The authors say future research must use biobanks for data collection.
Herbs and supplements are the most common treatment offered by the clinics.
Diagnostics maker ID-Fish Technology says the test will improve the sensitivity of Lyme disease diagnosis without sacrificing specificity.
Most cases occurred in the summer among men and in residents of high-incidence states.
Willingness to get their child vaccinated against Lyme was associated with higher parental education.
High-incidence jurisdictions now report cases based on lab results alone rather than lab data plus clinical information.
Some products killed blacklegged ticks at rates similar to chemical pesticides, while others had little effect.
Black patients were more likely to be diagnosed later and wait longer to receive appropriate antibiotics.
Claims for the tick-borne illness were more common in rural than urban areas in June and July, but the opposite was true from November to April.
Ecuador's environment minister said the country will deploy all available resources to minimize the impact on the Galapagos' unique ecosystem.
