New Hampshire (NH) continues to have one of the highest rates of Lyme disease in the nation, and about 60% of deer ticks sampled in NH are infected with Borrelia burgdorferi, the bacteria that causes Lyme disease (2014, Medscape).
Additional preventative measures can include:
- Avoid tick-infested areas when possible and stay on the path when hiking to avoid brush.
- Wear light-colored clothing that covers arms and legs so ticks can be more easily seen.
- Tuck pants into socks before going into wooded or grassy areas.
- Apply tick repellent (20%-30% DEET) to exposed skin. Other repellent options may be found here: http://www.epa.gov/pesticides/insect/choose.htm.
- Outdoor workers in NH are at particular risk of tick-borne diseases, and they should be reminded about methods of prevention.
- Do daily tick checks to look for ticks on the body, especially warm places like behind the knees, the groin, and the back and neck.
- Remove ticks promptly using tweezers. Tick removal within 24-36 hours of attachment can prevent disease.
- Monitor for signs and symptoms of tick-borne diseases for 30 days after a tick bite. Patients should contact their healthcare provider if symptoms develop.