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Sunday, May 7, 2023

Time to talk ticks again

I HATE ticks

By Will Collette

We are getting into peak season for ticks in southern Rhode Island. If you live here, you already know that ticks can find a way to get on you even in winter – any day where temps climb above freezing. You also know ticks carry diseases so you really don’t want to get bit.

Hospital emergency rooms are already reporting a sharp uptick in patients coming in for treatment of tick bites.

We have to watch out for American Dog ticks, blacklegged deer ticks, and lone star ticks in Rhode Island because they can transmit Lyme diseaseRocky Mountain spotted fever and other tick-borne illnesses.

The Centers for Disease Control report a rise in cases of Babesiosis, mainly from deer ticks (which is practically Rhode Island’s official state noxious bug). Symptoms of Babesiosis include fever, muscle and joint pain and headache. Illness can range from mild to severe, and it can be fatal in rare cases. Infections can also be asymptomatic, so patients may not always know to be tested.

How's the vaccine hunt going?

Efforts by Pfizer to develop a vaccine for Lyme disease suffered a setback that led Pfizer to suspend trial sites in numerous locations, such as Block Island.

According to the Block Island Times, Pfizer said it was discontinuing “a significant percentage of participants in the United States who had been enrolled in the Vaccine Against Lyme for Outdoor Recreationists Phase 3 clinical study.” The company stresses that the reason is not due to vaccine safety or “adverse events,” but because of violations of “Good Clinical Practice” by a subcontractor conducting the tests at several sites.

The BI Times further reports “the subcontractor is Boston-based Care Access, which was conducting the vaccine trial on Block Island, Martha’s Vineyard, and Nantucket, and in several other places. The cancellation affects about half of the people who signed up in the United States – 3,500 of 7,000 people.”

They noted that “Alison Warfel, Chief Operating Officer of Block Island Health Services, told The Block Island Times that she believed that Pfizer was planning to go with a different third-party vendor on Block Island and that participants would be able to remain in the study.”

Hopefully that will happen because most people in our area (except maybe the MAGAnuts) would welcome a vaccine to prevent Lyme disease.

New tick-borne disease diagnosed in the US

While so much of the focus of studies on tick-borne diseases is on Lyme disease, there is another disease of rising concern in addition to Babesiosis carried by deer ticks.

That’s Borrelia lonestari bacteria carried by the lone star tick. Despite the name, they are not confined to Texas (as I would wish them to be). I’ve actually been bitten by one in Charlestown. It was the first and only time I’ve had a tick bite that actually hurt, almost like a hornet sting.

So far, there’s only been one case in the US, a 75 year old Alabama. It nearly killed him.

He sought treatment after a month of extreme fatigue, recurring fever and chills, sweating, headache, and dizziness. Then high fever and a stuporous condition. Antibiotics helped knock down the illness which was eventually diagnosed as tickborne relapsing fever (TBRF) caused by Borrelia lonestari bacteria.

TickEncounter Resource Center

Because Rhode Island is right at the epicenter of so much tick activity, we’ve developed some fine resources. Under the leadership of renowned tick expert Dr. Thomas Mather at URI, we have a one-stop full-service tick center at the Center for Vector-Borne Disease and its TickEncounter Resource Center. CLICK HERE.

On that website, you can find tons of practical information about how to cope with ticks. It’s done is clear, plain language with a light touch of humor.

They can also be your first stop in checking out the endless array of opinions on the best way to repel or kill ticks, treat tick bites including how to safely remove ticks, the merits of doxycycline as prophylaxis against Lyme disease and more to help you decide what you should do to protect yourself and your family.