What You Should Know About Lyme Disease and Other Tick-Borne Diseases. Sudbury Board of Health

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1 What You Should Know About Lyme Disease and Other Tick-Borne Diseases Sudbury Board of Health

2 Goals of presentation Be aware of Lyme disease and other tick-borne diseases Recognize basic signs and symptoms Seek early diagnosis and treatment Know whether you live, work or play in endemic areas Practice prevention activities

3 Lyme Disease Lyme disease is cause by a bacteria transmitted by a deer tick Most common disease caused by ticks and an extremely high prevalence in Massachusetts Highest occurrence of being bite by a deer tick are May through July Deer ticks are the size of a poppy seed and can be hard to spot Not all Deer ticks carry the bacteria that causes Lyme Disease

4 Lyme Disease Signs & Symptoms 3 to 30 days after deer tick bite Rash (often bulls-eye ) Fever Chills Headache Muscle and joint pain Fatigue Flu like symptoms

5 Erythema migrans (EM) rash characteristic of Lyme disease

6 Lyme Disease Signs & Symptoms Days to weeks after illness onset Multiple rashes Facial paralysis on one side Fever, stiff neck, headache Weakness, numbness, arm/leg pain Irregular heart beat Persistent weakness and fatigue Joint pain

7 Lyme Disease Signs & Symptoms Weeks to months after illness onset Persistent weakness or fatigue Chronic arthritis Nervous system problems Heart Problems Difficult to diagnose and differentiate from other diseases

8 Joint Swelling Joint swelling and pain may occur weeks to months after onset of illness if left untreated.

9 Diagnosis of Lyme Disease Physical examination History of possible exposure to deer ticks Blood tests may be performed A screening test is done first, followed by a confirmatory test for antibodies to Lyme disease bacteria

10 Remember Early recognition of signs and symptoms of Lyme disease is very important for prompt diagnosis and treatment. It can reduce the time a person is ill and prevent further complications.

11 Treatment Lyme disease can be treated Antibiotics are used to treat Lyme disease Talk to your doctor about specific treatment

12 Blacklegged Tick (deer tick) (spreads Lyme disease) TICKS American dog tick (wood tick) (does not spread Lyme disease) adult male adult female

13 Blacklegged Tick Nymph

14 Blacklegged Tick Nymph Size of a poppy seed Transmits most cases of disease because they are so difficult to detect Seeks a blood meal from mid-may to mid- July most at risk time

15 Trails and Edge Habitat Blacklegged ticks live in woody, brushy areas that provide food and cover for hosts such as mice and deer Exposure to these ticks can be greatest along trails and edges of woods

16 To Get Lyme Disease Blacklegged tick must be infected with Lyme disease bacteria Tick must be attached hours before it passes bacteria to host The longer the tick is attached the greater the risk of disease

17 Lyme Disease Cases by State, 2011 Massachusetts- 2,476

18 Other Diseases caused by the Blacklegged tick (deer tick) Anaplasmosis Babesiosis

19 Human Anaplasmosis Caused by the bacteria that affect certain white blood cells Less common than Lyme disease Symptoms may become life threatening immediate treatment is necessary Same treatment, same transmission and same diagnostics as Lyme Disease

20 Signs and Symptoms of Human Granulocytic Anaplasmosis Fever Headache Muscle aches Flu like symptoms Nausea and vomiting

21 Babesiosis Occurs in Coastal Areas in the Northeastern United States, mostly occurs in Martha s Vineyard, Cape Cod and Nantucket Caused by a parasite that infects red blood cells Signs and symptoms begin gradually occurring within 1-8 weeks after being bitten by an infected deer tick Same treatment, transmission and diagnostics as Lyme Disease

22 Babesiosis Signs & Symptoms High fever Chills Headache Muscle aches Fatigue Loss of appetite Nausea and vomiting Dark Urine

23 American Dog Tick Diseases Rocky Mountain Spotted Fever

24 Rocky Mountain Spotted Fever Rare disease in Massachusetts Spread by a bacteria in an infected dog tick Often spreads within 24 hours of the tick attaching unlike other tick born diseases and can be fatal in untreated Same treatment, diagnostics and transmission as other tick born diseases

25 Signs and Symptoms Severe headache and high fever Fatigue Rash on arms and legs 3-5 days after fever starts which spreads to palms, soles and rest of body Deep muscle pain Nausea and vomiting

26 Prevention Actions for Tick Exposure Campers, hikers, hunters, people doing outdoor occupations and activities, and people who live near the woods may be at risk. Take precautions when in tick habitats, especially woods or brush from May through July Remember, preventing exposure to ticks requires diligence

27 Prevention Use repellents (DEET or permethrin), according to label directions. Tucking pants into socks creates a barrier to ticks. Wearing light-colored clothing helps to more easily spot ticks.

28 Checking for Ticks It is a good idea to check yourself, your children and pets for ticks after spending time in a wooded or brushy area.

29 Avoid Tick Bites Be aware of high-risk times and places Walk in the center of trails to avoid picking up ticks from brush Wear long pants, lightcolored clothing, and repellent

30 To Remove a Tick Use tick forceps or tweezers Grasp the tick close to the skin Pull outward S-L-O-W-L-Y, gently, and steadily Do not squeeze the tick Use an antiseptic on the bite Monitor the site for rash Report any signs and symptoms to your doctor immediately Keep the tick for testing

31 Important Messages Know whether you live, work or play in an area that has ticks Take preventive actions Seek early diagnosis and treatment

32 The End Brought to you by: Phyllis Schilp RN,BSN Sudbury Board of Health Nurse

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