Rc. Falco et al., THE DISTRIBUTION OF CANINE EXPOSURE TO BORRELIA-BURGDORFERI IN A LYME-DISEASE ENDEMIC AREA, American journal of public health, 83(9), 1993, pp. 1305-1310
Objectives. A serosurvey of canine exposure to Borrelia burgdorferi, t
he causative agent of human Lyme disease, was conducted in Westchester
County, New York, to determine the distribution of exposure in an are
a endemic for Lyme disease. Methods. A total of 1446 blood samples was
collected from resident dogs and tested by modified enzyme-linked imm
unosorbent assay. Equivocal samples were further tested by immunoblot.
A mean number of 57.8 samples was collected from each of 25 towns and
cities. Results. Seroprevalence rates for municipalities ranged from
6.5% to 85.2%. County seroprevalence was 49.2%. There was a significan
t difference among the rates for the northern (67.3%), central (45.2%)
, and southern (17.3%) regions. Multiple range analysis indicated homo
geneity between the southern and central regions and the central and n
orthern regions. Conclusions. Canine exposure to B burgdorferi increas
es in a south to north gradient within the county. Intensity of exposu
re, measured by enzyme-linked immunosorbent assay titers, indicates a
similar pattern. The close association between dogs and humans suggest
s that human risk of acquiring Lyme disease within Westchester County
is equally disparate and is inversely related to the degree of urbaniz
ation.