BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



           ------------------------------------------------------------ 
          |SENATE RULES COMMITTEE            |                   ACR 18|
          |Office of Senate Floor Analyses   |                         |
          |1020 N Street, Suite 524          |                         |
          |(916) 651-1520         Fax: (916) |                         |
          |327-4478                          |                         |
           ------------------------------------------------------------ 
           
                                         
                                 THIRD READING


          Bill No:  ACR 18
          Author:   Chesbro (D), et al
          Amended:  3/26/09 in Assembly
          Vote:     21

           
          WITHOUT REFERENCE TO COMMITTEE OR FILE

           ASSEMBLY FLOOR  :  Read and adopted, 3/31/09


           SUBJECT  :    Lyme Disease Awareness Month

           SOURCE  :     California Lyme Disease Association


           DIGEST  :    This resolution proclaims the month of May 2009  
          to be Lyme Disease Awareness Month.

           ANALYSIS  :    

          This resolution finds:

          1.Lyme disease is an often misunderstood illness that can  
            cause serious health problems if not caught early and  
            treated properly.

          2.Lyme disease is a bacterial infection caused by the  
            spirochete, Borrelia burgdorferi, and is primarily  
            transmitted by the bit of an infected tick.  The disease  
            was first identified in North American in the 1970s in  
            Lyme, Connecticut, for which it was named.  The disease  
            has since been found in all 50 states of the United  
                                                           CONTINUED





                                                                ACR 18
                                                                Page  
          2

            States and has been reported globally in more than 50  
            countries, on six continents, and on several islands.

          3.Lyme disease is a complex and multisymptom illness.   
            Early signs of infection may include rash and flu-like  
            symptoms, including fever, muscle aches, headaches, and  
            fatigue.  Usually Lyme disease responds well to prompt  
            treatment with appropriate antibiotics.  If untreated or  
            inadequately treated, however, Lyme disease can invade  
            multiple parts of the body, including the brain and  
            nervous system.  In advanced cases, patients may become  
            increasingly disabled over time and may suffer crippling  
            muscle and joint pain, neurological impairment,  
            psychological disorders, and a host of other symptoms  
            that can lead to financial hardship, job loss, broken  
            families, increased numbers of people on disability and  
            public support, and even death.

          4.Currently, because there is no reliable form of testing  
            that can accurately pinpoint Lyme disease, getting a  
            proper diagnosis and prompt treatment is often extremely  
            difficult.

          5.According to statistics provided by the federal Centers  
            for Disease Control and Prevention (CDC), an average of  
            22,000 new cases of Lyme disease are reported in the  
            United States each year.  The CDC estimates that 90  
            percent of Lyme disease cases are unreported, suggesting  
            that the total number of cases is approximately 220,000  
            each year.  This number is approximately five times the  
            number of new AIDS cases each year.  Up to 40 percent of  
            Lyme disease cases result in long-term health problems,  
            affecting up to an estimated 88,000 patients annually.

          6.In California, the bacterium is transmitted by the  
            western blacklegged tick (Ixodes pacificus).  This tick  
            is most common in the coastal regions and along the  
            western slope of the Sierra Nevada Mountains, but it has  
            also been found in 56 of California's 58 counties.

          7.Ticks have three life stages:  larval, nymphal, and  
            adult.  Both nymphs and adults can transmit diseases to  
            humans.  Ticks attach themselves to animals such as deer,  
            rodents, and birds and migrate to new areas with those  

                                                           CONTINUED





                                                                ACR 18
                                                                Page  
          3

            host animals.  In some areas of California, Lyme disease  
            infection rates of nymphal ticks have been found to be as  
            high as 42 percent, among the highest in the entire  
            United States.  However, since some areas of the state  
            have yet to be tested, the true scope of the problem is  
            unknown.

          8.Although Lyme disease is the most common vector-borne  
            infection in the United States, the ticks that spread  
            Lyme disease can also spread other diseases.  These  
            coinfections include diseases like babesiosis,  
            anaplasmosis, and ehrlichiosis.  The presence of  
            coinfections can complicate treatment of Lyme disease.

          9.Three new borrelial species belonging to the Lyme disease  
            spirochetal complex have been described recently,  
            increasing the number of these bacterial species known to  
            be from California to five and making California the  
            locus of more distinct borrelia species than any other  
            geographical region in the United States.

           FISCAL EFFECT  :    Fiscal Com.:  No

           SUPPORT  :   (Verified  4/13/09)

          California Lyme Disease Association (source)
          American Federation of State, County and Municipal  
          Employees, AFL-CIO


          CTW:cm  4/13/09   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

                                ****  END  ****










                                                           CONTINUED