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then compiled by the state epidemiologist.
However, according to Gaines, enforcing this law on over-burdened doctors’ offices would be difficult and costly.
Rappahannock-Rapidan District Epidemiologist April Achter admitted that, even though she is certain there has been increased incidence of Lyme over the past several years, currently “all diseases are underreported ” .
Looking at Rappahannock County’s records, annual reported case numbers are zero for four of the past six years, even when significant Lyme infection is being discussed among county citizens. According to state records, Rappahannock reported only four Lyme cases in 2003 and two in 2006.
88.3%