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Showing posts with label Lyme-disease. Show all posts
Showing posts with label Lyme-disease. Show all posts

Tuesday, May 08, 2012

Story from Globe and Mail

A friend sent me this in my morning mail, I thought I should share it.

Meet the bug that might ruin your summer

ERIN ANDERSSEN

From Monday's Globe and Mail
Published Sunday, May. 06, 2012 4:00PM EDT
Meet the Ixodes Scapularis (otherwise known as the disease-carrying tick that could ruin your summer). Thanks to warmer temperatures, this ugly little bug has become a most unwelcome U.S. import, moving further north with each passing year, and flourishing in some of the most populated parts of Canada. (Complain about those bitterly cold Saskatchewan winters if you like, but prairie campers are less likely to be tweezing the hard-shelled bloodsuckers off their bodies.)

More related to this story

Scientists say that increasing populations of the black-legged tick means a certain rise in the risk of Lyme disease, a serious bacterial illness that, if left untreated, can impact the nervous system and heart. But before you decide to spend your holidays camping out in an air-conditioned condo, here’s how to take back the forest (or at least walk the wooded path with your pants tucked into your socks.)
Know thine enemy: Black-legged ticks are arachnids (related to spiders and scorpions) with hard oval bodies in shades of brown, and short legs. Depending on their life cycle, they come as small as a poppy seed, though they can swell to twice their size the longer they feed on an animal – humans included.
Thank you, climate change: Ticks travelled up from the United States via deer and migratory birds, and the first populations began to grow along the border, from Nova Scotia to southern Manitoba. Warmer temperatures are the primary reason why the numbers have exploded, according to a recent Canadian study. In 2010, about 18 per cent of inhabited parts of eastern Canada had ticks – by 2020, that’s expected to rise to 80 per cent. (A West Coast version of the black-legged tick, Ixodes pacificus, which also carries Lyme disease, is making its own steady advance into British Columbia.) “If we have conditions in the future where temperatures are warmer than they are now, that’s going to speed the spread of ticks in new areas,” says Patrick Leighton, an assistant professor of Veterinary Medicine at the University of Montreal who co-authored a recent study tracking the tick invasion. “The public health issues raised with that will be confronting us more quickly.”
How they make us sick: Ticks transfer a bacteria called Borrelia burgdorferi, which causes Lyme disease. It’s been around for a while: This week, Italian doctors reported finding evidence of Lyme disease in a blood sample from a 5,000-year-old “iceman.” In the United States, 30,000 cases of the illness are reported annually, but in Canada, where doctors have been reporting incidences only since 2009, just 150 cases have been documented each year (of which half were contracted outside the country). But Nicholas Ogden, a research scientist and Lyme disease expert with the Public Health Agency of Canada, says that Canadian numbers are underestimated and expected to rise. The illness typically (though not always) begins with an bull’s-eye rash around the bite area, and flu-like symptoms. If it is not quickly treated with antibiotics, it may progress to joint pain, extreme fatigue, Bell’s Palsy, meningitis or heart palpitations. A tick has to be attached for about 24 hours to spread the bacteria. The risk of contracting Lyme disease is higher in the late spring and summer, when ticks “wake up” from their winter dormancy, and barbecues and nature walks make us more likely to encounter them.
What to do if you get bitten: Don’t yank a tick off, like a mosquito. The public-health agency recommends using tweezers to gently pull the tick away at the closest part of the skin. If it’s possible the tick has been attached for more than 24 hours, and especially if you are in an area with a reported incidence of Lyme, contact your doctor. Federal health guidelines say that Lyme disease can be diagnosed clinically (without a lab test), and conclusively if the rash appears (so take a picture), and then treated promptly with antibiotics. However, symptoms may not develop immediately.
The controversy: The sooner you get treated, the better the outcome, but since the disease is still making inroads into Canada, not all doctors are familiar with it. The general symptoms of Lyme disease fit many other illness, so patients without evidence of a bite or who only start feeling sick weeks later, are often misdiagnosed. The testing for Lyme disease, like many illnesses, isn’t perfect – false positives and negatives are common, and there is an ongoing debate about the quality of testing that has led some Canadians to pay for further lab work in the United States (or even seeking treatment there). A small portion of patients experience debilitating symptoms long after their initial antibiotic treatment. While some physicians, who believe that leftover but well-hidden bacteria may be causing the illness to flare again, advocate prescribing long-term antibiotics, this treatment is challenged in the mainstream medical community. “All the science has not been done, that’s the problem,” says Pat Smith, the president of the U.S. Lyme Disease Association, which this week launched a billboard in Time Square to raise awareness and research dollars: “All over the world … Throughout the body. Chronic Lyme Disease – Are you next?”
Tick Check - a game the whole family can play: Prevention is the best defence. That means, for example, cutting long grass around walking trails in wooded areas (many parks now post warning signs for hikers), keep your lawn short, and checking your pets for ticks they might bring into the house. If you walk in tick-infested areas, cover as much skin as possible and avoid wearing sandals. Regularly check every member of your family for the tiny bugs, especially under clothes, and hard to see places such as behind the knees. (Usually, you can feel them by rubbing your hands along your skin.) But don’t panic: With proper prevention “we are not entirely helpless in the face of this emerging risk,” says Dr. Ogden, pointing out that, “Staying home to watch the tely and eat chips is not a healthy option compared to pursuing activity in the great outdoors.”

