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  Vol. 135 No. 11, November 1999 TABLE OF CONTENTS
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Recommendations for the Use of Lyme Disease Vaccine

Arch Dermatol. 1999;135:1425-1426.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

LYME DISEASE vaccine does not protect all recipients against infection with B. burgdorferi and offers no protection against other tickborne diseases. Vaccinated persons should continue to practice personal protective measures against ticks and should seek early diagnosis and treatment of suspected tickborne infections. Because Lyme disease is not transmitted person-to-person, use of the vaccine will not reduce risk among unvaccinated persons. Decisions regarding the use of vaccine should be based on individual assessment of the risk for exposure to infected ticks and on careful consideration of the relative risks and benefits of vaccination compared with other protective measures, including early diagnosis and treatment of Lyme disease. The risk for Lyme disease is focally distributed in the United States. Detailed information regarding the distribution of Lyme disease risk within specific areas is best obtained from state and local public health authorities.

The following recommendations are made regarding use of Lyme disease . . . [Full Text of this Article]

Persons Who Reside, Work, or Recreate in Areas of High or Moderate Risk


Persons Who Reside, Work, or Recreate in Areas of Low or No Risk

Travelers to Areas of High or Moderate Risk

Children Aged <15 Years

Persons Aged >70 Years

Pregnant Women

Persons With Immunodeficiency

Persons With Musculoskeletal Disease

Persons With a Previous History of Lyme Disease

Vaccine Schedule, Including Spacing and Timing of Administration

Boosters

Simultaneous Administration With Other Vaccines


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