Tag Archive | ticks

Living With Lyme (Part 2): Preventing Tick Bites

This post, originally published in May 2013, still contains very timely information as we approach summer 2014. We are republishing it today in hopes of spreading the word and continuing to educate families about the prevalence of Lyme Disease, in conjunction with May’s Lyme Awareness Month. 

By Mary Ann Filler

Are there changes that you should make to live a healthier lifestyle? Perhaps you need to get more sleep, drink more water, or eat healthy and exercise to lose a few pounds. Information about healthy living can be overwhelming and confusing. But one fact is certain–prevention is the key to good health. And yet many of us do not take measures to ensure our health. In fact, sometimes it takes a major “wake-up” call for us to take action and make positive changes.

I’m going to address a subject that seemingly may not apply to you. If you or a loved one doesn’t have Lyme Disease, you may wonder why you would need to concern yourself with what I have to say. Of course, it is your choice to take heed or not. However, I hope that you will educate yourself and take precautions before you have no choice! “They Won’t Get It Until They Get It,” is a common saying in the Lyme community. May this saying NOT apply to you!

As mentioned in my first “Lyme” blog, Living With Lyme (Part 1), Lyme Disease is both difficult to diagnose and treat.  In his book, Lyme Disease Solution, Dr. Kenneth Singleton suggests that for every case of Lyme Disease that is currently detected, there are as many as ten or more cases of Lyme Disease that go undetected or undiagnosed.  These cases often result in chronic Lyme Disease, which causes debilitating and many times irreversible disease that is difficult to treat.  As a result, preventing Lyme Disease should be a high priority for everyone.

What are some measures you can take to prevent Lyme Disease?

 Be Aware that Ticks are Your Enemy

First, be aware that the primary vector for Lyme Disease is the bite of a tick.  The majority of information in the news perpetuates the belief that only the tiny deer tick, also known as the Blacklegged Tick, carries the Lyme bacteria.  In the interest of time, I’m not going to debate that belief; I’m just going to state that I don’t believe ANY tick is a good tick, and that all ticks have the capacity to carry and infect you with disease.  AVOID ticks if at all possible!

Note:  While not popularly held by “the mainstream,” it has also been suggested that fleas, flies, gnats, mites and mosquitoes may also transmit Lyme disease.  It is certain that these pests do transmit other diseases and it makes sense to avoid them as well.  In addition, humans have possibly passed Lyme and other tick borne diseases along in pregnancy and via blood donation or organ transplant. 

Know Your Enemy

A tick is a tiny parasite that feeds on the blood of animals and people.  They do not have wings and cannot fly or jump.  Ticks get around by walking or hitching a ride on an animal.  When the tick latches on to get a blood meal, it may transmit a bacteria “cocktail” that it obtained from a different host in an earlier feeding in the life cycle.

Life Cycle of a Tick

Life Cycle of a Tick

The length of time that a tick needs to be attached to transmit disease is somewhat debatable; most sources agree that it takes 24-48 hours.  Regardless, proper tick removal (how to remove an embedded tick properly) is critical to preventing the tick from infecting you with disease.

Tick Size Comparison

Know Where and When to Expect Ticks

Since a tick bite is the primary vector for Lyme Disease, you will want to know that tick bites may occur ANY time of the year, but most often during early spring to late summer.  As the weather gets warmer, ticks become more active and more likely to bite.  Ticks live in moist and humid environments, particularly in or near wooded or grassy areas. You may come into contact with ticks during outdoor activities around your home or when walking through vegetation such as leaf litter or shrubs.  Small animals including birds, mice, rabbits, squirrels or chipmunks can carry ticks on to your property.  In addition, if you have a pet dog or cat that frequents your yard or walks in suspect areas, they may carry ticks in to your home.

Caution Tick Habitat

Take Precautions Before Going Into Potentially Tick Infested Areas

When frequenting areas that are potentially tick infested, wear light-colored clothing so that ticks can be seen.  In addition, pick clothing that is made of smooth or tightly woven fabrics making it more difficult for ticks to latch on to you.  Tuck your shirt in to your pants and your pants in to your socks.  Of course, long-sleeved shirts, pants and closed toed shoes are preferred.

