Archive for the ‘Ticks’ Category

Lyme-Carrying Ticks in West Differ From Their Eastern Cousins

https://www.lymedisease.org/ixodes-pacificus-review/

LYME SCI: Lyme-carrying ticks in West differ from their Eastern cousins

March 21, 2022

By Lonnie Marcum

In most of the United States, a tick called Ixodes scapularis carries Lyme disease. However, in the Western states, there’s a different culprit—Ixodes pacificus—also known as the Western blacklegged tick.

A recent review article provides new insight into the pathogens carried by and diseases caused by Ixodes pacificus. The behavior, habitat and pathogens transmitted by the Western blacklegged tick differ from its Eastern cousin.

Notably, the authors state, ”I. pacificus carry several pathogens of human significance, such as Borrelia burgdorferi, Bartonella, and Rickettsiales.” (McVicar et al, 2022)

The authors, from the University of Nevada, published their report in a special issue of journal Pathogens. The article is entitled “Current Research on Hard Tick-Borne Diseases.”

The reviewers do a fantastic job of describing the ecological diversity and complex nature of ticks found in the Western US.

In fact, there are up to 20 different species of Ixodes (hard bodied) ticks reported in California alone. However, Ixodes pacificus is the only known vector for Lyme disease along the West Coast.

The additional hard tick species endemic to the West include Ixodes spinipalpis, I. angustus, I. neotomae, and I. jellisoni. Although these ticks prefer to feed on rodents, both I. spinipalpis and I. agustus occasionally bite humans.

Habitat

As pictured below, the Western blacklegged tick is well established throughout most of California, the coastal regions of Oregon and Washington, and parts of southern Nevada, northern Arizona and western Utah.

Note: Counties classified as “established” are those where six or more I. pacificus of a single life stage or more than one life stage of the tick were collected in the county within any 12-month period.

The ideal habitat for I. pacificus is one that is sheltered from hot, dry summers. Research has shown nymphal I. pacificus numbers start to decline when temperatures exceed 73º F (23º C), and average daily humidity drops below 83 – 85%. Excessive heat between 90º – 104º F (32º – 40º C) begins to kill off ticks.

The preferred microclimate includes moist, shady areas provided by trees, shrubs, leaf litter or undergrowth. I. pacificus are often found amongst dense oak woodlands, but they can also be found near beaches, and on rocks and picnic tables.

The full range of the Western blacklegged tick extends from Baja California, Mexico, to British Columbia, Canada, but not all of those areas have been thoroughly studied. The process of “active tick surveillance” is quite labor-intensive, and requires funding often not provided to vector-control districts.

Another method of tracking ticks can be done by citizens finding and reporting ticks themselves. This “passive surveillance” technique, as the authors point out, can sometimes give a broader picture from counties that do not conduct active surveillance.

Ticks found where previously undetected

For example, a Northern Arizona University study funded by Bay Area Lyme Disease Foundation received over16,000 ticks from 49 states between 2016-2017. In that study, blacklegged ticks were found in 83 counties (in 24 states) where they had not previously been recorded. (Nieto et al, 2018)

Another recent study looked at crowdsourced images submitted to “TickSpotters” between 2014-2019.  The tick image submissions identified potentially nine new counties of occurrence for I. pacificus across five states including: Colorado, Nevada, Oregon, Utah and Idaho. (Kopsco et al, 2021)

Lifecycle

The lifecycle of Ixodes pacificus ticks generally lasts three years, compared to the I. scapularis which has a two-year life span. During this time, they go through four life stages: egg, larva, nymph, and adult.

After the eggs hatch, the ticks must have a blood meal at every stage to survive.

Blacklegged ticks can feed on mammals, birds, reptiles, and amphibians. The ticks need a new host at each stage of their life. If the host is infected with a pathogen, any tick feeding on that animal will become infected as well.

Although rare, larval ticks may be infectious from birth as some tick-borne pathogens may be transmitted from the female tick to her eggs. This is called transovarial transmission.

Pathogens

The paper lists the pathogens and reservoir hosts associated with I. pacificus, accompanied by countless references. For those interested in full details, I recommend reading the review. This table recaps the authors’ second table, followed by a short recap of their findings. (McVicar et al, 2022)

Anaplasmosis

Anaplasmosis, also known as human granulocytic anaplasmosis (HGA), is caused by the Anaplasma phagocytophilum bacterium (previously known as Ehrlichia phagocytophila or Ehrlichia equi).

It belongs to a larger group of bacteria known as Rickettsia, which infect white blood cells. I. pacificus is a vector for anaplasmosis in the western US. The infection rate of nymphal and adult I. pacificus ticks is 1% and 10% respectively.

