Lyme Disease

Ticks require a blood meal in order to produce eggs. In studying vector-borne diseases, hosts that might provide blood for arthropod vectors to develop and reproduce are typically categorized as reservoir hosts if they contribute infectious pathogens along with their blood, or reproductive hosts if they contribute blood but no pathogens.

In the blacklegged tick/Lyme disease ecological web, small rodents like mice and chipmunks, in particular, are key reservoir hosts. Immature stage ticks blood feeding on infected rodents can become infected, and later pass that infection when they blood feed again. Adult stage blacklegged ticks are unsuccessful in blood feeding on small rodents; in fact, a very small proportion of the population successfully blood-feeds on medium-sized mammals, either.

While rodent-derived blood meals provide nourishment for immature tick stages to develop, those animals contribute little to the ultimate reproduction process in blacklegged ticks, which is growth of the egg stage. In contrast, adult stage blacklegged ticks commonly blood feed on deer, becoming engorged and obtaining all of the protein necessary for laying their clutch of 1,500-2,000 eggs. For various reasons, few other animals are as efficient in providing the population of adult blacklegged ticks with this all important blood meal, so we label deer as reproductive hosts in the blacklegged tick/Lyme disease system. TickEncounter Resource Center

Lyme Disease: What you need to know, CDC, June 2017Nymphs feed on small rodents, birds, and other small mammals in late spring and early summer. Nymphs will also feed on humans, and if previously infected with Lyme disease bacteria, they can transmit the disease to humans. Nymphs molt into adult ticks in the fall. In the fall and early spring, adult ticks feed and mate on large animals, such as deer. Adult female ticks will sometimes also feed on humans. In spring, adult female ticks lay their eggs on the ground, completing the 2-year life cycle.

Ticks in Nantucket, Dr. Timothy Lemore

Reports of Lyme Disease in Washtenaw County

    Between 2007 and 2011, there were 25 confirmed cases of lyme disease in Washtenaw County. According to TickCheck’s data, lyme disease prevalence is growing in Washtenaw County
    Due to the fact that the CDC’s data only represents confirmed cases, the actual quantity of lyme disease cases may be far greater. TickCheck estimates a total of 360 true cases of lyme disease in Washtenaw County.

Lyme disease now officially a known risk in Washtenaw County, MLive, April 13, 2017

    Until last summer, all local cases were considered likely to be related to travel to western Michigan or other states where infested tick populations are present, according to Washtenaw County Public Health.
    But then last summer a resident in a rural area in the western part of the county contracted Lyme disease, apparently without leaving the county, public health officials reported. Now, they’re reporting there were 17 total cases of Lyme disease in Washtenaw County residents in 2016, and four were likely exposed within the county, according to the county.

Lyme Disease, Michigan Emerging Disease Issues, Aug 2016

    In Michigan, the first official reported human case of Lyme disease was in 1985. Cases have now been reported in both the upper and lower peninsula and are increasing. It is anticipated that the number of cases reported will continue to increase due to public and medical personnel education, and expanding tick ranges.


How Lyme disease might be triggering hundreds of suicides, USA Today, July 19, 2017New Jersey-based psychiatrist Dr. Robert Bransfield, estimates that as many as 1,200 of those suicides — as well as more than 14,000 incidents of self-harm and 31,000 suicide attempts — may be attributed to Lyme and associated diseases each year.

URI-led program first in nation to provide treatment from pharmacists that could prevent Lyme disease, URI, July 19, 2017KINGSTON, R.I., July 19, 2017 — In the first program of its kind in the nation, local pharmacies are offering eligible consumers on-site antibiotic treatment to reduce the chance of developing Lyme disease. Prompt treatment with the antibiotic doxycycline is crucial to successful treatment of the tick-borne illness, and making it readily available without a doctor’s visit could help reduce the incidence of Lyme disease, Jacobson said. In fact, a 2001 study published in the New England Journal of Medicine reported that such prophylactic treatment can reduce the risk of developing Lyme Disease by 87 percent.

As Ticks And Lyme Disease Spread, Prevention Efforts Limited To ‘Shoestring’, WBUR, July 15, 2017A WBUR analysis of state Department of Public Health data finds that Lyme risk remains highest on the Cape and Islands, but all of eastern Massachusetts is now at high risk and the disease has spread westward as well. While local rates fluctuate slightly due to droughts and other factors, over time the overall trend goes in one direction: up. The problem has also become year-round: Fifteen years ago, winter risk was thought to be nearly nil. No longer. And the danger goes beyond Lyme — to Powassan and other diseases that can have far more severe immediate effects.

Blacklegged ticks are a problem. What this area is doing to fight them, USAToday, July 5, 2017The Tick Project involves more than 900 families in neighborhoods that consist of about 30 to 50 participants. Yards are being treated in the spring and early summer with a fungal spray that kills ticks. Researchers also are deploying bait boxes to attract rodents. An insecticide in the box kills any ticks on mice and chipmunks, two animals largely responsible for infecting ticks with the bacterium that causes Lyme disease.

Lyme Disease Is Spreading, And It’s Partly This Mouse’s Fault, FiveThirtyEight, July 5, 2017Black-legged ticks in forests of the Northeast and Midwest have a variety of options for the three blood meals they consume in their lifetime: In their earlier stages, the ticks feed on at least 41 species of mammals, from chipmunks to black bears, plus 57 species of birds and 14 species of lizards. In adulthood, they will hop onto at least 27 species of mammals and one type of lizard. Ticks aren’t born with the pathogens that cause the main tick-borne diseases in humans; they get them from feeding on animals that act as reservoirs of the bacteria and parasites. Scientists are especially interested in the host that seems to be by far the best at harboring Lyme disease: the white-footed mouse.

CDC’s tick advice remains the same after Lyme disease discovery, Michigan Radio, July 6, 2017Eisen says earlier studies of B. burgdorferi showed that the risk of Lyme disease increases the longer a tick is attached to a person or animal, which is why daily tick checks are a standard recommendation for preventing Lyme disease. “So what we wanted to do in this new study was to confirm that this new bacterium [B.Mayonii]causing Lyme disease behaved in a similar way,” says Eisen. “And we saw the same thing as we had seen previously for Borrelia burgdorferi. We did not see any transmission by a single infected tick in the first 24 hours of the tick being attached, but then as the days progressed, the risk of transmission increases day by day.” He says CDC’s advice remains the same: carefully check yourself and your kids for ticks every day, and quickly remove any ticks you find.

Dogs can get a Lyme disease vaccine. Why can’t humans?, PBS, June 28, 2017Each year, at least 30,000 cases are reported, and researchers believe those estimates are low. Given its debilitating effects on some people, and after years of research, it begs the question: Why is there still no vaccine people can get to prevent Lyme disease?

Dangerous unproven treatments for ‘chronic Lyme disease’ are on the rise, Washington Post, June 15, 2017An increasing number of Americans with medically ambiguous symptoms are being misdiagnosed with “chronic Lyme disease” and prescribed dangerous and often expensive treatments that do not work, according to a new report. In some instances, patients have died after receiving intensive, long-term and inappropriate courses of intravenous antibiotics that led to septic shock. In other cases, misdiagnosis caused dangerous delays in treatment of a patient’s actual underlying condition.

Why parents are sending their kids to school with bug spray, New York Post, May 20, 2017Staten Island parents worried about Lyme disease and a rare but deadly new virus are adding insect repellent to the daily knapsack list as an explosion of ticks infests schoolyards. The anxiety is matched by their anger at the city for failing to take preventive measures.

The Coming Pandemic of Lyme Dementia, Psychology Today, May 29, 2017Today, the main bacterial threat to acquiring dementia comes from Lyme disease—a bacterium borrelia burgdorferi. Lyme disease is transmitted to humans mainly through the bite of infected blacklegged tick. With more than 65 countries that have the blacklegged ticks which transmit Lyme disease, this is a worldwide pandemic.The prevalence of Lyme disease reporting varies dramatically. Canada reporting the lowest cases in the world, with 1 case per million, while Slovenia reports 13 cases per 10,000. In the United Sates the Centers for Disease Control and Prevention reports that more than 329,000 people are likely to be infected every year in the U.S. alone. Only one in ten cases are reported since clinicians are not looking for Lyme disease.

Alec Baldwin Thought He’d ‘Die of Lyme Disease’ — What to Know About the Tick-Borne Illness, Boston Herald, May 23, 2017 Alec Baldwin is the latest celebrity to speak publicly about Lyme disease, sharing his personal story over the weekend at a benefit for the Bay Area Lyme Foundation. The actor and frequent Saturday Night Live guest told a crowd in Portola Valley, California that he suffered from Lyme disease symptoms every August for five years.

“The first time was the worst of all,” Baldwin said, describing “black lung, flu-like symptoms, sweating to death in my bed.” He remembered thinking at the time, “I’m not going to live,” and “I’m going to die of Lyme disease.”

Lyme Disease on Rise Amid Diagnosis, Treatment Controversy, USNews, May 20, 2017About a year after the rash appeared on her arm, Wichner said she became light headed, broke out in sweats, and her vision was fuzzy. “It was like someone flipped a switch,” she said. “It hit me at work, and by the next afternoon or the next evening, my husband was taking me to the emergency room.”
Doctors there told Wichner she had a urinary tract infection, but she said she didn’t have any common symptoms associated with one. As Wichner got sicker, other doctors told her she was stressed or had PMS.

May has been designated as Lyme Disease Awareness Month in Pennsylvania and New Jersey. Smith said Lyme awareness is increasing because cases are increasing and advocates and the Lyme community have demanded more information and attention from government agencies. Some have responded, but that wasn’t always the case, said Smith, a Bucks County native who lives in Monmouth County, New Jersey. “(Government agencies) could have prevented, I believe, many, many of the cases if they had spoken out over the first 20, 25 years,” she said.

Experts caution public leading up to peak season for Lyme disease, GazetteExtra, May 10, 2017Susan Paskewitz, an entomology professor and expert on Lyme disease at UW-Madison, said the number of Lyme disease cases could be as much as 10 times the reported number. Paskewitz said researchers nationwide believe there could be an increase in the disease this year because of a larger mouse population. White-footed mice, which are “very important” to the disease, are a food source for immature ticks that carry Lyme disease and serve as a reservoir for the pathogen, she said.