 Choose a Tick Repellant that is Right For You

Applying a tick repellant helps to reduce the chances of getting bit by a tick, but you will have to decide which repellent is right for you.  Many sources will tell you to spray yourself with a bug repellant that contains DEET (N,N-diethyl-meta-toluamide).  While DEET is an effective agent for tick repulsion, caution must be used when applying it, as it can be toxic to the nervous system, and it’s not the most pleasant to use (not to mention the environmental impact).  Avon has a product line that repels ticks and is DEET free.  However, it still contains a chemical called Picardin.  There are natural alternatives including essential oils, but unfortunately little testing has been done to show that these alternatives actually work to repel ticks.

While many people are aware that they should spray their skin with tick repellent, they are unaware that treating their clothing may be one of the most preventative measures available. When sprayed on clothing and camping gear, Premethrin is highly effective in repelling and even killing ticks as well as other pests.  Premethrin treated items kill ticks on contact.  However, Premethrin cannot be applied directly to your skin.  Spray clothing (especially socks and shoes) and gear a day before you will be heading in to the woods.  Once clothing is treated, the Premethrin is still effective through 6 washings.  Premethrin can be purchased on-line or in stores that sell outdoor gear.  As with any chemical compound, follow the directions for use very carefully.

Tick-habitat-sign

Take Extra Precautions If you Spend Time in forested areas.

If you camp, hike, or hunt, you may want to consider purchasing clothing that is pretreated with Premethrin by checking out Insect Shield Clothing (www.insectshield.com).  Pretreated clothing can be washed up to 70 times and still be effective.  When hiking, stay on the path as much as possible.  Also, use a hiking stick to push any branches that may be across the path out of the way.  Spray all sleeping bags and tents with Premethrin.

 What Should You Do After Spending Time in Potentially Tick Infested Areas?

 After an activity in a potentially tick infested area, when arriving home, immediately place all clothing in the dryer (prior to washing) on high for 1 hour.  The high temperatures from the dryer will kill any ticks that may be hanging out waiting to latch on to you or your pet once inside your home.

If you are camping, remove your clothing and place in a plastic bag; close the bag with a plastic tie until you can get home.  Loose clothing lying around a tent or camper may provide an opportunity for ticks to latch on while you are walking around or even sleeping.

Shower as soon as you are able using a brush.  Do a through tick check.  Ticks can hide under armpits, behind knees, and in the hair.  Having another person check in difficult to see places would be the most advantageous.  Of course, an adult should inspect children closely.  Caution:  ticks may look like a small freckle and can be almost undetectable!

Tiny Tick!

Tiny Tick!

Apply a Tick Treatment to Your Pet

If you have a cat or dog that spends time outside, make sure to apply a tick prevention strategy to them as well.  As with treating yourself, you will have to decide which tick treatment is best for your dog.  Of course there are the once a month applications of flea and tick protection or the flea and tick collar.  However, if you’re looking for a more natural/chemical-free approach, you may want to consider, Natural Flea and Tick Defense.

If you prefer, you can make your own spray using essential oils.  One source for recipes and ordering essential oils is experience-essential-oils.  This source recommends using a dog shampoo that is infused with essential oils when you bathe your dog as an added precaution.

Again, the efficacy of many of these items is debatable.  Our family has chosen to use natural alternatives and to create a tick free zone in our back yard for our dog.  Unfortunately, I no longer walk my dog off of our property due to an increased risk of picking up ticks.

 Modify Your Landscaping to Create a Tick Free Zone

Harvard Health recommends doing a “tick drag” in your yard to determine whether or not you have ticks.  Attach a square yard of white flannel to a 3-foot stick and tie a rope to each end of the stick.  Drag the cloth over the lawn and leaves, and examine it for ticks that have latched on.  Do this several times.  Use a cloth mounted like a flag on a stick to determine whether you have a tick problem in your bushy or grassy vegetation.

Reduce your risk from getting a tick bite on your own property by clearing shrubs, bushes, and other vegetation away from patios, play areas and playground equipment. Clear leaf litter and mow regularly.  Place wood chips or gravel between lawns and wooded areas to keep ticks away from areas where you and your family spend time.