Babesiosis

Babesiosis is a disease caused by a malaria-like parasite called Babesia, which infects red blood cells.

As I recently wrote, North America is “ground zero” for Babesiosis, a disease that can be passed from mother to unborn child and through blood transfusions.

On the East Coast, I. scapularis is the vector for babesiosis. On the West Coast, I. pacificus is the predicted vector for babesiosis, but researchers have been unable to confirm this.

One study that collected ticks from multiple sites in California found 3% of I. pacificus ticks were infected with Babesia odocoilei. This is an emerging pathogen not listed on the CDC website as a cause of babesiosis.

The authors state, “Although there is substantive evidence that ixodid ticks on the west coast (i.e., Ixodes angustus, Ixodes pacificus, and Ixodes spinipalpis) are vectors of B. duncani, this has not been yet experimentally confirmed.”  (McVicar et al, 2022)

Bartonellosis

Bartonella is a bacterium carried by many types of human-biting arthropods including fleas, flies, lice, ticks, and chiggers. In one California study, 19% of ticks tested positive for Bartonella.

“Molecular analysis showed a variety of Bartonella strains, which were closely related to cattle Bartonella and several known human-pathogenic Bartonella species and subspecies: B. henselae, B. quintana, B. washoensis, and B. vinsonii subsp. berkhoffii, suggesting that I. pacificus adults could be a source for Bartonella infections in humans,” as stated by the authors. (McVicar et al, 2022)

Ehrlichiosis

Ehrlichiosis is a term that describes several different bacterial diseases caused by a group of intracellular bacteria called Ehrlichia. These pathogens cause two groups of human infections, called human monocytic ehrlichiosis (HME) and human granulocytic ehrlichiosis (HGE.)

While the pathogens that cause HME and HGE are different, the symptoms of the disease are similar. Left untreated, both HME and HGE can be life-threatening.

I. pacificus ticks can carry both diseases. The average infection rate of HME and HGE in California’s I. pacificus ticks is 3.4% and 2.0% respectively.

Lyme disease

Borrelia burgdorferi sensu stricto (s.s.), a spirochete, causes Lyme disease in North America. The CDC estimates that 476,000 people contract Lyme every year in the US. That’s nearly 5 million cases in the past 10 years, making it the most important vector-borne disease in the nation.

There has been a great deal of research on Lyme disease in California, beginning with the pioneering work of Willy Burgdorfer, Bob Lane and Alan Barbour in the early 1980s.

On the west coast, in addition to Borrelia burgdorferi sensu stricto (s.s.), there are four additional Borrelia species within the B. burgdorferi sensu lato (s.l.) complex. These include B. americana, B. bissettiae, B. californensis, and B. lanei—the latter named after Bob Lane for his discovery.  However, B. burgdorferi s.s. is currently the only one of these recognized as causing Lyme disease.

Compare this to the eastern half of the country, with B. burgdorferi s.s. also causing Lyme disease, and only three additional species in the B. burgdorferi s.l complex: B. andersonii, B. kurtenbachii, and B. mayonii. (B. mayonii is also recognized as causing Lyme disease.)

Hard ticks can also carry one species of relapsing fever Borrelia—Borrelia miyamotoi. All other species of relapsing fever borreliosis are believed to be carried by soft ticks.

Several studies in and around the San Francisco Bay Area  have shown that the average infection rate of B. miyamotoi (5.1%) in I. pacificus ticks is higher than the rate of B. burgdorferi (1.3%). Although, depending on the location, infection rates for B. miyamotoi and B. burgdorferi can be as high as 17% and 6% respectively.

Co-infections

Co-infection with multiple pathogens is possible in animal hosts and ticks. Thus, a single tick bite can infect a human with more than one pathogen.

One study found that 14% of grey squirrels, a common host to I. pacificus ticks, were co-infected with B. burgdorferi and Anaplasma. Another study from Washington state found I. pacificus ticks co-infected with B. burgdorferi, B. miyamotoi. and Anaplasma.

In a more recent study, researchers tested ticks for up to five pathogens. In one area of California, infection rates were as high as 31%. (Salkeld et al, 2021)

While Lyme disease accounts for over 80% of all tick-borne cases in the U.S., spotted fever rickettsiosis, babesiosis, anaplasmosis and ehrlichiosis have also seen an increase over the past four decades.

It’s important for researchers and clinicians to know which pathogens co-exist in all regions of the U.S., including the West coast.