Prevent Lyme Disease, CDC Features, updated May 1, 2017Discourage deer. Deer are the main food source of adult ticks. Keep deer away from your home by removing plants that attract deer and by constructing barriers (like a fence) to discourage deer from entering your yard and bringing ticks with them. ​

Keeping Up With Ticks, US News, April 26, 2017With the mild winter and a booming deer population, tick season has begun and bugs are biting. If you live anywhere that ticks appear, learn how to protect yourself from these parasites and their bites, which can lead to Lyme disease and other illnesses.

Lyme disease a threat no matter the deer tick forecast, Wisconsin State Farmer, April 25, 2017The wood tick, also known as the American dog tick, is one of the most commonly encountered. Wood ticks can be associated with certain human diseases, such as Rocky Mountain spotted fever. The tick of greatest concern in the Midwest is the deer tick, associated with Lyme disease, although it can also carry anaplasmosis, babesiosis and other diseases. Deer ticks are relatively new to the upper Midwest and were not spotted in Wisconsin until the late 1960s. Fast forward 50 years, and these ticks can be found in nearly every corner of the state.

The rate of infectivity, or percentage of ticks carrying a disease, is worryingly high. Approximately 20 percent of juvenile deer ticks and 40 percent of adult deer ticks in Wisconsin are carrying the microorganisms responsible for Lyme disease — multiple bacteria species in the Borrelia genus. In some parts of state, the rate of infectivity has been documented at closer to 60 percent.

Pets that have wood ticks attached for extended periods of time may suffer from tick paralysis, a serious reaction to components of the parasite’s saliva.

Kelly Osbourne: I almost died from Lyme disease, Fox News, April 25, 2017She wrote, according to Us Weekly, “I had started entering my symptoms into online quizzes, and the results kept coming back Lyme disease. For the first time, someone listened to me, and I got tested. The results were positive: I had stage III neurological Lyme disease. I was relieved to finally know what was going on.

Tick and Lyme Disease Season Is Here: Worse Than Ever, WSJ, April 24, 2017Tick and Lyme disease season is here, and scientists warn this year it could be worse than ever. Dr. Goudarz Molaei joins Lunch Break’s Tanya Rivero to explain what triggered the rapid spread of the disease and how we can avoid being affected.

Lyme disease researchers seek consensus as number of cases grows, UC Santa Cruz NewsCenter, April, 24, 2017A key missing piece in the Lyme disease puzzle is that scientists lack a detailed understanding of what limits populations of the Ixodes ticks that transmit the disease. Deer are the most important hosts for adult ticks, so the ticks are mostly absent from areas with no deer. But efforts to control ticks by reducing deer populations have had mixed results. “If you eliminate deer completely, you can usually eliminate ticks. But is there a number to which you can reduce the deer population and have an impact on Lyme disease?”

Baby, First Connecticut Victim Of Rare Tick-Borne Virus, Recovering, Hartford Courant, April 22, 2017Now almost 1, Liam became sick with the Powassan virus after being bitten by a tick in October. Transmitted by the same tick that transmits Lyme disease, Powassan is less common but potentially much more dangerous.

Tick season has begun. How much do you know about Lyme disease?, PRI, April 22, 2017“Different host species — it could be a mouse or a squirrel or a chipmunk or a fox — each of those different species has a different probability of transmitting the Lyme bacterium to the feeding tick, says Felicia Keesing, a biologist at Bard College. “The host that’s best at doing that is the white-footed mouse, by far.”

“About 90 percent of ticks that feed on a white-footed mouse will pick up the infection. But deer really don’t transmit the Lyme bacterium at all.” [but they do transmit the ticks]

Walker reveals he has Lyme disease, PGATour, April 19, 2017Tests taken the Wednesday of Masters week came back positive for the disease, a bacterial infection that infects approximately 300,000 people each year in the United States. Walker thought a couple of weeks ago that he had mononucleosis, but further results confirmed the Lyme disease diagnosis.

Controlling The Lyme Disease Epidemic, Science Friday, April 7, 2017- audioDr. Felicia Keesing, Associate Professor of Biology at Bard College explains why the complicated species interactions between ticks, mice, deer and humans make Lyme disease an especially challenging crisis to control. She is joined by Dr. John Aucott, Assistant Professor of Medicine and Director of the Lyme Disease Research Center at Johns Hopkins School of Medicine who discusses his work studying the way Lyme disease affects people.


Why finding a solution to control Lyme disease isn’t simple, PBS Video, April 5, 2015So even though mice might be the Lyme disease bacterium reservoir, Telford believes controlling the deer population is the key.

Health Buzz: Long-Term Antibiotics May Not Benefit Chronic Lyme Disease, US News, March 31, 2017People with chronic – or persistent – symptoms of Lyme disease showed no benefit from long-term antibiotics compared to people on placebo, according to a study published Thursday in the New England Journal of Medicine.

Lyme Disease Cases Are Rising In The Midwest, Huffington Post, March 16, 2017Ticks are not born carrying Lyme, but instead contract the disease as larvae by feeding on infected animals, such as deer, robins or mice, study co-author Jean Tsao, an associate professor of fisheries and wildlife at Michigan State University, told Live Science in an email. The ticks retain the bacteria into adulthood, and once a tick becomes infected, it can pass the bacteria along to the next animal it bites.

Ticks are not born carrying Lyme, but instead contract the disease as larvae by feeding on infected animals, such as deer, robins or mice, study co-author Jean Tsao, an associate professor of fisheries and wildlife at Michigan State University, told Live Science in an email. The ticks retain the bacteria into adulthood, and once a tick becomes infected, it can pass the bacteria along to the next animal it bites.

Lyme Disease Warning, AARP, March 7, 2017Thirty years ago, Lyme disease was a little-known problem in just two small areas of the U.S. Today, it’s a whole different story, and experts say this spring and summer could see a record increase in this tick-borne illness in broad regions of the Northeast and upper Midwest.

Forbidding Forecast For Lyme Disease In The Northeast, NPR, March 6, 2017Keesing and Ostfeld, who have studied Lyme for more than 20 years, have come up with an early warning system for the disease. They can predict how many cases there will be a year in advance by looking at one key measurement: Count the mice the year before.

Tick-borne Lyme disease exploding into Michigan; human cases up 5-fold, The Free Press, Feb 23, 2017The Lyme disease spike in Michigan correlates with the spread of blacklegged ticks here. In 1998, the ticks were established in only five counties — Berrien County in the southwestern-most Lower Peninsula, and four counties in the Upper Peninsula — and reported in 22 other counties. By 2016, however, the ticks were established in almost five times as many counties — established in 24 Michigan counties and reported in 18 others. The ticks have overtaken the entirety of the Lake Michigan shoreline in the Lower Peninsula, from Charlevoix to St. Joseph. But tick populations are not staying confined to coastal counties, becoming established increasingly to the east in the southern part of the state.
[Saline resident, who had not traveled outside the county,] Feldkamp said she never got her primary care doctor, neurologist, or oncologist to take Lyme disease seriously. “And once I started being vocal about it on Facebook, I started hearing from all these other people suffering from Lyme disease who’ve had a similar experience with their doctors,” she said.
Lyme Disease in Michigan

Geographic Expansion of Lyme Disease in Michigan, 2000–2014, Open Forum Infectious Diseases, Feb 2017Most Lyme disease cases in the Midwestern United States are reported in Minnesota and Wisconsin. In recent years, however, a widening geographic extent of Lyme disease has been noted with evidence of expansion eastwards into Michigan and neighboring states with historically low incidence rates.

Weekly Disease Report For The Week Ending March 4, 2017, Michigan Disease Surveillance SystemLyme Disease numbers showing up under vectorborne disease, for entire state-215 (up from 154 for 2015), 53 so far in 2017; Washtenaw County with 15 cases YTD, Wayne County with 3. In 2016, the largest spike in case counts came in May.

Lyme-disease carrying ticks on the rise in Mid-Michigan, vets say, MLive, Sept 4 2016“For the east side of the state, this seems to be the worst I’ve seen it,” Deciechi said. “The majority of the Lyme disease dogs are those in the woods hunting, camping, but we’ve had a handful of regular backyard dogs without access to typical woods.” Apart from Lyme disease, which is less harmful to dogs than humans, some ticks can transmit Ehrlichiosis, which Deciechi said leads to anemia in dogs.

Person who contracted Lyme disease lives in western Washtenaw County, MLive, Aug 1, 2016During the peak tick activity season, ticks from wooded and natural areas will be collected, identified and tested. No ticks from Washtenaw County have tested positive for Lyme disease, WCPH officials note. Amanda Ng, WCPH health educator, said since there has been little testing done up until this point, it’s hard to say which areas pose more of a risk.

New evidence suggests Lyme disease present in Washtenaw County, MLive, July 29, 2016YPSILANTI, MI – Recently, a Washtenaw County resident was infected by Lyme disease without leaving the county, suggesting that Lyme disease may be present in Washtenaw County. “Evidence that Lyme disease is spreading locally is new for Washtenaw County,” said Laura Bauman, epidemiology manager with WCPH. “The likelihood of infection is probably still low in our area. But, we’ll know more as our local health care providers continue to identify and report cases to us.”

 
Why finding a solution to control Lyme disease isn’t simple, PBS, 4/5/2017Today, thanks to legal protection and regulated harvests, the deer herd nationwide has exploded to more than 30 million. This creates a host of problems, including more than a million deer-car collisions each year in the United States. Massachusets says that there are about 85 deer per square mile in the adjacent 7,000-acre Blue Hills Reservation; 10 per square mile is considered a density that could reduce the spread of Lyme.
Suburbia offers the perfect habitat for deer to flourish, no human hunters or animal predators and a bounty of food.

Forbidding Forecast For Lyme Disease In The Northeast, NPR, March 6, 2017Keesing and Ostfeld, who have studied Lyme for more than 20 years, have come up with an early warning system for the disease. They can predict how many cases there will be a year in advance by looking at one key measurement: Count the mice the year before. The number of critters scampering around the forest in the summer correlates to the Lyme cases the following summer, they’ve reported. The reasons for this Lyme explosion are many, Ostfeld says. Climate change is part of it. The surge in deer — which feed ticks and spread them around — has also been a factor.

