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Why is everyone so ticked off? and -borne diseases in Upstate New York

Mandy Roome May 2020

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Presentation Title | Date QUESTION 1 TICKS AND THE DISEASES THEY CAN TRANSMIT IN NEW YORK QUESTION 2 QUESTION 3 QUESTION 4 WHAT KIND OF TICKS ARE IN NY? QUESTION 5 LIFE CYCLE o Larvae o Nymphs o Adults o Blood meal o Blood o Most likely to infect ( meal humans transmission) o Molt o Blood meal (bacteria o Mate (on host) o Males die transmission) o Females lay eggs o Molt (~1000) and die

http://www.tickencounter.org/tick_identification FEEDING

http://www.medicalecology.org/diseases/lyme/print_lym e.htm Anderson et. al 2008

http://www.discoverlife.org/mp/20p?see=I_NTC349_1& Sciencedirect.com res=640 WHAT KIND OF TICKS ARE IN NY? WHAT KIND OF TICKS ARE IN NY? WHAT KIND OF TICKS ARE IN NY? QUESTION 6 WHAT DISEASES CAN TICKS GIVE YOU IN THE NE?

Rocky Mountain Babesiosis Bartonella? Spotted Deer Tick B. miyamotoi WHAT DISEASES CAN TICKS TRANSMIT IN THE NE?

Ehrlichiosis None known in Tularemia Northeast RMSF (Southwest) LYME DISEASE ANAPLASMOSIS

 Caused by: bacteria, Borrelia  Caused by: bacteria Anaplasma burgdorferi phagocytophilum  Primary reservoir: white footed  Primary reservoir: white-footed mouse mouse  Primary : deer tick  Primary vector: deer tick  Symptoms:  Symptoms: fever, chills, rash, flu-like symptoms, muscle headache, fatigue, muscle pain, pain, (etc.) nausea, vomiting  Treatment: doxycycline or  Treatment: doxycycline amoxicillin BABESIOSIS B. MIYAMOTOI

 Caused by: parasite, Babesia  Caused by: relapsing fever microti  Primary reservoir: white-footed  Primary reservoir: white footed mouse mouse  Primary vector: deer tick  Primary vector: deer tick  Symptoms: fever, chills, fatigue,  Symptoms: fever, chills, sweats, severe headache, muscle pain, fatigue, muscle pain, headache, joint pain, dizziness, confusion dark urine  Treatment: antibiotics similar to  Treatment: atovaquone and what is used for Lyme azithromycin OR clindamycin and quinine DEER TICK VIRUS EHRLICHIOSIS

 Caused by: virus (Powassan)  Caused by: Ehrlicia chaffeensis or E. ewingii  Primary reservoir: skunk  Primary reservoir: white footed  Primary vector: deer tick mouse  Symptoms: fever, headache,  Primary vector: deer tick, lone vomiting, weakness, inflammation star tick of the brain  Symptoms: fever, chills,  Treatment: no antiviral treatment headache, muscle pain, fatigue, currently available gastrointestinal pain  Treatment: Doxycycline

BARTONELLA  Carried by deer ticks in high numbers  No substantial evidence to show deer ticks transmit bartonella to humans ROCKY TULAREMIA MOUNTAIN  Caused by: bacteria  Primary vector: American dog  Caused by: bacteria tick and lone star tick  Primary reservoir: small  Symptoms: fever, chills, headache, fatigue, joint pain,  Primary vector: American dog chest discomfort, cough, sore tick throat  Symptoms: fever, headache,  Treatment: Antibiotics muscle pain, swelling around eyes and back of hands, rash (10%)  Treatment: Doxycycline

Presentation Title | Date Presentation Title | Date HOW HAS THE PROBLEM CHANGED OVER TIME? Presentation Title | Date

Presentation Title | Date Presentation Title | Date QUESTION 7

Anaplasmosis in the United States Lyme Incidence in Bassett Served Counties 350.0

