Archive for the ‘Rocky Mountain Spotted Fever’ Category

Rocky Mountain Spotted Fever (RMSF)

Since the recent death of a Wisconsin resident due to Rocky Mountain Spotted Fever (RMSF) it’s important we understand this pathogen as it’s in our neck of the woods:  https://madisonarealymesupportgroup.com/2018/07/10/first-rmsf-death-in-wisconsin/

The following article by doctors Lapenta (father & son) explains how devastating this particular tick borne illness is and what you need to know about it.

http://dermagicexpress.blogspot.com/2018/05/the-rocky-mountain-spotted-fever-and.html?m=1

THE ROCKY MOUNTAIN SPOTTED FEVER AND THE NEW PLAGUE OF THE 21ST CENTURY, THE TICKS

rocky

ABSTRACT

In this publication we bring you another disease caused by the bite of several TICKS; it is the ROCKY MOUNTAIN SPOTTED FEVER, which is caused by a bacterium called Rickettsia Rickettsii, and also another recently discovered the Rickettsia Parkeri. This disease, described since the 1900s, is disseminated in North America, from Canada to South America. The purpose of this publication is to know the main vectors of the disease, how it is transmitted, its symptoms, treatment and to give warning to the world once again that these parasites, ticks are the new plague of the 21st century.

Key words: Rocky Mountain Spotted Fever, spotted fever, Typhus by ticks, Black measles, Dermacentor Andersoni, Dermacentor Variabilis, Rhipicephalus Sanguineus, Rickettsia Rickettsii, Rickettsia Parkeri.

INTRODUCTION

Hello friends of the network, today DERMAGIC EXPRESS brings you another interesting topic about the TICKS and the diseases they transmit, in this case it is the ROCKY MOUNTAIN SPOTTED FEVER (RMSF), which as I said is transmitted by the a tick bite and disseminated not only in the United States, has also been described in the AMERICAS under the name of “Sao Paulo fever” or “Fever maculosa” in BRAZIL; In MEXICO “Spotted fever” and “tick Typhus” or “Tobia Fever” in COLOMBIA. Cases have also been described in Costa Rica and Panama. [1-5]

This disease is produced by the BACTERIA called Rickettsia Rickettsii; gram-negative intracellular cocobabicil considered the most pathogenic strain of the Western Hemisphere and a small part of the Eastern Hemisphere. It belongs to the Rickettsiaceae Family, Order: Rickettsiales, Class: Alphaproteobacteria, Domain: Bacteria, Genus: Rickettsia and species: Rickettsia rickettsii. The disease extends from CANADA to SOUTH AMERICA, and is the most frequent rickettisial disease in the United States. [6-11]

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The main TICK transmitter of this bacterium are the ticks of the DERMACENTOR genus, Family Ixodidae, known as “HARD TICKS” which, in addition to transmit the Rickettsia rickettsii, are transmitters of other diseases such as: TICK PARALYSIS (neurotoxin); the POWASSAN virus (Powassan encephalitis); THE FEVER Q (Coxiella burnetii); ANAPLASMOSIS in cattle and humans (Anaplasma Marginale and Anaplasma spp.); TULAREMIA (Francisella tularensis) and the BABESIOSIS in  equine (piroplasmosis) and humans  (Babesia Caballi and Babesia spp.). [12-18]

The DERMACENTOR genus of ticks belongs to the Ixodidae Family and has more than 34 described species and the most involved in the ROCKY MOUNTAIN SPOTTED FEVER are DERMACENTOR ANDERSONI (Rocky mountain tick) and DERMACENTOR VARIABILIS (American dog tick), second main vector causing this disease.

rocky1

Of this “hard tick” (DERMACENTOR VARIABILIS) I can say to you that in addition to transmit the ROCKY MOUNTAIN SPOTTED FEVER, it is transmitter of TULAREMIA (Francisella tularensis). They can also be carriers of the Anaplasma phagocytophilum that causes the HUMAN GRANULOCYTIC ANAPLASMOSIS, and Ehrlichia chaffeensis, causal agent of the HUMAN MONOCITIC EHRLICHIOSIS; and in addition they can produce TICK PARALYSIS when introduce a NEUROTOXIN when  are feeding with human blood.

In addition to the DERMACENTOR VARIABILIS and ANDERSONI TICKS as vectors of the ROCKY MOUNTAIN SPOTTED FEVER (RMSF), other species have been described: RHIPICEPHALUS SANGUINEUS (brown tick of the dog), AMBLYOMMA CAJENNENSE (Cayena tick) which is disseminated in South and Central America, AMBLYOMMA AMERICANUM (Lone Star Tick) and AMBLYOMMA MACULATUM (Tick of the Gulf Coast) involved in the transmission of this disease. [1-22]

rocky2

On the other hand, it was discovered in the year 2002 and confirmed in 2013 another species of Rickettsia, the Rickettsia Parkeri in the tick AMBLYOMMA MACULATUM and recently in the tick AMBLYOMMA AMERICANUM capable also of transmit the ROCKY MOUNTAIN SPOTTED FEVER (RMSF).

In addition, it has been demonstrated in the tick DERMACENTOR VARIABILIS AND RETICULATUS antibodies against BORRELIA BURGORFERI which is the causal agent of the already described LYME DISEASE or ERITHEMA MIGRANS, but they are not considered vector of it.