Reducing deer to less than 10/square mile limits Lyme disease, George’s Outdoor News, March 3, 2017“As unpopular as it may be, deer control by lethal means remains a primary tool in what should be an integrated approach to reducing the threat. Where deer can be excluded or maintained well below 10 per square mile, little else may be needed to control deer ticks.”

A technology backed by Bill Gates may revolutionize diagnostics for Lyme disease, CNBC News, Feb 7, 2017The ticks that carry Lyme disease are spreading rapidly across the U.S. and are now located in nearly half of the country. The CDC estimates that 300,000 Americans are infected with Lyme disease. But the number of sufferers may be much higher, some Lyme disease experts believe. About 2.8 million have been diagnosed and a whopping 1.55 million are suffering lingering effects from the disease, also known as chronic Lyme disease or Post-Treatment Lyme Disease Syndrome. That’s a medical crisis when you consider that 40 percent of Lyme patients suffer from long-term health problems that can include brain and nerve damage as well as spinal cord and heart problems.

FDA Gives Green Light to Test Lyme Disease Vaccine on HumansThe Vaccine Reaction, Jan 26, 2017Clinical trials for a new Lyme disease vaccine will be conducted in the U.S. and Belgium after the U.S. Food and Drug Administration (FDA) and European Union’s Clinical Trial Application gave Biotech firm Valneva of France clearance to begin Phase I testing.
Lyme Disease (Borrelia burgdorferi), 2017 Case Definition, CDC, 2016 For purposes of surveillance, late manifestations include any of the following when an alternate explanation is not found:
Musculoskeletal system. Recurrent, brief attacks (weeks or months) of objective joint swelling in one or a few joints, sometimes followed by chronic arthritis in one or a few joints. Manifestations not considered as criteria for diagnosis include chronic progressive arthritis not preceded by brief attacks and chronic symmetrical polyarthritis. Additionally, arthralgia, myalgia, or fibromyalgia syndromes alone are not criteria for musculoskeletal involvement.

Nervous system . Any of the following signs that cannot be explained by any other etiology, alone or in combination: lymphocytic meningitis; cranial neuritis, particularly facial palsy (may be bilateral); radiculoneuropathy; or, rarely, encephalomyelitis. Headache, fatigue, paresthesia, or mildly stiff neck alone, are not criteria for neurologic involvement.

Cardiovascular system . Acute onset of high-grade (2nd-degree or 3rd-degree) atrioventricular conduction defects that resolve in days to weeks and are sometimes associated with myocarditis. Palpitations, bradycardia, bundle branch block, or myocarditis alone are not criteria for cardiovascular involvement.

Warming Climate May Limit Lyme Disease’s Spread in Parts of the U.S., Inside Climate News, Jan 19, 2017New study links higher temperatures with tick behavior that keeps them, and their disease-causing bacteria, away from humans.

Deer and Lyme Disease Are Intertwined, The Vineyard Gazette, Jan 12, 2017 On behalf of the Martha’s Vineyard tick-borne illness reduction initiative, we would like to respond to the letter from Laura Hagen that appeared in last Friday’s paper. Ms. Hagen continues to try to refute the utility of deer reduction as a management tool for reducing the risk of Lyme disease, and as usual mixes some truths (deer do not infect ticks, mice and other small animals do) with semi-truths and comments from “authorities.” Her letter, however, explicitly demonstrates that she accepts the critical role of deer in the reproduction of the deer tick by recommending the use of insecticides applied to deer (via the four-poster system). Use of deer-targeted insecticide systems can reduce deer ticks and Lone Star ticks by as much as 80 per cent where they are applied, although as with most products, mileage may vary. When the use of that control method is curtailed, for example due to lack of funds, the ticks return to their pre-intervention numbers within a year or two. Along with the majority of published deer reduction studies that demonstrate a similar effect on ticks, these ecological experiments clearly prove the link between deer ticks (and Lone Star ticks) and deer.

Study Finds Lyme Disease in Ticks in Nine U.S. National Parks, Entomology Today, Jan 4, 2017According to the study published in the Journal of Medical Entomology, researchers from the Centers for Disease Control and Prevention (CDC) and the National Park Service (NPS) collected ticks along hiking trails in nine eastern national parks. They found blacklegged ticks (Ixodes scapularis), also called deer ticks, infected with the bacteria that causes Lyme disease in all nine parks. The study is the first to confirm the presence of these ticks, which researchers already suspected because Lyme disease has been reported in the region.

Detection of Lyme disease and anaplasmosis pathogens via PCR in Pennsylvania deer ked, Journal of Vector Ecology, Nov 17, 2016Borrelia burgdorferi and Anaplasma phagocytophilum are obligate intracellular parasites that maintain their life cycles in enzoonotic vector-host cycles with Ixodes scapularis as a vector. In addition to ticks, the hosts are commonly infested with insects from the Hippoboscidae family. This study confirms the presence of B. burgdorferi and A. phagocytophilum in deer keds (Lipoptena cervi) removed from white-tailed deer using PCR. Detection of these pathogens in deer ked represents a potential novel susceptibility of wildlife and also suggests the risk of transmission of these pathogens to humans and animals alike through the bite of an infected ectoparasite.

Despite drought, Lyme disease cases came roaring back this fall, Portland Press Herald, Dec 12, 2016Scientists say ticks likely fled to the deep woods over the hot, dry summer, but returned to put 2016 on pace for a Lyme record. Ticks do not like arid conditions, which is one reason Lyme disease is not a problem in a low-humidity state like Arizona or Nevada, but has exploded along the muggy East Coast.

Vaccine inventor raises alarm on Lyme disease, Philly.com, Sept 12, 2016The race to develop a vaccine for Zika virus has gotten a lot of attention this summer. But there is scant public mention of the lack of a vaccine against another pest-borne malady that strikes many more people in the United States: Lyme disease. A growing awareness of the disease could help, too. Some experts say the actual number of cases could be as much as 50 percent higher than the CDC’s 300,000 estimate, said vaccine researcher Benjamin J. Luft, a professor of medicine at Stony Brook University in New York.

CDC Says Fewer Suffer After Lyme Disease. Doesn’t Say, If Treated Early, Huffington Post, Sept 8, 2016the CDC’s web site now states that “a small percentage” of patients will have lingering symptoms of what is called Post-treatment Lyme Disease Syndrome or PTLDS. Other studies have found higher shares of patients suffering after treatment, particularly when diagnosis is delayed. The study cited by the CDC was of patients treated early and who exhibited symptoms on average 15 years later.

Something to Grapple with: How Wily Lyme Disease Prowls the Body, Scientific American, Aug 25, 2016
The initial infection is transmitted to humans via the bite of an infected black-legged tick (aka deer tick), which usually leaves behind a characteristic bull’s-eye rash. Symptoms can include fever, headache and fatigue. It can be treated with antibiotics if it is caught early on. But in about 20 percent of the cases severe symptoms such as joint pain and cognitive problems last even after treatment—a condition physicians call posttreatment Lyme disease. Other more chronic symptoms can be similar to those of different illnesses such as arthritis or peripheral neuropathy, and scientists disagree about whether or not they should be labeled Lyme disease.

The researchers watched through a microscope as bacteria, tagged with green fluorescent protein, moved across the cells in real time. The researchers discovered that B. burgdorferi relied on a protein called BBK32—which had previously been implicated in studies in mice—to tether themselves to the endothelial cells. BBK32 acted like an exceptionally strong bungee cord, helping the bacteria accelerate through the vessels or decelerate when they needed to get out of the bloodstream and into surrounding tissue.

Study cites Powassan link to long-term Lyme symptoms, CapeCod Times, Aug 14, 2016 Scientists at a Wisconsin laboratory say they suspect persistent cases of Lyme disease may be complicated by the potentially deadly Powassan virus that’s been making headlines in recent years, including on Cape Cod.
An unpublished study in 2010 showed the Powassan virus was detected in more than 15 percent of Lyme disease patients. “It is a virus that interferes with the normal immune functioning,” Knox said. “It may make Lyme disease infections worse or the symptoms last longer.”

I Was Diagnosed With Lyme Disease — And Then It Wouldn’t Go Away, Good Housekeeping, July 29, 2016Brandi’s health problems — vertigo, intermittent hearing loss, panic attacks, fatigue — had begun 10 months earlier, not long after she noticed a bug bite on her backside. Her primary care doctor chalked her symptoms up to pregnancy, then to her being a busy, sleep-deprived mom. “I figured I’d start feeling better soon,” she says. But months later, she wound up in the ER with tingling and weakness on her right side, and the ER doctor tested her for Lyme disease, a bacterial infection transmitted by blacklegged ticks. Although she hadn’t had the characteristic bull’s-eye rash, the result was positive.

When Brandi finished the medication, though, the symptoms roared back — which was why she had returned to see her primary care doctor that day in 2011. “He went through my records and said, ‘I don’t think you have Lyme, because Lyme symptoms are more flu-like,’ ” she says. “He gave me Ativan for my dizziness and Zoloft for anxiety and sent me on my way.”

A second opinion confirmed that she had a persistent Lyme infection — what’s now known as Post-Treatment Lyme Disease Syndrome (PTLDS). That doctor prescribed a month of IV antibiotics — which Brandi gave herself twice a day through a catheter in her arm — as well as plenty of rest and a healthy diet. “At that point I would have done just about anything to feel better,” she says. It took four years, but eventually she did.

Taking The Battle Against Lyme Disease Ticks To The Backyard, NPR, July 20, 2016In a review paper published Wednesday in the Journal of Medical Entomology, scientists Lars Eisen and Marc Dolan of the Centers for Disease Control and Prevention analyze the past 30 years of evidence for techniques to prevent blacklegged tick bites. They focus on studies that looked at preventing nymph bites (as opposed to bites from ticks in the larva or adult stages) because nymphs, which are active from May through July, are the most likely to spread Lyme.

Visiting physician sheds new light on Lyme disease, MV Times, July 13, 2016Over the course of the hour, she shared the most recent findings that she and her colleagues have made on the diagnosis and treatment of Lyme disease, in particular on the 10 to 15 percent of patients who suffer long-term symptoms, defined by Centers for Disease Control (CDC) as post-treatment Lyme disease syndrome (PTLDS). She discussed the protean nature of tick-borne diseases, the importance of public awareness, and the urgent need for the medical community to step up its game. “Graduating medical students and doctors really aren’t educated about the gravity of this epidemic,” she said. “There’s a gap there that needs to be filled. We’re all responsible to educate our young doctors about what this entails.”

