Informing the public about tick-borne diseases and tick behavior has become much easier and faster thanks to the popularity of social media. With the easy sharing of multiple media types, more people know the symptoms of Lyme Disease and how to avoid tick bites. However, on occasion, a misinformed social media post can spread like wildfire. As spring arrived, I noticed a picture in my news feed that showed what was dubbed “tick eggs” laying on the forest floor. Most of the posts advised readers to burn the tick eggs if they should stumble upon them.
Not All Social Media Posts Are True
The problem is that the image shown does not show tick eggs. First of all, tick eggs are much smaller. They also are not typically the color shown in the image above. See the images to the right. Thanks to Tick Encounter Resource Center, you can see deer tick eggs and wood tick eggs are tiny and tan/brown/orangeish. There are no known tick species that lay eggs as shown above.
Central Massachusetts Tick Eggs
You could potentially stumble upon tick eggs in the forests of Central Mass. The adult female tick will take its last blood meal to gain nutrients needed to lay 1500-2000 tick eggs before dying. These eggs will remain in leaf litter until hatching into tick larvae where they will attach themselves onto small rodents or some bird species. Larvae will get their first blood meal from the rodent, allowing them to molt from larvae to nymph form. This first blood meal is many times when a tick becomes infected with a pathogen (such as Borrelia burgdorferi which causes Lyme disease) that can allow them to spread tick-borne diseases to their next host. While I agree with destroying tick eggs, I want to make sure you know what tick eggs look like.
How do you properly remove a tick? Once removed, how do you dispose of a tick? There are a lot of theories floating on the Internet.
Listening to people discuss their methods of disposing removed ticks can range from hilarious to frightening. If you’ve heard these discussions, you may begin to ask yourself if others feel about ticks the same way they feel about werewolves or other monsters. Many ideas for disposing of a tick seem both inhuman and punitive to the tick. That’s probably why we never see protestors demanding an end to cruel and unusual punishment against ticks.
Ticks don’t need to be feared. Yes, they will suck your blood. Yes, they can give you a disease, actually several very nasty ones. Scientists believe though that they need to be on your skin drinking your blood between 24-48 hours before your risk of infection becomes significant.
So before you get your flame thrower out or fire up the grill to make a funeral pyre for a tick you find this summer, let’s look at some creative methods of eliminating ticks others have used. On wikiHow.com, there are five methods listed. Readers have added even more. Some of these are comical. You’ll see our recommendation down below but this list was so interesting, we had to share.
Do not remove or dispose of a tick any of these ways!
First, there is fire. You may have heard of using fire to burn a tick on your skin in order to make it release its grip. That’s a bad practice for several reasons, including risk of burning yourself. It’s also a perfect way for the tick to dump its infectious bacteria quickly into your blood before it releases or dies. So, remove first and dispose of second.
Next, there is the flush. Once the tick is removed, the suggestion is to wrap it in toilet paper and flush it down the toilet. You may fear the tick won’t go all the way down or that it will crawl back up if it has only been partially flushed down the drain. Although no cases have been reported, you imagine “Tick Terminator” coming back for revenge. This is another not so good idea. It’s not likely your tick will return but you may need the tick for reasons we will explain later.
Third is the microwave. I don’t know about you but the idea of using something I warm my food in as an insect crematorium makes me want to eat cold food all summer long. The website points out there may be issues with putting the tick in a plastic bag and then placing it in a microwave. It mentions tick blood and juices inside the bag may get inside the microwave, if the bag explodes. YUCK!”
The first defense in tick protection is total tick control – call on a Central Mass tick spray professional!
Fourth is alcohol. This may well work but may also will take some time. Ticks can hold their breath a long time so you may want to get a cold drink and rent a movie if this is your method of tick termination. But again, remove the tick first and dispose of second.
