Lyme disease carrying tick
Immune System

Lyme Disease: What Should Doctors Tell Their Patients?

Health experts are warning there will be increased odds of contracting Lyme disease this spring and summer, due to an explosion of infected ticks and an earlier, warmer spring.

First identified – and named for – Lyme, Connecticut in the 1970s, the disease has spread steadily.  It’s now found in almost half of the counties across the U.S.  The Center for Disease Control and Prevention (CDC) estimates as many as 300,000 individuals may be infected with Lyme each year, the vast majority of cases going unreported and untreated.

Kiersten Kugeler of the CDC told NPR News, “What’s important for people to know is that the ticks are spreading to new areas — and tick-borne diseases are coming with them.”

Facing an increased risk, should patients be advised to stay indoors?

Public health professionals say no.  It’s good to be out in nature, gardening, walking, hiking, biking, camping and more.

“Ticks are a problem along with a lot of other outdoor hazards, but you don’t need to fear going outdoors,” said Richard Dolesh, Vice President of Strategic Initiatives at the National Recreation and Park Association.

Instead, patients should be encouraged to focus on prevention and early intervention. These are some tactics and strategies to avoid being bitten, and what to do if you are:

  • The deer and black-legged ticks that carry the Lyme bacteria are tiny, even as small as a poppy seed, and their bite is painless. They are most likely to be found in areas of woods, fields, tall brush or high grasses, but the ticks are also found under leaves or ground cover and other low-growing vegetation.   Keep your yard free of debris and consider fencing the yard if you have wild animals that could pass through.
  • Cover as much skin as possible. If ticks are unable to reach your skin, they can’t bite.  Long-sleeved shirts are a good option and tuck the bottom of pants into socks.  Ticks seem to like hiding behind the ears, on the scalp, in the armpit, on the back, and also the groin.
  • After spending time outside, do a tick check. Wearing light-colored clothing makes this a lot easier.  It’s also a good idea to shower after spending time outdoors.
  • Certain insect repellent will help keep the ticks at bay. The best choice is one that contains 20 to 30 percent DEET on exposed skin and clothing.  Products containing 0.5 percent permethrin can be used on clothing and outside equipment, but never on skin.

Visit the Environmental Protection website to learn more about repellents.

  • If you find a tick that has already latched on and is attached to your skin, don’t despair.