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» LymeNet Flash » Questions and Discussion » Medical Questions » Army (quietly) warns of serious CHRONIC neurolyme.

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Author Topic: Army (quietly) warns of serious CHRONIC neurolyme.
Eight Legs Bad
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The following very interesting text is from a US Army briefing dated May 2000.

Notice how parts of it sound much more like an ILADS report than a US government one.

Let's also bear in mind that while the Army was issuing this (unclassified) report, military Lyme experts in CDC and EIS were simultaneously telling the civilian public and the world, as well as many soldiers who got infected, that Lyme is an easily-cured disease that never goes chronic and neurological.

Emphasis in the text is mine.

--------
Militarily Important Vector-borne Diseases with Long Incubation Periods
(>15 days)
...
D. Lyme Disease.
Lyme disease is also called Lyme borreliosis, tick-borne meningopolyneuritis, erythema
chronicum migrans, Lyme arthritis, and Barnwart's syndrome. The causative agent is the
spirochete bacterium Borrelia burgdorferi.

Like syphilis, the clinical disease manifests
itself in acute and ***chronic stages***. Initially there is a highly characteristic expanding skin
lesion (erythema migrans) that develops in ***about 60% of cases***. Flu-like symptoms
usually occur about the same time.

Weeks to months after initial infection, cardiac,
neurological or arthritic symptoms and other joint abnormalities may occur and ***persist
for years***.

***Treatment in the late stages of the disease can be difficult.*** Chronic Lyme
disease can be very debilitating.***Early recognition and treatment are critical.


Military Impact and Historical Perspective. Lyme disease is an emerging infection of
public health importance in many parts of the world. Since its recognition in Connecticut
during the 1970s, Lyme disease has been reported from 48 states.

Since 1995, about 100
cases of Lyme disease have been reported in US Army personnel worldwide. The
prevalence of Lyme borreliosis in North Africa is unclear, but it may be an emerging
zoonotic disease.


Disease Distribution. Lyme disease is the most common tick-borne infection of humans
in the temperate Northern Hemisphere, including North America, Europe and northern
Asia.

***Lyme-like syndromes have been reported from South America, Africa, tropical
Asia and Australia, but their epidemiology has not been clarified. Clinical and
serological evidence of Lyme disease in humans has been reported from the Canary
Islands, Egypt and Tunisia. An immunoassay detected B. burgdorferi in 30.5 % of the
adult Ixodes ricinus collected in Adman, situated in the Kroumiry mountains in
northwestern Tunisia. ***

Further studies will be needed to identify vectors, animal hosts
and the epidemiology of Lyme disease in North Africa. The future public health
significance of Lyme disease in North Africa is uncertain, but it is unlikely to be as
important as in temperate areas.

Transmission Cycle(s). All known primary vectors of Lyme disease are hard ticks of
the genus Ixodes, subgenus Ixodes. Infective spirochetes are transmitted by tick bite.


Nymphal ticks usually transmit the disease to humans. In most cases, transmission of the
pathogen probably does not occur until the tick has been attached for at least 24 hours, so
early tick detection and removal can prevent infection.

Borrelia burgdorferi has been
detected in mosquitoes, deer flies and horse flies in the northeastern United States and
Europe, but the role of these insects in Lyme disease transmission appears to be minimal.
Rodents, insectivores and other small mammals maintain spirochetes in their tissues and
blood and infect larval ticks that feed on them.

Spirochetes are seldom passed
transovarially by female ticks. Small mammals vary in their relative importance as
reservoir hosts in different geographic regions. Field mice in the genera Apodemus and
Clethrionomys are the chief reservoirs across Eurasia.


Vector Ecology Profiles.
Ixodes ricinus is the principal vector of Lyme disease in Europe and around the
Mediterranean Sea, although ***other Ixodes spp. are possible vectors.***

Ixodes ricinus is
focally distributed in the Canary Islands, northern Algeria , Tunisia and Egypt.


***Rhipicephalus sanguineus is a suspected vector based on a study in Egypt.*** Rhipicephalus
sanguineus was the only tick collected from domestic animals in the houses of four
serologically positive cases treated at the El Shatby University Children's Hospital in
Egypt.

The authors of a 1991 serological study in the Canary Islands suggested that
Rhipicephalus turanicus may be the vector and goats may act as a reservoir. Ixodes
ricinus prefers small rodents, hares, or birds, particularly in its larval and nymphal stages.
105


Yellow-necked mice, wood mice, and voles (Clethrionomys spp.) are favored hosts of
larvae, while red fox, hedgehogs, and dogs may be hosts of nymphs. Feeding preferences
of nymphal stages are less well known. Adults generally parasitize large mammals, such
as deer, sheep, cattle, foxes, or man. Attachment to large mammals is often in the groin
area, but may also occur on the back of the neck and in or between the ears.

