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Ticks & The Diseases They Carry
By Eric C. Ratcliff
General Tick Biology
 Life cycle has 4 stages: egg, 6-legged
larvae, 8-legged nymph, & adult
 Must consume blood from a host at every
stage to develop – each stage must find
a new host
 Pierces skin & attaches to host with
mouthparts
 Feed on mammals, birds, & lizards
 Larvae & nymphs prefer smaller hosts
General Tick Biology
 Tick crawls upward on vegetation, waits with
raised forelegs for host to pass by (questing
behavior), & latches onto victim
 After feeding, female drops to ground, lays
eggs (3,000 – 6,000), then dies
 Need moist shady habitats to breed – prefer
high grass, brushy areas, & woodland
 Ticks live 1- 2 years depending on species &
environmental conditions
 Not an insect – related to spiders & mites
Tick Life Cycle
Tick Sizes
Tick Anatomy
Three Medically Important
Ticks Species in Ohio
 American dog tick
 Blacklegged tick or deer tick
 Lone star tick
American Dog Tick: Male,
Female, Larvae, Nymph
American Dog Tick:
Identification
 Dog tick is largest tick in Ohio (~3/16”)
 Adults are brownish with light grey
mottling on scutum
 Female is ~5/8” after feeding & mostly
grey
American Dog Tick: Biology
 Adults are active during spring & summer
– most abundant mid-April to mid-July
 Most common tick species in Ohio
 Immatures rarely encountered
 Prefer grassy areas along roads & paths
 Tends to crawl upward to nape of neck to
attach & feed
American Dog Tick: Diseases
 Carries Rocky Mountain spotted fever
 Can also transmit tularemia
 Injected dog tick saliva can cause tick
paralysis
 Infected tick attached to host 4 – 6 hours
before transmitting disease
American Dog Tick -
Distribution
Black-legged Tick: Male,
Female, Larvae, Nymph
Blacklegged Tick or Deer Tick:
Identification
 Smaller than other ticks - males 1/16”,
females ~3/32”
 Both sexes are dark chocolate brown, but
rear half of adult female is red or orange
 Larval stage is nearly translucent
 Engorged adult females are brownish
Blacklegged Tick or Deer Tick:
Biology
 One or more stages may be found every
month of the year
 Found mostly in, or near forested areas
 Adult ticks feed most commonly on white-
tailed deer – all stages will feed on people
 No site attachment preference
Blacklegged Tick or Deer Tick:
Diseases
 Carries Lyme disease
 May also carry anaplasmosis & ehrlichiosis
 Can infect a host with two or more
diseases simultaneously
 Infected tick attached to host 36 – 48
hours before disease transmission
Blacklegged Tick – Distribution
Lone Star Tick: Male, Female,
Larvae, Nymph
Lone Star Tick: Identification
 Adult female is ~3/16” long, brown with
distinct silvery spot on upper scutum
 Male is ~3/16” long, brown with whitish
markings along rear edge.
 Engorged female is almost circular &
~7/16” long
Lone Star Tick: Biology
 All stages found throughout warm months
 Found in shady locations along roadsides,
in meadows, grassy & shrubby habitats
 Prefers low growing vegetation
 Larval ticks (seed ticks) congregate in
large numbers on vegetation
Lone Star Tick: Diseases
 Carries ehrlichiosis & southern tick-
associated rash illness (STARI)
 May also transmit tularemia
 Infected tick attached to host several
hours before transmitting disease
Lone Star Tick – Distribution
Tick Removal
 Remove tick ASAP
 Do not crush, squeeze, or puncture tick
 Avoid touching tick with bare hands
 Using needle-nose tweezers grasp tick as
close to skin as possible
 Use steady pressure & pull straight out
 After removal, disinfect bite & wash hands
Tick Removal
 Do not use a hot match or cigarette
 Do not apply solvents or other materials
 Do not twist or jerk the tick
 Do not try to dig out broken mouthparts
Disease Transmission
 Tick injects saliva through mouthparts
while feeding
 Saliva may contain disease causing
bacteria – not all ticks are infected
 Feeding is delayed until tick is able to
penetrate skin
 Removal of tick before feeding begins
prevents transmission of disease
In Case of Tick Bite
 If tick is imbedded, follow tick removal
procedure
 Save tick for identification
 Record date of tick bite
 See your doctor if symptoms develop, &
report tick exposure to doctor
Rocky Mountain Spotted Fever
(RMSF)
 Symptoms appear in 3 to 12 days -
sudden high fever, headache, & aching
muscles
 Non-itchy rash may develop on wrists &
ankles during 2nd or 3rd day of fever, then
spread to other parts of body
 Rapidly progresses - causes death in 25%
of cases if not treated with antibiotics
RMSF Rash
Tick Paralysis
 Results from neurotoxin in tick saliva
 Symptoms start within 2-7 days, beginning
with weakness in both legs progressing to
paralysis
 Paralysis ascends within hours – may lead
to respiratory failure & death
 Treatment – removal of embedded tick
Lyme Disease
 Early symptoms - expanding bull’s-eye rash at site
of tick bite within 3-30 days in 70-80% of cases, also