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HISTORY

The disease ROCKY MOUNTAINS SPOTTED FEVER, is also known under the name “TYPHUS BY TICKS”, and “BLUE DISEASE” and was described in the years 1800 and 1900 in the Valleys of Montana United States, (US), known at that time as “Black measles” for its clinical characteristics. Later it was discovered that the ticks were the vector of the same one and it was in the year 1906, when the scientist Howard T. Ricketts discovered the causal agent, described as an agent “smaller than a bacterium and longer than a virus”; it was called RICKETTSIA RICKETSII in honor of its name. [22-30]

We must remember that Willy Burgdorfer is intimately linked to the ROCKY MOUNTAIN SPOTTED FEVER and study of the Rickettsias; In fact, between 1967 and 1978, he was investigating the Rickettisial Zoonoses in Egypt and then he was sent by the WHO (1976-1986 – World Health Organization) to Montana, United States, and in the course of his investigations he discovered the FEARED ESPIROCHETE BORRELIA, in the year 1981, which carries in its honor the surname BURGODERFERI.

These ticks are the NATURAL HOSTS and they serve as RESERVOIRS AND VECTORS, they transmit the RICKETTSIA through the bite to vertebrates mammals and man, and unlike other diseases they only need to be attached 2 hours to the skin to achieve the transmission of the disease, so that it is a ZOONOSIS, transmitted from animals to man. It can also be transmitted through fluids, tick feces and contaminated tissues of the same.

SYMPTOMS

Symptoms of the disease appear after an incubation period of 1 to 2 weeks, (can affect children and adults) and include threee stages:

1.) INITIAL phase: fever, headache, nausea, vomiting, loss of appetite, mumps,

2.) SECONDARY phase: characterized by maculous and petechial rash, abdominal pain, conjunctivitis and joint pain.

3.)  POSTERIOR or LATE stage: the  Rickettsia may invade the brain, heart, eyes, lungs, kidneys, gastrointestinal tract, and other organs causing definitive sequel such as: deafness, ataxia, blindness, and loss of bladder and bowel control; in extreme cases amputation of limbs by gangrene. Mortality in severe cases: 30-80%

The “CLASSICAL TRIAD” of this disease in terms of symptoms is: 1) FEVER, 2) MACULOUS AND PETECHIAL ERUPTION AND 3) THE PRECEDENT OF TICK BITE; it should be noted that only 35 to 60% of patients manifest the complete TRIAD, and 40% do not present the TYPICAL rash of the disease; it is presented in a centripetal form, from the extremities to the trunk. [1-32]

TREATMENT

The treatment of choice for THE ROCKY MOUNTAIN SPOTTED FEVER (RMSF) is the  DOXYCYCLINE (tetracycline antibiotic), the same used in the LYME disease and EHRLICHIOSIS, which is administered for a period of 10 to 14 days, and in some cases may be more longer. The other antibiotic that shows effectivity against Rickettsia is  the CHLORANPHENICOL, but this should be used with caution as it has many side effects.

With this I want to tell you in a simple way how seven (7) TICKS are capable of transmit nine (9) diseases:

Including the ticks of the Family ixodidae: IXODES SCAPULARIS or the black legged tick.

1) ROCKY MOUNTAIN SPOTTED FEVER (Rickettsia Rickettsii).

2) POWASSAN ENCEPHALITIS (Powassan virus, flavivirus).

3) TICK PARALYSIS (neurotoxin).

4) EHRLICHIOSIS (Ehrlichia chaffeensis, Ehrlichia ewingii).

5) HUMAN GRANULOCYTIC ANAPLASMOSIS (Anaplasma spp)

6) BABESIOSIS IN ANIMALS AND HUMANS (Babesia spp).

7) FEVER Q (Coxiella burnetti).

8) TULAREMIA (Francisella tularensis).

9) LYME DISEASE (Ixodes Scapularis). 1-32]

“… perhaps other diseases …. Today not well documented or simply man has not discovered yet.”

CONCLUSIONS

On the web you can find thousands of articles about the ROCKY MOUNTAIN SPOTTED FEVER, HISTORY AND SYMPTOMS, but for us the main objective of this publication is to make you UNDERSTAND the following:

1) These TIICKS are distributed practically in the entire PLANET.

2) Transmit parasitic diseases with risk of MORTALITY if the diagnosis and treatment is not made in time.

3) Some of the transmitted diseases are RESISTANT to treatment such as LYME disease, leaving permanent sequel in the body, being able to confine the patient to a wheelchair for life.

4) Apart from fighting for the human rights of the unassisted for diseases such as LYME, the final destination is to fight against the TICKS and their HOSTS.

5) THE CODES ICD-11 (International Classification of Diseases, year 2018) for this disease, Rocky Mountain Spotted Fever have been recognized by the World Health Organization (WHO) a long time ago, but  in some cases as the Lyme disease, the scientific society and affected population awaits its inclusion.

6) The new plague of the 21st century is not the mosquitoes (Dengue, Zika and Chikungunya), they are TICKS. [33-38]

… Humanity is not going to be extinguished by atomic bombs thrown into the air, atomic bombs walk in the earth attached to animals, mice, rats, birds, coyotes, deer, dogs, cats, cattle, goats, camel sheep, rabbits, etc, or the humans, feeding on his blood, contaminating and spreading vertiginously, slowly creating a incapacitated society … “

Greetings to all.

