11/17/2025
This is worth celebrating!!!!
After more than 50 years, the CDC has finally recognized what Lyme patients have been saying for decades: persistent symptoms after Lyme infection are real, medically significant, and now officially part of the federal framework for Infection-Associated Chronic Conditions and Illnesses (IACCIs).
In its new Emerging Infectious Diseases supplement, the CDC states:
“Suspected mechanisms include continued immune stimulation from antigens or continued infection in a sequestered body site that cannot be sampled… autoimmune responses, microbiome dysbiosis, persistent tissue damage, disordered coagulation, and disrupted nerve signaling.“
“Chronic sequalae considered IACCIs include various combinations of infection-associated organ damage, autoimmune conditions, and persistent unexplained systemic symptoms, such as debilitating fatigue, postexertional malaise, cognitive impairment, musculoskeletal pain, and sleep disorders.“
For anyone living with chronic Lyme symptoms, this acknowledgment is monumental.
This moment is also deeply connected to Col. Nicole Malachowski, who served as the sole patient representative on the National Academies of Sciences, Engineering, and Medicine committee that produced the landmark Lyme IACCI report — the same report cited by the CDC in this publication.
Her leadership helped push the science forward, ensure the patient voice was heard, and open the door to federal recognition of chronic Lyme.
We spoke with Col. Malachowski about this historic shift during Episode 538 of Tick Boot Camp, recorded live at NYFW Project Lab Coat — the first fashion-week runway dedicated to Lyme awareness and research.
This is history.
This is progress.
This is just the beginning.
🎧 Episode 538: NYFW Project Lab Coat – Col. Nicole Malachowski on Lyme IACI and the National Academies Report on Chronic Lyme Disease
🔗 Listen on Tick Boot Camp: https://tickbootcamp.com/episode-540-nyfw-project-lab-coat-col-nicole-malachowski-on-lyme-iaci-and-the-national-academies-report-on-chronic-lyme-disease/
CDC Article: https://wwwnc.cdc.gov/eid/article/31/14/25-1187_article