If you think you have a tick problem on your property, University of Rhode Island Tick Encounter Resource Center, suggests a dual action treatment plan for your property that includes host-targeted Tick Tubes and the habitat-targeted perimeter spray.  When used together in a program, they provide outstanding protection from tick encounter, especially for backyards.

To be honest, prior to being diagnosed with Lyme Disease, I thought very little of tick bite prevention.  Now, our family has taken action to reduce the likelihood of getting a tick bite.  We have hired Natural Lawn of America to spray our lawn.  The company has a more organic approach to lawn care and pest control.  In the upcoming months, we will also be placing Tick Tubes on our property.  We keep our lawn mowed and clear leaf debris.  In addition, our dog is no longer allowed to venture off of our property for walks, and he is treated with the shampoo mentioned above.  I personally believe that preventing your pet dog or cat from encountering ticks can be one of the biggest precautionary measures you can take.  I haven’t done any hardcore research, but I understand that veterinarians are encountering tick borne disease in dogs in record numbers.

Don’t Wait Until It’s Too Late…

At this point, I would encourage you not to wait to incorporate the tick prevention strategies that apply to you.  If you will be spending time in the woods this summer, I cannot stress enough the need for you to protect yourself and your family members.  Please do not wait until it’s too late!

Web Sources:

http://www.rodale.com/natural-tick-repellants-protect-your-yard?page=0,0

http://labs.russell.wisc.edu/wisconsin-ticks/on-people/

www.ilads.org

http://www.tickencounter.org

http://www.cdc.gov/lyme/

http://www.maine.gov/dhhs/mecdc/infectious-disease/epi/vector-borne/lyme/lyme-faq.shtml

http://www.health.ny.gov/diseases/communicable/lyme/fact_sheet.htm

http://www.health.harvard.edu/fhg/updates/recognizing-and-avoiding-tick-borne-illness.shtml

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Living With Lyme (Part 2): Preventing Tick Bites

By Mary Ann Filler

Are there changes that you should make to live a healthier lifestyle? Perhaps you need to get more sleep, drink more water, or eat healthy and exercise to lose a few pounds. Information about healthy living can be overwhelming and confusing. But one fact is certain–prevention is the key to good health. And yet many of us do not take measures to ensure our health. In fact, sometimes it takes a major “wake-up” call for us to take action and make positive changes.

I’m going to address a subject that seemingly may not apply to you. If you or a loved one doesn’t have Lyme Disease, you may wonder why you would need to concern yourself with what I have to say. Of course, it is your choice to take heed or not. However, I hope that you will educate yourself and take precautions before you have no choice! “They Won’t Get It Until They Get It,” is a common saying in the Lyme community. May this saying NOT apply to you!

As mentioned in my first “Lyme” blog, Living With Lyme (Part 1), Lyme Disease is both difficult to diagnose and treat.  In his book, Lyme Disease Solution, Dr. Kenneth Singleton suggests that for every case of Lyme Disease that is currently detected, there are as many as ten or more cases of Lyme Disease that go undetected or undiagnosed.  These cases often result in chronic Lyme Disease, which causes debilitating and many times irreversible disease that is difficult to treat.  As a result, preventing Lyme Disease should be a high priority for everyone.

What are some measures you can take to prevent Lyme Disease?

 Be Aware that Ticks are Your Enemy

First, be aware that the primary vector for Lyme Disease is the bite of a tick.  The majority of information in the news perpetuates the belief that only the tiny deer tick, also known as the Blacklegged Tick, carries the Lyme bacteria.  In the interest of time, I’m not going to debate that belief; I’m just going to state that I don’t believe ANY tick is a good tick, and that all ticks have the capacity to carry and infect you with disease.  AVOID ticks if at all possible!

Note:  While not popularly held by “the mainstream,” it has also been suggested that fleas, flies, gnats, mites and mosquitoes may also transmit Lyme disease.  It is certain that these pests do transmit other diseases and it makes sense to avoid them as well.  In addition, humans have possibly passed Lyme and other tick borne diseases along in pregnancy and via blood donation or organ transplant. 

Know Your Enemy

A tick is a tiny parasite that feeds on the blood of animals and people.  They do not have wings and cannot fly or jump.  Ticks get around by walking or hitching a ride on an animal.  When the tick latches on to get a blood meal, it may transmit a bacteria “cocktail” that it obtained from a different host in an earlier feeding in the life cycle.