Conclusion

As climate changes, tick ecology changes. The authors recommend, “To fully understand these systems, interdisciplinary teams with expertise in tick biology, tick genetics and genomics, computational biology, geography, meteorology, veterinary and human health, as well as vector-control districts and public health, need to work together.”  (McVicar et al, 2022)

A great deal of work has been carried out on ticks in California. However, surveillance and ecological research is lacking in the other Western states.

LymeSci is written by Lonnie Marcum, a Licensed Physical Therapist and mother of a daughter with Lyme. She serves on a subcommittee of the federal Tick-Borne Disease Working Group. Follow her on Twitter: @LonnieRhea  Email her at: lmarcum@lymedisease.org.

Reference

Kopsco H,  Duhaime R, Mather T, (2021) Crowdsourced Tick Image-Informed Updates to U.S. County Records of Three Medically Important Tick Species, Journal of Medical Entomology.  58:6; 2412–2424, https://doi.org/10.1093/jme/tjab082

McVicar M, Rivera I, Reyes JB, Gulia-Nuss M. (2022) Ecology of Ixodes pacificus Ticks and Associated Pathogens in the Western United States. Pathogens. 2022 Jan 13;11(1):89. doi: 10.3390/pathogens11010089. PMID: 35056037; PMCID: PMC8780575.

Nieto NC, Porter WT, Wachara JC, Lowrey TJ, Martin L, Motyka PJ, et al. (2018) Using citizen science to describe the prevalence and distribution of tick bite and exposure to tick-borne diseases in the United States. PLoS ONE 13(7): e0199644. https://doi.org/10.1371/journal.pone.0199644

Salkeld D.J., Lagana D.M., Wachara J., Porter W.T., Nieto N.C. (2021) Examining prevalence and diversity of tick-borne pathogens in questing Ixodes pacificus ticks in California. Appl Environ Microbiol. Apr23:00319-21. doi: 10.1128/AEM.00319-21. Epub ahead of print. PMID: 33893109.

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There’s an important link with the accepted narrative about”climate change” and the current COVID debacle.  If you are unaware of this connection, please take the time to go down a dark rabbit-hole that connects the dots. This news story reports on the World Economic Forum’s (WEF) ESG score, (environment, social, and corporate governance) which is similar to a credit score and is centered around sustainability & ethics.  Currently given only to corporations, it isn’t a stretch to imagine this extended to individuals. Like everything else, the system is subjective to whomever decides what “ethical, diverse, and sustainable” is.  The scores can change on a whim. Companies are changing slogans, censoring content, firing controversial people, and modifying behavior to ingratiate themselves to those in power. This system is already being used in China.

In this recent article, we learn about the WHO’s “pandemic treaty” which would yet further erode individual and medical freedom under the guise of pandemic preparedness and control.  Keep in mind the WHO already changed the definition of what a pandemic is that essentially allows them to proclaim any disease they deem a threat a ‘pandemic,’ despite the fact it doesn’t cause mass casualties.

You may ask what this has to do with climate change.  Everything.
The climate change moniker is a ruse for a huge power grab in terms in money and control.

While the world was distracted by Will Smith, the internal elite met at the World Government Summit (WGS) in Dubai where World Economic Forum (WEF) head Klaus Schwab and ilk spoke of a “longer-term narrative” to make the world “more resilient, more inclusive, and more sustainable.”

The WGS spent considerable time discussing the United Nations Sustainable Development Goals (SDGs) which form the core of the Agenda 2030, (formerly Agenda 21) itself part of The Great Reset agenda, as well as topics like Blockchain, AI, 6G, and Human Meta-Cities, a rebranding of the so-called Smart Cities.

Go here for a wonderful explanation of Agenda 2030.

Within the video you learn that Agenda 2030 is about inventory & control of all resources of the world:
food, water, energy, land, production, education, construction, yes, even people. The plan will clear out rural areas and relocate people to large cities where people will be tightly controlled, monitored, and managed with intrusive technology.  It will enforce Communitarianism – ruled by governments and companies: where the needs of the community trump individual rights and freedoms (which we are already seeing with COVID).  Dissidents will be outcasts – which we’ve also already experienced with COVID injection apartheid.

No less than 14 out of 17 sustainable development goals SDGs include vaccination or immunization.
What does vaccination have to do with green economies?

