I'm the designated tick yanker in the family, since I majored in Outside and I've been checking myself for ticks for well over 15 years now. Chris has never yanked a tick in his life. I've lost count of how many I've pulled this year, never mind since I was in college. Rhode Island also has its own tick expert, Dr. Thomas Mather. Back when I was in college, URI decided its researchers should interact with the lowly undergrads, and I took Dr. Mather's course on vector-borne diseases (ie, diseases transmitted by, usually, insects). We learned not only about Lyme but about other fun diseases like babesiosis and hantavirus. (Bubonic plague would be another example of a vector-borne disease.)
A few years after I graduated I spent a year commuting (by ferry!) to a job on Prudence Island, located in Narragansett Bay. At that time, deer ticks were concentrated in the southern portion of Rhode Island and populations were especially high on all the islands: Prudence, Block Island, and the Islands off the Cape (Martha's Vineyard and Nantucket). Lyme Disease is named after the town of Lyme, Connecticut, where it was first identified as an actual disease with an identifiable cause. Now, the ticks are prevalent in the northern part of the state as well. At any rate, something like 98% of the residents of Prudence Island had contracted Lyme at some point. (Previous infection, however, does not provide immunity against subsequent infection.) I can remember one of my first days on the island. I was wearing long pants, tan, and I looked down and saw loads pencil-dot sized somethings on the lower legs of the pants. Those were ticks. Itty bitty tiny ticks. Over the years I've simply come to the conclusion that I must have some sort of natural immunity to Lyme, because I find it hard to believe that I've never been bitten by a Lyme-bearing tick. Actually, while in college I signed up as a study participant for a potential Lyme vaccine (it didn't work)--it paid $200!--but when I heard if I got the disease they'd be drawing fluid from my knees, I said No thanks.
What I'm trying to say is that I am not in the dark about ticks. We do tick checks. I remove them carefully when I find them. I'm familiar with the symptoms. Nowadays most doctors, especially around here, are knowledgeable about the disease, but way back when you'd still find doctors who insisted if there was no rash, it couldn't be Lyme. I am, in other words, a bit ahead of the curve. Our local paper had an article this past week about how the population of deer ticks is much higher this year, because of all the rain. Dr. Mather was quoted quite a bit, including the fact that "he sometimes feels 'like a lone voice in warning people to take precautions. I feel like I'm twisting people's arms to take action.'" He has a website, the address of which the triage nurse gave to Chris (he told her I'd already checked it out). I am not an expert like Dr. Mather. I'm just a mom who deals in the practical business of having children in a tick-laden area.
(All photos from www.tickencounter.org, and I hope they don't get mad at me.)
We should dress to protect ourselves.
Because of course my children will be happy to play outside on a hot summer's day wearing long pants tucked into their socks. The website reminds us that "Ticks start LOW and crawl UP." However, when you're talking about a young child, it's all LOW. I've never found a tick on Nicholas lower than his neck. Usually they gravitate to his head (especially the dog ticks, who probably think they've landed on a dog). I've found plenty of ticks on my own head over the years, and I'm not a young child. I suppose if you're an adult and you never ever bend over while you're outside, this theory will work for you. If you're out in the woods turning over rocks and logs with a group of kids while working at a nature camp, not so much. If you're also a waitress, and your manager insists on scheduling you so that you don't have time to go home and shower before reporting to your second job, you might feel a tick crawling around in your hair while you're taking someone's order. Ask me how I know.We are also encouraged to landscape our yard so there's a buffer between tick habitat (the shrubby stuff) and the grass.
I tell my kids to stay out of what we call the scrubby. And I suppose we could do this (when?) and then add an electric fence like they use with dogs, to keep the boys inside the grassy perimeter. I suppose I could also have someone treat the edges of the yard to kill ticks and repel deer (which walk right into the yard--we don't often see them, but they eat our bushes and leave footprints), although spraying in the yard where the boys are bound to go makes me nervous. They are boys. They climb the stone walls, they turn over the rocks, they whack plants with sticks. Unless I leash them, I doubt a cute little path of woodchips is going to deter them, no matter what I say.The website tells us "Deer ticks are not out in the middle of your lawn." Right, so I'm no expert, but last summer I spread a blanket out in the middle of the lawn and a few minutes later saw a tick walk right onto it. I've walked over the lawn to get the mail and come back inside with a tick on my leg. Maybe I just have very, very aggressive ticks around my house.
Here we see a still from a video demonstration on how to soak your clothes with permethrin.
I like this quote from the website: "The EPA states '...There is reasonable certainty that Permethrin-treated clothing poses no harm to infants or children.'" I don't know, "reasonable certainty" just doesn't sound definitive to me. It sounds sort of like an equivocation. Obviously we have to do something, but I'm not sure putting the children in insecticide-soaked clothing is quite the way to go.So anyway, I guess I'm not good at listening to that lone voice in the wilderness. We walk the line between keeping ourselves informed and living in a bubble soaked with deer repellent and insecticide. I checked in with the pediatrician this morning, and we will just observe Nicholas for symptoms, which I do with the kids from the first mild day on anyway. As our pediatrician said, we can assume that for every tick we find, we've missed three, so he doesn't prescribe antibiotics prophylactically because based on that logic, we'd all be on antibiotics all the time, just in case. I agree with him. And I hope if I do have some sort of natural immunity against Lyme, the kids inherited it. I'm not sure there's anyone left around here who doesn't know someone who's had Lyme Disease.




























