Instructions for submitting ticks for testing

Transcription

1 ALAMDA COUNTY Department of nvironmental Health VCTOR CONTROL SRVICS DISTRICT 1131 Harbor Bay Parkway, Suite 166, Alameda, CA (510) FAX (510) Instructions for submitting ticks for testing Lyme disease is present in Alameda County. There is a 1-2% infection rate in adult Western Black-legged ticks which are generally active November to June. Infected adult ticks need to be attached for hours for disease transmission to occur. Nymphal ticks are very small, are active generally from April to July and have infection rates from 2 19% depending on locality. Our District will identify the tick species (Ixodes pacificus is the only Lyme disease vector in this area), and give advice on which local lab is appropriate depending on the condition of the tick. You may send the tick(s) directly to labs listed below. Specimen in poor shape and dried should be tested by PCR. IGeneX, Inc., 797 San Antonio Rd., Palo Alto, CA Phone: Their fee for the PCR test is $ (Results in approx. 3 weeks) Make check out to IGeneX, Inc. They also accept credit cards. (Tick test request forms may be downloaded from Specimens that are alive or recently dead, may be tested by IFA. The labs below will test tick by IFA tests: County of Sonoma, Dept. of Health Services, Public Health Lab, 3313 Chanate Rd., Santa Rosa, CA 94504, (707) The IFA test is $ (Results in approx. 1-2 weeks) Marin County Public Health Lab, 920 Grand Ave., San Rafael, CA 94901, (415) The IFA test is $ (1-2 weeks) Santa Clara County Public Health Lab, 2220 Moorpark Ave., 2nd Fl. San Jose, CA 95128, The IFA test is $ If possible, ticks should be kept alive by storing in vial or Zip-lock baggie with moist tissue/cotton wool. Avoid placing tick in alcohol or formalin. For long term storage, keep in refrigerator. Ticks brought to or mailed to our office may be put into a Ziplock baggie with water moistened cotton wool or tissue. nclose a check made out to desired lab. If the tick(s) are sent directly to the lab, place tick into a crush proof container with moistened cotton wool. Include name, address, phone number of person bitten and note location tick was most likely picked up and a check for the proper amount (see lab forms enclosed). For more information, contact David James, Alameda Co. Vector Control at

2 kf IGeneX,Inc. 795 SanAntonio Road PaloAlto, CA / TICK TST RQUST FORM Revised: JUN 2008 TO SNDATICK: ' Place ticks (up to 20) in a small tube or plastic baggy with a small piece ofmoist cotton, ' Place container in a sealed plastic bag. ' Fill out lower portion ofthis form. ' Place form, ch ckand seal d plasticbag in padded enyelope or bol ' Send to IG nex,inc. and markfront ofenvelope or box with "TT". ' lcenex does not "TYP" or determine the species ofthe ticks. lfyou want to "TYP" your tick, please contact your local Vector Control Center.. Once your tick(s) have been processed, the tick can not be returned to you.. For Multiple Ticks: up to 20 ticks will be t sted togeth r at one time unless indicated otherwise. Ifticks aretested separately, the charge is pertick. Please test my ticks separately. Yes Please test the tick by PCR for: tl Test 140 Lyme Disease (B. burgdorferi) $6s.00 Test 689 Babesiosis (B microti and/or B duncani) Test 148 hrlichiosis (hrlichia) f-] Test 290 Bartonella henselae Test 975 Rickettsia Name and Address of Sender: $65.00 s65.00 s65.00 If you would like results faxed or called, please indicate below. Otherwise, results will be mailed by USPS. Please fax my completed results to: (_) Phone: ( ) Check enclosed payable to IGeneX, Inc. Please call me with my results atz Please charge my credit card for the above tests: Visa Mastercard Discover Card Number: xp.date S ign atu re

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5 Lyme disease & other tick diseases requested by: physician, laboratory or Clinic County of Sonoma Department of Health Services Public Health Laboratory 3313 Chanate Road, Santa Rosa, CA Telephone (707) NAme ADDReSS CiTy, Zip Daytime phone: source print Complete mailing address for RepoRt PLace of tick contact arm leg others: geographic Location: bite date (Rev 4/07) examination requested lyme Disease serology lyme Disease organisms in ticks ehrlichia serology babesia microscopic babesia serology tick panel note: keep tick moist, and mail to lab in crush proof container test used Lyme disease test elisa ifa western blot Lab no. date received: Patient s name: last first age sex disease suspected result of test: Lyme disease major clinical findings ecm this area for Lab use only A. ANTiBODy NOT DeTeCTeD B. infection AT UNDeTeRmiNeD Time (BY BORRLia BURGDORFRi) C. evidence OF ReCeNT OR CURReNT infection D. ReCOmmeND Re-TeST in 3-4 WeeKS TiCK i.d.: ixods PaCiFiCUS DRMaCNTOR SP. Lyme DiSeASe ORGANiSm in TiCK: BORRLia BURGDORFRi NOT DeTeCTeD BORRLia BURGDORFRi DeTeCTeD Date RepoRteD: Lyme disease