Monday, May 07, 2012

Be Safe Protect yourself

May 7, 2012

PUBLIC HEALTH SPRING/SUMMER REMINDER


The Office of the Chief Provincial Public Health Officer encourages Manitobans to take advantage of spring and summer by enjoying outdoor activities, increasing physical activity and improving their health.
However, Manitobans are reminded that exposure to some infectious diseases occurs through contact with the environment, more often in the spring and summer.  These diseases include West Nile virus, Lyme disease, E. coli infections, rabies, hantavirus and blastomycosis.
Preparations for West Nile virus season include reducing standing water around homes and reducing exposure to mosquitoes when there is a risk for exposure to West Nile virus.  More information about West Nile virus is available at www.gov.mb.ca/health/wnv.
Manitobans can also take precautions to avoid contact with blacklegged (deer) ticks to reduce their risk of Lyme disease.  Further information on Lyme disease is available from Manitoba Health at www.gov.mb.ca/health/lyme/.
Precautions to avoid E. coli infections include using proper food-handling precautions and testing wells regularly.  Information on E. coli is available at www.gov.mb.ca/health/publichealth/ecolifs.html.
Manitobans can also vaccinate pets and avoid handling wildlife to reduce the risk of rabies.  More information on rabies is available at www.gov.mb.ca/health/publichealth/cdc/fs/rabies.pdf.
Steps to reduce the risk of hantavirus infections includes reducing exposure to dust from mice droppings.  More information on hantavirus is available at: www.gov.mb.ca/health/publichealth/cdc/fs/Hantavirusfs.pdf.
Manitobans are also encouraged to be aware of the risk for exposure to blastomycosis from fungal spores found in soil in the risk areas.  For more information, visit: www.gov.mb.ca/health/publichealth/cdc/fs/blastomycosis.pdf.
Manitobans are also reminded to be safe when biking, swimming and boating.  Information on injury prevention is available at www.gov.mb.ca/healthyliving/hlp/injury/index.html.
For additional information, Manitobans can also visit their local public health office or phone Health Links–Info Santé at 204-788-8200 or 1-888-315-9257 (toll-free).
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Monday, March 19, 2012

