Today’s Agenda

1. Lyme Disease:Take the Time to Prevent LymeTerresa Erickson, MPH student Walden UniversityPUBH 6165-4Instructor: Dr. Stephen ArnoldSpring Quarter, 2010

2. Today’s Agenda • What is Lyme Disease? • Signs and Symptoms • Diagnosis • Treatment • Prevention • Additional Information

3. What is Lyme Disease?

4. Lyme Disease is… • Caused by the bacterium Borrelia burgdorferi • Transmitted by infected deer ticks Centers for Disease Control and Prevention (2010). Lyme Disease. Retrieved from http://www.cdc.gov/ncidod/dvbid/lyme/index.htm

5. Life Cycle American Lyme Disease Foundation (2010). Deer Tick Ecology. Retrieved from http://www.aldf.com/deerTickEcology.shtml

6. When Does Lyme Disease Occur? Centers for Disease Control and Prevention (2006). Reported Cases of Lyme Disease by Month of Illness Onset United States, 1992-2004. Retrieved from http://www.cdc.gov/ncidod/dvbid/Lyme/ld_rptmthofill.htm

7. Where Does Lyme Disease Occur? Centers for Disease Control and Prevention (2009). Reported Cases of Lyme Disease United States – 2008. Retrieved from http://www.cdc.gov/ncidod/dvbid/lyme/ld_Incidence.htm

8. Who Gets Lyme Disease? Centers for Disease Control and Prevention (2006). Average Annual Incidence of Reported Cases of Lyme Disease by Age Group and Sex, United States, 1992-2004. Retrieved from http://www.cdc.gov/ncidod/dvbid/Lyme/ld_MeanAnnualIncidence.htm

9. Signs and Symptoms

10. Common Signs and Symptoms Consist of: • Fever • Headache • Fatique • Skin Lesions (Bull’s Eye Rash) Mayo Clinic (2008). Lyme Disease. Retrieved from www.mayoclinic.com

11. Less Common Signs and Symptoms Include: • Joint Pain • Neurological Symptoms • Paralysis of one side of the face (Bell’s palsy) • Weakness in limbs • Impaired muscle movement • Irregular heartbeat Mayo Clinic (2008). Lyme Disease. Retrieved from www.mayoclinic.com

12. Diagnosis

13. Diagnosis is Based On… • Clinical signs and symptoms • History of possible tick exposure • Laboratory tests

14. Treatment

15. What Should I Do? • Seek Medical Advice • Lyme Disease can be treated more effectively with antibiotics if caught early

16. Prevention

17. Preventing Lyme Disease • Avoid areas with lots of ticks • Wooded areas • Areas with overgrown grass • High leaf litter • Apply insect repellent with 20 – 30% DEET • Use Permethrin Centers for Disease Control and Prevention (2010). Lyme Disease. Retrieved from http://www.cdc.gov/ncidod/dvbid/lyme/index.htm

18. Preventing Lyme Disease (cont’d) • Wear long pants, shirts, and socks • Check yourself for ticks • Immediately remove ticks Centers for Disease Control and Prevention (2010). Lyme Disease. Retrieved from http://www.cdc.gov/ncidod/dvbid/lyme/index.htm

19. Where Can I Find Additional Information? • Centers for Disease Control and Prevention – www.cdc.gov • Mayo Clinic – www.mayoclinic.com • WI Department of Health Services - http://dhs.wi.gov/

20. Questions?

21. References American Lyme Disease Foundation (2010). Deer Tick Ecology. Retrieved from http://www.aldf.com/deerTickEcology.shtml Centers for Disease Control and Prevention (2006). Average Annual Incidence of Reported Cases of Lyme Disease by Age Group and Sex, United States,1992-2004. Retrieved from http://www.cdc.gov/ncidod/dvbid/Lyme/ld_MeanAnnualIncidence.htm Centers for Disease Control and Prevention (2006). Reported Cases of Lyme Disease by Month of Illness Onset United States, 1992-2004. Retrieved from http://www.cdc.gov/ncidod/dvbid/Lyme/ld_rptmthofill.htm

22. References (cont’d) Centers for Disease Control and Prevention (2009). Reported Cases of Lyme Disease United States – 2008. Retrieved from http://www.cdc.gov/ncidod/dvbid/lyme/ld_Incidence.htm Centers for Disease Control and Prevention (2010). Lyme Disease. Retrieved from http://www.cdc.gov/ncidod/dvbid/lyme/index.htm Mayo Clinic (2008). Lyme Disease. Retrieved from www.mayoclinic.com