Download PDF by Gavin Fairbairn, Susan Fairbairn: Reading at University: A Guide for Students

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2 The Committee notes that some reports from the 1980s demonstrating the effectiveness of antibiotic therapy (Steere et al 1980) PREPUBLICATION COPY: UNCORRECTED PROOFS Copyright © National Academy of Sciences. All rights reserved. , 1998). To promoters of the vaccine, this was evidence of its efficacy over and above the 75–85 percent reduction in clinical cases of Lyme disease seen during the trials. The fact that asymptomatic seroconverters were not subject to clinician and patient bias during referral and diagnosis underscored this finding.

Epidemiologically it seemed like a reasonable call, given the many vacations we had taken on Martha’s Vineyard and Cape Cod, where babesiosis was ripe. Jones treated Jason with standard doses of doxycycline for anaplasmosis and Lyme disease, and Mepron and Zithromax for babesiosis. Two weeks later, after years of free fall, our son got out of the bathtub and began throwing a basketball around the family room. Two years later he was playing varsity basketball for his high school, and today he is a graduate student at Brown University earning his MFA in film.

The American definition and diagnosis of Lyme disease has generated considerable controversy. Disease definitions are often negotiated balances between two ways of understanding illness: as a specific disease or as an individual idiosyncrasy. Although biological processes place limits on how diseases can be defined, what counts as a (new) disease often depends on values, interests, and contingent historical events. As the history of Lyme disease suggests, the definition of a disease often results in winners and losers, and controversy among the stakeholders is apt to follow 1 .

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