Dr. José Lapenta R Dermatologist
Dr. José M. Lapenta MD.
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For more on RMSF:  https://madisonarealymesupportgroup.com/2017/10/21/mom-got-rocky-mountain-spotted-fever-while-picking-pumpkins/

https://madisonarealymesupportgroup.com/2015/08/13/severe-case-of-rmsf-had-to-remove-patients-arms-and-legs/

https://madisonarealymesupportgroup.com/2018/08/16/new-tick-causes-epidemic-of-rmsf/

https://madisonarealymesupportgroup.com/2018/06/12/georgia-mom-warns-others-after-son-contracts-rocky-mountain-spotted-fever-after-tick-bite/

https://madisonarealymesupportgroup.com/2018/08/19/monster-ticks-found-in-germany-threaten-europe-with-deadly-disease-crimean-congo-fever/  Please note the last quote of the story – that they proved a tropical form of tick typhus in one of tropical ticks found in Germany. Typhus, a bacteria, is making a comeback, particularly in the South. Common in the U.S. in the 40’s, and normally attributed to lice, now it’s been proven to be in a tick. In other words, another disease and a tick found where they supposedly shouldn’t be.
Typus is a rickettsial infection with ticks carring numerous species including rickettsia, ehrlichia, and anaplasma. Rocky Mountain Spotted Fever is also considered a tick-borne typhus fever. https://www.health.ny.gov/diseases/communicable/rocky_mountain_spotted_fever/fact_sheet.htm  Divided into the typhus group and the spotted fever group, disease is transmitted through ectoparasites (fleas, lice, mites, and ticks). Inhalation and inoculating conjunctiva with infectious material can also cause disease. The good news for most is that doxycycline is a front-line drug for it. Broad-spectrum antibiotics aren’t helpful.

 

Monster Ticks Found in Germany Threaten Europe With Deadly Disease – Crimean-Congo Fever

https://www.express.co.uk/news/science/1004232/disease-Crimean-Congo-fever-germany-monster-tick

MONSTER ticks found in Germany threaten Europe with DEADLY disease Crimean-Congo fever

A MONSTER tick species has found its way to Germany and threatens to spread DEADLY tropical disease Crimean-Congo fever across the whole of Europe.
tick
MONSTER ticks found in Germany threaten Europe with DEADLY disease Crimean-Congo fever (Image: Universitat Hohenheim)

 

Scientists in Germany have discovered a tropical tick which can grow up to an INCH LONG – 10 times bigger than a common tick.

The ticks, known as Hyalomma marginatum have the potential to spread the viral disease Crimean-Congo fever (CCHF).

Symptoms of CCHF include fever, muscle pains, headache, vomiting, diarrhoea, and bleeding into the skin. A QUARTER of those contracting Crimean-Congo fever will die.

Researchers have blamed the unusually hot weather over Europe for the cause of the ticks movement northwards as more birds have migrated to Europe following the scorching temperature. (Please see comment at end of article)

Seven of the species were discovered this year – previously there have only been two examples of tropical ticks in Germany, one in 2015 and another in 2017.

Scientists are now concerned that as the warm temperatures continue to become more common in Germany, France and the UK the ticks could settle there and migrate across Europe permanently.

Parasitologist Ute Mackenstedt from the University of Hohenheim in Stuttgart said: “We assume that we have to reckon with more and more tropical species of ticks in Germany that can settle here due to good weather conditions.”

crimean congo fever

Symptoms of CCHF include fever, muscle pains, headache, vomiting, diarrhoea, and bleeding (Image: GETTY)

Dr Lidia Chitimia-Dobler, tick expert at the University of Hohenheim and the Institute for Microbiology (IMB) of the German Federal Armed Forces in Munich, said: “Five of the seven ticks we can determine beyond doubt, four are the species Hyalomma marginatum and one of the kind Hyalomma rufipes.

“We did not expect ticks here in Germany at this time.”

Dr Gerhard Dobler, physician and microbiologist at the IMB, added: “In one of the specimens found, we were able to prove the pathogen of a tropical form of tick typhus.

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**Comment**

Please know that independent tick researcher John Scott has shown climate change has nothing to do with tick expansion or the spread of Lyme/MSIDS:  https://madisonarealymesupportgroup.com/2018/08/13/study-shows-lyme-not-propelled-by-climate-change/

Scott shows that migratory birds are serving as transits carrying infected ticks all over the world, even in places where there aren’t any white-footed mice.  He also shows numerous fallacies with the climate models – particularly the fact they don’t include important data.  In the end ticks are marvelous ecoadaptors and research has they can survive the harshest of conditions.  What does affect them is lack of light (photo period).  

https://www.cdc.gov/vhf/crimean-congo/index.html  Crimean-Congo Hemorrhagic Fever (CCHF) can be transmitted to humans through infected ticks, animal blood, and infected human blood and/or bodily fluids (so human to human).   CCHF has also been spread in hospitals due to improper sterilization.  Fatality rate in hospitalized patients has ranged from 9-50%.  Being a virus, care is supportive; however, it is sensitive in vitro to ribavirin, an anti-viral drug.  Recovery is slow.

