Lyme disease and you
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Lyme Disease and You. Lori Calderas Ph.D. Public Health Epidemiology student Walden University PUBH 6185-10 Environmental Epidemiology Instructor: Dr. Howard Rubin Spring Quarter, 2011. Objectives. Discuss Lyme Disease symptoms and causes Show pictures of vectors of Lyme Disease (ticks)

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Lyme disease and you

Lyme Disease and You

Lori Calderas

Ph.D. Public Health Epidemiology student

Walden University

PUBH 6185-10 Environmental Epidemiology

Instructor: Dr. Howard Rubin

Spring Quarter, 2011


Objectives

Objectives

  • Discuss Lyme Disease symptoms and causes

  • Show pictures of vectors of Lyme Disease (ticks)

  • Discuss when and where one can get Lyme Disease

  • Discuss tick life cycle

  • Discuss Lyme Disease statistics

  • Discuss Lyme Disease in Missouri

  • Discuss prevention techniques

  • Discuss treatment options

  • Show further reading list


Introduction

Introduction

Silverstein, A., Silverstein, V., & Silverstein, R. (1990). Lyme Disease: The great imitator. Lebanon, NJ: AVSTAR Publishing Corp.


What is lyme disease

What is Lyme Disease?

  • Bacterial infection -- Symptoms

  • Bulls-eye rash (erythema migrans)

  • Headaches

  • Flu like symptoms

  • Arthritis

  • Meningitis

  • Tingling fingers

  • Face numbness

  • And other rarer side effects

    Silverstein, A., Silverstein, V., & Silverstein, R. (1990). Lyme Disease: The great imitator. Lebanon, NJ: AVSTAR Publishing Corp.


What causes lyme disease

What causes Lyme Disease?

  • Bacteria -- Borrelia burgdorferi

  • Tick bite

  • Bacteria in tick bite

  • Body reacts to bacteria

    Center for Disease Control and Prevention. (2011). Lyme Disease. Division of Vector Borne Disease. Retrieved on 22 April 2011 from http://www.cdc.gov/ncidod/dvbid/lyme/index.htm

    Waldbauer, G. (1998). The handy bug answer book. Detroit: Visible Ink Press.


Ticks that carry lyme disease

Ticks that carry Lyme Disease

  • Ixodes dammini (northern deer tick) in the north and Midwest

  • Ixodes scapularis and Amblyoma americanum (the lone star tick) in the south east

  • Ixodes pacificus in the west

Brown & Foley. (2010). Tickborne disease research program. Center for Vector Borne Diseases. Retrieved 22 April 2011 from http://cvec.ucdavis.edu/book/export/html/12


When and where could i get lyme diseases

When and where could I get Lyme Diseases?

  • Spring and summer months, sometimes fall

  • Woods and tall grasses

  • Small animals, deer, or birds

  • Pets

    Stoffman, P. (1995). The Family guide to preventing and treating 100 infectious illnesses. New York: John Wiley & Sons, Inc.


Are ticks out to get me

Are ticks out to get me?

  • No

  • White footed mice

  • White tailed deer.

  • Once or twice a year

  • Live about two years

    Facklam, H. & Facklam, M. (1994). Parasites. Brookfield, CT: Twenty-First Century Books.


Tick life cycle

Tick Life Cycle

Center for Disease Control and Prevention. (2011). Lyme Disease. Division of Vector Borne Disease. Retrieved on 22 April 2011 from http://www.cdc.gov/ncidod/dvbid/lyme/index.htm

Schmidt, G. & Roberts, L. (2005). Foundations of parasitology. Boston: McGraw-Hill.


How common is lyme disease

How common is Lyme Disease?

  • Varies by region /state.

  • North eastern U.S.

  • Spreading to the Midwest fast

  • Wilderness areas

  • 18,000 cases in U.S.A. in 2000

  • Most underreported disease, looks like something else

  • Most common vector borne disease in the U.S.A.