Is a Cure For Lyme Disease On the Horizon?, Town and Country, July 8, 2016The tests sanctioned by the Centers for Disease Control—ELISA
 and Western Blot—look only for anti-bodies and are notorious for giving both false positives and false negatives. “We’re looking for the bug in blood, and that
 has been the holy grail of Lyme disease research,” says Paul Fiedler, a pathologist with the Western Connecticut Medical Group and the director of the group’s Lyme registry, which collects blood from patients with the goal of isolating either the organism or its DNA.

“It’s a very complicated and confusing disease,” says artist Ally Hilfiger, daughter of designer Tommy Hilfiger. “A lot of people get bitten by a tick, get a positive test result, go on antibiotics, and—bam— are better in 30 days. For those who don’t, it’s completely crippling and it steals your life.” At age 18, Hilfiger crash-landed at Silver Hill, in the middle of a mental breakdown, and soon was diagnosed with Lyme. At seven she was bitten by a tick, and then 11 years of clinical limbo, because of repeated false negative test results, clouded what should have been an idyllic childhood in Greenwich, with pain, fatigue, and illness.

On the human level, the situation calls for both common sense and desperate measures. More and more communities are culling their deer populations; on Monhegan Island, Maine, this approach virtually eradicated the disease.

12 Worst States For Lyme Disease, 247WallSt, July 2, 2016Not every state with the highest Lyme disease incidence are especially rural. People are also likely to come into contact with infected ticks in suburban environments “whether in backyards, public parks, or hiking trails,” Hoffmann said.

The incidence of Lyme disease is on the rise in the United States. Hoffmann noted that due largely to climate change, the geographic regions suitable to ticks are getting larger. While the factors involved are very complex, Hoffmann added this will likely continue in future decades. The diagnosis has rate has gone up by 8% across the U.S. in the last 10 years.

Climate change is speeding up the spread of Lyme disease, STAT, July 1, 2016Warmer temperatures quicken the tick life cycle, too. Tick eggs hatch sooner and ticks spend more time questing for blood, and so are increasingly likely to feast on a human and pass on a disease-causing pathogen. Because more ticks survive and mature more quickly, diseases can be transmitted faster.
New species of bacteria found to cause Lyme disease, Science News, June 23, 2016Symptoms worse, but so far microbe found only in Midwest

LYME DISEASE TRENDS IN WISCONSIN, EPHT Surveillance Brief, June 2016Wisconsin is among the top 25% of states reporting high incidence of Lyme disease cases. Lyme disease has been reported in every county in Wisconsin, with the highest incidence in the northwestern region.

Fighting Lyme Disease in the Genes of Nantucket’s Mice, New York Times, June 7, 2016Although deer help spread ticks that carry Lyme, Dr. Esvelt explained to about two dozen residents at the meeting, the disease can also be controlled earlier in the tick’s food chain. Ticks typically contract the pathogen from white-footed mice, which they often feed on while still larvae, passing it on to humans and other mice when they bite again.

Romeo woman battling Lyme disease has warning for others, Fox 2, April 20, 2016A tree line can be the perfect habitat for a tick lying in wait for a meal. Experts say a tick will only eat three meals its entire life. If you unlucky enough to be one its meals – the effects of the bite can stay with you forever.
Experts say the blacklegged tick which carries Lyme disease, is mostly found in the west side of the state. But as the deer population explodes, so too, does the tick.

A Report from the Integrated Tick Management Symposium in Washington, DC, Entomology Today, May 20, 20161. Deer are an important factor. Higher deer numbers mean higher tick numbers. “Deer reduction is the only way we have to restore the risk landscape to what it was before the 1980s when we really started having problems,” said Sam Telford, a professor at Tufts University.

Expert Warns of New Tick-borne Disease, UConn Today, May 11, 2016Ticks really need moisture for survival. Also, our deer population is out of control here, we have deer everywhere. Deer are an important host for the tick’s life cycle, and if you decrease the deer population you generally decrease the incidence of disease. With more suburban environments, deer population control by hunting becomes more difficult.

Ticks, Mice and Microbes—Studying Disease Spread, Biomedical Beat, May 4, 2016Does Lyme disease, which is now widespread in New England and the Upper Midwest, drives the emergence and spread of another tick-borne disease, babesiosis? Babesiosis is much less common than Lyme disease. Some people with babesiosis have no symptoms. Others experience many, including fever, nausea and fatigue. For the elderly or people with weakened immune systems, the disease can be life-threatening.

Deer ticks already out in force in Maine, Portland Press Herald, April 11, 2016The mild winter and early start to spring mean large numbers are likely, say researchers pursuing ways to attack Lyme disease.

On Ticks, Taxonomy and Lyme Disease, CW Dick Lab, April 1, 2016Last week Herbarium associate Mike P. sent a staff email to warn us of deer ticks. After doing some outdoor work west of Ann Arbor he found an engorged tick on his chest (genus Ixodes) that left a small rash. The tick (see above photo) looked like an adult of the blacklegged tick Ixodes scapularis, which transmits the bacteria that causes Lyme Disease.

More Deer Equals More Lyme Disease, Vineyard Gazette, March 31, 2016Because deer ticks get the Lyme disease bacteria when feeding on white-footed mice, people have suggested we should focus on reducing mice populations instead of deer. In theory this could work. In reality, there are so many mice and they reproduce so quickly that it would be almost impossible to reduce the mouse population enough to have an effect on the number of people getting Lyme disease.

Controversial New Push to Tie Microbes to Alzheimer’s Disease, Scientific American, March 21, 2016The editorial, signed by 31 scientists around the world, argues that in certain vulnerable individuals—such as those with the APOE ε4 gene variant, a known Alzheimer’s risk factor—common microbial infections can infect the aging brain and cause debilitating damage. These microbes may include herpes simplex virus 1 (HSV-1), the ubiquitous virus that causes cold sores as well as Chlamydophila pneumoniae and Borrelia burgdorferi, the bacteria that cause pneumonia and Lyme disease, respectively.

 

Lyme: The Infectious Disease Equivalent of Cancer, Says Top Duke Oncologist, Huffington Post, Feb 19, 2016Part of the whole metastatic infectious nature of Lyme is the changing of shapes—the classic screwdriver verses the cystic form—and cancer cells are the same way. They change shapes and become less sensitive to chemo; they become more aggressive, mobile, and invasive. And so in cancer, we aim to target the new shape to our therapeutic advantage.

Number of black-legged ticks increasing in Connecticut, New Haven Register, Feb 23, 2016“People should be very careful when they are having outdoor activities,” said Dr. Goudarz Molaei, director of the ag station’s tick-testing program. “We would encourage people to be extremely cautious.” Among other factors are that “the tick’s ecosystems have changed,” Molaei said. “We have caused substantial disruptions in the environment.” This has caused an increase in the population of deer, “which provide ample opportunity for ticks to get engorged … more than we can see in our recent history.”

In New Haven County, 34 percent of ticks collected by the AG station tested positive for Borrelia burgdorferi, the Lyme disease bacteria; 11.4 percent for babesia microti; and 5 percent for Anaplasma phagocytophilum. In Litchfield County, the rates were 39 percent, 9.9 percent and 6.6 percent, respectively, while in Middlesex County, the rates were 31.5 percent, 8.9 percent and 1.3 percent for the three pathogens.

A New Culprit in Lyme Disease, New York Times, Feb 15, 2016Researchers at the Mayo Clinic in Rochester, Minn., have discovered a new species of tick-borne bacteria that causes Lyme disease. The new species, provisionally named Borrelia mayonii, after the clinic, has been found only in the upper Midwest but may be present elsewhere.

Lyme disease just got nastier, CBS News, Feb 9, 2016Until now, scientists thought that the tick-borne illness was caused by only one species of bacteria, called Borrelia burgdorferi. But scientists from the U.S. Centers for Disease Control and Prevention and the Mayo Clinic have discovered a second, related species of bacteria, Borrelia mayonii, that can infect people bitten by the black-legged deer tick.

Tick Genome Provides Resource for Understanding Bloodsucker’s Biology, Disease Transmission, GenomeWeb, Feb 9, 2016Deer ticks are infamous for transmitting Lyme disease — a condition that’s diagnosed tens of thousands of times each year in the US, but believed to affect far more individuals who do not report their symptoms or are erroneously diagnosed with another condition.

The blood-sucking pests can also pass on other pathogens and parasites as they ingest host blood and regurgitate saliva into host skin wounds. For example, deer ticks are believed to vectors for bacteria that cause human granulocytic anaplasmosis or tick-borne relapsing fever; the parasite behind babesiosis; and the Powassan virus, which can produce fevers, flu-like symptoms, and, in some cases, encephalitis.

County helps towns tackle deer problem, Local SYR.com, Feb 10, 2016Melissa Fellman, Zachary’s Mom, said, “He had shown up one morning in our room on a Monday morning with Bell’s Palsy, though we didn’t know what it was at the time. And we kind of freaked a little bit and went to the emergency room and they diagnosed him with Bell’s Palsy and said the leading cause of Bell’s Palsy in a child is Lyme Disease.” Zachary tested positive for lyme disease. His mom said there is a lot of deer where they live in Jamesville.

Tick genome reveals inner workings of a versatile blood-guzzler, Purdue University Agricultural News, Feb 9, 2016The decadelong project, involving 93 authors from 46 institutions, decodes the biology of an arachnid with sophisticated spit, barbed mouthparts and millions of years of successful parasitism. The genome of Ixodes scapularis, known as the deer tick or blacklegged tick, also sheds light on how ticks acquire and transmit pathogens and offers tick-specific targets for control.