fatigue, chills, fever, headache, muscle & joint
aches, swollen lymph nodes
 Immediate antibiotic therapy required
 If untreated may cause other lesions, facial palsy,
meningitis, shooting pains, heart palpitations,
dizziness, pain & swelling in large joints days or
weeks after tick bite
 60% of patients may have intermittent bouts of
arthritis & 5% develop chronic neurological
complaints months to years after tick bite
Bull’s-eye Rash
Anaplasmosis & Erlichiosis
 Symptoms may begin 3 weeks after tick bite
 Initial symptoms may include fever,
headache, & muscle pains
 Other symptoms may include nausea, joint
pain, chills, confusion, & a rash
 May cause severe illness, especially if
untreated – treated with antibiotics
 50% of infected people require hospitalization
Southern Tick-Associated Rash
Illness (STARI)
 Symptoms - red, expanding rash around
site of bite; may experience fatigue,
headache, fever, & muscle pains
 Rash usually appears within 7 days &
expands to diameter of 3 inches or more
 Treatment - antibiotics
STARI Rash
Tularemia
 Skin ulcer appears where bite has
occurred
 Ulcer is accompanied by swelling of
lymph glands in region of bite
 Pneumonic tularemia can occur if left
untreated - bacteria spreads to lungs
 Treatment - antibiotics
Tularemia Ulcer
Preventing Tick Bites
 Use repellants with DEET (at least 25%)
 Avoid tick infested areas
 Tuck pants into sock tops or boots
 Wear light-colored clothing so ticks can
be seen
 Check yourself, children, & pets frequently
 Bathe after exposure to tick habitat
Tick Control
 Mow lawn frequently
 Control brush & trim shrubs
 Fence yard to exclude animals
 Eliminate plants that attract wildlife
 Remove uneaten pet food from yard to
avoid attracting wildlife
 Control pets, & treat pets for ticks
 Check pet bedding frequently, & wash or
change bedding regularly
Tick Control Measures
Required in Clermont County
 Grass cutting only, & only in developed
residential areas – not required if lot is
inaccessible to public (fenced)
 Grass must be cut from May 1st to
October 1st if over 2’ in overall height
 Orders to cut grass sent if written
complaint is received & violation found
Websites with Additional Tick
Information
 www.cdc.gov
 www.odh.gov
 www.clermonthealthdistrict.org
 www.ohioline.osu.edu
 www.extension.iastate.edu
Can you identify these ticks,
and the diseases they carry?

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Ticks and the Diseases they Carry

  • 1. Ticks & The Diseases They Carry By Eric C. Ratcliff
  • 2. General Tick Biology  Life cycle has 4 stages: egg, 6-legged larvae, 8-legged nymph, & adult  Must consume blood from a host at every stage to develop – each stage must find a new host  Pierces skin & attaches to host with mouthparts  Feed on mammals, birds, & lizards  Larvae & nymphs prefer smaller hosts
  • 3. General Tick Biology  Tick crawls upward on vegetation, waits with raised forelegs for host to pass by (questing behavior), & latches onto victim  After feeding, female drops to ground, lays eggs (3,000 – 6,000), then dies  Need moist shady habitats to breed – prefer high grass, brushy areas, & woodland  Ticks live 1- 2 years depending on species & environmental conditions  Not an insect – related to spiders & mites
  • 7. Three Medically Important Ticks Species in Ohio  American dog tick  Blacklegged tick or deer tick  Lone star tick
  • 8. American Dog Tick: Male, Female, Larvae, Nymph
  • 9. American Dog Tick: Identification  Dog tick is largest tick in Ohio (~3/16”)  Adults are brownish with light grey mottling on scutum  Female is ~5/8” after feeding & mostly grey
  • 10. American Dog Tick: Biology  Adults are active during spring & summer – most abundant mid-April to mid-July  Most common tick species in Ohio  Immatures rarely encountered  Prefer grassy areas along roads & paths  Tends to crawl upward to nape of neck to attach & feed
  • 11. American Dog Tick: Diseases  Carries Rocky Mountain spotted fever  Can also transmit tularemia  Injected dog tick saliva can cause tick paralysis  Infected tick attached to host 4 – 6 hours before transmitting disease
  • 12. American Dog Tick - Distribution
  • 14. Blacklegged Tick or Deer Tick: Identification  Smaller than other ticks - males 1/16”, females ~3/32”  Both sexes are dark chocolate brown, but rear half of adult female is red or orange  Larval stage is nearly translucent  Engorged adult females are brownish
  • 15. Blacklegged Tick or Deer Tick: Biology  One or more stages may be found every month of the year  Found mostly in, or near forested areas  Adult ticks feed most commonly on white- tailed deer – all stages will feed on people  No site attachment preference
  • 16. Blacklegged Tick or Deer Tick: Diseases  Carries Lyme disease  May also carry anaplasmosis & ehrlichiosis  Can infect a host with two or more diseases simultaneously  Infected tick attached to host 36 – 48 hours before disease transmission
