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Diseases » Lyme disease » Prevention
 

Prevention of Lyme disease

Prevention of Lyme disease:

Methods of prevention of Lyme disease mentioned in various sources includes those listed below. This prevention information is gathered from various sources, and may be inaccurate or incomplete. None of these methods guarantee prevention of Lyme disease.

  • Lyme disease vaccine - available since 1998
  • Avoid ticks - see prevention of tick bites
    • Avoid tick-infested areas
    • Take care during summer - most tick bites occur in summer.
    • Wear long pants
    • Wear long-sleeved shirts
    • Wear a hat - avoids ticks dropping down from foliage.
    • Wear light-color clothing - makes it easier to see a tick.
    • Insecticide permethrin
    • DEET
    • Check for ticks
  • Pull out ticks promptly - Early removal of ticks is important as the chance of Lyme disease is much lower, the earlier a tick is pulled out. Some research indicates infection may take as long as 48 hours. Pull out ticks gently using tweezers, grabbing the tick's head, avoiding squeezing the tick's body.
  • Antiseptic on tick bite area - This helps to kill any bacteria in the tick bite area.
  • Preventive antibiotics after tick bite - some doctors recommend this to prevent Lyme disease whereas others do not (ask your doctor).

Clinical Trials for Lyme disease

Some of the clinical trials for Lyme disease include:

Latest Treatments for Lyme disease

Some of the more recent treatments for Lyme disease include:

Treatments for Lyme disease

Treatments to consider for Lyme disease may include:

Prevention of Lyme disease:

Lyme Disease - The Facts, The Challenge: NIAID (Excerpt)

Avoidance of Ticks. At present, the best way to avoid Lyme disease is to avoid deer ticks. Although generally only about one percent of all deer ticks are infected with the Lyme disease bacterium, in some areas more than half of them harbor the microbe.

Most people with Lyme disease become infected during the summer, when immature ticks are most prevalent. Except in warm climates, few people are bitten by deer ticks during winter months.

Deer ticks are most often found in wooded areas and nearby shady grasslands, and are especially common where the two areas merge. Because the adult ticks feed on deer, areas where deer are frequently seen are likely to harbor sizable numbers of deer ticks.

To help prevent tick bites, people entering tick-infested areas should walk in the center of trails to avoid picking up ticks from overhanging grass and brush.

To minimize skin exposure to ticks, people outdoors in tick-infested areas should wear long pants and long-sleeved shirts that fit tightly at the ankles and wrists. As a further safeguard, people should wear a hat, tuck pant legs into socks, and wear shoes that leave no part of the feet exposed. To make it easy to detect ticks, people should wear light-colored clothing.

To repel ticks, people can spray their clothing with the insecticide permethrin, which is commonly found in lawn and garden stores. Insect repellents that contain a chemical called DEET (N,N-diethyl-M-toluamide) can also be applied to clothing or directly onto skin. Although highly effective, these repellents can cause some serious side effects, particularly when high concentrations are used repeatedly on the skin. Infants and children may be especially at risk for adverse reactions to DEET.

Pregnant women should be especially careful to avoid ticks in Lyme disease areas because the infection can be transferred to the unborn child. Although rare, such a prenatal infection may make the woman more likely to miscarry or deliver a stillborn baby.

Checking for Ticks. Once indoors, people should check themselves and their children for ticks, particularly in the hairy regions of the body. The immature deer ticks that are most likely to cause Lyme disease are only about the size of a poppy seed, so they are easily mistaken for a freckle or a speck of dirt. All clothing should be washed. Pets should be checked for ticks before entering the house, because they, too, can develop symptoms of Lyme disease. In addition, a pet can carry ticks into the house. These ticks could fall off without biting the animal and subsequently attach to and bite people inside the house.

If a tick is discovered attached to the skin, it should be pulled out gently with tweezers, taking care not to squeeze the tick's body. An antiseptic should then be applied to the bite. Studies by NIH-supported researchers suggest that a tick must be attached for at least 48 hours to transmit the Lyme disease bacterium, so prompt tick removal could prevent the disease.

The risk of developing Lyme disease from a tick bite is small, even in heavily infested areas, and most physicians prefer not to treat patients bitten by ticks with antibiotics unless they develop symptoms of Lyme disease.

Vaccine Development. Because Lyme disease is difficult to diagnose and sometimes does not respond to treatment, researchers are trying to create a vaccine that will protect people from the disorder. Vaccines work in part by prompting the body to generate antibodies. These custom-shaped molecules lock onto specific proteins made by a virus or bacterium-often those proteins lodged in the microbe's outer coat. Once antibodies attach to an invading microbe, other immune defenses are evoked to destroy it.

Development of an effective vaccine for Lyme disease has been difficult for a number of reasons. Scientists need to find out how the immune system protects against the bacterium. However, a vaccine based on the outer surface protein A (OspA) of the Lyme bacterium has been tested in people living in the northeastern United States, and preliminary results are encouraging.

