Some Vermonters are quickly diagnosed and effectively treated, experiencing no further complications from Lyme disease. Others are among the 10-20% who experience ongoing complications from a tick-borne infection – even after treatment.
Living with a tick-borne disease is not easy. Some people experience chronic fatigue, headaches, and joint or muscle pain. Others have cognitive difficulties leaving them unable to continue working, or safely drive a vehicle.
Dr. Neil Spector has called Lyme disease “the infectious disease equivalent of cancer” due to its potential complexity and potential need for an individualized treatment approach, yet access to physicians who specialize in tick-borne diseases is extremely limited in Vermont.
People with complex, ongoing health problems related to Lyme disease may not look ill, but their experience may be extremely difficult.
- A study by Klempner, et al., showed “There is considerable impairment of health-related quality of life among patients with persistent symptoms despite previous antibiotic treatment for acute Lyme disease”.
- A study by Steere, et al., concluded that “Months to years after the initial infection with B. burgdorferi, patients with Lyme disease may have chronic encephalopathy [abnormal brain function], polyneuropathy [degeneration of peripheral nerves], or less commonly, leukoencephalitis [severe brain inflammation].”
- A more recent study showed the quality of life for post-treatment Lyme patients was lower than patients with other chronic diseases, “including congestive heart failure, diabetes, multiple sclerosis and arthritis”. In addition, the Lyme patients had, “significantly lower health quality status, more bad mental and physical health days, a significant symptom disease burden, and greater activity limitations” when compared to the general population. They also reported “impairment in their ability to work, increased utilization of healthcare services, and greater out of pocket medical costs”.
- The National Institute of Allergies and Infectious Diseases noted these studies “reinforced the evidence that patients reporting PTLDS symptoms have a severe impairment in overall physical health and quality of life”.
Vermonters with Lyme disease need understanding, support, and access to care. In addition, early diagnosis and effective treatment of a Lyme infection may prevent ongoing health complications.