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Published Saturday, August 5, 2000, in The State.

Exposure to disease can be minimized

While I agree with Carol Black's July 14 letter that Lyme disease is "not an illness to be taken lightly," her letter exaggerated the risk.

Only 90 cases of Lyme disease have been reported statewide since 1991. In 1998, we reviewed the 16 reports received that year and could confirm only half, suggesting that overdiagnosis is occurring. Our staff provides educational publications about tick-borne diseases, including Lyme, annually to physicians.

Lyme disease happens most frequently in the Northeast and Midwest. South Carolina's numbers are similar to both Georgia and North Carolina. Last year, the Centers for Disease Control and Prevention classified South Carolina's 46 counties either "low" or "minimum" risk.

Though Lyme disease results from the bite of infected deer ticks, the Southeastern deer tick prefers to feed on lizards (which do not carry the Lyme disease bacterium), rather than deer.

Ms. Black's listing of possible symptoms of Lyme disease is not accepted by medical authorities. Her assertion that all lab testing is unreliable is incorrect.

People who are exposed to ticks should take precautions including covering exposed skin, using insect repellents, and checking for ticks after exposure. Additional information is available at the CDC's Website , ww.cdc.gov/ncidod/dvbid/lymeinfo.htm, or your county health department.

JAMES J. GIBSON, M.D. Epidemiologist and Director Bureau of Disease Control South Carolina DHEC Columbia

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