Life Cycle of a Tick

Life Cycle of a Tick

The length of time that a tick needs to be attached to transmit disease is somewhat debatable; most sources agree that it takes 24-48 hours.  Regardless, proper tick removal (how to remove an embedded tick properly) is critical to preventing the tick from infecting you with disease.

Tick Size Comparison

Know Where and When to Expect Ticks

Since a tick bite is the primary vector for Lyme Disease, you will want to know that tick bites may occur ANY time of the year, but most often during early spring to late summer.  As the weather gets warmer, ticks become more active and more likely to bite.  Ticks live in moist and humid environments, particularly in or near wooded or grassy areas. You may come into contact with ticks during outdoor activities around your home or when walking through vegetation such as leaf litter or shrubs.  Small animals including birds, mice, rabbits, squirrels or chipmunks can carry ticks on to your property.  In addition, if you have a pet dog or cat that frequents your yard or walks in suspect areas, they may carry ticks in to your home.

Caution Tick Habitat

Take Precautions Before Going Into Potentially Tick Infested Areas

When frequenting areas that are potentially tick infested, wear light-colored clothing so that ticks can be seen.  In addition, pick clothing that is made of smooth or tightly woven fabrics making it more difficult for ticks to latch on to you.  Tuck your shirt in to your pants and your pants in to your socks.  Of course, long-sleeved shirts, pants and closed toed shoes are preferred.

 Choose a Tick Repellant that is Right For You

Applying a tick repellant helps to reduce the chances of getting bit by a tick, but you will have to decide which repellent is right for you.  Many sources will tell you to spray yourself with a bug repellant that contains DEET (N,N-diethyl-meta-toluamide).  While DEET is an effective agent for tick repulsion, caution must be used when applying it, as it can be toxic to the nervous system, and it’s not the most pleasant to use (not to mention the environmental impact).  Avon has a product line that repels ticks and is DEET free.  However, it still contains a chemical called Picardin.  There are natural alternatives including essential oils, but unfortunately little testing has been done to show that these alternatives actually work to repel ticks.

While many people are aware that they should spray their skin with tick repellent, they are unaware that treating their clothing may be one of the most preventative measures available. When sprayed on clothing and camping gear, Premethrin is highly effective in repelling and even killing ticks as well as other pests.  Premethrin treated items kill ticks on contact.  However, Premethrin cannot be applied directly to your skin.  Spray clothing (especially socks and shoes) and gear a day before you will be heading in to the woods.  Once clothing is treated, the Premethrin is still effective through 6 washings.  Premethrin can be purchased on-line or in stores that sell outdoor gear.  As with any chemical compound, follow the directions for use very carefully.

Tick-habitat-sign

Take Extra Precautions If you Spend Time in forested areas.

If you camp, hike, or hunt, you may want to consider purchasing clothing that is pretreated with Premethrin by checking out Insect Shield Clothing (www.insectshield.com).  Pretreated clothing can be washed up to 70 times and still be effective.  When hiking, stay on the path as much as possible.  Also, use a hiking stick to push any branches that may be across the path out of the way.  Spray all sleeping bags and tents with Premethrin.

 What Should You Do After Spending Time in Potentially Tick Infested Areas?

 After an activity in a potentially tick infested area, when arriving home, immediately place all clothing in the dryer (prior to washing) on high for 1 hour.  The high temperatures from the dryer will kill any ticks that may be hanging out waiting to latch on to you or your pet once inside your home.

If you are camping, remove your clothing and place in a plastic bag; close the bag with a plastic tie until you can get home.  Loose clothing lying around a tent or camper may provide an opportunity for ticks to latch on while you are walking around or even sleeping.

Shower as soon as you are able using a brush.  Do a through tick check.  Ticks can hide under armpits, behind knees, and in the hair.  Having another person check in difficult to see places would be the most advantageous.  Of course, an adult should inspect children closely.  Caution:  ticks may look like a small freckle and can be almost undetectable!

Tiny Tick!

Tiny Tick!