Schwab’s “the 4th Industrial Revolution,” is the “digital panopticon of the future, where digital surveillance is omnipresent and humanity uses digital technology to alter our lives. Often associated with terms like the Internet of Things, the Internet of Bodies, the Internet of Humans, and the Internet of Senses, this world will be powered by 5G and 6G technology.”  (Please note many believe this technology is dangerous to the human body and remains untested for adverse effects)

The truly frightening discussion was titled: The Invisible Government: Eliminating Bureaucracy Through Technology: “What goes unsaid in the panel description is that making the government “invisible” will actually lead to a world of no accountability for government and politicians. In reality, the Technocrats imagine a world where the tyrannical technological systems are invisible and the average person has zero recourse for preventing exclusion or punishment based on their social credit score.”

While few argue that the climate changes, as it always has since the beginning of time, many climate experts defy the accepted narrative and state political games are being played to create policy. Further, according to Pat Michaels, former president of the American Association of State Climatologists, it has warmed up around 1 degree Celsius since 1900, and life expectancy has doubled. Climatologists have also debunked that “global warming” is making storms worse and that carbon dioxide is harmful.

What is very real; however, is the concerted effort to engineer the earth’s climate.  Dane Wigington states “geoengineering must be considered weather and biological warfare due to the endless list of catastrophic downstream impacts and effects.”  He also states: “That massive covert government programs have been playing “God” with the biosphere for well over 60 years, perhaps even longer. In recent years the scope and scale of these devastating weather modification programs has been ramped up so much that the entire climate system and biosphere is now hanging in the balance.”

Excerpt:

Polymer nanofibers are a component of these operations. The science community has now confirmed that microplastics have been found in human blood and farm animals. These puzzle pieces are not hard to connect for any that conduct objective investigation. New studies now also confirm that plastic pollution could “make much of humanity infertile”. How well would this serve the objectives of those in power? Engineered winter weather and temperature whiplash scenarios are continuing wherever and whenever the climate engineers have compatible conditions for carrying out the highly toxic chemical ice nucleation cloud seeding operations. In the meantime the weather makers are relentlessly cutting off the flow of rain from the Western US. Crop production is being crushed while the stage is being set for yet another summer of record wildfires. What will it take for a greater percentage of the population to look up and connect the dots?”  source

https://www.youtube.com/watch?v=rf78rEAJvhY  Video Here

The Dimming

Full Length Climate Engineering Documentary

Category:

Anaplasmosis, Babesia, Bartonella, Borrelia Miyamotoi (Relapsing Fever Group), Ehrlichiosis, Lyme, research, Rickettsia, Ticks, Transmission

Spring is Here! Prescribed Fire, Ticks, & How They Are Connected

https://naturalcommunities.net/blogs/news/do-you-have-the-tick-tickles

Spring is Here! Prescribed Fire, Ticks, and How They Are Connected

Finally, spring is here! With temperatures warming and the snow melting, it also means it’s the beginning of prescribed fire season.  The window after snowmelt and before growing season is the ideal time of year to get out and run fire through your managed natural areas, to reduce invasive species and promote our native plants.  But these warmer temperatures also mean something else will be joining us outdoors, something much less welcome – ticks.  While prescribed fires and ticks may seem like separate topics, recent research has indicated that how we manage our natural areas and how frequently we encounter some species of ticks may be more closely linked than we’ve realized.

Prescribed fires may be something you’ve heard about before, and they’re a worthy management tool to bring up again now that we’re in spring burn season.  For many natural areas in the Midwest, prescribed fires are an integral part of the ecological flywheel and are a tool that’s been used for thousands of years to control unwanted plants and promote the growth of beneficial native plants.  Particularly in the ‘establishment and management’ spoke of the ecological flywheel, controlled fire can be one of the most powerful and effective tools to managed restored areas by promoting native plant vigor, as many of our beneficial native plants are adapted to (and benefit from!) fire whereas invasive species are not.  It is also a way to prepare the seedbed for many perennial grasses and other plants, as they require bare mineral soil for germination and fires release nutrients back into the soil.

Ticks are also something you’ve likely heard about before, as they are an unfortunate but natural part of the midwestern landscape.  There are three species commonly encountered here in Illinois and much of the Midwest: the black-legged (deer) tick, the American dog (wood) tick, and the lone-star tick, and all three species carry various pathogens.  They can also be found in a variety of natural landscapes, with the black-legged ticks and lone star ticks generally found amongst leaf litter in woodlands, and American dog ticks found along grassy edges of woodlands and grasslands.

So, what do these two aspects of spring have to do with one-another?  More than you may think, and it all has to do with the habitat requirements of ticks.  Ticks depend on the right type of ‘micro-climate,’ the atmospheric conditions immediately around the animal that may be different from the overall landscape.  In particular, many ticks are susceptible to desiccation if they are in too dry of an environment, and so they need a micro-climate that protects from wind, has higher temperatures, and holds moisture.  As it turns out, this is the exact type of micro-climate that many unburned environments provide, as the soil is covered by leaf litter and the understory is sheltered by invasive species like Eurasian honeysuckle and buckthorn.

