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Lyme disease: Current issues, implications, and recommendations for tourism management


  • Donohoe, Holly
  • Pennington-Gray, Lori
  • Omodior, Oghenekaro


Lyme disease is a bacterial infection spread through the bite of an infected tick. In the last few decades, the number and spatial reach of new cases has increased globally and in the United States, Lyme disease is now the most commonly reported vector-borne disease. Despite this evolving public health crisis, there has been little-to-no discussion of the implications for tourism supply and demand. This paper reviews the scientific literature to identify Lyme disease risk factors and the implications for tourism management are discussed. The major contribution of this paper is a set of recommendations for tourism managers who may be tasked with mitigating the risks for visitors and employees as well as the potential impacts of Lyme disease on destination sustainability.

Suggested Citation

  • Donohoe, Holly & Pennington-Gray, Lori & Omodior, Oghenekaro, 2015. "Lyme disease: Current issues, implications, and recommendations for tourism management," Tourism Management, Elsevier, vol. 46(C), pages 408-418.
  • Handle: RePEc:eee:touman:v:46:y:2015:i:c:p:408-418
    DOI: 10.1016/j.tourman.2014.07.006

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    References listed on IDEAS

    1. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    2. Goldstein, M.D. & Schwartz, B.S. & Friedmann, C. & Maccarillo, B. & Borbi, M. & Tuccillo, R., 1990. "Lyme disease in New Jersey outdoor workers: A statewide survey of seroprevalence and tick exposure," American Journal of Public Health, American Public Health Association, vol. 80(10), pages 1225-1229.
    3. Peter B. Dixon & Bumsoo Lee & Todd Muehlenbeck & Maureen T. Rimmer & Adam Z. Rose & George Verikios, 2010. "Effects on the U.S. of an H1N1 epidemic: analysis with a quarterly CGE model," Centre of Policy Studies/IMPACT Centre Working Papers g-202, Victoria University, Centre of Policy Studies/IMPACT Centre.
    4. Falco, R.C. & Fish, D., 1989. "Potential for exposure to tick bites in recreational parks in a lyme disease endemic area," American Journal of Public Health, American Public Health Association, vol. 79(1), pages 12-15.
    5. Glass, G.E. & Schwartz, B.S. & Morgan III, J.M. & Johnson, D.T. & Noy, P.M. & Israel, E., 1995. "Environmental risk factors for Lyme disease identified with geographic information systems," American Journal of Public Health, American Public Health Association, vol. 85(7), pages 944-948.
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    Cited by:

    1. Koseoglu, Mehmet Ali & Rahimi, Roya & Okumus, Fevzi & Liu, Jingyan, 2016. "Bibliometric studies in tourism," Annals of Tourism Research, Elsevier, vol. 61(C), pages 180-198.
    2. Ritchie, Brent W. & Jiang, Yawei, 2019. "A review of research on tourism risk, crisis and disaster management: Launching the annals of tourism research curated collection on tourism risk, crisis and disaster management," Annals of Tourism Research, Elsevier, vol. 79(C).

    More about this item


    Health risk; Infectious disease; Lyme disease; Ticks;


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