Apply a Tick Treatment to Your Pet

If you have a cat or dog that spends time outside, make sure to apply a tick prevention strategy to them as well.  As with treating yourself, you will have to decide which tick treatment is best for your dog.  Of course there are the once a month applications of flea and tick protection or the flea and tick collar.  However, if you’re looking for a more natural/chemical-free approach, you may want to consider, Natural Flea and Tick Defense.

If you prefer, you can make your own spray using essential oils.  One source for recipes and ordering essential oils is experience-essential-oils.  This source recommends using a dog shampoo that is infused with essential oils when you bathe your dog as an added precaution.

Again, the efficacy of many of these items is debatable.  Our family has chosen to use natural alternatives and to create a tick free zone in our back yard for our dog.  Unfortunately, I no longer walk my dog off of our property due to an increased risk of picking up ticks.

 Modify Your Landscaping to Create a Tick Free Zone

Harvard Health recommends doing a “tick drag” in your yard to determine whether or not you have ticks.  Attach a square yard of white flannel to a 3-foot stick and tie a rope to each end of the stick.  Drag the cloth over the lawn and leaves, and examine it for ticks that have latched on.  Do this several times.  Use a cloth mounted like a flag on a stick to determine whether you have a tick problem in your bushy or grassy vegetation.

Reduce your risk from getting a tick bite on your own property by clearing shrubs, bushes, and other vegetation away from patios, play areas and playground equipment. Clear leaf litter and mow regularly.  Place wood chips or gravel between lawns and wooded areas to keep ticks away from areas where you and your family spend time.

If you think you have a tick problem on your property, University of Rhode Island Tick Encounter Resource Center, suggests a dual action treatment plan for your property that includes host-targeted Tick Tubes and the habitat-targeted perimeter spray.  When used together in a program, they provide outstanding protection from tick encounter, especially for backyards.

To be honest, prior to being diagnosed with Lyme Disease, I thought very little of tick bite prevention.  Now, our family has taken action to reduce the likelihood of getting a tick bite.  We have hired Natural Lawn of America to spray our lawn.  The company has a more organic approach to lawn care and pest control.  In the upcoming months, we will also be placing Tick Tubes on our property.  We keep our lawn mowed and clear leaf debris.  In addition, our dog is no longer allowed to venture off of our property for walks, and he is treated with the shampoo mentioned above.  I personally believe that preventing your pet dog or cat from encountering ticks can be one of the biggest precautionary measures you can take.  I haven’t done any hardcore research, but I understand that veterinarians are encountering tick borne disease in dogs in record numbers.

Don’t Wait Until It’s Too Late…

At this point, I would encourage you not to wait to incorporate the tick prevention strategies that apply to you.  If you will be spending time in the woods this summer, I cannot stress enough the need for you to protect yourself and your family members.  Please do not wait until it’s too late!

Web Sources:

http://www.rodale.com/natural-tick-repellants-protect-your-yard?page=0,0

http://labs.russell.wisc.edu/wisconsin-ticks/on-people/

www.ilads.org

http://www.tickencounter.org

http://www.cdc.gov/lyme/

http://www.maine.gov/dhhs/mecdc/infectious-disease/epi/vector-borne/lyme/lyme-faq.shtml

http://www.health.ny.gov/diseases/communicable/lyme/fact_sheet.htm

http://www.health.harvard.edu/fhg/updates/recognizing-and-avoiding-tick-borne-illness.shtml

Living With Lyme (Part 1): What you May Not Know About Lyme Disease

By Mary Ann Filler

Just a little over a year ago, I thought that a person infected with Lyme Disease presented with a bull’s eye rash that could easily be treated and cured with a round or two of Doxycycline. My perception of Lyme changed in December of 2011 when I was diagnosed with the disease.

After educating myself about Lyme Disease, I realize that my symptoms began and progressed over a 6-year period prior to my diagnosis. My symptoms included knife like headaches, vision disturbances, dental issues, sinus infections, chronic bronchitis, a heart arrhythmia, neck and back pain, hip pain and chronic fatigue. About three years prior, I had a blood test that apparently ruled out Lyme. I now know that the blood test is not very accurate and that Lyme Disease is a clinical diagnosis.

A month prior to my diagnosis, I knew that something was desperately wrong. Every muscle in my body was firing, and I had extreme joint pain that traveled from one joint to another. It was like having the flu, fibromyalgia, chronic fatigue and arthritis at the same time.

