a valid differential diagnoses? If mental health services have a Surgeon Gen eral Statement that translates to codes of ethics for the profession, is it possible that Lyme could be named as another such diversity group for which ethical consideration is merited?
From page 529...
... 529 APPENDIX E PREVENTION • What tests are currently available, besides the Western blot for Lyme disease patients and their physicians to help them more accurately determine whether the patient is completely cured of the infection after a course of antibiotic treatment even though the patient may still exhibit symptoms? • How can highly specific bands to Borrelia be used in current vaccine research and be excluded in diagnosis?


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