Recent research may indicate that frequent prescribed fires can reduce the likelihood of tick encounters, and therefore reduce the risk of contracting tick-borne diseases.  Prescribed fires can reduce the invasive plant species that provide a conducive micro-climate for ticks, as well as reducing leaf litter where ticks find cover.  This opens the habitat to lower temperatures and less moisture.  Prescribed fires can also reduce ticks by direct mortality, as most ticks are slow moving and can’t actively escape an area being burned.  In addition, most prescribed fires take place over larger areas, extending the time needed for ticks to recolonize those burned sites when compared to smaller burned areas.  All of this is beginning to point to frequent prescribed fires being an effective tool in reducing tick abundance.

While it’s too early to know all the details of how prescribed fires can reduce tick abundance, the many other benefits of fire as a management tool are well-known.  If you are a municipality, park district, or land manager, sign up for a free consultation below and we can discuss how you can utilize this age-old management practice to as part of your land management program, and how you can fill the gaps left by invasives with more beneficial native plants (and hey, if it also helps reduce tick abundance, that’s a pretty sweet tool!).

Andres Ortega

Contact Us

Natives@NaturalCommunities.net

331-248-1016

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Category:

Prevention, Ticks

“Super-Fast” Lone Star Ticks Showing up in New Places

https://www.lymedisease.org/lyme-sci-super-fast-lone-star-ticks-are-showing-up-in-new-places/

LYME SCI: “Super-fast” lone star ticks are showing up in new places

March 30, 2022

By Lonnie Marcum

The lone star tick (Amblyomma americanum) has been rapidly expanding its range, from the Southern United States into the Northeast and Midwest.

This tick is a major vector of several viral, bacterial, and protozoan pathogens affecting humans, pets, livestock, birds and other wild animals in the United States. In some Midwestern states, it is commonly known as the “turkey tick” due to its association with wild turkeys. (Childs and Paddock, 2003)

Currently, the lone star tick is known to transmit human ehrlichiosis, tularemia, Heartland virus, Bourbon virus, Southern tick-associated rash illness (STARI) and rarely Rocky Mountain spotted fever—one of the deadliest tick-borne diseases in the US.

People bitten by a lone star tick may also develop alpha-gal syndrome—a severe allergy to meat and meat-related products.

A recent crowdsourced science project has documented the largest increase of the lone star tick in decades. Researchers documented new tick encounters in over 300 counties—including six new counties in western states—where these ticks had not been documented before.

TickSpotters program evaluates photos

In a study published in the Journal of Medical Entomology, researchers at the University of Rhode Island (URI) evaluated over 9,500 photos submitted between 2014-2019 to the TickSpotters surveillance program.

To document the changes, researchers first identified the ticks in the submitted photos, then logged the county each was reported from. They used this method to plot the geographic ranges of three medically important U.S. tick species: Amblyomma americanum, Ixodes scapularis and Ixodes pacificus. The last two are the vectors for Lyme disease.

More than 5,000 photographs of the lone star tick were received from over 1,000 counties across the US. Of those, 341 counties had no previous record of lone star ticks. The largest expansion of the lone star tick was seen in Illinois, Indiana, Kentucky, and Ohio.

In addition, the lone star tick was reported in several counties in the western US, a region not typically associated with these ticks. Notably, it was found in six new counties in California, four counties in Colorado and one new county each in Idaho, Oregon and Utah.

“The causative drivers of these upturns are complex, but have a lot to do with increased host availability, warming temperatures, and moisture availability,” researcher Heather L Kopsco, PhD, told Entomology Today,

Female lone star ticks are identifiable by a single silvery-white spot on the center of their back (scutum.) The male lone star tick is slightly smaller, with varied white streaks or spots around the margins of its body.

Finding Heartland virus in Georgia

Another recent study published in the CDC journal “Emerging Infectious Diseases” found lone star ticks infected by Heartland virus in Georgia. The article points out several major knowledge gaps and the complexity of diseases carried by the lone star tick. (Romer et al, 2022)

“Heartland is an emerging infectious disease that is not well understood,” says Emory University’s Gonzalo Vazquez-Prokopec PhD, senior author of the study.

Interestingly, the genetic analysis of the Heartland virus from Georgia shows that it is 2%-5% different from previous genetic sequences of the virus.