Fifth is my favorite. It involves releasing the tick harmlessly. I knew my fellow animal lovers wouldn’t fail me. This is the catch-and-release version of insect control. The recommendation is to release the tick “a long way from your house”. Releasing the tick into say, your neighbor’s yard, will likely mean you won’t see that tick again. Ticks don’t crawl very far and have a limited home territory so you’re probably safe from that one. Unfortunately, the newborn ticks that the released tick makes will probably find their way on your property within a year. By then your neighbor may not be speaking to you and you’ll need to find another drop-off point to practice catch-and-release.
How to remove and dispose of a tick.
So what’s the actual best way to dispose of a tick? First, before terminating it, you need to remove it from the skin properly. Removing it properly will reduce your risk of infection and remove all the infected tick parts. Follow these tick removal instructions!
Once removed, the next step is to seal the tick tightly in a clear plastic bag or an old prescription bottle. Skip the microwave part. Observe yourself for symptoms for at least the next 30 days. It can take many tick disease symptoms, including Lyme Disease, that many days to appear. Keeping any tick you remove from your skin in a sealed plastic bag will allow it to be tested. Testing the tick, is the best way for your doctor to know what tick disease you may have. Even partial ticks missing their head, legs, etc. can be tested for diseases.
Save your matches, microwave and grill for lighting fires and cooking this summer. Ticks don’t need to be tortured for being ticks. More importantly, removing and preserving your tick properly can go a long way to you receiving a correct diagnosis and being treated quickly.
You 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.
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.
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.
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.
According 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
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.
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.
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 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.
Where would repair people, mechanics and homeowners be without this 11th Wonder of the Fix-it World? Well, there’s yet another use for it when it comes to ticks. Before ticks become attached to your skin or your dog’s skin, tear off a piece of duct tape and “stick it to them”. Blotting up any ticks on the skin removes the tick and prevents them from becoming lost before you can throw them out. Use a big enough piece of tape to fold it over the tick after removing it and seal them inside. When you’re done, throw the tape in the trash. How easy is that?
The second tip involves your toilet.
It’s OK; this one isn’t as bad as it sounds. Since you have some privacy and your pants and lower garments are off it’s easy to spot any ticks on your skin. Ticks like to hang out for a free meal in grassy and brushy areas. They climb to a height anywhere from our ankles to knees. They dry out quickly in the heat and sun so they try to find shade ASAP. When they find you, that shade is under your clothes and not outside the fabric. Once they get near your skin, they begin looking for places where the skin is thin and where the biggest blood supply can be found. That is usually in the creases and folds of our skin, such as your waist and groin area.
Using the toilet exposes these areas to our view more than any other time of the day, so it’s a good time to check for ticks in areas of our body normally hidden from our view. If you feel a bump on your skin in an area and you can’t see clearly, it’s a good idea to inspect more closely with a mirror and flashlight. Larvae and nymph ticks are very small so you may miss them if you are in a hurry to check. Finding a tick embedded in your skin and removed within the first 24 hours it attaches will greatly improve your chances of not getting a tick-borne infection.
Hard ticks and soft ticks all need moisture, especially hard ticks like deer ticks. Other soft ticks take a bit longer to dry out. So tip #3 is to put the clothes you wore outside in the dryer as soon as you come indoors. Do this before washing them. Ten minutes on high heat will dry out hard ticks and 15+ minutes will dry out the softer ones. Washing won’t destroy ticks, no matter how hot the water. Remember, they need moisture and are active in warm months so warmth and water are their two best friends. Very dry and hot are their worst nightmare. Once your clothes are finished in the dryer, wash them knowing you won’t be releasing any ticks into your closets or clothes hamper.
In addition to these tick tips, you can prevent ticks from ever reaching you when at home in your yard. A licensed tick control company can apply a perimeter spray in your yard that serves as a barrier to ticks, as well as mosquitoes, eliminating 85-90% of the ticks in your yard. Preventing ticks from ever reaching you is one of the most effective ways you can prevent tick-borne infections in your family. In addition, you will enjoy your yard more during warmer months knowing everyone is better protected.