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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.

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

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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