March 19, 2012

LYME DISEASE UPDATE

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Established Blacklegged Tick Populations Identified in Manitoba
Manitoba Health advises that more blacklegged tick populations have been identified in the province. There are now several areas across southern Manitoba where populations of blacklegged ticks are confirmed or suspected to be established.
Blacklegged ticks can carry the bacteria that causes Lyme disease.  Manitobans are advised to watch for ticks in southern areas of the province, particularly where established blacklegged tick populations have been identified and also in areas with suitable tick habitats.
Manitobans can take the following precautions to reduce the risk of coming into contact with blacklegged ticks while enjoying the outdoors:
  • limit contact with tall grass or other vegetation along wooded areas and stay to the centre of hiking trails or paths;
  • wear light-coloured clothing to make it easier to see ticks that may be on the skin or clothing;
  • wear long pants and a long-sleeved shirt in tall-grass habitats or wooded areas where ticks are most commonly found;
  • tuck a shirt into pants and pants into socks to prevent ticks from attaching to the skin;
  • apply an appropriate repellent (it should say ‘tick repellent’ on the container) on clothing and exposed skin after reading and following instructions for use;
  • inspect yourself, children and pets for ticks and remove them as soon as possible; and
  • keep grass well mowed to help reduce the amount of habitat suitable for ticks.
Symptoms of Lyme disease can start about three days to one month after a tick bite, often with an expanding circular rash around the site of the bite, which then fades.  Early symptoms can also include headache, stiff neck, fever, muscle aches or fatigue, chills and swollen lymph nodes.  People who think they may have Lyme disease should see their doctor.  Lyme disease can be successfully treated with antibiotics.  Treatment is most successful in the early stages of infection. 
Established areas of blacklegged tick populations in Manitoba include:
  • the southeast corner of Manitoba (confirmed in 2006);
  • the area around the Stanley Trail in south-central Manitoba west of the Red River (confirmed in 2011 and extended north along the Thompson trail in 2012); and
  • the area in and near Pembina Valley Provincial Park near the United States border (confirmed in 2012).
Areas with suspected established blacklegged tick populations include:
  • the Pembina Valley to the north and west of Pembina Valley Provincial Park near La Rivière and roads 22N and 57W;
  • Beaudry Provincial Park west of Headingley;
  • the area around St. Malo in south-central Manitoba; and
  • the area around Arbakka in south-central Manitoba.
A map showing the locations of confirmed and suspected established populations of blacklegged ticks is available on the Manitoba Health website at www.gov.mb.ca/health/lyme/surveillance.html.
Blacklegged ticks can be found in wooded areas, along streams and river banks, or along the edges of forest and prairie habitats with woody shrubs and other vegetation, plenty of leaf litter and high humidity.  The greatest risk of tick exposure occurs in the areas of the province identified with established or suspected established blacklegged tick populations.  Surveillance efforts in similar habitats are occurring in other areas.  Manitobans should consider tick precautions in areas of southern Manitoba with similar tick habitats.
In addition, blacklegged ticks can be deposited by birds outside of these areas.  Blacklegged ticks have been found throughout southern Manitoba and occasionally in the north.  Approximately 300 blacklegged ticks were submitted in 2011 in the fall tick-submission campaign.
Since 2009, 28 human cases of confirmed and probable Lyme disease have been identified in Manitoba.  The most likely locations of exposure were:
  • seven cases in areas outside Manitoba;
  • 12 cases in areas with established tick populations in Manitoba; and
  • four cases in other areas of Manitoba.
It was not possible to determine the exposure location for five reported cases.
Approximately 10 per cent of the blacklegged ticks submitted to Manitoba Health were infected with the bacteria that causes Human granulocytic anaplasmosis (HGA).  In most cases, HGA is a mild illness.   Some people can get seriously ill, particularly people who are immune compromised or have other health conditions affecting the immune system.  Rare severe complications can include respiratory or kidney problems, encephalitis or meningitis, blood clotting disorders and occasionally death.
The symptoms of HGA can include fever, chills, headache, muscle aches and nausea.  Less frequent symptoms can include vomiting, diarrhea, loss of appetite, abdominal pain, joint pain, cough, confusion and occasionally a rash.  Symptoms can begin five days to three weeks after being bitten by an infected tick.
If you think that you may have HGA, contact your health-care provider.  HGA can be successfully treated with antibiotics.  Early diagnosis and treatment can reduce the time the person is ill and the severity of disease. 
At this time, no cases of Lyme disease have been reported in Manitoba in 2012.  In 2011, Manitoba had seven confirmed case of Lyme disease and four probable cases.  Four additional reports not meeting the national surveillance case definition were also received.  The definition for confirmed and probable cases for surveillance purposes is more stringent than clinical criteria used by physicians to consider treatment for Lyme disease.

This information is being presented at the Lyme Disease Scientific Symposium being held in Winnipeg today.  Medical and research experts from across North America have gathered to present current knowledge and emerging information on Lyme disease to health-care providers and researchers from across Canada.                                     
More information on Lyme disease and HGA is available at the Manitoba Health website at www.gov.mb.ca/health/lymeand www.gov.mb.ca/health/publichealth/environmentalhealth/hga.html, or by contacting Health Links-Info Santé at 204-788-8200 (in Winnipeg) or 1‑888-315-9257 (toll-free).
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