It seems that the reason for Massachusetts generally acting differently here is downstream of the state state epidemiologist taking Lyme more seriously then your average bureaucrats at the CDC:
Catherine M. Brown at the Tick Born-Disease working group:
I have spent countless hours speaking with residents who are actually afraid to go outside due to the risk of Lyme disease. I have spoken with health care providers who are frustrated by the limitations of Lyme laboratory diagnostics, and with patients who are continuously struggling with the effects of the disease.
But I also have to say that I actually live here in Massachusetts as well. Work is not my entire life. And Lyme disease has a personal impact on me, my family, and my friends. So, because of all of this I really care passionately about this issue as do my many of my colleagues.
The map downplaying Dukes and Nantucket being vacation areas however might also be the result of political fights. Given that tourism is likely an economic force there are political reasons against telling people: It’s dangerous to be outside in our vacation areas.
It seems that the reason for Massachusetts generally acting differently here is downstream of the state state epidemiologist taking Lyme more seriously then your average bureaucrats at the CDC:
Catherine M. Brown at the Tick Born-Disease working group:
The map downplaying Dukes and Nantucket being vacation areas however might also be the result of political fights. Given that tourism is likely an economic force there are political reasons against telling people: It’s dangerous to be outside in our vacation areas.