300.0

250.0

200.0

150.0

100.0

50.0

0.0 2010 2011 2012 2013 2014 2015 2016 2017 2018 Chenango Delaware Herkimer Madison Montgomery Oneida Otsego Schoharie Anaplasmosis Incidence in Bassett Served Counties 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 2010 2011 2012 2013 2014 2015 2016 2017 2018 Chenango Delaware Herkimer Madison Montgomery Oneida Otsego Schoharie Babesiosis Incidence in Bassett Served Counties 18.0 16.0 14.0 12.0 10.0 8.0 6.0 4.0 2.0 0.0 2010 2011 2012 2013 2014 2015 2016 2017 2018 Chenango Delaware Herkimer Madison Montgomery Oneida Otsego Schoharie Ehrlichiosis Incidence in Bassett Served Counties 8.0 7.0 6.0 5.0 4.0 3.0 2.0 1.0 0.0 2010 2011 2012 2013 2014 2015 2016 2017 2018 Chenango Delaware Herkimer Madison Montgomery Oneida Otsego Schoharie % of Ticks Carrying Lyme

60.0

50.0

40.0

30.0

20.0

10.0

0.0 Chenango Delaware Herkimer Madison Montgomery Oneida Otsego Schoharie Adults Nymphs % of ticks carrying anaplasmosis

8.0 7.0 6.0 5.0 4.0 3.0 2.0 1.0 0.0 Chenango Delaware Herkimer Madison Montgomery Oneida Otsego Schoharie Adults Nymphs % of ticks carrying babesiosis

4.0 3.5 3.0 2.5 2.0 1.5 1.0 0.5 0.0 Chenango Delaware Herkimer Madison Montgomery Oneida Otsego Schoharie Adults Nymphs % of ticks carrying Ehrlichiosis

2.5

2.0

1.5

1.0

0.5

0.0 Chenango Delaware Herkimer Madison Montgomery Oneida Otsego Schoharie Adults Nymphs WHY HAS THIS CHANGED OVER TIME? QUESTION 8 http://www.nsf.gov/news/special_reports/ecoinf/lyme.jsp http://www.nsf.gov/news/special_reports/ecoinf/lyme.jsp http://www.nsf.gov/news/special_reports/ecoinf/lyme.jsp FACT vs. FICTION QUESTION 9 HOW LONG HAS THE LYME BACTERIA BEEN AROUND?

 Found in tick museum specimens from the 1940’s in Long Island.  Found in mouse specimens in a museum from 1894.  Otzi the ice man may have had Lyme, dating back to 5,300 years ago.  Fossilized ticks entombed in amber found in the Dominican Republic;15-20 million years http://www.poandpo.com/in-sickness-and-health/lyme-bacteria-survive-28day-course-of-antibiotics-months-after-infection-16122017752/ ago. (Borrelia )

https://www.ncbi.nlm.nih.gov/pubmed/7930700 https://www.livescience.com/18704-oldest-case-lyme-disease-spotted-iceman-mummy.html

TICK REMOVAL QUESTION 10 WHERE DO TICKS MOST OFTEN ATTACH? REMOVAL- DO REMOVAL – DO NOT IDENTIFYING TICKS AND IF THEY HAVE FED IDENTIFYING TICKS THAT FED

Deer Tick Dog Tick Lone Star BASSETT RESEARCH & NEC RESEARCH

Tick bite exposure and disease prevalence in forestry workers in New York State; risk factors and protective measures Tick bite and tick-borne disease exposure in agricultural workers in Vermont and Maine QUESTION 11 Thank You!

Please contact me with any questions or comments E-mail: [email protected] Phone: 607-547-3901 QUESTION 12 QUESTION 13 QUESTION 14 QUESTION 15 QUESTION 16 QUESTION 17 QUESTION 18 QUESTION 19 QUESTION 20 QUESTION 21 Thank You!

Please contact me with any questions or comments E-mail: [email protected] Phone: 607-547-3901 NEW TICK ON THE BLOCK