"A perfect reflection"
'Shifting the Lyme Paradigm' perfectly reflects the nightmare of a huge number of patients suffering from chronic Lyme disease in many countries. I take care of so many individuals with life conditions resembling those of Kraaijeveld’s friends described along the pages. The lack of correct diagnostic tests and the major difficulties to have access to effective treatments destroy the life of these patients.  The problem in not limited to Borrelia burgdorferi sensu stricto and even the B. burgdorferi sensu lato group of bacteria. Other species of Borrelia are regularly discovered but no tests are developed for their identification. Lyme disease probably belongs to a family of diseases due to different species of Borrelia, other bacteria and parasites. Most of the recommendations on Lyme disease do not take into account numerous scientific publications.

Politicians should act to stop the denial of the disease. Several states in the USA and Canada passed laws recognising chronic Lyme disease. This political change should lead to end prosecutions against laboratories that try to improve the tests and against medical doctors who take care of these patients. These laws encourage the funding of research. Other countries should follow this way.

National and international independent groups of open-minded experts coming from different fields, physicians, veterinarians, bacteriologists, parasitologists, entomologists, sociologists should be created to make advanced recommendations and research projects. As for HIV or any other chronic disease, the associations of patients should be involved in these actions.

Patients and physicians not only need the support of politicians but also of the pharmaceutical companies in order to develop new diagnostic tests and new treatments for the millions of patients around.

Review of 'Shifting the Lyme Paradigm' by Professor Christian Perronne, MD, PhD. Head of the Infectious and Tropical Diseases Department, University Hospital Raymond Poincaré, France