Shirley English
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Visitors to the countryside are being warned of an increased risk of contracting Lyme disease, amid a sharp rise in the tick population.
With the warm spring bringing out walkers, cyclists and riders. the Health Protection Agency is advising people to take precautions against tick bites particularly when visiting woods, heaths and moorland – and even suburban parks.
In England and Wales the number of diagnoses of Lyme disease rose to 684 last year. In Scotland reported cases have risen tenfold in a decade, last year doubling to 177.
The disease starts with an expanding, “bull’s-eye” rash and flu-like symptoms that are treated with antibiotics. If early warning signs go undetected, the bacteria may cause complications such as arthritis, meningitis, paralysis of facial muscles, depression and memory problems.
Britain’s milder winters, and wetter, warmer weather generally, provide an ideal breeding-ground for the tiny, spiderlike ticks – which have also had a devastating impact on grouse numbers. Last December was the warmest in Britain for 18 years and 2006 the warmest year on record.
Ixodes ricinus, the sheep tick, can live on most warm-blooded mammals, and attaches itself to humans by burying a probe into the skin to suck blood.
Ticks begin life as black insects the size of a pinhead, but swell to the size of a pea after gorging on blood, before turning grey and dropping off their host.
Their bite is painless, and they are so small that one might not know they are there. The insects cannot fly, but wait in grass, heather, bracken and trees for a host to brush past.
It is not known definitively how may ticks carry Lyme disease, Lyme borreliosis, but some experts estimate that it could be as high as one in three. Oxford University’s zoology department is charting hotspots.
John Cowden, an epidemiologist at Health Protection Scotland, said that there could be even more cases of Lyme disease than was known. “It could be down to milder weather, global warming, or the fact that more people are out walking.
“There is not a lot we can do other than advise people to be careful. We cannot get Lyme disease out of the environment. It is quite simply up to individuals to avoid catching it.”
Infestations used to be confined to late spring and summer, but the parasites are now continually active in some areas.
It is widely held that a tick must be attached for 24 hours to pass on Lyme disease, so removing it quickly is crucial. The disease then has a three-week incubation period.
Wearing long-sleeved tops and trousers, and shoes rather than open sandals, can help to prevent bites.
Ramblers Scotland said that the risk of contracting the disease was small. Helen Todd, of the organisation, said: “Lyme disease is serious, but I am a walker and in the past ten years I have had about four ticks.” Known Lyme disease areas are the Highlands, the Yorkshire Moors, the Lake District, Thetford Forest, the New Forest, Berkshire, Wiltshire, the South Downs and Exmoor.
Plenty to grouse about
— Scotland’s commercial grouse moors, which rely on seasonal shooting parties, have been hit hard by the sharp rise in the tick population
— Ticks infect grouse chicks with a virus called louping ill. It is fatal in 80 per cent of cases
— In the past 20 years the number of grouse chicks infested with ticks has risen from 4 per cent to more than 90 per cent
— The Game Conservancy Trust is doing trials in the Highlands whereby sheep are given treatments that attract ticks and kill the insects when they bite
— Highland estates have also taken steps to cull wild deer in a effort to reduce the number of potential tick “hosts” available
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Mike in St. Louis, USA, you should never do anything to irritate a tick in order to get a tick to "back out". That will all but insure infection if the tick carries any diseases.
The type of thing you suggest causes the tick to regurgitate blood, and therefore whatever microbes are in its body, back into the host before it backs out.
Removal of the body with tweezers is the only safe method. It is not necessary to get the head of the tick since it does not contain any microbes such as the bacterium that carries Lyme disease. Those microbes are only in the body fluids of the tick.
It is important to use a disinfectant AFTER removing the tick body. The head will end up working its way out in much the same as a splinter.
Mac McDonald, Editor, LymeBlog News and Personal Stories, Lexington, USA
Thanks for highlighting this. I have only recently been diagnosed with Lyme after becoming ill following a holiday on the Lake District in 2004. I had no idea of the risk at the time and none of the medical specialists could find anything wrong with me, despite lots of blood tests, X-rays, scans, etc.
A long time afterwards I realised that my symptoms were very similar to Lyme, but I was told several times that it is very rare in this country. There are a lot of misconceptions about the problem and it is good to see it highlighted in a national newspaper.
Jan, Suffolk, UK
I've been around the countryside all my life and I am a natural history photographer and film maker. Ive been bitten all my life too, by hundreds of ticks. I never caught an infection until . I was rushed to hospital with suspected meningitis after being covered with nymph ticks while on a shoot. It turned out to be Lyme disease and it crippled me for over two years. Im now back to something like my normal self but I havent the stamina that I had before. Just because youve not been unlucky yet doesnt mean its never going to happen to you. I was complacent before. Now Im ultra cautious.
I got my tick removal tool from an excellent tick-borne diseases registered charity, which is working hard to raise pubic awareness. See:
http://www.bada-uk.org
Andy, Nottingham, England
A very effective method of removing ticks is to soak a cotton bud in washing up liquid then place it over the tick. After a minute or so the tick will let go and you can then wipe the tick off. No pain and no danger of leaving the tick head still embedded as can happen when using the tweezer method.
I know it works because this is the method I now use. We have lots of ticks here in Missouri.
Mike, St. Louis, USA
I think it is true to say that we should not be afraid to enter into the countryside, but we must be aware of how to protect ourselves from ticks and most importantly how to remove them correctly, if one happens to attach itself.
BADA-UK has a very informative website which can help us to do just that.
Kat, Edinburgh, Scotland
I also enjoy walking in infested areas - but now go prepared with a tick removal tool. For example the TRT may come in two sizes -- for small and for enormous ticks. Originally designed for our hairy pets, they work well for us bipedal types too. So all hikers visit your local vets who will sell you a TRT kit for a few pounds. Many know this already, as you need a high pain threshhold and a very steady hand indeed for the removal by tweezer approach. (I just hope I never meet the "enormous" variety of tick....)
steveh, Oxford, England
I travel to Scotland each year on a motorbike carrying a tent and very little else. The streams are my bathtub and bushes are my....well you get the idea. In the previous two years I've managed to pick up tics, and last year I had approximately 50 at once after a foolhardy, semi-clothed dose in a sunny meadow - all had to be pulled out with tweezers and drowned. Not much fun, still, no Lyme disease - fear not fellow countrysideophiles!
DB, Manchester, England