Lyme disease

Overview
Lyme disease is caused by the bacterium Borrelia burgdorferi, which is transmitted to people by the bite of infected ticks (Ixodes scapularis or Ixodes pacificus).

According to the Centers for Disease Control and Prevention (CDC): ”Individuals who live or work in residential areas surrounded by tick-infested woods or overgrown brush are at risk of getting Lyme disease.” Therefore, anyone who works or plays in their yard, participates in recreational activities away from home like hiking, camping, fishing and hunting, or engages in outdoor occupations such as landscaping, brush clearing, forestry and wildlife or parks management in endemic areas may also be at risk of getting Lyme disease.

Indications of Lyme disease include a characteristic "bull's-eye" rash, fever, malaise, fatigue, headache, as well as muscle and joint aches. The incubation period from infection to onset of the distinctive rash is typically 7 to 14 days, but may be as short as 3 days or as long as 30 days. Some infected individuals experience only fever, headache, fatigue and muscle pain.

At Insect Shield, we believe that "an ounce of prevention is worth a pound of cure." Wearing tick repellent clothing is easy, effective, and very inexpensive when compared to the severity of something like Post-Treatment Lyme Disease Syndrome.

Unfortunately, Lyme disease has a history of misdiagnosis. The untreated or inadequately treated patient may progress to experience intermittent swelling and pain of one or more joints—usually large, weight-bearing joints such as the knees. Some patients develop chronic axonal polyneuropathy or encephalopathy—the latter usually manifested by cognitive disorders, sleep disturbance, fatigue and personality changes. Infrequently, Lyme disease can be severe, chronic and disabling, but it is rarely, if ever, fatal. Symptoms can occur in some people following treatment, and Lyme disease can result in serious, life-long side effects.

Certain regions of the United States have experienced a high incidence of Lyme disease. Go to http://www.cdc.gov/ncidod/dvbid/lyme to see a U.S. Lyme Disease Risk Map, an illustration of the deer tick, as well as more detailed information about Lyme disease.

For more information, visit the American Lyme Disease Foundation website at https://www.aldf.com, the Lyme Disease Association website at http://www.lymediseaseassociation.org, and the International Lyme and Associated Diseases Society website at http://www.ilads.org.

Detailed Information:

What is Lyme disease and how is it transmitted?
Caused by the Borrelia burgdorferi bacterium, Lyme disease is transmitted by the bite of certain species of ticks. The bacterium, normally found in mice, squirrels and other small mammals, does not harm these animals—or the deer the ticks feed on—but causes potentially serious disease when transmitted to people. In the Northeast United States, the Lyme disease vector is the black-legged or deer tick (Ixodes scapularis); in Pacific coastal United States, the western black-legged tick (Ixodes pacificus) transmits the disease. Most cases occur in the early spring and summer when the ticks are in the nymph stage, and people are most likely to be outdoors. Nymph-stage ticks are difficult to see with the naked eye.

Ixodes pacificus

Ixodes scapularis

The first symptom of Lyme disease appears 3 to 30 days after the tick bite: a circular rash (erythema migrans) around the site the bite. It develops into a characteristic “bull’s eye” with a clear center that can be up to 12 inches in diameter. Patients also experience painful lymph node swelling, joint pain (arthralgia), chills, fever, headache, muscle aches (myalgia) and other non-specific symptoms. Left untreated, the infection can lead to more serious symptoms such as drooping of the face (Bell’s palsy), heart palpitations, dizziness, severe headaches and joint pain. After several months, approximately half of all patients with untreated Lyme disease develop arthritis in large joints as well as chronic neurological problems, including cognitive difficulties.

“bull’s-eye” rash typical of Lyme disease

How many cases of Lyme disease occur annually in the United States?
State health departments reported 28,921 confirmed cases and 6,277 probable cases of Lyme disease to CDC in 2008. This represents a 5% increase in confirmed cases compared to 2007. The definition and reporting of probable cases was initiated in 2008 based on revisions to the national surveillance case definition.

How is Lyme disease treated?
Most cases can be treated effectively with antibiotics if treatment begins early. However, a small percentage of those infected and treated continue to experience symptoms such as muscle and joint pain, neurological difficulties and fatigue—likely due to autoimmune disorders triggered by the infection.

Is there a vaccine for Lyme disease?
Twenty years ago, there was a viable vaccine on the market to prevent Lyme disease in humans, and now there is not. To learn why, see our video interview with The New Yorker magazine writer Sue Hapern. Her article titled, “Why It Took So Long to Develop a New Vaccine for Lyme Disease” appeared in the August 2021 issue of The New Yorker.

How can I protect myself from Lyme disease?
You should take measures to prevent tick bites, particularly if you are planning on being in wooded areas where the carrier ticks are common. Insect Shield® Repellent Apparel is effective in repelling ticks, including the kind that can carry Lyme disease. We especially recommend Insect Shield socks and pants for tick protection, but other items of Insect Shield clothing can also prove helpful in thickly wooded areas.

Lyme Disease Distribution Map of the United States

From CDC.gov

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