Ticks quest
on vegetation, passively awaiting potential hosts. Hard ticks remain attached to hosts for
long periods of time, from 2 to 4 days for larvae and 6 to 11 days for nymphs and adults.
This facilitates pathogen acquisition and transmission, as well as vector dispersal by
migrating hosts.


Ixodes ricinus is a three-host tick. There is one larval instar and one nymphal instar, and
each stage requires a bloodmeal in order for development to proceed. Mating occurs
before feeding, or while the female is feeding on the host. Female ticks deposit up to
2,300 eggs after a bloodmeal and die after oviposition. This species primarily inhabits
moist, dense, forest biotopes, where mice and voles are common.

Ixodes ricinus does not
tolerate desiccation well and may die in a matter of weeks if relative humidity falls below
50%. However, in high humidity, adults can survive unfed for over two years.

Large
herbivores, such as deer and sheep, are required hosts for adults. The life cycle typically
takes 2 to 4 years. Eggs hatch in the spring and larvae feed and molt to nymphs.


Depending on the stage of development, ticks will overwinter as larvae or nymphs during
the first 2 years and as adults in subsequent years. Diapause during the winter months is
induced largely by short day length, although low temperature can also play a role.


Rhipicephalus sanguineus occurs throughout the entire region and is especially common
in urban areas with high populations of dogs. The bionomics of the brown dog tick is
discussed in greater detail in the section on boutonneuse fever. A complete list of North
African tick species and their distributions appears in Appendix A.3.


Vector Surveillance and Suppression. There are several methods that can be used to
determine the numbers and species of ticks in a given area. These include dragging a
piece of flannel cloth over vegetation where ticks are waiting for a passing host and
collecting the ticks that attach to the cloth, collecting ticks from animal hosts or their
burrows/nests, attracting ticks to a trap using carbon dioxide (usually in the form of dry
ice), and removing ticks from a person walking in a prescribed area.

Different species
and life stages of ticks are collected disproportionately by the various methods, and
techniques selected must be tailored to the species and life stage desired. These
collection procedures are discussed thoroughly in TIM 26, Tick-borne Diseases: Vector
Surveillance and Control.


Habitat modification can reduce tick abundance in limited areas. Mechanical removal of
leaf litter, underbrush, and low-growing vegetation reduces the density of small mammal
hosts and deprives ixodid ticks of the structural support they need to contact hosts. Leaf
litter also provides microhabitats with environmental conditions suitable for survival,
such as high relative humidity. Controlled burning, where environmentally acceptable,
has been shown to reduce tick populations for 6 to 12 months.

106
Large-scale application of pesticides to control ticks is usually impractical and may be
environmentally unacceptable at military installations during peacetime. Chemical
treatment should be confined to intensely used areas with a high risk of tick-borne
disease.

Liquid formulations of pesticides can be applied to vegetation at various heights
to provide immediate reduction in tick populations. Granular formulations provide
slower control and only affect ticks at ground level. Both formulations give
approximately the same level of control when evaluated over a period of several weeks.
Consult TIMs 24 and 26 for specific pesticide recommendations and application
techniques.


Exclusion of deer and other large animals using electric or nonelectric fences has reduced
populations of Ixodes ticks that require large animals to complete their life cycle. This
technique would have limited applicability in most military situations.


The personal protective measures discussed in TIMs 26 and 36 are the best means of
protecting individual soldiers from tick bites. Clothing impregnated with permethrin is
particularly effective against crawling arthropods like ticks. Frequent body checks while
operating in tick-infested habitat are essential. Tick attachment for several hours is
required for transmission of many tick-borne pathogens, so early removal of ticks can
prevent infection (Appendix F).


The FDA has approved LYMErix, a vaccine developed by SmithKline Beecham, for
vaccination of people ages 15 to 70. ***The vaccine is only about 80% effective***, and it
takes 3 shots over a full year to build optimal immunity. It protects only against North
American strains of B. burgdorferi and is not effective against European genotypes of the
spirochete. Therefore, vaccinated individuals must still use personal protective
measures against ticks."

Source of above text:

Section "VI. Militarily Important Vector-borne Diseases with Long Incubation Periods", in "Regional Disease Vector Ecology Profile" - North Africa" published by Armed Forces Pest Management Board, Walter Reed Army Medical Center, Washington DC.)May 2000.

As explained in the introduction to the briefing, documents in this series "summarize ***unclassified literature*** on medically
important arthropods, vertebrates and plants that may adversely affect troops in specific
countries or regions around the world".

Heaven only knows what the classified documents say. I would guess it is very different to what the IDSA Lyme commitee say - even more different than this text.

