Information that might save your life Ron Hamlen, PhD - LDASEPA, Inc. Ticks, small mammals, birds, and tick-borne infections Risks Repellents Treated clothing Outdoor behavior Tick control Pet protection Tick removal
Deer ticks & Lyme disease 32 o F 32 o F 2
Lone star and dog ticks Lyme disease + STARI + RMSF + female deer tick female lone star tick female American dog tick 3
An important question How long must an infected deer tick be attached for transmission of infection? Reality: Difficult in most cases to determine the length of time from bite to detection 36 if detected! 4
Risk: School-sponsored outdoor activities/camping http://lymepa.org/tick_alert_for_parents_2013-04.pdf 5
Where else? Backyard gardening recreation pets Parks hiking picnicking Woods/streams hunting fishing 6
Specific high risk exposures leaf litter nymphs tall grass nymphs/adults deer paths nymphs/adults logs/stone walls mice/ticks landscape/playgroundforest edge Deer tick density home landscape (yard)/ playground edge shallow forest deep forest -40-30 -20-10 0 10 20 30 Distance to forest edge (m) 7
Repellents: skin and clothing DEET, picaridin, BioUD, IR3535, Lemon Eucalyptus (PMD*) non-deet http://www.healthychildren.org/english/safety-prevention/atplay/pages/insect-repellents.aspx *p-menthane-3,8-diol 8
Outdoor clothing treatment Permethrin http://www.amazon.com/durationtm- Permethrin-10- Concentrate/dp/B001MA7KPU 9
Insect Shield outdoor clothing Permethrin commercially pre-treated Orvis, REI, Exoffico/BugsAway, Columbia/Insect Blocker, etc. http://www.tickencounter.org/prevention/insect_shield_your_own_clothes http://phc.amedd.army.mil/phc%20resource%20library/permethr in_factory-treated_army_combat_uniforms_faqs.pdf 10
Clothing & outdoor behavior Wear light colors: long pants, long-sleeved shirt, hat, tight weave socks over cuffs Stay on the trail: choose wide well maintained trails avoid contacting brush consider no definitely no 11
Clothing & outdoor behavior During & after being outdoors Do tick checks at hairline, in hair, & where clothes fit tightly on your pets! Shower as soon as possible! Consider keeping outdoor clothes out of the home! 12
Control ticks on mice Increasing risk of being bitten nymphs Infection reservoir Damminix permethrin treated cotton balls in cardboard tubes wood/brush piles, stone walls, rock piles larvae damminix.com/default.asp 13
Control ticks on mice Select TCS Tick Control System bait station single dose (fipronil) protection for up to 40 days two 90-day installations (bait boxes) per season. tickboxtcs.com/index.html Richard J. Maguire Pest Control, Inc. (302-235-0277) Pennsylvania Tick Control, LLC. (888-649-8425) 14
Control ticks on deer Increasing risk of being bitten Primary reproductive host 4-poster deer treatment bait station Deer ticks Deer and Lone Star ticks container with corn permethrin treated paint rollers 90% of ticks on head, ears, & neck Deer ticks crdaniels.com/dandux/outdoors.htm 15
Pesticide edge applications Increasing risk of being bitten Commercial tree/lawn care companies Do-it-yourself nymphs hose-on applicator, spray directed to the ground, leaf litter, and low shrubs adults/ larvae Pyrethroids permethrin, bifenthrin, deltamethrin, cyfluthrin, cypermethrin, cyhalothrin Sevin Alternatives? 16
Landscape modifications Ticks need high humidity * Increase sunlight into yard/activity areas * Consider bark/chips vs. ground covers * Move play equipment into the sun higher risk! lower risk 17
Landscape modifications more ticks fewer ticks Create a 3+ ft wood chip/gravel buffer zone between landscape and woods (treated?) Move gardens/play areas 9+ ft inside the barrier Keep lawn/trails/activity areas mowed and open Deer fencing 18
Pet protection Frontline Plus: Top Spot & Liquid dogs/cats (fipronil/methoprene) Fiproguard TM Max: dogs/cats (fipronil/etofenprox) Certifect : dogs (fipronil, methoprene, amitraz) K9 Advantix II : dogs (permethrin +) Preventic Collar: dogs (amitraz) Seresto TM Collar: dogs/cats imidacloprid/flumethrin) 19
Consider no! 20
If you find an embedded tick embedded tick tickinfo.com Remove it promptly using clean tweezers or tick removal tool Secure tick close to skin Slowly and steadily pull upward until tick releases Disinfect bite area Consider prophylactic abx! Never use alcohol, Vaseline, soap, match, etc. May cause release of salivary fluids and disease-causing microbes! Save tick to show physician IGeneX.com for tick testing 21
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lymepa.org web site lymepa@lymepa.org email 610-388-7333 hotline http://lymepa.org/lyme_disease_pre vention_tips_6.9.14.pdf prevention tips http://www.tickencounter.org/ URI web site 23