COMMITTEE ON LYME DISEASE AND OTHER TICK-BORNE DISEASES: THE STATE OF THE SCIENCE

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COMMITTEE ON LYME DISEASE AND OTHER TICK-BORNE DISEASES: THE STATE OF THE SCIENCE CRITICAL NEEDS AND GAPS IN UNDERSTANDING PREVENTION, AMELIORATION, AND RESOLUTION OF LYME AND OTHER TICK-BORNE DISEASES: THE SHORT-TERM AND LONG-TERM OUTCOMES October 11-12, 2010 Adams & Franklin Room Washington Plaza Hotel 10 Thomas Circle, NW Washington, DC AGENDA DAY ONE: OCTOBER 11, 2010 8:00 am Introduction Lonnie King, D.V.M., M.S., M.A. Chair, Committee on Lyme Disease and Other Tick-Borne Dean, College of Veterinary Medicine The Ohio State University 8:15 am A Systems Approach in Understanding Tick-Borne : People, Animals, and the Ecosystem Richard Ostfeld, Ph.D. (confirmed) Disease Ecologist Cary Institute of Ecosystem Studies 8:40 am Discussion SURVEILLANCE, SPECTRUM, AND BURDEN OF TICK-BORNE DISEASES 9:00 am Moderator: Gordon Schutze, M.D. Professor and Vice-Chairman for Educational Affairs Department of Pediatrics Vice President, Baylor International Pediatric AIDS Initiative Baylor College of Medicine Texas Children's Hospital 9:05 am Landscape of Lyme Disease: Current Knowledge, Gaps, and Research Needs Gary P. Wormser, M. D. (confirmed) Professor of Medicine Chief, Division of Infectious Vice-Chairman, Department of Medicine New York Medical College 1

9:30 am Recent Understanding of Babesiosis: Clinical Manifestation, Co-infection, and Research Needs Peter Krause, M.D. (confirmed) Senior Research Scientist Lecturer in Epidemiology, Microbial Yale School of Public Health 9:45 am Discussion 10:05 am Break 10:20 am Insights into Ehrlichia & Anaplasma: Surveillance, Co-infection, and Research Needs J. Stephen Dumler, M.D. (confirmed) Professor, Department of Pathology Division of Medical Microbiology Johns Hopkins University School of Medicine 10:40 am Rickettsia : Spectrum of Disease, Spatial Clustering, At-Risk Populations, and Research Needs Jennifer McQuiston, D.V.M, M.S. (confirmed) National Center for Preparedness, Detection, and Control of Infectious Centers for Disease Control and Prevention 11:00 am Research Needs and Gaps for Tick-Borne Carl Brenner (confirmed) National Research Fund for Tick-Borne, Inc. 11:20 am Discussion 11:40 am Panel: Disease Surveillance & Co-infection Carl Brenner, Stephen Dumler, Peter Krause, Jennifer McQuiston, and Gary Wormser 12:25 pm Summation: Unifying Knowledge Gaps and Needs Gordon Schutze 12:35 pm LUNCH (45 minutes) AT-RISK POPULATIONS AND HUMAN FACE OF TICK-BORNE DISEASES 1:20 pm Moderator: Lonnie King 1:25 pm Panel: Genetic and Acquired Determinants of Host Susceptibility and Vulnerable Populations David Weber, M.D. (invited) Professor of Medicine and Pediatrics, School of Medicine Professor of Epidemiology, School of Public Health University of North Carolina 2

