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Ticks and Lyme Disease Lyme disease is an illness caused by Borrelia burgdorferi bacteria, which inhabit the gut of some ticks. It is passed through bites. Ticks are spider like creatures found in many parts of the U.K., Europe, and North America. Infected ticks are known to be present in London and the South East. However, very few ticks carry the infection. Prevention Prevention is the best form of protection from Lyme disease. Avoid infection when walking through any areas of rough vegetation; woodland, scrub, bracken , rough grass: shown actual size Photo: Gunnar Hasle Larvae, Nymph, Adult Male, Female, Engorged adult (after feeding) . Wear light coloured clothing to enable detection of ticks before they bite. Wear long sleeved shirts and trousers. Examine yourself, children and pets at the end of the day; remember ticks are very small and hard to spot. If you work in tick infected areas, change your clothing before going home.* Remove ticks as soon as they are seen. There is no vaccine available. Protect dogs with insect repellent or a tick collar. Ticks live in bracken, long grass, scrub and woodlands. They attach themselves to passing animals, birds and people, and feed by biting through the skin and sucking blood. They can remain attached for 2 to 7 days before dropping off. Ticks are small and can remain unnoticed until they are fully engorged. The main period of tick activity is from May to October, although they may be active at other times if the weather is mild. Tick larvae and nymphs feed mainly on small mammals and birds such as rabbits, voles, field mice, thrushes and pheasants. Adult ticks feed mainly on medium to large mammals such as deer, horses, rabbits and dogs. Humans are incidental food sources. If the tick is carefully removed before 24 hours infection is highly unlikely * Lyme disease contracted through work is reportable under RIDDOR H3D www.otom.com Prevent ticks biting by using insect repellents such as DEET and permethrin based products. Wear shoes or boots instead of sandals. Deer Tick Ixodes ricinus Tick Removal Symptoms of Lyme Disease Lyme disease symptoms may begin to appear days or weeks after being bitten. Often a red or pink rash, which is neither raised nor itchy, spreads gradually outwards from the location of the bite. It can spread slowly to a size of about 60cm if not treated. Bullseye Rash The rash can be very faint, and sometimes does not appear at all. It will usually clear rapidly with antibiotic treatment. Flu like symptoms such as headaches, chills, tiredness and aching joints may occur either before or at the same time as the rash appears. These symptoms can last for weeks if not treated. Serious complications such as joint problems, tingling sensations in limbs, and facial paralysis, may occur weeks or months later if the disease is left untreated. Early treatment with antibiotics will shorten the duration of the disease, and prevent development to the later stages. Tick removal with tweezers and tick tool Risk of infection is highly unlikely if the tick is removed within 24 hours Due to its small size and secure attachment, ticks are difficult to remove Pinch, Twist, Pull: Pinch the tick as close to the skin as possible preferably with fine nose tweezers or a tick removal tool, grasping the tick by the head. Avoid squeezing the body of the tick. Use your fingernails if fine tweezers are not available. Pull the tick out firmly and slowly. Clean and disinfect the bite, and wash your hands. Never use heat or chemicals / lotions in an attempt to loosen the tick. This can increase the risk of infection, and is not believed to be effective. If you are worried about possible infection contact your GP.