November

Lyme disease is caused by the spirochete Borrelia burgdorferi and transmitted mainly via the tick vector Ixodes pacificus in British Columbia.[1] Polymerase chain reaction testing finds Borrelia burgdorferi in only 1 in 200 ticks, whether they are collected from the wild or submitted by patients. This frequency is fiftyfold lower than in high-incidence areas of North America.

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Remembering the young pilots stationed at Biggin Hill

Joe became our leader when his elder brother, Billy, shot down three Messerschmitts and crippled a Dornier during the Battle of Britain. Billy was 19 years old and possessed the finest moustache at the Biggin Hill air base. Joe could not wait to become a fighter pilot, too, but he was only 14 and had to make do with a spare set of pilot’s insignia, given to him by Billy, which he stitched to his football shirt.

The Provincial Health Services Authority (PHSA) Mobile Medical Unit (MMU) is a highly specialized health care delivery system that can be rapidly deployed anywhere in British Columbia to meet a range of needs. Under the direction of the PHSA, the MMU program has a broad-ranging mandate that includes providing support for public health clinics, hospital renovations, primary and secondary disaster response, and related education for health care professionals.

Background
Intellectual disability (ID) is a lifelong condition with onset before the age of 18 years; it is characterized by limitations in cognitive functioning (IQ below 70) and adaptive behavior. For children younger than 5 years with a delay in two or more developmental domains (e.g., fine/gross motor skills, speech, and interaction), the term global developmental delay (DD) is used. Unless otherwise stated, however, the term ID is used in this article for both DD and ID.