Signs and symptoms:

  • Sudden onset of symptoms
  • headache
  • high fever
  • back pain
  • joint pain
  • stomach pain
  • vomiting
  • red eyes
  • flushed face
  • red throat & petechiae (red spots on palate are common)
  • jaundice
  • mood changes
  • sensory perception
  • severe bruising
  • sever nosebleeds
  • uncontrolled bleeding at injection sites

Please note the last quote of the story – that they proved a tropical form of tick typhus in one of tropical ticks found in Germany.   Typhus, a bacteria, is making a comeback, particularly in the South.  Common in the U.S. in the 40’s, and normally attributed to lice, now it’s been proven to be in a tick.  In other words, another disease and a tick found where they supposedly shouldn’t be.

Typus is a rickettsial infection with ticks carring numerous species including rickettsia, ehrlichia, and anaplasma.  Rocky Mountain Spotted Fever is also considered a tick-borne typhus fever.  https://www.health.ny.gov/diseases/communicable/rocky_mountain_spotted_fever/fact_sheet.htm

Divided into the typhus group and the spotted fever group, disease is transmitted through ectoparasites (fleas, lice, mites, and ticks).  Inhalation and inoculating conjunctiva with infectious material can also cause disease.  The good news for most is that doxycycline is a front-line drug for it.  Broad-spectrum antibiotics aren’t helpful.

 

New Tick Causes Epidemic of RMSF

https://www.nbcnews.com/health/health-care/new-tick-causes-epidemic-rocky-mountain-

New Tick Causes Epidemic of RMSF

By Maggie Fox

August, 15, 2018

A new kind of tick is causing an epidemic of Rocky Mountain spotted fever in Mexico, and it’s threatening to spread to the U.S., researchers said Wednesday.

Rocky Mountain spotted fever is already dangerous, and the new carrier is more likely to bite people than the ticks that usually spread it, the team of U.S. and Mexican researchers said.

As ticks in general become more common as the climate warms, they’re a bigger threat, they added.  (Please see my comment after article) 

“Rocky Mountain spotted fever, caused by the bacteria Rickettsia rickettsii, is responsible for more human deaths than any other tick-borne disease in North America,” the team wrote in the journal Emerging Infectious Diseases.

Rocky Mountain spotted fever was reported in 4,269 people in the U.S. in 2016, according to the Centers for Disease Control and Prevention. It can kill up to 10 percent of victims, depending on the outbreak.

It’s usually spread by the American dog tick and the closely related Rocky Mountain wood tick. But in recent years the bacterial infection has also been spread by the brown dog tick — a completely different species.

The researchers were investigating an epidemic of the infection that broke out in the border town of Mexicali starting in 2008. It’s already sickened at least 4,000 people, according to Mexican government estimates. Several hundred have died, and at least four people have died in the U.S. after crossing the border, according to this report and others.

“That’s a very big epidemic of a fatal disease,” said Dr. Janet Foley, an expert in the spread of animal-borne disease at the University of California Davis School of Veterinary Medicine. “There are likely thousands of cases.

The infection is not always easy to diagnose in human blood. If people get a rash and other symptoms of Rocky Mountain spotted fever, the advice is to treat quickly with the antibiotic doxycycline. Other symptoms are similar to those caused by many infections and include fever, nausea and headache.

Working with a team at the Universidad Autónoma de Baja California in Mexicali, Foley and colleagues tested the blood of 16 patients to see if they could find a characteristic signature of the infection.

“I was absolutely startled,” Foley said in an interview. The people who had been sickened in Mexicali had a heavy load of the infectious agent in their blood — something that had not been seen in past outbreaks.

The epidemic is worrisome because the brown dog tick is more likely to bite people and it adapts easily to living in a house, as opposed to living on wild animals, the researchers said.

“The Rocky Mountain spotted fever epidemic in Mexicali has not been contained and may be spreading to other parts of Baja California and into the United States,” the team wrote.

And now it’s possible that for some reason, the infection the brown dog tick transmits is more virulent, Foley said.

“We need to study this tick more to understand why it makes people so sick,” she said. “This Mexican strain seems more willing to feed on people.”

It’s a big problem in a poor, crowded city like Mexicali, where many people and many dogs live. Foley said she visited neighborhoods there where dogs were infected with hundreds or even thousands of the ticks.

“It’s pretty bad,” she said. She described one dog that was homeless but being fed by the community.

“This dog had ticks everywhere. Every millimeter of ear tissue was covered with ticks. They were down her back,” Foley said.

The Universidad Autónoma de Baja California veterinary team tested dogs in the town and found that more than 80 percent were infected.

“One community I worked in tried to get rid of their dogs,” Foley said. “That was so sad. We shouldn’t have to go so far.”

The key is to stop the ticks from biting dogs, but that can be expensive, as flea spray and flea collars are costly.

It’s less of a threat in more affluent communities, where dogs are vaccinated, groomed and licensed, but people can travel with infected dogs.

“It can be a threat as people go back and forth across borders, especially with dogs,” Foley said. “The tick is present in the U.S. and is moving northward.”

More than 72 million crossings were made by people from Mexico into California in 2015 alone, a CDC team reported.