  • 17. Blacklegged Tick – Distribution
  • 18. Lone Star Tick: Male, Female, Larvae, Nymph
  • 19. Lone Star Tick: Identification  Adult female is ~3/16” long, brown with distinct silvery spot on upper scutum  Male is ~3/16” long, brown with whitish markings along rear edge.  Engorged female is almost circular & ~7/16” long
  • 20. Lone Star Tick: Biology  All stages found throughout warm months  Found in shady locations along roadsides, in meadows, grassy & shrubby habitats  Prefers low growing vegetation  Larval ticks (seed ticks) congregate in large numbers on vegetation
  • 21. Lone Star Tick: Diseases  Carries ehrlichiosis & southern tick- associated rash illness (STARI)  May also transmit tularemia  Infected tick attached to host several hours before transmitting disease
  • 22. Lone Star Tick – Distribution
  • 23. Tick Removal  Remove tick ASAP  Do not crush, squeeze, or puncture tick  Avoid touching tick with bare hands  Using needle-nose tweezers grasp tick as close to skin as possible  Use steady pressure & pull straight out  After removal, disinfect bite & wash hands
  • 24. Tick Removal  Do not use a hot match or cigarette  Do not apply solvents or other materials  Do not twist or jerk the tick  Do not try to dig out broken mouthparts
  • 25. Disease Transmission  Tick injects saliva through mouthparts while feeding  Saliva may contain disease causing bacteria – not all ticks are infected  Feeding is delayed until tick is able to penetrate skin  Removal of tick before feeding begins prevents transmission of disease
  • 26. In Case of Tick Bite  If tick is imbedded, follow tick removal procedure  Save tick for identification  Record date of tick bite  See your doctor if symptoms develop, & report tick exposure to doctor
  • 27. Rocky Mountain Spotted Fever (RMSF)  Symptoms appear in 3 to 12 days - sudden high fever, headache, & aching muscles  Non-itchy rash may develop on wrists & ankles during 2nd or 3rd day of fever, then spread to other parts of body  Rapidly progresses - causes death in 25% of cases if not treated with antibiotics
  • 29. Tick Paralysis  Results from neurotoxin in tick saliva  Symptoms start within 2-7 days, beginning with weakness in both legs progressing to paralysis  Paralysis ascends within hours – may lead to respiratory failure & death  Treatment – removal of embedded tick
  • 30. Lyme Disease  Early symptoms - expanding bull’s-eye rash at site of tick bite within 3-30 days in 70-80% of cases, also fatigue, chills, fever, headache, muscle & joint aches, swollen lymph nodes  Immediate antibiotic therapy required  If untreated may cause other lesions, facial palsy, meningitis, shooting pains, heart palpitations, dizziness, pain & swelling in large joints days or weeks after tick bite  60% of patients may have intermittent bouts of arthritis & 5% develop chronic neurological complaints months to years after tick bite
  • 32. Anaplasmosis & Erlichiosis  Symptoms may begin 3 weeks after tick bite  Initial symptoms may include fever, headache, & muscle pains  Other symptoms may include nausea, joint pain, chills, confusion, & a rash  May cause severe illness, especially if untreated – treated with antibiotics  50% of infected people require hospitalization
  • 33. Southern Tick-Associated Rash Illness (STARI)  Symptoms - red, expanding rash around site of bite; may experience fatigue, headache, fever, & muscle pains  Rash usually appears within 7 days & expands to diameter of 3 inches or more  Treatment - antibiotics
  • 35. Tularemia  Skin ulcer appears where bite has occurred  Ulcer is accompanied by swelling of lymph glands in region of bite  Pneumonic tularemia can occur if left untreated - bacteria spreads to lungs  Treatment - antibiotics
  • 37. Preventing Tick Bites  Use repellants with DEET (at least 25%)  Avoid tick infested areas  Tuck pants into sock tops or boots  Wear light-colored clothing so ticks can be seen  Check yourself, children, & pets frequently  Bathe after exposure to tick habitat
  • 38. Tick Control  Mow lawn frequently  Control brush & trim shrubs  Fence yard to exclude animals  Eliminate plants that attract wildlife  Remove uneaten pet food from yard to avoid attracting wildlife  Control pets, & treat pets for ticks  Check pet bedding frequently, & wash or change bedding regularly
  • 39. Tick Control Measures Required in Clermont County  Grass cutting only, & only in developed residential areas – not required if lot is inaccessible to public (fenced)  Grass must be cut from May 1st to October 1st if over 2’ in overall height  Orders to cut grass sent if written complaint is received & violation found
  • 40. Websites with Additional Tick Information  www.cdc.gov  www.odh.gov  www.clermonthealthdistrict.org  www.ohioline.osu.edu  www.extension.iastate.edu
  • 41. Can you identify these ticks, and the diseases they carry?