There’s A New Species Of Bacteria That Can Cause Lyme Disease: CDC, Medical Daily, Feb 8, 2016the Centers for Disease Control and Prevention, in conjunction with the Mayo Clinic and local health officials, announced the discovery of a new, if related, bacterial species capable of causing Lyme disease in people. The species, given the interim moniker of Borrelia mayonii, is the first new species unambiguously connected to Lyme in North America, though there are other species that cause a variant of Lyme elsewhere. The evidence of B. mayonii infection only dates back to 2012, with no samples having been found before then, and only from the states Minnesota, Wisconsin, and North Dakota, indicating the germ’s range may solely cover the Upper Midwest. Though these infections resembled classic Lyme in many ways, the rash seen in them was widely spread as opposed to a “bull’s-eye” rash. Infected patients were also likely to have additional nausea and vomiting and an especially high concentration of bacteria in their blood.

An Uptick of Lyme Disease in Southern New England, EcoRI, Jan 18, 2016One Harvard School of Public Health researcher, however, says that culling the deer heard is ineffective against Lyme disease. If you kill deer “you would simply have more ticks per deer because the surface area of each is enough to support many ticks. Just killing deer won’t do the job,” said Tamara Awerbach, a health scientist with Harvard in a 2010 interview.

Lyme disease–carrying ticks are now in half of all U.S. counties, Science, Jan 18, 2016The ticks that transmit Lyme disease, a debilitating flulike illness caused by Borrelia bacteria, are spreading rapidly across the United States. A new study shows just how rapidly. Over the past 20 years, the two species known to spread the disease to humans have together advanced into half of all the counties in the United States.

Ticks that carry Lyme disease live in almost half of US counties – study, The Guardian, Jan 18, 2016Ticks that can carry the debilitating illness Lyme disease have significantly spread across the US over the past 20 years and are now found in nearly half of all American counties, including areas where they have never previously been documented, a new analysis has found.

Lyme Disease Incidence, Ohio 1986–2015, Ohio Department of Health,
Data as of 10/06/2015Cases of Lyme in Ohio: 2013- 93; 2014- 119; 2015- 124

Ticks, Lyme disease fears leap in Michigan, Detroit News, Aug 16, 2015“With certainty and with our research in 2010 and 2014 broad statewide surveys, we found these populations of ticks are moving eastward,” said Erik Foster, a medical entomologist with the Michigan Department of Community Health. “We’ve found blacklegged ticks three blocks from my house in Ingham County. I was really surprised; I didn’t expect to see it so soon.”

A brief update on Lyme disease in Michigan and what does the future hold?, Michigan State University, 201510 yr study on spread of ticks and Lyme disease

The Truth About Chronic Lyme Disease, Yahoo Health, Aug 14, 2015, The often-debilitating disease begins with a bite from a blacklegged tick infected, in North America, with the bacterium Borrelia burgdorferi. “Most humans are infected through the bites of immature ticks called nymphs,” according to the CDC. “Nymphs are tiny (less than 2mm) and difficult to see.” This is what Rambo suspects bit her in her garden, though it typically takes upward of 36 hours for the immature tick to transmit the bacterium — not the few seconds it took her to brush the insect away with her gardening glove.

Tick-Borne Diseases, Emedicine, Aug 8, 2015

    It is possible that more than one pathogen may pass to a human from one tick bite (for example, Lyme disease and babesiosis).


Geographic Distribution and Expansion of Human Lyme Disease, United States, Emerging Infectious Diseases, August 2015Risk for encounters with infected ticks, even within high-incidence counties, is influenced by human behavior and varying landscape characteristics that impact tick abundance and small mammal species composition. Geographic expansion of high-risk areas may occur because of changes in conditions that favor tick survival or because of geographic dispersal of infected ticks by birds and deer to areas where other necessary components already exist to support ongoing transmission. Our results show that geographic expansion of high-risk areas is ongoing, emphasizing the need to identify broadly implementable and effective public health interventions to prevent human Lyme disease.

Lyme Disease Is Spreading, Government Research Finds, NBC News, July 15, 2015The CDC found high-risk counties in 17 states, including Connecticut, Massachusetts, New Hampshire, Maine, Vermont, Pennsylvania, Virginia, New York, Iowa, Michigan and Minnesota.

Lyme disease cases in Michigan increasing, WoodTV.com Grand Rapids, July 17, 2015In 2014, there were 30 reported cases of Lyme disease in Michigan. This year there has already been 48 cases in the state, according to the Kent County Health Department. Four cases have been reported in Kent County so far this year compared to five in 2014. However, health officials say in the past they have only seen one case a year.

Lyme disease growing in Michigan, other Midwest states, study shows, Mlive, July 17, 2015“The risk is expanding, in all directions,” said the lead author, Kiersten Kugeler, of the Centers for Disease Control and Prevention.
Lyme disease is most common in wooded suburban and far suburban counties. Scientists aren’t sure why high-risk areas are expanding, but it likely has something to do with development and other changes that cause the deer and ticks that carry the bacteria to move, Kugeler said.

It’s Lyme Disease Season: What To Know About Contracting, Diagnosing And Treating The Disease, The Diane Rehm Show, July 8,2015REHM: Dr. Aucott, we’ve said that the east and the upper Midwest are the two places where these ticks are concentrated. Why is that?
AUCOTT: Well, I would add also the San Francisco Bay area as well on the West coast and it’s because those were the residual pockets of ticks that persisted after the demise of, you know, deer almost became extinct and the habitat for ticks was lost in the 1900s and they recurred then as the deer populations expanded from these foci, one around Lyme, Connecticut, one up in Minnesota and one up in the upper northwest of California.

Visit Michigan Lyme Disease Association Site

Expert: Deer fueling spread of Lyme diseaseMetroWest Daily News, May 18, 2015 Dr. Sam Telford, a professor of infectious disease and global health at Tufts University School of Veterinary Medicine, said managing the deer population is key to controlling the spread of ticks, which can transmit Lyme disease and at least four other illnesses — two of which can be fatal.

Hunting is essential to managing the deer population, but the practice is still curtailed in many eastern Massachusetts communities, making it unlikely the Lyme epidemic will subside in the near future, Telford said.
“It’s probably too late for us, but boy wouldn’t it be nice if our grandchildren didn’t have to worry about this,” he said.

Announcements: Lyme Disease Awareness Month — May 2015

Center for Disease Control, May 1, 2015In 2013, state and local health departments reported approximately 35,000 cases of Lyme disease to CDC, making it the fifth most commonly reported nationally notifiable condition (1). Research suggests that as many as 300,000 persons in the United States might be diagnosed and treated for Lyme disease each year (2). Infection is most common among children aged 5–15 years and adults aged 40–60 years (4).
 

From a doctor who helped discover Lyme disease, a broad update, Washington Post, April 6, 2016Drawing on his decades of research and involvement with patients, he gives a thorough and comprehensive overview of the disease, including the biology of the microbe that causes it and the tick that transmits it; how diagnosis is made and test results are interpreted; the use of antibiotics; disease prevention at the individual and community level; and the controversial condition called Post-Treatment Lyme Disease Syndrome, in which symptoms persist for years after antibiotic therapy ends. He ends with a somewhat pessimistic view of how we as a society are handling a disease that seems to be more prevalent every year.

Lyme disease surged 320%, high-risk areas expanding – CDC reportQuestion More, July 17, 2015Cases in the US remain concentrated in in the Upper Midwest and the Northeast, but more parts of those regions are now considered to be at high risk for infection. There are now 260 counties where the number of Lyme disease diagnoses is at least twice that expected for the population as a whole, up from 130 a decade earlier, the report published Wednesday said.

The Relationship Between Deer Density, Tick Abundance, and Human Cases of Lyme Disease in a Residential Community, Journal of Medical Entomology, July 2014
Reducing deer density by 87 percent — to 5.1 deer per square kilometer (four-tenths of a square mile) — resulted in a 76 percent reduction in the tick population, according to the study, published recently in the Journal of Medical Entomology.

Lyme disease, tick population spread, Traverse City Record Eagle, June 2, 2015“We are seeing a general increase in ticks across the Lower Peninsula,” said Howard Russell, an entomologist at Michigan State University. “Over the last four years, it’s been pretty remarkable.” That increase, an exponential boom in the tick population in the past decade, has brought with it an explosion in the number of reported cases of Lyme disease, Russell said.

May is Lyme disease awareness month, Michigan Journal, May 18, 2015Lyme disease is the fastest growing vector-borne infectious disease in the U.S. and in order to curb the rate, education, detection, prevention, and awareness are key.

Lyme disease concern in West Michigan, Fox17online.com, April 27, 2015The Michigan Department of Health and Human Services has identified 18 counties in lower Michigan, including most counties in West Michigan, as having infected populations of ticks with Lyme disease. It’s caused by a bacteria that is transmitted by the tick when it bites.

lyme disease and black tick in US Michigan Approximate Distribution of the Blacklegged Tick, CDC, 2010?This map is not meant to represent risks for a specific tick-borne disease, because disease transmission is influenced by multiple factors beyond mere tick presence. This map has been designed to answer the question “What ticks should I be concerned about at a regional scale?” Please consult a local public health authority or USDA Agricultural Extension Office to determine more specific information at the state, county, or municipal level. Background data for this map is from the US National Atlas.


Reported cases of Lyme disease by state or locality, 2004-2013†
, CDC Report, March 19, 2015Looks like number of cases in Michigan has doubled between 2012 and 2013.

lyme-progression in Michigan

Lyme Disease Distribution in Michigan

Click on map to right to see spread of Lyme Disease in Michigan over the last 5+ years

 

 

 

House Resolution No. 352 declaring May 2014 as Lyme Disease Awareness Month in the state of Michigan passed.

 

What’s true and what’s not about Lyme Disease in Washtenaw County?

Lyme disease in Mich: “Robs you of life as you know it”, WZZM, June 6, 2014HOLLAND, Mich. (WZZM) — With word that West Michigan may experience a larger number of ticks, we have heard from many people who suffer from Lyme disease. They say the disease is more prevalent than people think and doesn’t get the attention it deserves.

Douglas Flamboe of Holland told WZZM 13 he often tells people he wishes he had cancer, “because then the government and insurance companies will let the doctor do whatever and anything needed to cure it. With Lyme, you’re just stuck. Each year it gets worse and you can do less, until for many in this country, it takes your life.” Flamboe says the disease has “destroyed” his life at age 52. He was bit by a tick while camping at Holland State Park in 2010.

Sufferers endure headaches, muscle pain, vertigo and other symptoms that spring from a degenerating central nervous system.

