Ticks and Mosquitoes: Should they be included in School IPM programs? Northeastern Center SIPM Working Group July 11, 2013 Robert Koethe EPA Region 1

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Ticks and Mosquitoes: Should they be included in School IPM programs? Northeastern Center SIPM Working Group July 11, 2013 Robert Koethe EPA Region 1 1

Discussion topics Overview on ticks and mosquitoes as vectors & highlights on ticks (especially Blacklegged ticks in the Northeast) EPA Region 1 tick-related research School IPM considerations 2

Background Significant problems associated with ticks and mosquitoes in the Northeast New Vectors New Diseases Risks to children Some Agencies are including vector education and outreach in their communications but little is targeted directly at schools CDC training Region 1 Tick related activities Northeastern state/land grant research and outreach Ticks and mosquitoes present different types of challenges Schools may offer unique opportunities 3

Ticks Issues in the Northeast Some Highlights on Biology, Management & Research School IPM Considerations 4

Some important ticks in the Northeastern States 5

Blacklegged Tick Vectors Lyme disease, Anaplasmosis, Babesiosis 6

CDC Lyme Disease Fast Facts In 2011, 96% of Lyme disease cases were reported from 13 states: Connecticut Delaware Maine Massachusetts New Hampshire New York New Jersey Pennsylvania Wisconsin Maryland Minnesota Vermont Virginia Lyme disease is the most commonly reported vector borne illness in the United States--in 2011, it was the 6th most common Nationally Notifiable disease. However this disease does not occur nationwide and is concentrated heavily in the northeast and upper Midwest 7

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Massachusetts Department of Public Health Lyme disease has become a state-wide problem 10

Incidence Rates of Confirmed and Probable Lyme Disease Cases in Massachusetts, by Age Group, 2012 140 Cases (per 100,000) 120 100 80 60 40 20 Probable Cases Confirmed Cases 0 <5 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85+ Age (years) Massachusetts Department of Public Health Children and people older that fifty most at risk 11

Penn State U. Entomology 12

13 Black-legged tick nymph and adult

14 White-footed Mouse

15 White-tailed Deer

16 Deer Tick Feeding

17 Babesiosis in Massachusetts

Incidence Rate of Confirmed Babesiosis Cases Reported in Massachusetts, by Age Range, 2012 12.0 Cases (per 100,000) 10.0 8.0 6.0 4.0 2.0 0.0 < 5 5 to 9 10 to 14 15 to 19 20 to 24 25 to 29 30 to 34 35 to 39 40 to 44 45 to 49 50 to 54 55 to 59 60 to 64 65 to 69 70 to 74 75 to 79 80 to 84 85 + Age Group 18

19 Anaplasmosis in Massachusetts

Incidence Rate of Confirmed HGA Cases Reported in Massachusetts, by Age Range, 2012 14.0 Cases (per 100,000) 12.0 10.0 8.0 6.0 4.0 2.0 0.0 < 5 5 to 9 10 to 14 15 to 19 20 to 24 25 to 29 30 to 34 35 to 39 40 to 44 45 to 49 50 to 54 55 to 59 60 to 64 65 to 69 70 to 74 75 to 79 80 to 84 85 + Age Group 20

Lone Star Tick, Amblyomma americum Vectors STARI, ehrlichiosis, tularemia, Rocky Mountain Spotted Fever (?) 21

Managing risks posed by ticks No single solution, either pharmacological or nonpharmacological Variety of tactics including general landscape decisions, behavior changes (e.g., avoid tick habitat, walk in center of trails, etc.), take personal protections (e.g., repellents, tick checks and bathing, pesticide treated clothing), pesticide tools (e.g., perimeter landscape reatments, 4-poster, Damminex tubes) Goal is preventing tick bites Education and outreach 22

EPA Region 1 Tick-related Activities Pesticide Program Regulatory Activities Regional Research RARE 4-Poster Deer Feeding Station project Do 4-posters reduce tick populations over time? Ixodes scapularis pathogens Borrelia, Babesia, Anaplasma Rates in nymphs and adults How are stations utilized by wildlife at various locations Small Mammal Testing for pathogens Trapped hot spots for small mammals Identify reservoir hosts species for several pathogens 23

EPA Pesticide Program Roles Tick Control Efforts Pesticide Product Registration Pesticide Applicator Certification and Training IPM support and implementation 24

The effectiveness of permethrin-treated deer feeding stations for control of the Lyme disease vector Ixodes scapularis on Cape Cod and the Islands EPA ORD Regional Applied Research Effort (RARE) Regional Contacts: Robert Koethe, Bart Hoskins, Robert Hillger ORD Contact: Jason Grear 25

What is a Four Poster? A Four Poster is a plastic device consisting of a large feed corn bin with a narrow feed trough at either end. Each trough has a PVC post on either side covered with a paint roller, which is soaked in permethrin. Deer feeding at the troughs will have their neck and ear area coated in permethrin. The four poster may reduce tick populations locally by targeting adult ticks that would otherwise lay eggs using the blood meal from a deer. Four-poster feeding stations have been shown to reduce tick abundance, but deployment is challenging. 26

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Tick Pathogens Lyme is prevalent in the study area, but Babesia and Anaplasma are also present. Ticks collected for four poster study evaluation were analyzed at the UMASS Laboratory of Medical Zoology by Dr. Steven Rich for presence of all three pathogens. Some sites appeared to have greater incidence of co-infection with Lyme and other pathogen(s). 31

Co-infection Host Study Research supported by EPA Region 1, ORD and UMASS Amherst Pilot conducted in 2012 EPA working with Dr. Stephen Rich of UMASS Amherst to identify competent small mammal tick hosts for the various pathogens. In 2012 EPA sampled small mammals (voles, shrews, mice, rats) and collected replete ticks and blood samples for presence of Lyme, Anaplasma, and Babesia. This work continuing in summer/fall of 2013 32

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School IPM: Reasons to include Tick IPM in overall School IPM programs Ticks widespread and common and can spread serious diseases to students, faculty and staff School grounds and properties may contain significant tick populations School might not have a plan and approach that easily accommodates vector control School nurses can serve as a useful resource Children can help increase awareness and educate parents People sometimes take unnecessary or inappropriate actions Simple actions can reduce risks 38

Possible Tick Topics for Schools Managing School Properties Vegetation Pesticides Playground and sports equipment placement and storage Limit access and attractiveness to alternative hosts (mice, dogs, deer, etc.) Monitoring for Ticks Guidance for Prevention; Precautions for Outdoor Activities Clothing (e.g., light colored, pants tucked in socks, long sleeves, pesticide treated) Behavior (e.g., walk in center of trails, tick checks, bathing) Special policies (e.g.,dedicated clothing, recommendations before outings,) How to Remove Ticks How to Identify ticks 39

Examples of potential products to support Schools Guidance on Landscaping Outreach Materials for students to take home Outreach material for school nurses Educational Materials for Curricula 40

41 Both deer kicking the station.