Dr. Bartley Cryan:

The two Deputies asked what the reaction will be where someone gets a diagnosis abroad and returns to the country. Generally speaking, where someone has a diagnosis of an infectious disease from abroad, the treating physician and-or GP will redo the tests, serologies, etc. here. The person will be treated exactly the same as anyone else. In the UK roughly 15% of Lyme disease is acquired and diagnosed abroad. We would have many people who come back from central Europe who have Lyme disease and had a diagnosis abroad. We will confirm that ourselves and, whether they have had the lymphocyte stimulation assay done or not, we will do our ELISA test on it. If we get discrepant results, we will look into it further.

They are treated exactly as if they picked up Lyme disease in Killarney.