Middlesex County: A Babesiosis Hot Spot?

LymeDiseaseCyclebyTickEncounterYou most definitely know what Lyme disease is if you live in Central Massachusetts. Transmitted by deer ticks, you may not have experienced Lyme directly, but the epidemic proportion to which this disease exists within our area has created broad public awareness.

What you may not be aware of are the other tick-borne diseases that are transmitted in Middlesex County and Worcester County. Anaplasmosis, Babesiosis, Powassan Virus and Rocky Mountain spotted fever to name a few.

Babesiosis in Middlesex County Mass

Among the plethora of tick-borne diseases spread by deer ticks is Babesiosis. While relatively rare, this disease is mostly found in the Northeastern and the Midwestern United States. So much so, that the CDC reports 95% of Babesiosis cases in the US in 2013 occurred in only seven states; including Massachusetts. While Massachusetts reached an all-time high with 520 confirmed and probable cases of Babesiosis in 2014, we still have had a large number of cases of Babesiosis in 2015 with 445 confirmed and probable. Middlesex County was among the top 5 counties in the state with 65 cases of Babesiosis in 2015.

While there is some growth in awareness of Babesiosis in our area, there is a great deal of important data the public needs to be reminded of to help prevent Babesiosis and recognize it. Disclaimer before reading further: anyone can become sick from Babesiosis during any month of the year.

Seasonality of Babesiosis in Central Massachusetts

Tick-borne diseases have a predictable peak season due to the tick life cycle. For most tick-borne diseases, larval and nymph ticks have to have their first blood meal to become infected. The known exception is Borrelia Miyamotoi which can be passed from a tick mother to her offspring. For Babesiosis, this first blood meal is essential to becoming infected, making June, July, and August more common for the spread of the disease than other months of the year.

2015 Babesiosis by Month 2015
Massachusetts Department of Public Health

Health Dangers of Babesiosis

Babesiosis is a parasite transmitted to humans by the bite of an infected deer tick. Many people who have Babesiosis feel fine and have no symptoms. Others experience flu-like illness or severe, life-threatening illness if Babesiosis infects the red blood cells. The variety of symptoms felt can also be tricky, Massachusetts Department of Public Health reported the symptoms of 2015 Massachusetts’ cases as:

  • 72% fatigue
  • 68% fever
  • 58% depression
  • 50% muscle aches
  • 49% chills

Babesiosis is Discriminatory

While anyone can become ill from Babesiosis, clinical illness from Babesiosis is more common among a certain portion of the population. Those age 60 or older are at the greatest risk for clinical disease. Also, those without a spleen, weakened immune system, or those with other serious health issues such as liver or kidney disease. Note the chart below; there is a clear age discrimination for the onset of clinical illness from Babesiosis in Massachusetts 2015 cases. If you are within this high-risk category, you should be taking extra precautions to avoid deer ticks, especially during the peak seasons as shown above.

2015 Babesiosis mass
Massachusetts Department of Public Health

I am committed to providing you the best most up-to-date information on the threat of tick-borne diseases in Central Mass. Stay tuned for the latest on ticks in the area. Be sure to follow the 6 C’s tick control to make certain your yard is not inadvertently attracting ticks.

Dave Macchia, tick control enthusiast
Dave Macchia, Tick Control Enthusiast

Central Massachusetts Faces Increasing Threat from Rocky Mountain Spotted Fever

Rocky Mountain Spotted fever (RMSF) is so far not as common in Massachusetts as Lyme disease. This can make it extra dangerous as physicians and patients do not readily know the risks, signs, and symptoms.

Usually, RMSF is spread by the dog tick, but it can also be spread by the wood tick and lone star tick. With the lone star tick recently spreading into the Northeast, Massachusetts residents have more chances for transmitting the potentially fatal illness.

What is Rocky Mountain Spotted Fever?

The bacteria Rickettsia rickettsi causes the illness known as Rocky Mountain Spotted Fever (RMSF). Transmitted by the bite of an infected tick, symptoms are non-specific and can include fever, headache, nausea, vomiting, abdominal pain, muscle pain, lack of appetite, red eyes, and a characteristic rash. It is important to remember that the combination of these symptoms will vary from case to case.