I went to my general practitioner and he ordered a lot of blood work including a Lyme test.  This time, my Lyme test was positive.  That meant that at some point I was bitten by a tick (ticks are the main vector) and infected with the Lyme bacteria,  B. burgdorferi.

Unfortunately, when my blood test was negative all those years ago, it never occurred to me to look any further in to the disease.  However, after diagnosis I began to diligently research and read anything I could find relating to Lyme disease and treatment.

What did I discover?

 LYME DISEASE IS A POLITICAL DISEASE

The Centers for Disease Control (CDC) does not even recognize the existence of Chronic Lyme Disease and the Infectious Disease Society of America (IDSA) is in agreement.  However, the International Lyme and Associated Disease Society (ILADS) validates those of us who are suffering with the chronic form of Lyme Disease.  As a result of the discrepancies in beliefs between the CDC, IDSA and ILADS, many medical doctors are not aware of how late stage Lyme can manifest in a patient’s body.

I have read accounts of people spending hundreds of thousands of dollars on expensive and inconclusive diagnostic procedures only to be dismissed by their medical doctor and referred for psychiatric help.

THE BULL’S EYE RASH IS PRIMA FACIE EVIDENCE OF LYME INFECTION

Well-informed doctors will treat patients who present with a bull’s eye rash, erythema migrans, without waiting for a blood test confirmation.  Unfortunately, less than 50% of people recall either a tick bite or a rash.  In addition, while the bull’s eye rash is considered classic, atypical forms of rashes are actually more common with Lyme Disease.

Years ago, I had an oval-shaped raised red rash that took quite a while to clear up.  I remember looking at it and thinking that it wasn’t a bull’s eye shape; I dismissed it as a spider bite.

Credit: Wikimedia Commons

One version of a bull’s eye rash – Credit: Wikimedia Commons

THERE IS NO ACCURATE DIAGNOSTIC BLOOD TEST FOR LYME DISEASE

 The current standard for diagnosing Lyme Disease involves a 2-tier blood test.  The first test administered is a screening test called the ELISA.  The second tier test, the Western Blot, is only performed if the first test is positive and is used by many medical professionals as a confirmation of diagnosis.

According to ILADS, the ELISA screening test is unreliable.  The test misses 35% of culture proven Lyme Disease.  The Western Blot, is also inaccurate as 20-30% with acute culture-proven Lyme Disease will test negative.  In addition, the longer a person has been ill, the less likely they are to test positive as the antibodies that we produce as a result of having Lyme Disease decline over time.

Lyme Disease should be diagnosed clinically!

TREATMENT PROTOCOLS FOR LYME VARY GREATLY

 Once diagnosed, getting treatment for Lyme Disease presents another problem.  Since the CDC does not recognize the existence of Chronic Lyme Disease, some doctors will give a few weeks to a month of antibiotics and claim that a person is cured. Perhaps if the disease is caught in the early stages, this may be true.  However, for those of us who have a later stage of the disease, a couple of weeks to a month of antibiotics will not provide much relief.

The treatment protocols for Lyme are as numbered as the symptoms that manifest in each person.  “Lymies” and their advocates must decide the best treatment protocol on an individual basis.  Treatment is not a one size fits all process, and in many cases patients must go “off the beaten” path to find help.

LYME DISEASE IS ALMOST ALWAYS ACCOMPANIED BY ADDITIONAL TICK BORNE DISEASES

I had never heard of Babesia, Bartonella or Ehrlichia prior to my Lyme diagnosis.  These bacteria, also known as co-infectors, are found in critically ill individuals who also suffer from B. burgdorferi, the Lyme bacteria.  These co-infectors may be responsible for persistent and chronic cases of Lyme.

Credit: istockphoto.com

Warmer weather on its way… Credit: istockphoto.com

As we approach the warmer months of the year, we will all be spending more time outside.  For my next few blog posts, I would like to address issues relating to Lyme Disease.  My hope is that you will educate yourself about this potentially devastating disease, not only for your own benefit, but for your family and friends. There is no question that early diagnosis and treatment is much more effective than the treatment for the chronic stage of the disease!

Do you know anyone who has or suspects they have Lyme Disease?  Please share your thoughts and experiences!