“These results suggest that the virus may be evolving very rapidly in different geographic locations, or that it may be circulating primarily in isolated areas and not dispersing quickly between those areas,” Vazquez-Prokopec says.

The Heartland virus wasn’t officially named until 2009. However, the CDC has since found evidence of it in wild animals in at least 13 states, including stored samples from deer dating back to 2001. (Clark et al, 2018)

Because the initial symptoms of these tick-borne viruses resemble the flu, and tests for it are not readily available, it is likely being undetected and underreported in humans.

Quick and aggressive

The lone star tick moves quickly and aggressively, says Thomas Mather, PhD, Director of the TickEncounter Resource Center and co-author of the URI study.

“It is super-fast. It can move from below your knees to the top of your head in a matter of seconds.” Mather says it is the tick most frequently found attached to humans in the South.

The greatest risk of being bitten by the adults exists in early spring through fall. Lone star ticks are found mostly in woodlands with dense undergrowth and around animal resting areas, where they will quest on tall grass and low hanging branches.

Nymphal ticks quest lower to the ground but also move fast. If you encounter a patch of larvae, you’ll find they may latch on by the hundreds. Tick Encounters recommends using sticky duct tape to remove these larvae as soon as possible.

Expanding range

The range of the lone star tick in North America has increased dramatically over the past 30 years. Large numbers have been recorded as far to the northeast as Maine, as far to the southeast as Florida, as far south as Mexico and as far west as Colorado. Recently, patchy encounters have also been noted in Canada and the West coast.

Diseases carried by lone star ticks

The following is a list of symptoms of diseases caused by the bite of the lone star tick per the CDC.

Alpha-gal Syndrome (AGS)

Reactions can include:

  • Rash
  • Hives
  • Nausea or vomiting
  • Heartburn or indigestion
  • Diarrhea
  • Cough, shortness of breath, or difficulty breathing
  • Drop in blood pressure
  • Swelling of the lips, throat, tongue, or eye lids
  • Dizziness or faintness
  • Severe stomach pain

Symptoms commonly appear 2-6 hours after eating meat or dairy products, or after exposure to products containing alpha-gal (for example, gelatin-coated medications). Personal products that use ingredients containing “hydrolyzed protein,” lanolin, glycerin, collagen, or tallow are particularly problematic.

AGS reactions can differ from person to person and range from mild to severe. Anaphylaxis (a potentially life-threatening allergic reaction involving multiple organ systems) may need urgent medical care.

People may not react after every alpha-gal exposure.

Seek immediate emergency care if you are having a severe allergic reaction.

Bourbon Virus

Scientists are still learning about possible symptoms caused by this virus.

People diagnosed with Bourbon virus disease had symptoms including:

  • fever
  • tiredness
  • rash
  • headache
  • other body aches
  • nausea, and

Patients with Bourbon virus will have low blood counts for cells that fight infection and help prevent bleeding.

There is no medicine to treat Bourbon virus disease. Doctors can only treat the symptoms. For example, some patients may need to be hospitalized and given intravenous fluids and treatment for pain and fever. Antibiotics don’t work against viruses.

Ehrlichiosis

Signs and symptoms of ehrlichiosis typically begin 1-2 weeks after the bite of an infected tick. Left untreated, ehrlichiosis can be fatal. Early treatment with doxycycline is highly effective.

Early signs and symptoms (the first 5 days of illness) are usually mild or moderate and may include:

  • Fever, chills
  • Severe headache
  • Muscle aches
  • Nausea, vomiting, diarrhea, loss of appetite
  • Confusion
  • Rash (more common in children)

About a third of people with ehrlichiosis report a rash, which can look like red splotches or pinpoint dots. This typically develops five days after the fever begins.

Early treatment can reduce your risk of developing severe illness, which can include:

  • Damage to the brain or nervous system (e.g. inflammation of the brain and surrounding tissue (called meningoencephalitis))
  • Respiratory failure
  • Uncontrolled bleeding
  • Organ failure
  • Death
Heartland Virus
  • Most people infected with Heartland virus experience fever, fatigue, decreased appetite, headache, nausea, diarrhea, and muscle or joint pain. Many require hospitalization.
  • Some people also have lower than normal counts of white blood cells (cells that help fight infections) and lower than normal counts of platelets (which help clot blood). Sometimes, liver enzymes are elevated.
  • It can take up to two weeks for symptoms to appear after an infected tick bite.
Rocky Mountain Spotted Fever

Early signs and symptoms are not specific to RMSF. However, the disease can rapidly progress to a life-threatening illness.

