Historical Note and Disclaimer
This monograph should be used for historical purposes only, as an example of how the quality of surveillance and reporting of Lyme Disease can be improved through health care provider education. See the Introduction in this monograph for details of its development, starting in 1990.
For current information about Lyme Disease in the United States, see the CDC website.
For current surveillance and reporting of Lyme Disease in Washington State see their notifiable conditions page on Lyme Disease.
For more recent (2006) evidence-based recommendations, see "The Clinical Assesment, Treatment and Prevention of Lyme Disease, Human Granulocytic Anaplamosis, and Babesiosis: Clinical Practice Guidlines by the Infectious Disease Society of America."

