Bad Lyme disease season on its way

From ecoRI News (ecori.org)

Physical distancing because of COVID-19 has caused cabin fever to reach an all-time high, and people are seeking solace in the great outdoors. And while physical distancing rules still apply outside, the Rhode Island departments of environmental management and health are hoping that people will add another practice to their outdoor excursions: keeping an eye out for ticks.

With a mild winter in which many more ticks than usual likely survived and with more people expected to be outside this year because of the pandemic, 2020 is shaping up to be a bad year for tick bites and the transmission of Lyme and other diseases, according to the Rhode Island Department of Environmental Management (DEM).

Rhode Island already has the fifth-highest rate of Lyme disease in the country, with 1,111 people diagnosed in 2018.

To help mitigate this problem, DEM and the Department of Health are again promoting the state’s Tick Free Rhode Island campaign.

“At a time when the COVID-19 crisis has forced us into closing state parks and campgrounds, it might seem incongruous to sound the alarm about Lyme disease,” DEM Director Janet Coit said. “Yet, Lyme is a very dangerous disease. So, all of us, whether we’re taking a walk around the block, spending time in our backyards, or going fishing, should do our best to prevent tick bites along with respecting social distancing norms.”

Here are the agencies’ three keys to tick safety:

Repel. Avoid wooded and brushy areas with high grass and leaves. If you are going to be in a wooded area, walk in the center of the trail to avoid contact with overgrown grass, brush, and leaves at the edges. Wear long pants and long sleeves. Tuck your pants into your socks. Wear light-colored clothes so you can see ticks more easily.

Check. Take a shower after you come back inside from a wooded area. Do a full-body tick check in the mirror; parents should check their kids for ticks and pay special attention to the area in and around the ears, in the belly button, behind the knees, between the legs, around the waist, and in their hair. Keep an eye on you pets as well, as they can bring ticks into the house.

Remove. If possible, use tweezers to remove a tick; grasp the tick as close to the skin as possible and pull straight up. If you don’t have tweezers, use a tissue or gloves. Keep an eye on the tick bite spot for signs of rash, or symptoms such as fever and headache.

Most people who get Lyme disease get a rash anywhere on their body, though it may not appear until long after the tick bite. At first, the rash looks like a red circle, but as the circle gets bigger, the middle changes color and seems to clear, so the rash looks like a target bull’s-eye.

Some people don’t get a rash, but feel sick, with headaches, fever, body aches, and fatigue. Over time, they could have swelling and pain in their joints and a stiff, sore neck; or they could become forgetful or have trouble paying attention.

Deer ticks in their developmental progression