Why you need to take precautionsphotowind/ShutterstockTicks can be infected with bacteria, viruses, or parasites. Some of the most common tick-borne diseases in the United States include Lyme disease, babesiosis, ehrlichiosis, and Rocky Mountain Spotted Fever, according to the federal Centers for Disease Control and Prevention. Lyme disease causes fever, headache, fatigue and a skin rash, and if left untreated, can spread to a person's joints, heart and nervous system. Of particular concern this year is Powassan disease, which is reportedly on the rise. Marked by fever, headache, vomiting, weakness, confusion, seizures and memory loss, this tick-borne illness may cause long-term neurological damage, according to the CDC.
Stay the coursesaksorn-surirak/Shutterstock"Avoid heavily wooded areas and shrubbery as these are more likely to harbor ticks," says infectious disease specialist Sunil Sood, MBBS, chairman of pediatrics at Northwell Health's Southside Hospital in Bay Shore, NY. In other words, don't go bush whacking or run off into the brushes. (Check out the world from a tick's perspective.) "Ticks climb onto blades of grass and brush on the side of trails, so walk in the center of a trail and try not to brush up against grass and make sure to avoid leaf litter too," adds Sunjya Schweig, MD, member of the board of adviser for the Bay Area Lyme Foundation and the CEO and co-director of the California Center for Functional Medicine in Berkeley, Calif. "Ticks also like to congregate under logs or trees, so don't take a break by sitting under an oak tree or on a log."
Ask aroundOrhan-Cam/ShutterstockIf you are planning to hike or spend time in a park or recreational area, ask a forest ranger or another official about the current tick situation, says tick expert John Abbott, PhD, director of museum research and collections at the University of Alabama Museums in Tuscaloosa.
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Use insect repellantKPG-Payless2/Shutterstock"DEET (chemical name, N,N-diethyl-meta-toluamide) is very safe if you are older than 2 months," Dr. Sood says. (Learn everything you need to know about insect repellants.) "Choose and use products with 25 to 50 percent DEET which should provide up to six hours of prevention." Products containing DEET include Off!, Cutter, Sawyer, and Ultrathon. "Children should not touch repellent. Adults should apply it to their hands and gently spread it over the child's exposed skin," he says.
Dress the partKichigin"Wear closed, tight shoes and long pants. You want clothing between you and the environment," Abbot says. Some clothing is already insecticide-treated including those sold at Insectshield. Another option is permethrin, Sood adds. "Apply it to clothing including hats, shorts, socks and sneakers as well as outdoor furniture such as patios and tents–but not skin," he says. "Soak the items well and let it dry overnight and use DEET on exposed skin—these combined measures are probably the best tick prevention out there." Another tip: If you wear light-colored clothing, you will be better able to spot any ticks and brush them off before they make it to your skin, says Marc Alabanza, program director at GroundSea Fitness in Great Barrington, MA.
Head for the dryer when you get homeEliot-Holzworth"Take off all of your clothing and socks and place them in the dryer on its highest setting for 20 minutes after coming in from a hike or time in a park," Schweig says. This will kill any ticks including those that carry Lyme disease that may have attached themselves to your clothing or socks, he says.
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Leave Fido at homegegemaunt/ShutterstockHard as it is to leave your dog at home when you head out for a hike or some time in the great outdoors, a dog can bring a tick home and then find its way onto your skin where it can cause disease, Schweig warns. "Keep your dog up to date with tick repellants and brush his or her coat with a fine-tooth comb after time outdoors and try and remove ticks that haven't attached," he says. And learn everything you need to know about pet insect repellents.
Check yourselfKalcutta/ShutterstockThere is no specific way to check your skin for ticks or a tick bite—just keep in mind that it's very important to look everywhere after spending time in wooded areas, Abbot says. "Tick legs are very well adapted for grabbing a hold of skin and clothing," he says. "Check your head, behind your neck, your underarms, on your ears and really anywhere on your body." With ticks that carry Lyme disease, it takes 24-36 hours of an infected tick feeding on you to transfer it. "If you check yourself and successfully remove even an infected tick within that time, you'll be OK." Remember that ticks can be extremely small (poppy-seed sized) and may be mistaken as a freckle, adds Schweig, who suggests parents use a high-powered headlamp when checking kids for ticks.
Remove the tickAksenova-Natalya/ShutterstockIf you find a tick or sustain a tick bite, don't panic. "There are tons of ticks out there and most are not infected, so risk of tick-borne illness is low," Abbot says. Here's how to remove a tick without spreading disease: "Imagine that the mouth is the straw going into your skin and the goal with the tweezers is to go in, clamp off the mouth part and pull the tick up," Schweig says, warning that this may also pull up skin. "Wait for a minute so it releases and then remove the entire head and body." Importantly, you don't want the body to break, squeeze, or squirt as any extra bacteria inside the tick could then be transmitted to your skin.
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