Lyme Disease

The following list of questions and answers was adapted from a pamphlet I received at Mongaup Pond State Park. The pamphlet was written by the NY State Department of Health.

What is Lyme disease?

Lyme disease is a bacterial infection, spread by the bite of a deer tick, that can cause skin, heart, nervous system and arthritic problems.

Where is the tick found?

Infected ticks are concentrated on Long Island (including Fire Island and Block Island), the lower Hudson Valley (Westchester and Putnam counties), and Connecticut. Ticks have been found in most parts of the tri-state region.

What does the tick look like?

The adult tick is no bigger than a sesame seed and is therefore difficult to see. It is black and red before feeding. After it has filled with blood, it is the size of a small pea and is blue/black in color.

How can I avoid being bitten?

Stay in the center of woodland paths: don't bushwhack. Wear light-colored, long-sleeved shirts and long pants, with bottoms tucked into socks or boots. Check yourself, pets, and children often while outside. Check again at home.

What about tick repellents?

Repellents containing the chemical DEET or permethrin provide some protection against ticks. When used improperly, however, repellents can harm you. Always read and follow carefully the directions on the product label. Do NOT allow children to apply repellents.

When am I most likely to be bitten?

Ticks can bite you during any month, but the most common time is from April through October. June and July are the months of highest risk.

What should I do if I am bitten?

A tick must remain on you for many hours to transmit Lyme disease. If you find a tick, use tweezers to grasp the tick as close to the skin as possible. Pull steadily and firmly. Apply antiseptic. Save the tick by placing it in alcohol. Your doctor may want to see it.

What are the symptoms of Lyme disease?

You may get a large circular rash with a clear center in the first month after you are bitten. A flu-like illness is also common. Within weeks or months, your nervous system may be affected, and you could suffer from meningitis, encephalitis, or facial palsy. Heart problems may also occur. Months or years later, you may develop chronic arthritis.

Is there a way to treat Lyme disease?

Lyme disease is treatable with antibiotics. The earlier treatment begins, the easier it is to prevent long-term problems.

Albert P. Rosen, M.D. wrote in the July/August 1996 issue of the Trailwalker (published by the NY/NJ Trail Conference):

"In my past 20 years of hiking with the Lyme disease threat, I've not hiked in hot weather with my pants tucked into my boots. I wear shorts (I would rather acquire Lyme disease than die of heat exhaustion), and I use DEET and Permethrin-treated clothing, which provide the best form of personal protection. I shower after I hike. These measures have been extremely effective in warding off Lyme disease.

"I feel strongly that Lyme disease is two diseases: Lyme disease and hysteria."

Other Web pages on Lyme Disease:


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