Arboviral Diseases: Per North Carolina law, neuroinvasive arboviral diseases are reportable by health care providers to their local health department. These infections are transmitted by the bite of an infected mosquito and the spectrum of illness ranges from asymptomatic to fever, altered mental status, and acute signs of central or peripheral neurologic dysfunction and, rarely, death.
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Introduction: Chikungunya is a mosquito-borne disease caused by an alphavirus, chikungunya virus. Although transmission in the United States has only been documented in Florida to date, local transmission within North Carolina is possible, as a competent mosquito vector (Ae. albopictus) is found throughout North Carolina.
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Lyme Disease: The North Carolina Division of Public Health (DPH) would like to ensure that health care providers consider the possibility of LD when appropriate. The diagnosis of LD should be based on a combination of symptoms, physical findings, the possibility of exposure to infected ticks, and laboratory results.
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