To the Editor There are a number of inaccuracies in the Viewpoint by Drs Shapiro and Wormser on Lyme disease.1
First, they stated that “…there has not been a statistically significant increase in the number of reported cases of Lyme disease in the United States during the most recent 4 years (2013-2016) for which data are available.” Quest Diagnostics has reported a significant increase of positive Lyme disease test results, with Lyme disease being detected in each of the 50 states and the District of Columbia.2
Tuttle C. Controversies About Lyme Disease. JAMA. 2018;320(23):2481. doi:10.1001/jama.2018.17195
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