As we move outdoors
this spring, be aware of the threat of Lyme Disease. While the ailment's origin
was discovered in (Old Lyme) Connecticut, the ticks that carry Lyme Disease are
found all over the United States and other countries. Lyme Disease is carried
by deer ticks in the northeast and north-central U.S. While in the southern and
western U.S. the black legged tick is the culprit. The disease becomes very widespread
in the spring and summer months when these ticks become active.
The Centers
for Disease Control report there was a 70% increase in the number of reported
cases of the tick-borne illness between 1992 and 1998, from about 10,000 cases
per year to almost 17,000. Ninety-two percent of the cases occurred in only ten
states -- New York, Connecticut, Pennsylvania, New Jersey, Wisconsin, Rhode Island,
Maryland, Massachusetts, Minnesota and Delaware.
Youngsters aged 5- to
9-years-old and adults aged 45- to 54-years-old are most likely to be diagnosed
with the disease.
Lyme disease is characterized by:
fatigue
chills and fever
headache
muscle and joint pain
swollen lymph nodes
a characteristic skin rash, called erythema migrans (bulls-eye rash)
Erythema
migrans is a red circular patch that appears usually 3 days to 1 month
after the bite of an infected tick at the site of the bite. The patch
then expands, often to a large size. Sometimes many patches appear, varying
in shape, depending on their location. Common sites are the thigh, groin,
trunk, and the armpits. The center of the rash may clear as it enlarges,
resulting in a bulls-eye appearance. The rash may be warm, but it usually
is not painful. Not all rashes that occur at the site of a tick bite are due to Lyme
disease, however. For example, an allergic reaction to tick saliva often
occurs at the site of a tick bite. The resulting rash can be confused
with the rash of Lyme disease. Allergic reactions to tick saliva usually
occur within hours to a few days after the tick bite, usually do not expand,
and disappear within a few days.
The signs and symptoms of Lyme Disease mimic other ailments making it
very difficult to diagnose. Antibiotics can eradicate the bacteria
and prevent long-term problems if started early enough.
Personal Protection:
Ticks like to rest on low-lying brush
and 'catch a ride' on a passing animal or person. The areas that hold a high risk
of tick infestation are wooded areas, low-growing grassland, and the seashore.
You should exercise caution where you go.
Avoid tick infested areas, when possible Avoid short-cuts through heavily
wooded, tick-infested areas.
Use caution when you are entering tick-infected areas. Stay in the center
of paths, avoid sitting on the ground, and conduct frequent tick-checks.
Use EPA-approved
tick repellents.
During the summer months, it can be inconvenient to
wear pants and long-sleeved clothing, so using repellents can help protect yourself
from ticks. Wash off the repellents when you return inside, and children should
always have an adult apply the repellent for them.
Dress properly
Wear light-colored clothing. This allows you
to more easily see ticks on your clothing and gives you the opportunity to remove
them before they can attach to your skin and feed.
Wear a hat and a
long-sleeved shirt for added protection.
Wear a long-sleeved shirt
and long pants. This reduces the skin area exposed to ticks. Also, tuck your
shirt into your pants and pants into your socks. This keeps the ticks on the outside
of your clothing and thwarts their efforts to crawl onto your skin. However, during
warm or hot weather, this is not practical. So, if this advice is ignored, we
suggest that you increase your vigilance in conducting tick-checks.
Conduct
frequent tick-checks.
This includes a visual inspection of the clothing
and exposed skin, followed by a naked, full-body examination in a private location.
Be sure to check the scalp, behind and in the ears, and behind any joints.
Remember to check your pets too!
This is not only for your pets'
safety but for your family's as well. Pets can bring ticks in from outside and
put you and your family at risk for infection.
Vaccination should be considered for persons aged 15-70 years who live
in areas of moderate to high risk for Lyme disease and have frequent or prolonged
contact with tick habitat.
Lyme disease and pregnancy
In
rare cases, Lyme disease acquired during pregnancy may lead to infection of the
fetus and possibly to stillbirth, but adverse effects to the fetus have not been
conclusively documented.
Should you find a tick on your child, removal
of the tick within 24 hours will greatly reduce the chance of contracting Lyme
Disease.
Contact your pediatrician if:
Your child has any of the symptoms listed above and has had a recent tick bite.
You
remove a tick and the head stays beneath the skin.
The bite site becomes red and infected
You suspect that your child was bitten by a deer tick or a black legged tick.