I tried to give Pfizer a tip several months ago, but I haven't heard from them yet.
Here's my next big idea: Advantage for people.
This is my fourth summer in practice. It's clear that my practice sees more and more Lyme disease every year. Last summer I started catching some in kids too. Reported cases to the CDC have increased from 600 to over 1200 in my state. Likely some of this is increasing awareness, therefore increasing testing and increasing reporting, but the general sense is that the real disease burden is on the rise as well.
Lyme disease is carried by deer ticks. Generally, they need to be attached for at least 24-48 hours in order to infect the host. Unfortunately, they are so darned tiny that it's often very unclear how long they've been attached.
What scares me is not the disease that we catch, but the disease that we miss. I'm certain there are huge numbers of subclinical infections that never come to the attention of patients. Then there is a lot of mild disease that is interpreted as viral infection and allowed to resolve spontaneously. Full blown primary Lyme is pretty uncomfortable and most people seek medical attention, but even with that, presentations can be atypical and difficult to diagnose.
To boot, the testing for Lyme is far from ideal. False positives and false negatives abound. And trust me, no one wants to mess with secondary or tertiary Lyme, manifestations that can come up years and years later.
So, let's go for prevention. How about a monthly pill, a la Advantage for pets? Maybe they could even make it taste good so that we could apply it directly to patients' noses to be licked off.