1:50 pm Discussion TBA Peter Krause, M.D. (confirmed) Senior Research Scientist Lecturer in Epidemiology Microbial Yale School of Public Health 2:05 pm The Human Face of Tick-Borne Disease Infections Pamela Weintraub (confirmed) Author, Cure Unknown Editor, Discover Magazine 2:25 pm Discussion 2:55 pm Break DIAGNOSTICS AND DIAGNOSIS 3:05 pm Moderators: Lynn Gerber, M.D. Director, Center for the Study of Chronic Illness and Disability College of Health and Human Services George Mason University David H. Walker, M.D. Professor and Chair Department of Pathology University of Texas Medical Branch at Galveston 3:10 pm Diagnostics for Lyme Disease: Knowledge Gaps and Needs Maria Aguero-Rosenfeld, M.D. (confirmed) Professor of Pathology Director of Clinical Pathology and Microbiology Laboratory Bellevue Hospital Center 3:30 pm Improved Diagnostics & Novel Approaches to Tick-Borne Disease Infections Juan Olano, M.D. (confirmed) Associate Professor, Department of Pathology Director, Residency Training Program University of Texas Medical Branch Center 3

3:50 pm Potential Bio-Marker Applications for Lyme Disease: Aligning Multiple Symptoms with Biological Measures Afton Hassett, Psy.D. (confirmed) Associate Research Scientist, Department of Anesthesiology Chronic Pain & Fatigue Research Center University of Michigan Medical School 4:10 pm Discussion 4:40 pm Panel: Challenges for Clinicians in Diagnosis and Management of Chronic Illness Manifestations: Knowledge Gaps Sam T. Donta, M.D. (confirmed) Infectious Disease Specialist Falmouth Hospital, Massachusetts Brian Fallon, M.D., M.P.H. (confirmed) Director of the Center for Neuroinflammatory Disorders and Biobehavioral Medicine Director of the Lyme and Tick-Borne Research Center Columbia University Medical Center Matthew Liang, M.D., M.P.H. (confirmed) Professor, Department of Health Policy and Management Harvard School of Public Health Richard F. Jacobs, M.D., F.A.A.P.(confirmed) Robert H. Fiser, Jr., M.D. Endowed Chair in Pediatrics Chairman, Department of Pediatrics University of Arkansas for Medical Sciences President, Arkansas Children s Hospital Research Institute 5:20 pm Discussion 5:45 pm Summation Lynn Gerber and David Walker 6:00 pm Adjourn 4

CRITICAL NEEDS AND GAPS IN UNDERSTANDING PREVENTION, AMELIORATION, AND RESOLUTION OF LYME AND OTHER TICK-BORNE DISEASES: THE SHORT-TERM AND LONG-TERM OUTCOMES 8:00 am Introduction Lonnie King AGENDA DAY TWO: OCTOBER 12, 2010 EMERGING INFECTIONS, TICK BIOLOGY, AND HOST-VECTOR INTERACTIONS Moderator: Lonnie King 8:05 am Emerging and Re-Emerging Tick-Borne Infections Ulrike Munderloh, S.M. (confirmed) Associate Professor, Department of Entomology University of Minnesota 8:25 am Natural History of Ticks: Evolution, Adaptation and Biology Thomas G. Schwan, Ph.D. (confirmed) Chief, Laboratory of Zoonotic Pathogens Chief, Medical Entomology Section National Institute of Allergy and Infectious 8:45 am Wildlife and Domestic Hosts: Their Important Roles in Maintaining, Amplifying, Carrying Agents and their Changing Dynamics Howard Ginsberg, Ph.D. (confirmed) Research Ecologist United States Geological Survey Professor in Residence, Department of Plant Science University of Rhode Island 9:05 am Discussion 9:20 am Emerging Tick-Borne : Geographic Distribution and Host Reservoirs Edward Breitschwerdt, D.V.M. (confirmed) Professor of Internal Medicine, College of Veterinary Medicine North Carolina State University Adjunct Associate Professor of Medicine Duke University Medical Center 9:40 am Variation of Borrelia Subspecies: Implications for Human Disease James H. Oliver, Jr., Ph.D. Director, Institute of Arthropodology and Parasitology Callaway Professor of Biology Georgia Southern University 10:00 am Discussion 5