The CDC says tick-borne diseases are on the rise. “Overall, since 2000, in the United States, the incidence of Rocky Mountain spotted fever has reportedly increased fourfold,” Foley’s team wrote.

The brown dog tick may be in part responsible but it could be that testing methods have made a difference as well, they said.

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**Comment**

Ticks are NOT becoming more common due to warmer temps.  They are becoming more common due to migrating birds:  https://madisonarealymesupportgroup.com/2018/08/13/study-shows-lyme-not-propelled-by-climate-change/  Warmer temperatures actually reduce tick populations.  Numerous studies have shown that temperature, pollution, and humidity doesn’t affect ticks.  Rather, something called “photoperiod” does.  Ticks require 14 hours to molt into the next stage of life. This study also shows numerous flaws in the climate models.  

The NBC article actually shows the importance of transit with people and dogs transiting ticks from one location to another.  Birds, other mammals, and even reptiles transit ticks across borders.  This is how ticks are traveling further.

Ticks are marvelous ecoadaptors and will seek out and hide in leaf litter or snow to survive.  The link above shows “Tick Guy” Tom Mather demonstrating how ticks can survive 3 degree temps in 24 hours when put under snow cover.

If we allow the false idea of climate driving ticks North to stand, there will be a misdirection of research funds that could go to important issues that could help patients.  For far too long we have had loads of climate data with no help what-so-ever to patients.  We are only lining the pockets of researchers who have a vested interest in pushing the climate issue.

For more on RMSF:  https://madisonarealymesupportgroup.com/2018/07/10/first-rmsf-death-in-wisconsin/

https://madisonarealymesupportgroup.com/2018/06/12/georgia-mom-warns-others-after-son-contracts-rocky-mountain-spotted-fever-after-tick-bite/

https://madisonarealymesupportgroup.com/2015/08/13/severe-case-of-rmsf-had-to-remove-patients-arms-and-legs/

https://www.ommegaonline.org/article-details/THE-ROCKY-MOUNTAIN-SPOTTED-FEVER-AND-THE-NEW-PLAGE-OF-THE-21ST-CENTURY-THE-TICKS/1898

 

Oklahoma-Ehrlichiosis Central

https://www.tulsaworld.com/news/local/oklahoma-is-ehrlichiosis-central-and-common-lone-star-ticks-which/article_408eed87-5b3e-5b3e-a829-9d7802ad578b.html

Oklahoma is ‘Ehrlichiosis Central,’ and common lone star ticks, which carry it, are ‘most active’ now

Flu-like illness spread via tick

By Kelly Bostian Tulsa World

July 4, 2018

Oklahoma ticks

The female lone star tick (left) is easily identified by the pronounced white dot or star in the center of her back. The species’ male is on the right. Courtesy/Rick Grantham, OSU

Correction: An infobox with this story contained incorrect numbers for tick-borne illnesses in Tulsa County. It has been corrected.

__________________________________________________________________________

Texas may be the Lone Star State, but late June through August is prime time for the real lone star to shine in Oklahoma — the lone star tick, that is.

Chances are this summer you have heard of someone in your circle of Oklahoma friends — or someone who knows someone — who has come down with ehrlichiosis (sounds like “air-leaky hoses).”

Along with the spotted fevers (rickettsioses), it is one of the most common tick-borne diseases in Oklahoma. It is primarily shared to Oklahomans through the lone star tick (the one with the white spot on its back), and the heat of summer is the time the lone star tick is most active, according to Oklahoma State University entomologist Justin Talley.

“We’ve had two people in our building and some in other departments come down with it recently, as well,” he said. “A lot of ticks are out right now, and it seems to be getting passed around for some reason, but that’s also pretty typical. We’ve always had it here in Oklahoma.”

The flu-like bacterial infection is passed from “reservoir species” such as white-tailed deer and coyotes through the lone star tick to humans.

While northeastern states are the prime areas for Lyme disease, Oklahoma is Ehrlichiosis Central.

“When you look at the Centers for Disease Control data, there are three states that are the hotbed for it: Oklahoma, Missouri and Arkansas,” Talley said.

It can prove fatal if left untreated, especially for very young or elderly patients. Fatal cases are not limited to but most often hit children younger than 10 and people over 70, Talley said.

“The summer is definitely a problematic time of year. Highest risk is April to October, but we really encourage people to be aware of tick-borne diseases like ehrlichiosis year around and statewide,” said Rachel Clinton, epidemiologist with the state Department of Health Acute Disease Service. “Each year we continue to see a lot of cases statewide.”

Diagnosis of ehrlichiosis can be tricky because people may think they have the flu and may not realize or recall that they were bitten by a tick up to two weeks earlier — especially people who spend a lot of time outdoors for their work or recreation, she said.

“It’s especially important for parents to check children for ticks every day, and if you’re working outdoors in a high-concentration area, you should inspect twice a day,” Clinton said. “Small children need to be looked at closely because they just don’t know they’ve been bitten. The hairline is an especially important place to look.”

Talley said the most important things are awareness, taking steps to prevent bites, and proper removal and documentation after being bitten.

“That’s the biggest thing. The lone star is the most active tick right now, especially east of I-35, Tulsa and southeast. You can go out anywhere and get one on you, even in your backyard,” he said.

