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Human babesiosis in New York State: an epidemiological description of 136 cases

S C Meldrum1, G S Birkhead, D J White

  • 1Bureau of Communicable Disease Control, New York State Department of Health, Albany 12237.

Insights

Human babesiosis cases in New York (1982-1991) were concentrated in Suffolk County, primarily affecting older adults. Concurrent Lyme disease and splenectomy were noted risk factors, with significant hospitalization and mortality rates observed.

Area of Science:

  • Epidemiology
  • Infectious Diseases
  • Public Health

Background:

  • Babesiosis is an emerging tick-borne illness caused by protozoan parasites.
  • Understanding its epidemiology is crucial for public health interventions.

Purpose of the Study:

  • To review epidemiological data of human babesiosis cases in New York State from 1982 to 1991.
  • To identify geographic distribution, incidence rates, and risk factors.

Main Methods:

  • Retrospective review of 136 reported human babesiosis cases.
  • Analysis of patient demographics, geographic location, and co-morbidities.

Main Results:

  • Most cases (134/136) were acquired in Suffolk County, Long Island.
  • Highest incidence rates were in men aged 80+ and women aged 70-79.
  • 23% had concurrent Lyme disease; 5% had undergone splenectomy.
  • 76% were hospitalized, and 5% died.

Conclusions:

  • Babesiosis in New York was geographically concentrated in Suffolk County during this period.
  • Older adults and asplenic individuals are at higher risk.
  • Potential for geographic spread exists, mirroring Lyme disease expansion.

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