One of the burning questions which desperately needs an answer: is Lyme and the other tick borne illnesses persistent/chronic?
All the climate data in the world is not going to answer this.
Until this question is settled once and for all, patients WILL NOT get properly diagnosed or treated. They also will not get any help from their medical insurance which is hiding behind this repudiated PTLDS diagnosis.
This singular question is what is driving the lack of care along with not being able to effectively test for these pathogens and being honest about all the possible routes of transmission (sexual, congenital, via breastmilk, via other insects, etc)
For more on Lyme persistence: https://madisonarealymesupportgroup.com/2015/09/19/proof-of-borrelia-persistence/
http://www.ilads.org/ilads_news/wp-content/uploads/2017/02/CLDList-ILADS.pdf (700 peer-reviewed articles showing persistence)
https://madisonarealymesupportgroup.com/2016/08/09/dr-paul-duray-research-fellowship-foundation-some-great-research-being-done-on-lyme-disease/ The work of Dr. Elizabeth Burgess DVM PhD in 1990 showed that dogs infected with LD were transmitting and infecting female dogs through sexual transmission, proof in humans is lacking. Pathologist Alan McDonald found B. burgdorferi and B. mayonii in the testicle and brain of a man who had been treated nearly continuously on antibiotics for the last seven years of his life. Grier states the case for sexual transmission is stronger than ever.
And of course, little to nothing has been done on the other tick-borne pathogen infections. How many of them are persistent? This question is so crucial because it would explain why thousands and thousands continue to relapse even on appropriate treatment.