Talley advised gentle, slow pulling of the tick straight away from the skin for removal, preferably just with tweezers or fingernails so as not to cause the tick to regurgitate back into the wound.

Tick-removal devices can be good, too;

“just don’t use anything that requires a twisting motion,” he said. “You want to lift it straight up, slowly, so a tool that is like a bottle-opener is OK.”  “Whatever you do, do not put a hot match or anything on the tick,” he said. “Just pull it off.”

The best thing then is to mark a calendar or put a date on a zip-seal bag, drop the tick in the bag and put it in the freezer. That can help with identifying the tick if something arises and, in rare cases, it could help solve a medical mystery.

“You can get the little brown seed tick, too, and it can be just a smaller lone star tick,” he said. “We can tell what it is under a microscope.”

Lone star ticks are not the only ticks in Oklahoma, but they are the ones most commonly associated with ehrlichiosis — as well as tularemia, southern tick-associated rash illness, the rare Heartland virus and the alpha-gal or meat allergy.

Dog ticks are the second most active now. They are most closely associated with Rocky Mountain spotted fever but also may be a vector for tularemia.

 

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More on Ehrlichosis:  https://madisonarealymesupportgroup.com/2018/03/09/dogs-ehrlichiosis/

https://www.lymedisease.org/ehrlichiosis-tick-borne-disease-no-one-heard/

More on Tularemia:  https://madisonarealymesupportgroup.com/2016/10/25/of-rabbits-and-men/

https://madisonarealymesupportgroup.com/2018/02/27/tularemia-infected-ticks-found-on-sorrento-valley-trail-in-ca/

https://madisonarealymesupportgroup.com/2018/03/07/hantavirus-tularemia-warnings-issued-in-san-diego-county/

More on RMSF:  https://madisonarealymesupportgroup.com/2018/07/10/first-rmsf-death-in-wisconsin/

https://madisonarealymesupportgroup.com/2018/06/12/georgia-mom-warns-others-after-son-contracts-rocky-mountain-spotted-fever-after-tick-bite/

https://madisonarealymesupportgroup.com/2017/10/21/mom-got-rocky-mountain-spotted-fever-while-picking-pumpkins/

More on Heartland Virus:  https://madisonarealymesupportgroup.com/2017/08/02/heartland-virus-in-arkansas/

https://madisonarealymesupportgroup.com/2016/11/01/heartland-virus-ravages-mans-body/

https://madisonarealymesupportgroup.com/2018/07/01/surveillance-for-heartland-bourbon-viruses-in-eastern-kansas/

First RMSF Death in Wisconsin

https://www.dhs.wisconsin.gov/news/releases/071018.htm

FOR IMMEDIATE RELEASE
July 10, 2018
CONTACT: Jennifer Miller, 608-266-1683
Elizabeth Goodsitt, 608-266-1683
Jo Foellmi, 608-785-5753

DHS Confirms Death of a La Crosse County Resident from Rocky Mountain Spotted Fever

State and local health departments urge residents to take precautions to protect against tick bites

The Wisconsin Department of Health Services and the La Crosse County Health Department today announced the first documented death from Rocky Mountain spotted fever (RMSF) in the state.

RMSF is rarely reported in Wisconsin and most commonly occurs in the central and southeastern regions of the United States. Most tickborne diseases transmitted in Wisconsin are spread by the blacklegged (or deer) tick; RMSF, however, is spread by the bite of the American dog (or wood) tick (Picture Attached). Early symptoms of RMSF can be mild and typically include fever, headache, nausea, vomiting, rash, and stomach pain. If left untreated, however, a RMSF infection can rapidly develop into a serious illness.

dog-tick-closeup-rocky-mountain-spotted-fever

American dog tick, which can transmit RMSF

“We are saddened to learn of this death and encourage Wisconsin residents to take steps to protect themselves and their families from tick bites while enjoying the outdoors,” said Karen McKeown, State Health Officer.

  • Use an insect repellent with at least 20% DEET or another EPA-registered repellent according to the label instructions.
  • Use 0.5% permethrin products on clothing, socks, and shoes according to label instructions.
  • Stay on trails and avoid walking through tall grasses and brush.
  • Wear long sleeves and pants, and tuck pants into socks and shirts into pants to avoid ticks crawling under clothing.
  • Check your entire body for ticks after being outdoors.
  • Take a shower as soon as possible after coming in from outdoors.
  • Place clothes in the dryer on high heat for 10 minutes to kill any ticks on clothing.
  • Use a veterinarian-prescribed tick prevention treatment on pets.

Of the illnesses spread by ticks in Wisconsin, Lyme disease is the most common, but ticks can also spread anaplasmosis, ehrlichiosis, and more rarely RMSF and Powassan virus. Many people who contract a tickborne disease do not recall a tick bite, so it’s also important to be aware of the common symptoms of tickborne disease such as fever, rash, headache, body aches, and fatigue.

Most diseases spread by ticks in Wisconsin, including Lyme disease, anaplasmosis, ehrlichiosis, and RMSF, can be effectively treated with antibiotics, making early diagnosis critical. If symptoms develop after a tick bite or after possible tick exposure, see a health care provider.