    Moeller, D. W. (2005). Environmental health (3rd ed.). Boston: Harvard University Press.


Lyme disease in missouri

Lyme Disease in Missouri

  • 1-2% of ticks in Missouri

  • Test is only about 50 % accurate

  • 1060 confirmed cases in Missouri since 1982

  • Pre-treated with antibiotics

  • Doctors avoid paperwork

  • Reportable to the CDC

    Center for Disease Control and Prevention. (2011). Lyme Disease. Division of Vector Borne Disease. Retrieved on 22 April 2011 from http://www.cdc.gov/ncidod/dvbid/lyme/index.htm


How do i prevent lyme disease

How do I prevent Lyme Disease?

  • Avoid high grasses and forests

  • Tuck pants into socks

  • Wear long sleeves

  • Tuck shirt into pants

  • Closed toe shoes

  • Insecticide with DEET

  • Light colored clothes

    Auerbach, P.S. (1999). Medicine for the outdoors. New York, NY: The Lyons Press.


How do i remove a tick

How do I remove a tick?

  • Home remedies don’t work

  • Remember…

    more time = more risk

  • Best bet: tweezers, gloved hands,

  • Pull straight out, or up

    Litin, S.C.(Editor). (2003). Mayo Clinic: Family health book (3rd ed.). New York, NY: Harper Resource.


What can be done if i get lyme disease

What can be done if I get Lyme Disease?

  • Treated with antibiotics

  • Probenecid = keeps antibiotic in system longer

  • Aspirin, Tylenol, Advil, etc. for fever

  • IT IS A TREATABLE DISEASE = NO NEED TO SUFFER IF COUGHT EARLY!

    Silverstein, A., Silverstein, V., & Silverstein, R. (1990). Lyme Disease: The great imitator. Lebanon, NJ: AVSTAR Publishing Corp.


Conclusion

Conclusion


Want more info on lyme disease or ticks

Want more info on Lyme disease or Ticks…

  • CDC website for Lyme disease

    http://www.cdc.gov/ncidod/dvbid/lyme/

  • American Lyme Disease Foundation (iphone app available!)

    http://www.aldf.com/

  • Lyme Disease Association

    http://www.lymediseaseassociation.org/

  • National Institute of Allergy and Infectious Disease

    http://www.niaid.nih.gov/topics/lymedisease/Pages/lymeDisease.aspx


Thank you for your time and attention

Thank you for your time and attention


References

References

  • Auerbach, P.S. (1999). Medicine for the outdoors. New York, NY: The Lyons Press.

  • Brown & Foley. (2010). Tickborne disease research program. Center for Vector Borne Diseases. Retrieved 22 April 2011 from http://cvec.ucdavis.edu/book/export/html/12

  • Center for Disease Control and Prevention. (2011). Lyme Disease. Division of Vector Borne Disease. Retrieved on 22 April 2011 from http://www.cdc.gov/ncidod/dvbid/lyme/index.htm

  • Facklam, H. & Facklam, M. (1994). Parasites. Brookfield, CT: Twenty-First Century Books.


References1

References

  • Litin, S.C.(Editor). (2003). Mayo Clinic: Family health book (3rd ed.). New York, NY: Harper Resource.

  • Moeller, D. W. (2005). Environmental health (3rd ed.). Boston: Harvard University Press.

  • Schmidt, G. & Roberts, L. (2005). Foundations of parasitology. Boston: McGraw-Hill.

  • Silverstein, A., Silverstein, V., & Silverstein, R. (1990). Lyme Disease: The great imitator. Lebanon, NJ: AVSTAR Publishing Corp.


References2

References

  • Waldbauer, G. (1998). The handy bug answer book. Detroit: Visible Ink Press.

  • Stoffman, P. (1995). The Family guide to preventing and treating 100 infectious illnesses. New York: John Wiley & Sons, Inc.


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