Signs and symptoms can include:

  • Fever
  • Headache
  • Rash
  • Nausea
  • Vomiting
  • Stomach pain
  • Muscle pain
  • Lack of appetite

While almost all patients with RMSF will develop a rash, it often does not appear early in illness, which can make RMSF difficult to diagnose. RMSF rash usually develops 2-4 days after fever begins. The appearance of the rash can vary widely. Some rashes look like red splotches and some look like pinpoint dots.

Some patients who survive severe RMSF may be left with permanent damage, including amputation of arms, legs, fingers, or toes (from damage to blood vessels in these areas); hearing loss; paralysis; or mental disability.

Southern tick-associated rash illness (STARI)

It is not known whether antibiotic treatment is necessary or beneficial for patients with STARI. Nevertheless, because STARI resembles early Lyme disease, physicians will often treat patients with oral antibiotics.

The rash of STARI is a red, expanding “bull’s-eye” lesion that develops around the site of a lone star tick bite. The rash usually appears within seven days of the tick bite and expands to a diameter of three inches or more. The rash should not be confused with much smaller areas of redness and discomfort that can occur commonly at the site of any tick bite.

Patients may also experience fatigue, headache, fever, and muscle pains. The saliva from lone star ticks can be irritating; redness and discomfort at a bite site does not necessarily indicate an infection.

Tularemia

The signs and symptoms of tularemia vary depending on how the bacteria enter the body. Illness ranges from mild to life-threatening. All forms are accompanied by fever, which can be as high as 104 °F.

“Ulceroglandular” is the most common form of tularemia and usually occurs following a tick or deer fly bite or after handing an infected animal. A skin ulcer appears at the site where the bacteria entered the body. The ulcer is accompanied by swelling lymph glands, usually in the armpit or groin.

LymeSci is written by Lonnie Marcum, a Licensed Physical Therapist and mother of a daughter with Lyme. She serves on a subcommittee of the federal Tick-Borne Disease Working Group. Follow her on Twitter: @LonnieRhea  Email her at: lmarcum@lymedisease.org.

References

Childs JE, Paddock CD. (2003) The ascendancy of Amblyomma americanum as a vector of pathogens affecting humans in the United States. Annu Rev Entomol. 48:307-37. doi: 10.1146/annurev.ento.48.091801.112728. Epub 2002 Jun 4. PMID: 12414740.

Clarke, L. L., Ruder, M. G., Mead, D. G., & Howerth, E. W. (2018). Heartland Virus Exposure in White-Tailed Deer in the Southeastern United States, 2001-2015. The American journal of tropical medicine and hygiene, 99(5), 1346–1349. https://doi.org/10.4269/ajtmh.18-0555

Guzmán-Cornejo C et al (2011) The Amblyomma (Acari: Ixodida: Ixodidae) of Mexico: identification keys, distribution and hosts. Zootaxa 2998:16–38

Kopsco HL, Duhaime RJ, Mather TN. (2021) Crowdsourced Tick Image-Informed Updates to U.S. County Records of Three Medically Important Tick Species. J Med Entomol.  11:tjab082. doi: 10.1093/jme/tjab082. Epub ahead of print. PMID: 33973636.

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Riemersma KK, Komar N. (2015) Heartland Virus Neutralizing Antibodies in Vertebrate Wildlife, United States, 2009-2014. Emerg Infect Dis. 21(10):1830-3. doi: 10.3201/eid2110.150380. PMID: 26401988; PMCID: PMC4593439.

Romer, Y., Adcock, K., Wei, Z., Mead, D. G., Kirstein, O., Bellman, S….Vazquez-Prokopec, G. M. (2022). Isolation of Heartland Virus from Lone Star Ticks, Georgia, USA, 2019. Emerging Infectious Diseases, 28(4), 786-792. https://doi.org/10.3201/eid2804.211540.

Springer YP, Eisen L, Beati L, James AM, Eisen RJ. (2014) Spatial distribution of counties in the continental United States with records of occurrence of Amblyomma americanum (Ixodida: Ixodidae). J Med Entomol. Mar;51(2):342-51. doi: 10.1603/me13115. PMID: 24724282; PMCID: PMC4623429.

Steinke J, Platts-Mills T, Commins, S. (2015) The alpha-gal story: lessons learned from connecting the dots. J Allergy Clin Immunol. 135(3): 589-96.

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**Comment**

Great, informative article.  I disagree with the notion that the climate is causing tick movement and proliferation of disease – here’s why:

Ticks will be the last species on the planet besides the IRS.