If you have the appropriate clearance, the document points you to where you can obtain more information. No suprise, it's here:

"Users may obtain current disease
ii
risk assessments, additional information on parasitic and infectious diseases, and other
aspects of medical intelligence from the Armed Forces Medical Intelligence Center
(AFMIC), Fort Detrick, Frederick, MD 21701, Tel: (301) 619-7574, DSN: 343-7574."

Happy New Year!

Elena Cook

--------------------
Justice will be ours.

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abigail
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I don't usually read the long posts but I read this one. Thanks.

--------------------
Dying is easy. Living is harder.

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northstar
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Eight Legs,
Do you have a url/link to this article?

Thank you,
North

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Eight Legs Bad
LymeNet Contributor
Member # 13680

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Yes, the Army document can be read here.

http://www.afpmb.org/pubs/dveps/nort_afr.pdf

Plenty more info there on other vector-borne diseases in North Africa.

Elena

quote:
Originally posted by northstar:
Eight Legs,
Do you have a url/link to this article?

Thank you,
North



--------------------
Justice will be ours.

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jagb09
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Good info.

How many of us read this and get so annoyed that there are still people who don't think Lyme can be chronic and debilitating?!


Arghhhh!

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disturbedme
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Good article!!!!

"develops in ***about 60% of cases***." Wrong. I believe it's 30% or less actually develop the EM rash.

--------------------
One can never consent to creep when one feels an impulse to soar.
~ Helen Keller

My Lyme Story

Posts: 2965 | From Land of Confusion (bitten in KS, moved to PA, now living in MD) | Registered: Jun 2007  |  IP: Logged | Report this post to a Moderator
bettyg
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was dated may 2000 ...

elena, thanks for posting; [group hug] [kiss] interesting especially reading down thru the complete table of contents of this 177 page package.

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scared08
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Elana,

Thank you so much for taking the time to post this and provided the link!!!!

I will defintly keep this on file. My husband is in the Airforce and has Lyme and Babesia trasmitted by me. [Frown] Many of the Dr.'s there believe that anyone infected needs to be seen by an I.D. Doc.!!!!!!

So we are currently trying to convince his Dr. on base that he needs an LLMD! I think this article will be very helpful as I will print it and take it to his apt.

Thanks again!

Janet

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Eight Legs Bad
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Carol -

It's not so much that the info is outdated, some of the info there we know is false. But what intrigued me was how open and honest they were in the document about the persistence and the serious nature of Lyme disease. Also no attempt was made to cover up the reality of neurological disease.

Disturbedme -

I have also seen evidence saying EM rash can be as rare as 30% of cases. However, I still find this figure of 60% more honest than the 80% and 90% figures we get from the Steere camp. ILADS sometimes use a figure of 50%.

Janet - Good luck. Let us know what happened.

Elena

--------------------
Justice will be ours.

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sparkle7
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Ever head of "hidden in plain sight"? This way no one seems to be culpable when/if the truth does get out into the public about Lyme... I bet you had to do alot of digging to find this article.

I wish they published a protocol along with this info.

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Eight Legs Bad
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quote:
Originally posted by sparkle7:
...when/if the truth does get out into the public about Lyme......

When, not if.

Elena

--------------------
Justice will be ours.

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eric555
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Great stuff...

Thank you for sharing the info.

Now to just spread the word and for our Govt to Admit !!!!!


[Big Grin]

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sparkle7
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From what I have observed... there is going to continue to be disinformation or obscuring of the facts with this illness.

If a cure is found - it will probably be something that you have to take for the rest of your life so the drug companies will profit off of us as an ongoing basis. Those without insurance or who can't afford it will be the ones who suffer.

I'm sorry to be so negative but I've been ill for over 10 years... It's ruined my life but I'm surviving & doing the best I can.

There still are mixed opinions about who killed JFK & it's been over 40 years... Most people think Lyme is some natural pathogen that just happened to evolve even though there is lots of evidence to show a different reality.

Things could change very quickly if there was an effort to reveal the facts. It's kind of obvious to me that there's an agenda regarding Lyme.

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Eight Legs Bad
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quote:
Originally posted by sparkle7:

Things could change very quickly if there was an effort to reveal the facts. ...

Yes imo that is the key.

At the end of the day, the truth won't just come out by itself. We all have to work, to the best of our abilities, on finding out that truth and forcing it out in the daylight.

I dont know if they have a cure right which is being concealed, or not. However, even if it turned out that they don't have such a cure, the moment the cover-up comes down, the door is open for honest scientists to do honest research.

At the moment nearly all the research grants are going to big liars. And even when we raise money for our own, honest researchers, their findings are ignored or worse, still, our researchers are vilified and harassed.

The moment the coverup comes down, we will be in a strong position to demand an immediate, massive injection of funds into honest research for both treatment, and prevention of new cases.

Elena

--------------------
Justice will be ours.

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