**UPDATED** Ticks and Your Health Brochure, MI Dept of Agriculture, et al. In Michigan, the most common ticks encountered by people are the American Dog tick and the Black-Legged tick. American Dog ticks are most abundant in spring and early summer. Black-Legged ticks are most abundant from spring through the summer, and into the warm months of the fall. However, ticks have been found on Michigan residents or their pets in all months of the year.

Fact Sheet, Michigan Lyme Disease Association, 2014

Fact Sheet: Lyme Disease, Washtenaw County Public Health, 2014

Lyme Disease, Michigan Department of Natural Resources

Washtenaw County Public Health reminds residents to check for ticks when traveling, MLive, June 2, 2014

Untracked ticks, Lyme disease big risk in Ohio, Columbus Dispatch, Sept 1, 2013Josh Neptune, who lives on 30 partially wooded acres in Coshocton County, suffered for months with severe symptoms of Lyme disease before he finally met an infectious-disease expert who diagnosed it. His family doctor initially told him Lyme disease was impossible in Ohio, Neptune said.

Lyme Disease, Michigan Zoonotic & Vector-Borne Disease, Surveillance Summary, June 2013The tick vector, Ixodes scapularis (Blacklegged tick), is now endemic in the western Lower Peninsula along Lake Michigan, and the highest tick populations occur among coastal communities. I. scapularis is also responsible for transmitting other diseases to humans including anaplasmosis and babesiosis, though both are rare in Michigan.

Lyme Disease and White-tailed Deer, Michigan, Emerging Disease Issues
Research shows that reducing the deer population in an affected area to a level of 8 – 12 deer per square mile virtually eliminates ticks and Lyme Disease in humans.


Lyme disease cases are on the rise, Columbus Dispatch, Sept 4, 2015Ohio has become deer-tick territory. Fewer than 50 black-legged ticks were identified in the state during two decades between 1989 and 2009. In the single year of 2010, the number climbed to more than 70. Last year, the total was more than 180, not including 10 times that number found on deer heads from 25 counties.

Vermont soars to top in Lyme infections, The Commons Online, July 29, 2015The idea that colder temperatures would inhibit the spread of ticks and Lyme disease has proved to be false.

Scientists and health professionals tell us today that the entire New England region supports a potent combination of weather and humidity, mice and other small rodent populations, dense thickets of invasive barberry and, most importantly, overabundant deer populations to serve as the blood meal for the nymphs of deer ticks to emerge as egg-laying adults.

What It’s Like to Have Severe Lyme Disease, NY Magazine, June 15, 2015Fewer than 50 percent of Lyme disease patients can even recall a tick bite or a rash, so thorough questioning is vital when a doctor is making a diagnosis. Left untreated, the disease can travel to your heart, joints, and nervous system. Dr. Neil Spector, a 58-year-old associate professor of medicine at Duke University, spoke with Science of Us about his long-undiagnosed Lyme disease, which resulted in a series of medical scares that culminated in complete heart failure.

Researchers’ discovery may explain difficulty in treating Lyme disease, Medical Press, June 1, 2015Northeastern University researchers have found that the bacterium that causes Lyme disease forms dormant persister cells, which are known to evade antibiotics. This significant finding, they said, could help explain why it’s so difficult to treat the infection in some patients.

Deer Ticks Confirmed in North Dakota Carry Lyme Disease and Important Implications for ‘Non-Lyme’ States, Invisibly Lyme Montana, March 26, 2015Since the CDC tick distribution maps still do not display survey effort (the map below is one of multiple maps now), it should also be assumed that other areas lacking black legged tick occurrence on the maps (as was the case in North Dakota) may or may not have been surveyed extensively in recent years or decades.

Blacklegged ticks, Lyme disease risk feared on the rise in Ohio this year, Cleveland.com, March 24, 2015In a memo sent March 20 to health departments across the state, ODH Medical Director and state epidemiologist Mary DiOrio wrote that the presence of the blacklegged tick, the main carrier of Lyme disease, has spread throughout the state.
Health care providers should check for the telltale symptom of an expanding rash. Left untreated, people who contract Lyme disease can also develop fatigue, chills, fever, headache, muscle and joint aches, swollen lymph nodes and Bell’s palsy.

Don’t Freak Out About Ticks, New York State, Dept of Health, video and informationDeer ticks live in shady, moist areas at ground level. They will cling to tall grass, brush and shrubs, usually no more than 18-24 inches off the ground. They also live in lawns and gardens, especially at the edges of woods and around old stone walls.
Once a tick gets on the skin, it generally climbs upward until it reaches a protected area.

In tick-infested areas, your best protection is to avoid contact with soil, leaf litter and vegetation.

Tick-borne diseases — menace in our midst, Suffolk Times, April 26, 2015According to the Centers for Disease Control and Prevention, at least 14 tick-borne diseases now occur in the U.S, and eight of these have been reported on Long Island. For five of these, the number of cases recorded for Suffolk County by the state health department in 2013 (the latest reporting year) was as follows: anaplasmosis (34), babesiosis (193), ehrlichiosis (46), Lyme (566), and Rocky Mountain spotted fever (8). Some might view these numbers as being inconsequential, but that would be a serious mistake. The CDC has estimated that Lyme disease is actually under-reported in the United States by a factor of 10, and many people infected with Babesia never become symptomatic.

For those belonging to high-risk groups (e.g., the very young, elderly and immune-compromised individuals), threats of infection and death are significantly increased. The prevalence of asymptomatic cases of babesiosis is also problematic. Since there is no approved screening test for this disease in blood donors or donated blood products, seemingly healthy individuals can pass life-threatening infections to recipients via donated blood. According to a study published in 2011 in the Annals of Internal Medicine, at least 159 cases of babesiosis resulted from transfusions with infected blood or blood components between 1979 and 2009 (with the most occurring between 2000 and 2009). Many of these cases involved premature infants or elderly surgical patients already struggling with other health issues.

Lyme Disease Is Wracking New England. Why Isn’t More Being Done?, Huffington Post, April 19, 2015Some $11 million is spent in the state each year controlling and counting the pests and educating residents about how to avoid contracting mosquito-borne diseases such as West Nile virus.

Yet no state funds are dedicated to tick-borne diseases, one of which, Lyme, infects at least 5,500 residents a year in Massachusetts and likely many more.
Ticks and Lyme have spread across Massachusetts in the past 40 years to become one of the region’s most commonly reported infectious diseases, yet the state’s public health priorities have not kept pace. Two years ago, a special state Lyme commission suggested a modest investment of less than $300,000 for a public education program, yet no money has been set aside, and the commission’s other specific recommendations –- from promoting more awareness in the medical community to better disease surveillance –- have not been adopted.

Lyme Disease, CDC, last reviewed March 4, 2015Untreated, the infection may spread from the site of the bite to other parts of the body, producing an array of specific symptoms that may come and go, including:

    • Additional EM rashes on other areas of the body
    • Facial or Bell’s palsy (loss of muscle tone on one or both sides of the face)
    • Severe headaches and neck stiffness due to meningitis (inflammation of the spinal cord)
    • Pain and swelling in the large joints (such as knees)
    • Shooting pains that may interfere with sleep
    • Heart palpitations and dizziness due to changes in heartbeat (Lyme carditis)

Basic Information about Lyme Disease, ILADSPoint 1: Lyme disease is transmitted by the bite of a tick, and the disease is prevalent across the United States and throughout the world. Ticks know no borders and respect no boundaries. A patient’s county of residence does not accurately reflect his or her Lyme disease risk because people travel, pets travel, and ticks travel. This creates a dynamic situation with many opportunities for exposure to Lyme disease for each individual.

