“This plan aims to avoid the feeling of abandonment and therapeutic wandering facing Lyme patients. It allows to better understand the disease, to treat patients effectively and mobilize all the tools available to prevent the disease, “is the statement of Marisol Touraine, Minister of Health, who presented on Thursday its National Plan of fight against Lyme disease and diseases transmitted by ticks 2016. to date no budget or timetable have been communicated by the Ministry.
The plan in five axes, presented to associations defending the sick, aims first to reinforce the information of the population and health professionals to prevent the occurrence of new cases. The National Forestry Office (ONF) and Public Health and France will install information panels for walkers at the entrance of forests and hiking trails. An application on “smartphone” for the general public will also be set up. It will signal the presence of ticks, like the existing mechanism for mosquitoes.
Moreover, the device of the Minister provides an intensification of information campaigns to the population, and training of health professionals on diseases transmitted by ticks (posters, brochures, etc.). This “related associations,” the report said. It will be recalled that before such a nature activity you must cover your arms and legs with long clothing. And after, it is advisable to carefully inspect his body.
Opening of specialized centers
The axis of the plan is to further improve diagnosis and care of patients to end medical wandering. A standardized report describing the list of tests for a complete diagnosis in any person with symptoms will be developed. This is the Company infectious pathologies French language (SPILF) who will be responsible for driving the in collaboration with learned societies (neurology, dermatology, rheumatology, microbiology …) and patient associations.
Meanwhile, patients should receive a national diagnostic and treatment protocol (PNDS). This should ensure a standardized and refunded care for patients across the country. In this regard, the minister recalled that the High Authority for Health (HAS) was seized in June 2016 “to its proposed medical criteria for admission of Lyme disease in the list of long duration diseases (ALD) and recommends procedures and services required for the management of this disease. ” But the biggest news of Marisol Touraine surely lies in the opening in 2017 of specialized care centers, covering all the specialties involved. These centers will also be a professional training place, she promised.
The last axis of the Plan will mobilize research to improve knowledge. How? Encouraging the establishment of a cohort consisting of patients treated in specialized care centers.
The Institut Pasteur is it in charge of research development around the diagnosis. The goal, to develop new tools. The Drug Safety Agency (ANSM) and the National Reference Centre (CNR) for their part continue the evaluation of the performance of kits already available on the market, and the evaluation of the proper interpretation of the results by medical laboratories
Research will, in addition, extensive part of “OH! TICKS, “a program to learn about all the diseases transmitted to humans by ticks, to identify clinical symptoms and to provide tools for better management of patients.
To recall, the transmission of Lyme disease to humans is made only by tick bite. Human infections are more common in the peak activity of ticks in France between early spring and late fall. In 2014 the number of new cases in France was estimated by the Sentinel Network to 26 146; this figure has been stable since 2009, says the Ministry of Health.
Symptoms of infection
Within 30 days after the bite, Lyme disease can first appear as red and round plate which extends in a circle (erythema migrans) from the bite area and then disappears in a few weeks some months. The evolution is very favorable when the disease is diagnosed and treated early. In the absence of treatment, progression to the secondary phase is not systematic, but worsens the prognosis.
If the person does not receive antibiotic treatment, neurological signs or joint damage or rarely other organs can appear weeks or months after the bite. Months to years after infection can appear tertiary manifestations of articular types, skin, neurological, muscular or cardiac.