Rocky_Mountain_spotted_fever_RASHAccording to the CDC, about 90% of people with RMSF will have some type of rash, but some do not develop it until late in the illness – after treatment should have already begun. Diagnosing RMSF can be delayed if you are waiting for the rash to appear. The CDC recommends that physicians administer treatment with antibiotics if RMSF is suspected. Early treatment is vital to limiting long term effects and avoiding potential death.

Late diagnosis and treatment can result in long-term health problems. The infection affects the cells that line the blood vessels. Damage to those blood vessels can cause bleeding or clotting in the brain or other vital organs. A loss of blood flow to the extremities can also occur leading to potential amputations of fingers, toes or limbs. Long-term permanent neurological effects and damage to internal organs can occur if this type of vascular damage occurs.

RMSF Can Be Deadly if Not Treated – Tick Control is Essential

Lone Star Tick
Lone Star Tick

Case fatality rates for Rocky Mountain Spotted fever are improving. It is suspected that improved recognition and diagnostics have led to quicker treatment and the decline in death rates. The CDC reports a 28% case fatality rate in 1944 that has lowered to approximately 1% in 2001. Children under 10-years-old, American Indians and those with compromised immune systems are at an increased risk for a fatal outcome from RMSF. The National Center for Biotechnology Information says “a delay in administration of doxycycline, the recommended drug of choice, has been shown to increase the likelihood of [a] fatal outcome.”

A recent story in the Cape Cod Times chronicled the story of a 6-year-old girl who came all too close to losing her life as she and her family struggled to get a diagnosis of her severe ailment. First diagnosed as a sinus infection and then an allergic reaction to the treatment, it wasn’t until Alaina was sent by MedFlight to Boston Children’s Hospital that she was finally diagnosed with RMSF after a few days. Suffering from meningitis and meningoencephalitis, Alaina has recovered, but it was a long road.

This is a great summation of why I work diligently to educate our community. Simply knowing the risks for exposure and the variety of symptoms to watch for can save a life. Can save many lives. Make sure you know the symptoms of RMSF and tell your doctor immediately if you suspect it.

Dave Macchia, tick control enthusiast
Dave Macchia, Tick Control Enthusiast

Babesiosis in Central Massachusetts: A Danger to Dogs & Humans

Much of the discussion about tick-borne diseases in Central Massachusetts is centered around Lyme Disease. While Lyme is certainly a worthy subject, we would be remiss to not share with you important information about other dangerous tick-borne diseases which could be transmitted in Chelmsford, Cambridge and the surrounding area.

Babesiosis is the disease in question. A dangerous disease for humans and their furry best friends, dogs.

Babesiosis in Central Massachusetts Dogs

Babesiosis in Central Massachusetts dogs
The American dog tick

Currently, there is a large outbreak of Babesiosis in dogs in the United Kingdom, which serves as a reminder that it could happen here too. The Babesia canis vogeli, Babesia gibsoni and the Babesisa conradae are the three parasites that can cause Babesiosis illness in our canine friends. These parasites are transmitted to your dog through the saliva of an infected American dog tick, sometimes known as the “wood tick”. Removing an infected tick safely and promptly can prevent the transmission of parasites and other pathogens.

According to the Companion Animal Parasite Council (CAPC), symptoms of Babesiosis in dogs can include hemolytic anemia, anorexia, depression, fever, a pale complexion, an enlarged spleen or bounding pulse. Infected dogs can usually be treated successfully with an antiprotozoal medication, although late or undiagnosed cases could lead to death. If you suspect your dog has Babesiosis illness, see your veterinarian right away. The CAPC recommends treating your pets with tick control medication year round to lower your dog’s risks. As with all dog medication, follow your veterinarian’s advice closely.