 
Avril Lavigne on Her Struggle With Lyme Disease, NBCNews.com, April 1, 2015


Avril Lavigne Opens Up About Her Struggle With… by trendworld

  • Lyme disease: are deer to blame?, QuadCommunityPress, Jan 29, 2015 According to the Minnesota Department of Health, over 900 Lyme disease cases were reported each year since 2004, and a record 1,293 cases were confirmed in 2010. Public health experts attribute the increase partially to increased awareness by doctors, rising tick infection rates and an expanding presence of ticks. “It’s a public health menace we continue to ignore,” Cunningham wrote. “Fewer than 10 deer per square mile is widely agreed to be the maximum number for safety.”
  • A New Front in the Lyme Wars, The New Yorker, Jan 15, 2015Moreover, at least four pathogens, in addition to the Lyme bacterium, can be transmitted by the black-legged tick: Anaplasma phagocytophilum, which causes anaplasmosis; Babesia microti, which causes babesiosis; Borrelia miyamotoi, a recently discovered genetic relative of the Lyme spirochete; and Powassan virus. Some of these infections are more dangerous than Lyme, and more than one can infect a person at the same time. Simultaneous infection, scientists suggest, may well enhance the strength of the assault on the immune system, while making the disease itself harder to treat or recognize.
  • TICK BORNE ILLNESS- PREVENTION TASK FORCE, HVCEO, 2015The greatly increasing incidence of Lyme Disease in Connecticut is a public health crisis. Municipalities in the Housatonic Valley Region have their individual efforts to fight the disease and are jointly sponsoring this regional web page.
  • Deer Tick, Ixodes scapularis, National GeographicLyme disease is a debilitating, though rarely fatal, infection that is often misdiagnosed because early symptoms closely resemble the flu. Victims usually have a slowly-spreading bull’s-eye-shaped rash where the tick attached, but not always. If untreated by antibiotics, patients can develop a variety of health problems, including facial paralysis, heart palpitations, arthritis, severe headaches, and neurological disorders. Associated mainly with the Northeast, deer ticks live throughout the central and eastern United States, wherever their favorite hosts, deer and rodents, are present.
  • Lyme disease enhances spread of emerging tick infection, Yale News, Dec 29, 2014Mice that are already infected with the pathogen that causes Lyme disease appear to facilitate the spread of a lesser-known but emerging disease, babesiosis, into new areas.
  • Autumn Hunting May Fight Summer Lyme Disease , Inside Science, Dec 26, 2014Lurking in the trees of the northeast and upper Midwest is a great abundance of deer ticks (Ixodes scapularis for the eastern black-legged tick, and Ixodes pacificus for the western black-legged tick), which can carry Borrelia burgdorferi – the bacterium that causes Lyme disease.
    By and large, the prevalence of Lyme disease in the U.S. has held steady across the last 10 years or so, but public health officials, especially in the Midwest and northeast, are constantly looking for strategies to lessen the public’s risk of contracting Lyme disease – especially among children.
  • Lyme Disease and Deer: The Connection is Clear, WildBuffalo, Inc, Oct 10, 2014There are 3 important new papers out that shed light onto the never-ending discussion about deer, ticks and Lyme disease. For the longest time, the link between Lyme disease and deer has been in dispute in the scientific literature and obviously in the public. Despite some encouraging news from islands where deer population declines or eradication resulted in disappearance of Lyme disease, the debate centered on the role of mammals, particularly mice and chipmunks, and mesopredators (foxes, skunks, coyotes etc.) etc. With these 3 new papers, I can now confidently stand up and tell everyone who wants to listen that the link between deer abundance, tick abundance, incidence of Borelliosis in the ticks, and Lyme disease incidence in humans has a direct link. These papers are from CT, Thousand Islands Region in Canada and Indiana. They use very different methods, but all come to the same conclusions.
  • What you need to know about Lyme carditis, CDCLyme carditis occurs when Lyme disease bacteria enter the tissues of the heart. This can interfere with the normal movement of electrical signals from the heart’s upper to lower chambers, a process that coordinates the beating of the heart. Based on national surveillance data from 2001-2010, Lyme carditis occurs in approximately 1% of Lyme disease cases reported to CDC.
  • Climate Change Linked to Spread of Lyme Disease, EcoWatch, Sept 26, 2014Canada. The range of the black-legged tick, which carries Lyme disease, is expanding north due to the warming effects of climate change.
  • The Relationship Between Deer Density, Tick Abundance, and Human Cases of Lyme Disease in a Residential Community, Journal of Medical Entomology, July 2014After hunts were initiated, number and frequency of deer observations in the community were greatly reduced as were resident-reported cases of Lyme disease. Number of resident-reported cases of Lyme disease per 100 households was strongly correlated to deer density in the community. Reducing deer density to 5.1 deer per square kilometer resulted in a 76% reduction in tick abundance, 70% reduction in the entomological risk index, and 80% reduction in resident-reported cases of Lyme disease in the community from before to after a hunt was initiated.
  • DEER, TICKS, and LYME DISEASE: Deer Management as a Strategy for the Reduction of Lyme Disease, Stafford & Williams, The Connecticut Agricultural Experiment Station, 2014-The reduction of deer on Great Island (a peninsula on Cape Cod, MA) by 97% from an estimated
    32 deer to 1 animal from 1982 to 1984 (52 deer in all) resulted in ~80 and ~55% average reductions in larvae and nymphs on mice in the 3 years following the intervention. Continued maintenance of a density > 6 deer/mi2 has reduced tick-borne disease incidence from 16% of a community of 220 people to only 3 cases since 1986.
    – In the coastal community of Ipswich, MA, removal of deer over a 7-year deer period from 160 deer/mi2 to 27 deer/mi2 (~83%) reduced the average number of larval and nymphal I. scapularis on mice by 50 and 41%, respectively
    – In Connecticut, deer were reduced from > 200/mi2 to ≤30/mi2 (~84%) at the Bluff Point Coastal
    Preserve and a geographically isolated tract in Bridgeport (see figure below) producing a substantial (> 90%) decline in tick abundance from 9 – 12 nymphal I. scapularis per 100 m2 to ~1.0/100m2.
  • Study: Urban Deer Hunting Reduces Chance of Lyme Disease, Outdoorhub, Sept 24, 2014One of the co-authors behind the study, Howard Kilpatrick, told The Post-Standard that there are currently only about two or three reported cases of Lyme disease a year, compared to 10 times that number during the height of the deer population. He attributed much of that change to the heavily regulated bowhunting season in the two communities.
  • Myths About Deer Management and Lyme Disease, WhiteBuffalo, Inc, Sept 10, 2014“Deer population will rebound after a cull due to compensatory reproduction.” Misleading. The notion of a “rebound” or “population explosion” is not accurate. There won’t really be more incidents of twins or triplets. There may be a slight increase in survivorship of fawns, but it would only be noticeable in situations where the deer were in poor physical condition prior to management efforts. Of course, there will be new fawns each year. Reproduction doesn’t stop. In order to maintain the population at desired levels, there will need to be continued management (culling or sterilization). Triplets are infrequent and most healthy adult females already have twins. We always wonder exactly what an explosion would look like in areas where the deer are already healthy. So, the population will grow in subsequent years, but there really isn’t a dramatic “rebound” or “explosion.”
    ​“The Centers for Disease Control and Prevention and national health authorities do not recommend deer hunting to control Lyme disease.” Misleading. The CDC does in fact recognize that deer are a critical part of the black-legged tick’s life cycle. See: http://www.cdc.gov/features/lymedisease/
  • Lyme Disease Changes Maine’s Deer Discussion, GeorgeSmithMaine.com, Sept 15, 2014For more than a century, Maine deer have been managed for maximum populations that benefit deer hunters. But Lyme disease is changing the discussion, and is likely to force Maine’s Department of Inland Fisheries and Wildlife to reduce deer populations in coastal, southern, and central Maine – even while they struggle to rebuild deer populations in western and northern Maine.
  • ‘Game-changing’ study: Reducing deer herd in residential communities reduces Lyme disease, Syracuse.com, Sept 10, 2014“Reducing deer density to 5.1 deer per square kilometer resulted in a 76 percent reduction in tick abundance … and 80 percent reduction in resident-reported cases of Lyme disease in the community,” the [13year] study noted.
  • Scientists give update on tick study in town, ReddingPilot.com, Aug 29, 2014
  • Culling Deer Herd Curbs Lyme Disease, Study Says, Yale School of Medicine, July 11, 2014
  • One Tick Bite Can Equal Two Infections, Healthy Day, July 3, 2014
  • Thinning deer herds reduces cases of Lyme disease, Examiner.com, July 2, 2014
  • The History of the Lyme Disease Vaccine, The History of Vaccines, July 31, 2014Many people today are unaware that there ever was a human vaccine against Lyme disease – though many are aware of a vaccine to protect dogs – and the incidence of the disease in the United States continues to rise. The combination of poor communication about the recommended use of the vaccine and the poor reporting about possible side effects should not be forgotten in light of the current distrust of vaccines among some members of the public.
  • Reducing deer populations may reduce risk of Lyme disease, Science Daily, July 1, 2014
  • Lyme Disease Rates Fall When Deer Populations Dwindle, With Fewer Ticks To Transmit Disease, Medical Daily, July 1, 2014
  • Nuisance deer in the spotlight in Bethlehem, TimesUnion.com, June 15, 2014Reducing deer doesn’t necessarily reduce Lyme and other tick-borne diseases, said Richard S. Ostfeld, a disease ecologist at the Cary Institute of Ecosystem Studies in Dutchess County.
    “When you cull a deer population, the ticks crowd onto the remaining deer,” Ostfeld said. “There are fewer deer but more ticks per deer.”
  • Can Lyme disease be spread through sex?, Foxdc.com News, May 29, 2014Lyme disease infections of humans are a big problem, and it’s growing bigger. According to the Centers for Disease Control and Prevention, bacteria carried in some species of small ticks is now spreading Lyme disease to an estimated 300,000 new patients a year in the United States.
  • New England copes with Lyme: Symposium Wednesday to learn how communities have dealt with epidemic, Jamestown Press, March 6, 2014The ratio today of humans to deer on the plantation is 75-0. Lyme is nearly as hard to find as the deer. The number of new cases of Lyme had fallen to zero within a few years of the eradication.
  • 7 Comments (on Lyme Disease) by Jdl59, 27East.com, Feb/April 2014Lyme disease is under-diagnosed, under-reported, and under-treated. Even when treated with antibiotics, 10-20 percent can have persistent symptoms which may last for years, including crippling arthritis and brain damage. The group at highest risk for Lyme is the children. The animal rights fanatics care more about deer’s rights than they do about children’s health.”
  • Geography, Deer, and Host Biodiversity Shape the Pattern of Lyme Disease Emergence in the Thousand Islands Archipelago of Ontario, Canada, PLOSone, Jan 2104. Using this archipelago in a natural experiment, we examined the relative importance of various biotic and abiotic factors, including air temperature, vegetation, and host communities on Lyme disease risk in this zone of recent invasion. Deer abundance and temperature at ground level were positively associated with tick abundance, whereas the number of ticks in the environment, the prevalence of B. burgdorferi infection, and the number of infected nymphs all decreased with increasing distance from the United States, the presumed source of this new endemic population of ticks. Higher species richness was associated with a lower number of infected nymphs. However, the relative abundance of Peromyscus leucopus was an important factor in modulating the effects of species richness such that high biodiversity did not always reduce the number of nymphs or the prevalence of B. burgdorferi infection.
  • NEWS: Recent study suggests that Lyme disease can be sexually transmitted, Lyme Disease.org, Jan 25, 2014
      A new study suggests that Lyme disease may be sexually transmitted. The study was presented at the annual Western Regional Meeting of the American Federation for Medical Research, and an abstract of the research was published in the January issue of the Journal of Investigative Medicine.

      Note: For now, the CDC reports that “there is no credible scientific evidence that Lyme disease can be spread from person-to-person through sexual contact.” The CDC says that even though Lyme bacteria resembles syphilis, the tick-borne disease cannot survive on the surface of skin or in genital secretions.

  • Ticks, Lyme Disease Remain a Concern in Winter, ECO RI News, Jan 24, 2014Mather, who runs the Tick Encounter Resource Center at the University of Rhode Island, McDonald and the state Department of Environmental Management (DEM) held the workshop to publicize information about deer ticks and Lyme disease, as well as explain efforts to cull deer populations. Older ticks prefer to live on deer. Deer, therefore, tend to be the most common host for breeding deer ticks, especially when ticks are at their highest stage of transmitting Lyme disease.
  • Lyme Disease: Call for a “Manhattan Project” to Combat the Epidemic, PLOS Pathogens, Jan 2014preliminary studies from the CDC indicate that the Lyme disease epidemic has reached an unprecedented level with at least 300,000 people and as many as one million people, a majority of them women and children, diagnosed with Lyme disease each year in the United States. The staggering magnitude of the epidemic should prompt the CDC to show leadership in developing new guidelines for the diagnosis and treatment of Lyme disease. A coordinated “Manhattan project” similar to the attack mounted against the HIV/AIDS epidemic is urgently needed to address the serious worldwide threat of Lyme disease.
  • Tick Handbook
      Produced as part of the Connecticut community-based Lyme disease prevention project.
  • Deer, predators, and the emergence of Lyme disease, PNAS, May 2012a growing body of evidence suggests that Lyme disease risk may now be more dynamically linked to fluctuations in the abundance of small-mammal hosts that are thought to infect the majority of ticks.