10:20 am Break PATHOGENESIS 10:30 am Moderator: Guy Palmer, D.V.M., Ph.D. Regents Professor of Pathology and Infectious The Creighton Chair and Director, School for Global Animal Health Washington State University 10:35 am Pathogenesis of Borrelia burgdorferi Infection and Disease Janis Weis, Ph.D. (confirmed) Professor of Pathology, Department of Pathology University of Utah 10:55 am Duration of Spirochete Infection Following Antibiotic Treatment in Animals Linda Bockenstedt, M.D. (confirmed) Harold W. Jockers Professor of Medicine Department of Rheumatology Yale School of Medicine 11:15 am Discussion 11:30 am Antigenic Variation as a Mechanism for Persistent Borrelia Infection Stephen Norris, Ph.D. (confirmed) Greer Professor Vice Chair for Research Pathology & Laboratory Medicine, University of Texas, Houston 11:50 am Sequestration as a Mechanism for Persistent Borrelia Infection Steven Barthold, DVM, Ph.D. Distinguished Professor Department of Pathology, Microbiology and Immunology Center of Comparative Medicine School of Veterinary Medicine University of California, Davis (confirmed) 12:10 pm Discussion 12:30 pm LUNCH (45 minutes) 1:15 pm Pathogenesis of Ehrlichia and Anaplasma Infection and Disease Nahed Ismail, M.D., M.Sc., Ph.D., S.M. (ASCP), D. (ABMM) (confirmed) Associate Professor, Department of Pathology Meharry Medical College 6

1:35 pm Pathogenesis of Rickettsia Infection and Disease Gustavo Valbuena, M.D. Instructor, Department of Pathology University of Texas Medical Branch(confirmed) 1:55 pm Discussion 2:15 pm Summation Guy Palmer 2:20 pm Moderator: Lynn Gerber SCIENCE, SOCIETY, AND DISEASE 2:25 pm The Social Construction of Lyme Disease Robert Aronowitz, M.D. (confirmed) Professor, Department of History and Sociology of Science University of Pennsylvania 2:45 pm Discussion 2:55 pm Break PREVENTION 3:05 pm Moderator: Stephen M. Ostroff, M.D. Director, Bureau of Epidemiology Pennsylvania Department of Health 3:10 pm Current Vaccines for Tick-Borne Disease Infections and Vaccine Development Jere McBride, Ph.D., M.S. (confirmed) Associate Professor, Department of Pathology University of Texas Medical Branch 3:30 pm Developing Opportunities for Future Vaccines Wendy Brown, Ph.D., M.P.H. (confirmed) Regents Professor, Department of Veterinary Microbiology and Pathology Washington State University 3:50 pm Discussion 4:10 pm Education, Behavior Change, and Other Non-Pharmaceutical Measures Against Lyme and Other Tick-Borne Paul Mead, M.D., M.P.H. Medical Epidemiologist, Division of Vector-Borne Infectious National Center for Infectious Center for Disease Control and Prevention 7

4:30 pm Vector- and Host-Targeted Strategies for Prevention of Tick-Borne José M.C. Ribeiro, M.D., Ph.D. (confirmed) Chief, Vector Biology Section Laboratory of Malaria and Vector Research National Institute of Allergy and Infectious 4:50 pm Discussion 5:10 pm Summation Steve Ostroff 5:20 pm Moderator: Lonnie King CLOSING 5:25 pm Panel: State of Science, General Research Gaps and Opportunities in Tick-Borne John Aucott, M.D. (confirmed) Founder, Lyme Disease Research Foundation of Maryland Physician, Park Medical Associates 5:55 pm Discussion Diane Blanchard (confirmed) Co-President, Time for Lyme, Inc. Linda Bockenstedt, M.D. (confirmed) Harold W. Jockers Professor of Medicine Department of Rheumatology Yale School of Medicine J. Stephen Dumler, M.D. (confirmed) Professor, Department of Pathology Division of Medical Microbiology Johns Hopkins University School of Medicine Susan O Connell, M.D. (confirmed) Consultant Microbiologist Head of the Lyme Borreliosis Unit Southampton General Hospital 6:25 pm Final Summation and Closing Remarks Lonnie King 6:35 pm Adjourn 8