Babesiosis in Central Massachusetts Humans

Babesiosis in Central Massachusetts
Deer Tick

Babesiosis illness in humans is usually caused by the parasite Babesia microti. Human Babesiosis is spread by deer ticks (black-legged ticks) rather than the American dog tick. According to the Centers for Disease Control and Prevention (CDC), Babesiosis in humans can range “from asymptomatic to life-threatening.” Massachusetts happens to be among the 7 states that account for 95% of the cases of Babesiosis reported in 2013.

While many people infected with Babesia microti never experience any symptoms, those who do may feel flu-like. Symptoms can include a headache, body aches, fever, chills, sweats, loss of appetite, nausea or fatigue. Some cases can cause hemolytic anemia which can lead to jaundice. Babesiosis can be severe and even life-threatening, especially in people who do not have a spleen, have a weakened immune system, the elderly or those with another serious health condition such as liver or kidney disease.

Babesiosis can be effectively treated with a 7-10 day combination therapy of antibiotic and anti-parasitic drugs. Be sure to see your doctor immediately if you suspect you may have transmitted Babesiosis.

Stay tuned for the latest on ticks in Central Mass. Be sure to follow the 6 C’s of tick control to make certain your yard is not inadvertently attracting ticks.

Dave Macchia, tick control enthusiast
Dave Macchia, Tick Control Enthusiast

Ticks in Massachusetts will do anything but jump to get their next blood meal

can-tick-jump-on-my-head-central-massTicks in Massachusetts, such as deer ticks are fascinatingly smart about how they find their next food source.  They don’t crawl, jump, or fly for their survival.  They don’t have to!

They don’t crawl into your Central Mass home, sneak into your bed and wait for you at night. They don’t climb above your swing set and jump on your children’s heads as they swing. And they don’t jump from trees or vegetation if you walk near them. Ticks in Massachusetts waste no energy, but lay in wait for the perfect host to just brush on by them.

What is questing?

Questing is what a tick does when it needs a new host for its next blood meal. The deer tick will climb to the very tip of a blade of grass, a leaf of a shrub or a plant stem. Hanging on with their third and fourth pairs of legs, the tick will stretch out its first pair waiting to grab onto any host that brushes by. When this happens they use those front legs to grab ahold. Once there, they quickly climb upwards to find a dark, moist hidden place to latch on for a blood meal.

How high do deer ticks quest?

ticks in MassachusettsIn normal conditions a deer tick will climb vegetation that is the perfect height to grab a hold of the host they are after. For instance, when a tick is in the larva stage they prefer small rodents and will choose to quest in the low vegetation and underbrush where those critters have left evidence of past travels. Nymph (teenage) and adult ticks will find taller vegetation, up to knee height so that they can grab a hold of bigger mammals and human hosts who brush by. Ticks do not normally climb higher than knee height, nor do they jump down on your head from a tree branch. The reason you find a tick on your head or neck is either 1.) you were bent down, sitting or lying in a place where they were able to climb on or 2.) (most likely) they latched on at knee level or lower and quickly climbed upward.

Unpredictable tick infestation behavior

While ticks normally do prefer cool shady places that are low to the ground for their questing, there are some definite variations in their behavior. When ticks get to the infestation levels they are currently at in Central Massachusetts some abnormal questing behavior can be observed. I’ve seen ticks on hot black top in the blazing sun, I’ve seen them climbing up the side of a house and will continue to see these abnormalities as long as the tick population remains at this high infestation level.

The good news is ticks won’t live long out in the sun where the humidity is low. The bad news is they might find their way to you in unpredictable new ways. Finding you means biting you, and that could result in Lyme Disease. Eliminating ticks on your property to lower your exposure is the best way to protect your family and pets from dangerous tick-borne disease, such as Lyme disease.

Dave Macchia, tick control enthusiast
Dave Macchia, Central Mass tick control enthusiast

With a traditional tick control barrier spray ticks and mosquitoes are eliminated on contact. With the addition of tick tubes the tick life cycle is interrupted by eliminating tick nymphs before they become adults looking for a deer or human host.

Also read: Do ticks borrow completely under your skin?