  • common name: blacklegged tick or deer tick, University of Florida, Featured Creature, Jan 2013
  • Dealing with Deer Ticks, John Moran, Newtown,CT
  • Lyme Disease rages in Northeast, The Wildlife News, May 11, 2014
  • WHY LYME DISEASE IS INCREASING: Areas with Low Biodiversity Increase the Threat of Lyme Disease, Town of Hanover, NH 2014Since Lyme Disease was first discovered in areas with high deer density, deer were believed to be the tick’s primary host for the disease and the source of its infection. However, most ticks are infected well before they feast on deer. Ostfeld estimates that deer are responsible for only 1% of infected ticks. However, deer are where most adult ticks find mates and have their final blood meal. In 2003, a study in Maine found that ticks on deer decreased with elevation and with distance from the coast. Few ticks were collected at deer densities of less than 15 deer per square mile.
  • CDC Links Lyme Disease to 3 Sudden Cardiac Deaths, ABC News, Dec 14, 2013Lyme disease has been linked to the deaths of three people who suffered sudden cardiac death. In their weekly Morbidity and Mortality report, the U.S. Centers for Disease Control said that health officials had found signs of Lyme disease in three people who died of sudden cardiac death, although none had been diagnosed with Lyme disease at the time of their deaths. The two men and a woman were between the ages of 26 and 38 years old.
  • The Lyme Wars, The New Yorker, July 1, 2013Lyme disease is the most commonly reported tick-borne illness in the United States, and the incidence is growing rapidly. In 2009, the C.D.C. reported thirty-eight thousand cases, three times more than in 1991. Most researchers agree that the true number of infections is five to ten times higher. Although some of that increase is due to heightened awareness, transmission is rising in areas, like New England, where the disease is well established, and is spreading to regions as far south as Florida, through changes in climate and the movements of infected animals.
  • Sam Telford from Tufts talks tough on ticks at Chilmark meeting, MVTimes, Aug 28, 2013Given that four days earlier the Center for Disease Control made the stunning announcement that Lyme disease is ten times more prevalent than previously estimated, the timing of this TBDC talk at ground zero couldn’t have been better. “There should be a thousand people here,” said Aquinnah resident Sondra Mekonian. “I know so many people with Lyme, even my dog had it. It’s scary.”
  • White-Tailed Deer (Odocoileus virginianus) as a Potential Sentinel for Human Lyme Disease in Indiana, Zoonooses and Public Health, 2013In conclusion, WTD can be used as an accurate and cost-effective sentinel for human LD. This method will permit public health workers to identify potentially endemic areas independently of human case reports.

  • Coyotes, Red Foxes, and the Prevalence of Lyme Disease, Northeast Naturalist, Oct 2013This paper re-examines the evidence used by Levi at al. (2012) to reach their conclusions. We address the following points: 1) Levi et al. did not provide data on rodent populations or Lyme disease incidence; 2) Coyotes eat rodents, so a Coyote-induced reduction of Red Fox populations might not result in increased rodent populations; 3) Coyote harvests are poor indicators of Coyote abundance; 4) both Red Fox numbers and rodent numbers fluctuate dramatically due to factors such as disease and weather; 5) some of the data used by Levi et al. (2012) were from regions with western Coyotes, while other data were from areas with hybrid eastern Coyotes, thus confounding the situation; and 6) Levi et al. did not consider important alternative hypotheses, such as habitat fragmentation and climate change. Additionally, the historical dynamics of the Lyme disease system are unknown given that Canis lupus lycaon (= Canis lycaon) (Eastern Wolf) and Urocyon cinereoargenteus (Gray Foxes) originally lived m most of the northeast, while Red Foxes and Coyotes were historically absent from most of the area.
  • CDC Reveals Lyme Disease Case Increase, Children’s National Health System, Aug 22, 2013Researchers have determined this week that the number of individuals infected with Lyme disease each year has been grossly under estimated. About 300,000 Americans are diagnosed with Lyme disease annually, which is 10 times higher than the estimates from the Centers for Disease Control and Prevention (CDC).
  • FAQ for the Medfield 2012 Deer Culling Program, Medfield Lyme Disease Study Committee, 2013Reducing deer populations has shown to reduce the risk of getting Lyme Disease. Lyme disease has been increasing and poses a significant health risk to the residents of Medfield and surrounding towns. Deer are a key part in the life cycle of deer ticks which carry Lyme disease. Multiple studies have shown a strong link between large deer populations and the incidents of Lyme disease. Conversely, when deer populations have been reduced, Lyme disease has been reduced.
  • Coyotes, Red Foxes, and the Prevalence of Lyme Disease, Northeastern Naturalist, 2013We suggest proceeding with caution when concluding that Coyotes are the most robust mechanism causing an increase in Lyme disease cases in the eastern United States.
  • The Lyme Disease Debate: Host Biodiversity and Human Disease Risk, Environmental Health Perspectives, April 2013Blame for the emergence of both black-legged ticks and Lyme disease has typically focused on deer, which have abundantly repopulated the northeastern and midwestern United States over the last few decades. Yet deer turn out to be immune to infection with Bb;16 even though they’re an important host for ticks, especially in the adult life phase, they don’t transmit Lyme disease.
  • White-Tailed Deer (Odocoileus virginianus) as a Potential Sentinel for Human Lyme Disease in Indiana, Zoonoses and Public Health, 2013Our results indicate a statistically significant correlation between human LD incidence and the distribution of deer and I. scapularis-infested deer whether infected or not infected with Bb. Hence, it is plausible to state that deer can serve as an accurate sentinel for human LD. This confirms and reinforces our results from a previous report about the use of hunted deer to describe the distribution of Bb (Keefe et al., 2009). Further, this study emphasizes the concept that ecological data on vector-borne zoonosis are essential in understanding and predicting human risk. Indiana appears to be an emerging area for LD (Pinger, 2008), and this information will have local and regional importance.
  • Dangerous Deer Ticks, National Geographic, Nov 10, 2012
    View video at www.hulu.com/watch/410044
  • Evaluation of Deer-Targeted Interventions on Lyme Disease Incidence in Connecticut, Public Health Rep. 2011 May-Jun
  • Ticks and Lyme Prevention, Fairfield County Deer Management Alliance, 2010
  • Ending the Lyme disease epidemic: a real possibility, Fairfield County Deer Management Alliance, 2010The following facts are provided by the CT Dept of Public Health and the CT Agriculture Experiment Station:
    – Lyme incidence parallels deer population growth
    – Fairfield County has the highest number of cases of Lyme disease in Connecticut
    – Connecticut has the highest rate of Lyme in the United States
    – Reducing deer numbers reduces tick numbers
    – Reducing deer to below 8 to 10 per sq mile breaks the tick life cycle and prevents Lyme disease
  • Subject: CT House Bill 5852: An Act to Control Lyme Disease
  • Excerpt from: Lyme Disease — The Ecology of a Complex System, Richard Oxfeld, 2008?
    deerticks
  • Climate, Deer, Rodents, and Acorns as Determinants of Variation in Lyme-Disease Risk, PLOS, May 2006Risk of human exposure to vector-borne zoonotic pathogens is a function of the abundance and infection prevalence of vectors. We assessed the determinants of Lyme-disease risk (density and Borrelia burgdorferi-infection prevalence of nymphal Ixodes scapularis ticks) over 13 y on several field plots within eastern deciduous forests in the epicenter of US Lyme disease (Dutchess County, New York). We used a model comparison approach to simultaneously test the importance of ambient growing-season temperature, precipitation, two indices of deer (Odocoileus virginianus) abundance, and densities of white-footed mice (Peromyscus leucopus), eastern chipmunks (Tamias striatus), and acorns ( Quercus spp.), in both simple and multiple regression models, in predicting entomological risk. Indices of deer abundance had no predictive power, and precipitation in the current year and temperature in the prior year had only weak effects on entomological risk. The strongest predictors of a current year’s risk were the prior year’s abundance of mice and chipmunks and abundance of acorns 2 y previously. In no case did inclusion of deer or climate variables improve the predictive power of models based on rodents, acorns, or both. We conclude that interannual variation in entomological risk of exposure to Lyme disease is correlated positively with prior abundance of key hosts for the immature stages of the tick vector and with critical food resources for those hosts.
  • Deer Reduction and Management, 2005?The reduction of deer on Great Island (a peninsula on Cape Cod, MA) by 97% from an estimated 32 deer to 1 animal from 1982 to 1984 (52 deer in all) resulted in ~80 and ~55% average reductions in larvae and nymphs on mice in the 3 years following the intervention. Continued maintenance of a density >6 deer/ sq. mi. has reduced tick-borne disease incidence from 16% of a community of 220 people to only 3 cases since 1986
  • Lyme disease and seventh nerve paralysis in children, Am J Otolaryngol. 1997 Sep-Oct;18(5):320-3We conclude that transient Facial Nerve Paralysis in children is most commonly caused by Lyme Disease for regions with endemic infections caused by Borrelia burgdorferi..
  • Borrelia burgdorferi in an Urban Environment: White-Tailed Deer with Infected Ticks and Antibodies, JOURNAL OF CLINICAL MICROBIOLOGY, March 1995

ticks

The Biological and Social Phenomenon of Lyme Disease, Science, 1993Lyme disease, unknown in the United States two decades ago, is now the most common arthropod-borne disease in the country and has caused considerable morbidity in several suburban and rural areas. The emergence of this disease is in part the consequence of the reforestation of the northeastern United States and the rise in deer populations. Unfortunately, an accurate estimation of its importance to human and animal health has not been made because of difficulties in diagnosis and inadequate surveillance activities. Strategies for prevention of Lyme disease include vector control and vaccines.

Comments are closed