Category:

Alpha Gal Meat Allergy, Ehrlichiosis, Lyme, research, Rocky Mountain Spotted Fever, Ticks, Transmission, Tularemia, Viruses

Pennsylvanians Urged to Protect Themselves Against Rising Tick-borne Diseases

http://  Approx. 8 Min

Pennsylvanians Urged to Protect Themselves Against Rising Tick-Borne Diseases

WGAL

March 16, 2022

Category:

Activism, Lyme, Ticks

Growing Evidence of Lyme-Like Illness in Australia

Growing Evidence of an Emerging Tick-borne Disease That Causes a Lyme-like Illness For Many Australia Patients

Professor Noel. Campbell
Fellow Australasian College of Nutritional and Environmental Medicine

sub1281_Campbell (1)  372 page Paper Here

Executive Summary:  

Over the past three decades, thousands of Australian families have felt the impact of Lyme and  other tick-borne diseases (TBDs), with an estimated 10,000 individuals affected each year. Whether  it is a laborer who cannot continue his work because of debilitating joint pain, or a child who  misses school because of debilitating fatigue, pain and cognitive dysfunction, TBDs can have a  significant effect on the day to day lives of Australians. Since Lyme disease was first identified in  Australia in 1982, the disease has spread geographically, and in severity. It has been documented  that there has been an increase in tickborne diseases in Australia, including early and late forms, as  well as an increase in neurological cases.

The patient experience may be characterized by delays in diagnosis, confusion, frustration,  ongoing illness, with, in many cases poor outcomes, disability and a significant financial burden.  (Most recently, we have started to record deaths in Australia from tickborne diseases.)

Recognizing these facts, the Parliament of Australia has referred these matters to the Senate  Community Affairs References committee for enquiry and report. The Senate acknowledged the significant toll TBDs may exact on individuals, families, communities, and the state, noting that  TBDs pose a serious threat to the health and quality of life of many residents and visitors to  Australia.

The purpose of this inquiry should be to establish a Lyme and related tickborne diseases task force charged with exploring and identifying recommendations related to education and awareness, long term effects of misdiagnosis, prevention, and surveillance. The intent of the recommendations are  generally to improve Australia’s response to the tickborne disease burden.

This submission reflects the history of TBDs in Australia, and includes specific recommendations as well as implementation strategies, case studies, and resource needs. While the Senate Inquiry  will be the result of months of research and co-collaboration, it is clear that its report is merely the  beginning of a much-needed dialogue and structured planning process across the country.

The primary recommendations in this submission focus on increased and improve surveillance,  prevention of tick exposure strategies and tactics, as well as education and awareness for  healthcare practitioners(HCPs), patients, the general public and other stakeholders.

In contemplating each recommendation, the author carefully considered each of the countries key  stakeholders, including patients of all ages and their families, vulnerable populations, health care  providers, domestic animals, researchers, Government agencies, policy makers, schools and  community organisations, and the general public.

Key Themes: 

  1. Tickborne disease knowledge and research is evolving rapidly. It will be vital to encourage  critical research, to understand the scope and scale of Lyme and other TBDs in Australia,  and to develop options to improve the public health response and the community/ patient  outcomes.
  2. Different schools of thought exist among all stakeholders regarding Lyme. Ambiguities do  exist so it is important to promote a strong and academically rigourous pursuit of better  research to help clarify the best options for patients. We are encouraged to keep an open  mind, and to continue to explore the nature of these diseases and their health impacts.
  3. The most critical research gap is the lack of a gold standard test for Lyme and other  tickborne infections; a test that can quickly and accurately diagnose the disease, and prove  or disprove ongoing persistence. Research into bio- resonance for diagnosis and treatment of Lyme disease is producing encouraging results in Melbourne Australia.
  1. Without more research and surveillance, it will be difficult to stay ahead of this rapidly  evolving public health problem.
  2. The cost to Australia of doing nothing is considerable.
  3. Without targeted and significant funding, it is unlikely these recommendations can be  deployed in an effective and impactful way.
  4. Collaboration among the commonwealth’s diverse stakeholders Will help ensure programs  and strategies are innovative, effective, and measurable.  Too many Australians have suffered the consequences of Lyme and TBD’s, and without action,  thousands more remain at risk. This is important public health challenge affects all Australians  -every state has reported ticks infected with bacteria. And yet our children, our elderly, and our immunocompromised are most at risk and most vulnerable to their impact. Our actions now,  will significantly impact Australian youth’s risk and future potential.The author respectfully requests Swift action on the enclose recommendations by all state  leaders charged with ensuring the protection and well being of the Commonwealth’s residents.

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Category:

Activism, Lyme, research, Testing, Ticks