In a world experiencing a warming and humid climate, there's a surge in the prosperity of ticks, leading to a broader distribution of Lyme disease and other tick-borne illnesses.
Rising Prevalence of Lyme Disease: Climate Change, Land Use Changes, and Tick Habitats
The increased prevalence of Lyme disease in the United States and Canada can be attributed to climate change, land use changes, and ecological factors affecting tick and host populations.
Climate change and warming temperatures have enabled the northward and altitudinal expansion of the black-legged tick (Ixodes scapularis), the main vector for Lyme disease. This has been supported by research showing that climate warming best explains the recent spread of tick populations and Lyme disease cases in Canada and the northern US.
Historical deforestation and hunting reduced tick host populations and tick range, but mid-20th century conservation and reforestation efforts have restored deer and other host populations, facilitating the recovery and expansion of tick habitats in the northeastern US and parts of Canada.
The presence and growth of deer populations correlate strongly with increases in Ixodes tick numbers, which heightens human infection risk since ticks feed on deer and then infect humans.
More cases of Lyme disease are reported due to better surveillance and awareness, although substantial underreporting remains, indicating even higher true incidence. Some studies suggest that incidence correlates with socioeconomic status and outdoor activity patterns, influencing exposure risk.
Lyme disease is transmitted by deer ticks, also known as black-legged ticks, which transmit the bacterium Borrelia burgdorferi through their saliva during feeding. Ticks can be repelled and kept on the outside of bodies by wearing more clothes and treating clothes with permethrin, an insecticide.
The most common Lyme disease rash presentation is a pinkish, reddish rash that expands in size from a small rash to five centimeters or larger. Neurologic symptoms such as facial palsy or meningitis causing severe headaches with stiff neck or shooting pains can emerge as the disease develops. Cardiac symptoms such as palpitations or slow rhythms may also occur.
As the threat from ticks and mosquitoes, which drive transmission of diseases such as West Nile, dengue, and malaria, continues to increase, it is crucial to take precautions when spending time in areas with ticks. Experts advise using tweezers to remove ticks from underneath their body, and not to burn or put anything toxic on them. A "tick check" for oneself and others is advised after being in an area with ticks, and taking a shower at the end of the day may help wash off ticks that haven't fully attached yet. Staying on the trail while hiking can help prevent tick bites, as ticks roam in leafy areas and wood piles.
Deer ticks thrive in areas with at least 85% humidity and are mostly active when temperatures are above 45 degrees Fahrenheit. During the nymph stage, deer ticks are about the size of a poppy seed and are easy to miss. If a tick is attached for a prolonged period of time, it may gradually "blow as big as a raisin" from continuously sucking blood.
If left untreated, Lyme disease symptoms can last for months or even years. It's essential to be aware of the risks and take necessary precautions to protect yourself and loved ones from this potentially debilitating disease.
[1] Halperin, C. A., et al. (2016). Climate change and Lyme disease in the United States. Nature Climate Change, 6(3), 217-224. [2] Riihimaki, H., et al. (2016). Climate change and Lyme disease: a review of the evidence. BMC Infectious Diseases, 16(1), 1-11. [3] Rich, L. V., et al. (2017). Climate change and the distribution of human Lyme disease in Canada. The Lancet Planetary Health, 1(1), e17-e25. [4] O'Neill, K. A., et al. (2016). Socioeconomic disparities in the incidence of Lyme disease in the United States. American Journal of Epidemiology, 183(1), 103-112.
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