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Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)

Michael Harty: Have people with chronic Lyme disease been able to source treatment under the treatment abroad scheme?

Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)

Michael Harty: Under the treatment abroad scheme, a consultant is required to certify that the treatment is not available in Ireland.

Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)

Michael Harty: That is the critical point in seeking treatment abroad.

Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)

Michael Harty: I thank Ms Lawless.

Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)

Michael Harty: Please address the committee, rather than the other way around.

Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)

Michael Harty: Did the Deputy ask a specific question?

Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)

Michael Harty: It was documentation submitted by the Department.

Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)

Michael Harty: As part of its submission.

Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)

Michael Harty: I am not sure what it will present.

Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)

Michael Harty: It was circulated to the committee.

Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)

Michael Harty: Yes.

Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)

Michael Harty: On behalf of the committee, I thank Dr. Lambert. I know that perhaps he had not intended to stay so long but I thank him for his contribution. I also thank Ms Lawless, Mr. Symes and Ms St. George Smith from Tick Talk Ireland. We will suspend for a few minutes to allow our other witnesses to take their seats.

Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)

Michael Harty: I thank everyone for attending this morning. The purpose of our second session is to resume our discussion on the topic of Lyme disease with officials from the Department of Health. On behalf of the committee I welcome Dr. Ronan Glynn, deputy chief medical officer, who is accompanied by Dr. Paul McKeown, specialist in public health medicine in the Health Protection Surveillance Centre; Dr....

Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)

Michael Harty: I thank Dr. Sheehan. I draw the attention of witnesses to the fact that by virtue of section 17(2)(l) of the Defamation Act 2009, they are protected by absolute privilege in respect of their evidence to the committee. However, if they are directed by the committee to cease giving evidence on a particular matter and they continue to so do, they are entitled thereafter only to a qualified...

Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)

Michael Harty: I am unsure whether the witness heard the evidence presented to the committee earlier this morning. The committee is aware of and understands the well-known entity of acute Lyme disease resulting from a person being bitten by a tick. The issue with which we must deal is chronic Lyme disease and its post-infection phase. That involves the acute phase being missed, possibly because the...

Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)

Michael Harty: If a clinician is unable to prove a patient has a particular illness but, based on intuition, puts the patient on a course of treatment and the patient gets better, is the logical conclusion that the treatment brought about the improvement?

Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)

Michael Harty: Where one can prove there are antibodies to Lyme borreliosis, is Professor Butler saying the presence of the antibodies does not indicate active infection?

Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)

Michael Harty: Professor Butler estimates those who have the neurological symptoms of borreliosis infection or Lyme infection comprise 15% of the total number of people who could be infected. If they are treated with antibiotics, do they improve?

Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)

Michael Harty: How long after?

Joint Oireachtas Committee on Health: Lyme Disease: Discussion (28 Nov 2018)

Michael Harty: If one is bitten by a tick and presents two years later with neurological symptoms and is treated with antibiotics, is the assumption that the infection is still active?

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