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**Comment**

Story here:  http://amp.wisn.com/article/wisconsin-woman-dies-from-rocky-mountain-spotted-fever/22108466

Jo Foellimi, a La Crosse County public health nurse, said the woman was bit while camping in western Wisconsin in early May.  The woman was diagnosed with RMSF in mid-June and died days later.  Foellimi said the woman was in her late 50s but declined to identify her.

More on RMSF:  https://madisonarealymesupportgroup.com/2018/06/12/georgia-mom-warns-others-after-son-contracts-rocky-mountain-spotted-fever-after-tick-bite/

https://madisonarealymesupportgroup.com/2015/08/13/severe-case-of-rmsf-had-to-remove-patients-arms-and-legs/

https://madisonarealymesupportgroup.com/2017/06/10/two-deaths-from-rmsf-indiana-has-tbis/

Treatment is doxycycline:  https://www.uptodate.com/contents/treatment-of-rocky-mountain-spotted-fever  Empiric therapy with doxycycline should be started if the diagnosis of Rocky Mountain spotted fever (RMSF) is suspected, even if the symptoms are mild.

We Have No Idea How Bad the US Tick Problem Is

https://www.wired.com/story/we-have-no-idea-how-bad-the-us-tick-problem-is/
AUTHOR: MEGAN MOLTENIMEGAN MOLTENI
SCIENCE
7.04.18

WE HAVE NO IDEA HOW BAD THE US TICK PROBLEM IS

WHEN RICK OSTFELD gets bitten by a tick, he knows right away. After decades studying tick-borne diseases as an ecologist at the Cary Institute of Ecosystem Studies in Millbrook, New York, Ostfeld has been bitten more than 100 times, and his body now reacts to tick saliva with an intense burning sensation. He’s an exception. Most people don’t even notice that they’ve been bitten until after the pest has had time to suck up a blood meal and transfer any infections it has circulating in its spit.

Around the world, diseases spread by ticks are on the rise. Reported cases of Lyme, the most common US tick-borne illness, have quadrupled since the 1990s. Other life-threatening infections like anaplasmosis, babesiosis, and Rocky Mountain spotted fever are increasing in incidence even more quickly than Lyme. Meat allergies caused by tick bites have skyrocketed from a few dozen a decade ago to more than 5,000 in the US alone, according to experts. And new tick-borne pathogens are emerging at a troubling clip; since 2004, seven new viruses and bugs transmitted through tick bite have shown up in humans in the US.

Scientists don’t know exactly which combination of factors—shifting climate patterns, human sprawl, deforestation—is leading to more ticks in more places. But there’s no denying the recent population explosion, especially of the species that carries Lyme disease: the black-legged tick.

“Whole new communities are being engulfed by this tick every year,” says Ostfeld. “And that means more people getting sick.

Tick science, surveillance, and management efforts have so far not kept pace. But the country’s increasingly dire tick-borne disease burden has begun to galvanize a groundswell of research interest and funding.

In 1942, Congress established the CDC specifically to prevent malaria, a public health crisis spreading through mosquitoes. Which is why many US states and counties today still have active surveillance programs for skeeters. The Centers for Disease Control and Prevention uses data from these government entities to regularly update distribution maps, track emerging threats (like Zika), and coordinate control efforts. No such system exists for ticks.

Public health departments are required to report back to the CDC on Lyme and six other tick-borne infections. Those cases combined with county-level surveys and some published academic studies make up the bulk of what the agency knows about national tick distribution. But this data, patchy and stuck in time, doesn’t do a lot to help public health officials on the ground.

“We’ve got national maps, but we don’t have detailed local information about where the worst areas for ticks are located,” says Ben Beard, chief of the CDC’s bacterial diseases branch in the division of vector-borne diseases. “The reason for that is there has never been public funding to support systematic tick surveillance efforts.

That’s something Beard is trying to change. He says the CDC is currently in the process of organizing a nationwide surveillance program, which could launch within the year. It will pull data collected by state health departments and the CDC’s five regional centers about tick prevalence and the pathogens they’re carrying to build a better picture of where outbreaks and hot spots are developing, especially on the expanding edge of tick populations.

The CDC is also a few years into a massive nationwide study it’s conducting with the Mayo Clinic, which will eventually enroll 30,000 people who’ve been bitten by ticks. Each one will be tested for known tick diseases, and next-generation sequencing conducted at CDC will screen for any other pathogens that might be present. Together with patient data, it should provide a more detailed picture of exactly what’s out there.

Together, these efforts are helping to change the way people and government agencies think about ticks as a public health threat.

“Responsibility for tick control has always fallen to individuals and homeowners,” says Beard. “It’s not been seen as an official civic duty, but we think it’s time whole communities got engaged. And getting better tick surveillance data will help us define risk for these communities in areas where people aren’t used to looking for tick-borne diseases.”

The trouble is that scientists also know very little about which interventions actually reduce those risks.

“There’s no shortage of products to control ticks,” says Ostfeld. “But it’s never been demonstrated that they do a good enough job, deployed in the right places, to prevent any cases of tick-borne disease.”

In a double-blind trial published in 2016, CDC researchers treated some yards with insecticides and others with a placebo. The treated yards knocked back tick numbers by 63 percent, but families living in the treated homes were still just as likely to be diagnosed with Lyme.