(Source: excerpt from Lyme Disease - The Facts, The Challenge: NIAID)

Stories of Discovery Lyme Disease Vaccine Preventing an Emerging Disease: NIAID (Excerpt)

Between 1995 and 1998, a vaccine based on rOspA, the component first made by NIAID investigators, was tested by SmithKline Beecham in humans. The vaccine was proven safe and effective for preventing infection for people between the ages of 15 and 70. In 1998, the FDA approved a vaccine against Lyme disease, LYMErix, produced by SmithKline Beecham. (Source: excerpt from Stories of Discovery Lyme Disease Vaccine Preventing an Emerging Disease: NIAID)

Questions and Answers About Lyme Disease: DVBID (Excerpt)

As of February 25, 2002 the manufacturer announced that the LYMErix™ Lyme disease vaccine will no longer be commercially available. The existing recommendations apply to any vaccine currently in use. (Source: excerpt from Questions and Answers About Lyme Disease: DVBID)

Prevention and Control (Lyme): DVBID (Excerpt)

Avoid tick habitats: Whenever possible, avoid entering areas that are likely to be infested with ticks, particularly in spring and summer when nymphal ticks feed. Ticks favor a moist, shaded environment, especially areas with leaf litter and low-lying vegetation in wooded, brushy or overgrown grassy habitat. Both deer and rodent hosts must be abundant to maintain the enzootic cycle of B. burgdorferi . Sources for information on the distribution of ticks in an area include state and local health departments, park personnel, and agricultural extension services.

Tuck pants into socks to protect yourself from the bites of ticks and other vectors.
 

Use personal protection measures:
If you are going to be in areas that are tick infested, wear light-colored clothing so that ticks can be spotted more easily and removed before becoming attached. Wearing long-sleeved shirts and tucking pants into socks or boot tops may help keep ticks from reaching your skin. Ticks are usually located close to the ground, so wearing high rubber boots may provide additional protection.

The risk of tick attachment can also be reduced by applying insect repellents containing DEET (n,n-diethyl-m toluamide) to clothes and exposed skin, and applying permethrin (which kills ticks on contact) to clothes. DEET can be used safely on children and adults but should be applied according to Environmental Protection Agency (EPA) guidelines to reduce the possibility of toxicity.

Use tweezers to remove ticks.
 

Perform a tick check and remove attached ticks: The transmission of B. burgdorferi (the bacteria that causes Lyme disease) from an infected tick is unlikely to occur before 36 hours of tick attachment. For this reason, daily checks for ticks and promptly removing any attached tick that you find will help prevent infection. Embedded ticks should be removed using fine-tipped tweezers. DO NOT use petroleum jelly, a hot match, nail polish, or other products. Grasp the tick firmly and as closely to the skin as possible. With a steady motion, pull the tick's body away from the skin. The tick's mouthparts may remain in the skin, but do not be alarmed. The bacteria that cause Lyme disease are contained in the tick's midgut or salivary glands. Cleanse the area with an antiseptic.

Taking preventive antibiotics after a tick bite: The relative cost-effectiveness of post-exposure treatment of tick bites to avoid Lyme disease in endemic areas (areas where the disease is known to occur regularly) is dependent on the probability of B. burgdorferi infection after a tick bite. In most circumstances, treating persons who only have a tick bite is not recommended. Individuals who are bitten by a deer tick should remove the tick promptly, and may wish to consult with their health care provider. Persons should promptly seek medical attention if they develop any signs and symptoms of early Lyme disease, ehrlichiosis, or babesiosis.

Strategies to reduce tick abundance: The number of ticks in endemic residential areas may be reduced by removing leaf litter, brush- and wood-piles around houses and at the edges of yards, and by clearing trees and brush to admit more sunlight and reduce the amount of suitable habitat for deer, rodents, and ticks. Tick populations have also been effectively suppressed through the application of pesticides to residential properties. Community-based interventions to reduce deer populations or to kill ticks on deer and rodents have not been extensively implemented, but may be effective in reducing the community-wide risk of Lyme disease. New approaches such as deer feeding stations equipped with pesticide applicators to kill ticks on deer, and baited devices to kill ticks on rodents, are currently under evaluation. (Source: excerpt from Prevention and Control (Lyme): DVBID)

Lyme disease Treatment: Book Excerpts

Prevention Claims: Lyme disease

Information on prevention of Lyme disease comes from many sources. There are some sources that claim preventive benefits for many different diseases for various products. We may present such information in the hope that it may be useful, however, in some cases claims of Lyme disease prevention may be dubious, invalid, or not recognized in mainstream medicine. Please discuss any treatment, discontinuation of treatment, or change of treatment plans with your doctor or professional medical specialist.


 » Next page: Cure Research for Lyme disease

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