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Spring tick season means increased risk of lyme disease, experts warn

The Ukiah Daily Journal
Ukiah, CA
by Lean Lambert
13 Apr 2004

Spring tick season means increased risk of Lyme disease, experts warn. Local Lyme activist to give presentation in Ukiah Special for the Journal. “The height of the most dangerous tick season is just ahead,” according to Phyllis Mervine, Ukiah resident and president of the California Lyme Disease Association (CALDA). While most people recognize the adult form of the ticks that carry Lyme disease, many are unaware of the tiny nymphal form, about the size of a poppy seed.

“Nymphs hatch out in the late spring,” Mervine explained. “They are common in leaf litter under deciduous trees, and anywhere mice are numerous.” Many cases of Lyme disease are diagnosed a few weeks after the nymphal tick season. Half the people who come down with it do not recall a tick bite but complain of a flu-like illness with fever, headache, swollen glands and aching muscles. “Prompt treatment can prevent future problems from developing,” Mervine added.

New research by UC Berkeley entomologist Robert Lane, Ph.D., proves that nymphal ticks can be picked up in wooded areas if people sit on downed logs or gather firewood. Campers, picnickers, or foresters may be at particular risk. Nymphs also climb several feet up tree trucks, mostly on the north side, so turkey hunters or others who crouch and lean against a tree could be putting themselves in harm’s way.

In the recently-published article in the Journal of Medical Entomology, Lane and his colleagues describe suiting themselves up, taping socks to pant legs, gloves to sleeves, and then picking ticks off each other after engaging in a variety of risky activities. Even their frequent tick checks and careful scrutiny failed to prevent tick bites. One researcher found two engorged nymphs feeding on himself several days after the field work was completed. Mervine said the lesson is that people should continue to check themselves and their children for the tiny ticks for several days after exposure in tick-infested habitat.

Undiagnosed and untreated Lyme disease continues to be a significant problem in Mendocino County, according to Mervine. People may be misdiagnosed with chronic fatigue, multiple sclerosis, Fibromyalgia, ALS, or even psychiatric diseases. “Neurologic effects are some of the most serious,” said Mervine, “and it is tragic when a person lives for years with a disease that could have been cured, if only it had been diagnosed properly and treated promptly.” CALDA has just endorsed the newly-published evidence-based guidelines for the management of Lyme disease, published by the International Lyme and Associated Diseases Society (ILADS). In contrast to previous guidelines, the new ILADS guidelines acknowledge persistent and recurrent Lyme disease and Lyme disease that does not respond to treatment, and proposes new approaches to both diagnosis and treatment. The guidelines may be ordered through the ILADS Web site, www.ilads.org. CALDA is distributing some copies to area physicians.

“CALDA’s mission is to educate the public about how to avoid Lyme disease and other tick-borne infections,” said Mervine, “and to inform health care professionals about how to diagnose and treat. The more educated people are, the better able they will be to work with their healthcare providers and make sure they are getting the most up-to-date and scientifically-sound care.

Mervine will be presenting a slide show, talk, and question and answer session at the Ukiah Civic Center auditorium on Tuesday, April 20, from 7 to 9 p.m. The public is invited. A $5 donation will be requested to cover the cost of the facility. For more information, call (707) 468-8460. For information about Lyme disease, go to the CALDA Web site at www.lymedisease.org.

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