Ostfeld and his wife and research partner Felicia Keesing are in the middle of a four-year study to evaluate the efficacy of two tick-control methods in their home territory of Dutchess County, an area with one of the country’s highest rates of Lyme disease. It’s a private-public partnership between their academic institutions, the CDC, and the Steven and Alexandra Cohen Foundation, which provided a $5 million grant.

Ostfeld and Keesing are blanketing entire neighborhoods in either a natural fungus-based spray or tick boxes, or both. The tick boxes attract small mammal hosts, which get a splash of tick-killing chemicals when they venture inside. They check with all the human participants every two weeks for 10 months of the year to see if anyone’s gotten sick. By the end of 2020 the study should be able to tell them how well these methods, used together or separately on a neighborhood-wide scale, can reduce the risk of Lyme.

“If we get a definitive answer that these work the next task would be to figure out how to make such a program more broadly available. Who’s going to pay for it, who’s going to coordinate it?” says Ostfeld. “If it doesn’t work then perhaps the conclusion is maybe environmental control just can’t be done.”

In that case, people would be stuck with pretty much the same options they have today: protective clothing, repellants, and daily partner tick-checks. It’s better than nothing. But with more and more people getting sick, the US will need better solutions soon.

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**Comment**

Great article pointing out the scary fact that only 6 pathogens transmitted by ticks are being reported on.  There are currently 18 pathogens and counting…..so the numbers are woefully inadequate.

Here’s the list so far:  https://madisonarealymesupportgroup.com/2017/07/01/one-tick-bite-could-put-you-at-risk-for-at-least-6-different-diseases/

Babesiosis
Bartonellosis
Borrelia miyamotoi
Bourbon Virus
Colorado Tick Fever
Crimean-Congo hemorrhagic Fever
Ehrlichiosis/Anaplasmosis
Heartland Virus
Meat Allergy/Alpha Gal
Pacific Coast Tick Fever: Richettsia philipii
Powassan Encephalitis
Q Fever
Rickettsia parkeri Richettsiosis
Rocky Mountain Spotted Fever
STARI: Southern Tick-Associated Rash Illness
Tickborne meningoencephalitis
Tick Paralysis
Tularemia

And the number keeps growing…..but nobody’s keeping score.

Georgia Mom Warns Others After Son Contracts Rocky Mountain Spotted Fever After Tick Bite

http://www.foxnews.com/health/2018/06/09/mom-warns-others-after-son-5-contracts-rare-disease-from-tick-bite.html

Georgia mom warns others after son, 5, contracts rare disease from tick bite

One Georgia mother is warning others after her son contracted a rare disease from a tick bite.

On May 10, 5-year-old Mason McNair was staying with his grandparents in LaGrange, Georgia, when they noticed a tick inside of Mason’s belly button. The tick was promptly removed, but it “got infected and very red around the entire bite,” his mother, Danielle McNair, wrote on Facebook.

McNair promptly took Mason to the doctor, who prescribed him an antibiotic. But 10 days later, Mason’s symptoms had worsened. The young boy was plagued with  fatigue, diarrhea, fever, headaches and pain in his abdomen, according to his mother. On the last day of his medication, Mason also broke out in a rash from “head to toe,” McNair wrote.

At first, McNair thought it was a heat rash. But she soon realized it was not, as the red spots on Mason’s body worsened, becoming bigger and more visible.

Again, the worried mother took her son to the doctor, who told her the rash was possibly a “delayed reaction” to the antibiotic. But McNair wasn’t convinced.

“I was NOT satisfied with that answer and neither was my sister, who told me they needed to do a tick panel on him. I called back after doing my own research on tick-borne diseases and showed them what I had found on Rocky Mountain spotted fever,” she wrote.

After investigating McNair’s suspicion, Mason’s doctors confirmed that young boy did, in fact, contract Rocky Mountain spotted fever. The condition is a bacterial infection that can lead to the amputation of limbs, hearing loss, paralysis and mental disabilitiesaccording to the Center for Disease Control and Prevention. In 2014, there were roughly 3,500 cases of the infection in the United States.

Soon after, Mason was treated with the correct antibiotic and is now “completely healthy,” his mother wrote.

“This has been a horribly scary experience for our family. I’m thankful that I did my own research and brought it to my doctors attention. So don’t EVER be afraid to be an advocate for your child or yourself when it comes to things like this!” McNair continued, adding that “doctors are humans and have to figure out the puzzle just like the rest of us do!”

Danielle McNair was not immediately available for additional comment when contacted by Fox News on Saturday.

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**Comment**
Again, reporters need to quit saying this is “rare.”  IT’S NOT RARE!
All I can say is “Kudos!” to this mom who wouldn’t accept the verdict.  Doctors NEED to start listening & learning.
Doctors need to become educated on the greatest vector-borne plague in the world:  https://madisonarealymesupportgroup.com/2018/06/06/lyme-education-for-healthcare-professionals/
RMSF is one of 18 and counting diseases transmitted by ticks and potentially other insects:  https://madisonarealymesupportgroup.com/2017/07/01/one-tick-bite-could-put-you-at-risk-for-at-least-6-different-diseases/  Testing is abysmal for all of them.
It is estimated that 1 million people are going to be infected this year:  https://madisonarealymesupportgroup.com/2018/02/24/one-million-predicted-to-get-lyme-in-2018-in-the-u-s/
Don’t you think this is worth learning about?