Lyme Disease FAQs

In the United States, Lyme disease is mostly localized to states in the northeastern, mid-Atlantic, and upper north-central regions, and to several counties in Northwestern California. In 1999, 16,273 cases of Lyme disease were reported to the Centers for Disease Control and Prevention (CDC). Ninety-two percent of these were from the states of Connecticut, Rhode Island, New York, Pennsylvania, Delaware, New Jersey, Maryland, Massachusetts, and Wisconsin.

Following are frequently asked questions about Lyme disease:

Question: How do people get Lyme disease?
Answer: By the bite of ticks infected with Lyme disease bacteria. (Deer tick)

Question: What is the basic transmission cycle?
Answer: Immature ticks become infected by feeding on small rodents, such as the white-footed mouse, and other mammals that are infected with the bacterium Borrelia burgdorferi. In later stages, these ticks then transmit the Lyme disease bacterium to humans and other mammals during the feeding process. Lyme disease bacteria are maintained in the blood systems and tissues of small rodents.

Question: Could you get Lyme disease from another person?
Answer: No, Lyme disease bacteria are NOT transmitted from person-to-person. For example, you cannot get infected from touching or kissing a person who has Lyme disease, or from a health care worker who has treated someone with the disease, or by sexual contact.

Question: What are the signs and symptoms of Lyme disease?
Answer: Within days to weeks following a tick bite, 80% of patients will have a red, slowly expanding "bull's-eye" rash (called erythema migrans), accompanied by general tiredness, fever, headache, stiff neck, muscle aches, and joint pain. If untreated, weeks to months later some patients may develop arthritis, including intermittent episodes of swelling and pain in the large joints; neurologic abnormalities, such as aseptic meningitis, facial palsy, motor and sensory nerve inflammation (radiculoneuritis) and inflammation of the brain (encephalitis); and, rarely, cardiac problems, such as atrioventricular block, acute inflammation of the tissues surrounding the heart (myopericarditis) or enlarged heart (cardiomegaly).