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Appendix A: Disease-Specific Chapters

Appendix A: Disease-Specific Chapters chapter : Lyme disease Infectious Diseases Protocol Revised April 2015 Lyme disease Communicable Virulent Health Protection and Promotion Act: Ontario Regulation 558/91 Specification of Communicable Diseases Health Protection and Promotion Act: Ontario Regulation 559/91 Specification of Reportable Diseases Aetiologic Agent Lyme disease is a tick-borne zoonotic disease caused by the bacterium, Borrelia burgdorferi (B. burgdorferi), a spirochete first identified in North America in , 2 Case Definition Surveillance Case Definition See Appendix B Outbreak Case Definition N/A Identification Clinical Presentation Lyme borreliosis is generally divided into three stages in which infected persons may experience any of the following symptoms: Early localized disease o Erythema migrans (EM) or bull s eye rash at the site of a recent tick bite, fever, malaise, headache, myalgia, neck

Appendix A: Disease-Specific Chapters Chapter: Lyme Disease Infectious Diseases Protocol . Revised April 2015

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