Kim Lewis

Ticks creep into the city, bringing Lyme disease with them

Think you’re safe from ticks in the city? Think again.

Thanks to increasing urban and suburban sprawl, forests are being parceled into smaller pockets of vegetation. Parks and backyards in the suburbs are now the perfect size to sustain mice, but not quite large enough to sustain foxes. That means mice can run rampant with no natural predators to keep their population at bay. And with mice, come ticks.

How to Remove a Tick: Use fine-tipped tweezers or a tick-removal tool to grasp the tick as close to the skin's surface as possible. Pull upward with steady, even pressure. Don't twist or jerk the tick, this can cause the mouth-parts to break off and remain in the skin. If this happens, remove the mouth-parts with tweezers. If you are unabe to remove the mouth easily with clean tweezers, leave it alone and let the skin heal.

source: CDC

“The sprawling of suburbia is a fairly recent phenomenon,” said University Distinguished Professor of Biology Kim Lewis, who directs Northeastern’s Antimicrobial Discovery Center. “You get more hosts for the ticks, and of course, you get more ticks.”

Mosquito, flea, and tick-borne illnesses in the United States tripled from 2004 to 2016, according to a new report from the Centers for Disease Control and Prevention. Blacklegged ticks, also known as deer ticks, carry at least five different illnesses, including Lyme disease.

While ticks can crawl slowly, their main mode of transport is hitchhiking, Lewis said. Ticks will gladly take a lift from deer, dogs, and people. But their primary host is the white-footed mouse, which is common in the New England forests, towns, yards, and cities, and is the primary transmitter of Lyme disease.

After removing the tick, thoroughly clean the bite area and your hands with rubbing alcohol, an iodine scrub, or soap and water. Dispose of a live tick by submerging it in alcohol, placing it in a sealed bag/container, wrapping it tightly in tape, or flushing it down the toilet. Never crush a tick with your fingers. Avoid folklore remedies such as "painting" the tick with nail polish or petroleum jelly, or using heat to make the tick detach from the skin. You goal is to remove the tick as quickly as possible, not waiting for it to detach.

source: CDC

Massachusetts is one of the 14 states where, according to CDC, 95 percent of Lyme disease cases were reported in 2015. Experts estimate that 87,000 people per year in Massachusetts are infected with the bacteria Borrelia burgdorferi, which causes Lyme disease.

How serious is the illness? Lewis said it depends, since Lyme disease comes in two “flavors.” One is the acute disease: you get bitten by a tick, the pathogen causes a rash around the bite that looks like a bullseye, and you experience mild flu-like symptoms. As long as you are treated with antibiotics within a few days, the disease will go away.

But for about 10-20 percent of people, the antibiotic doesn’t work. These patients develop post-treatment Lyme disease syndrome, also known as chronic Lyme.

“People get joint pain, muscle pain, fatigue, insomnia, a whole slew of symptoms,” Lewis said. “It can be a really debilitating condition.”

Different sizes of ticks. Adult females are the largest, adult males are next, nymphs are smaller, and larva are the smallest.

source: CDC

Researchers don’t know what causes chronic Lyme, or why some patients get it and others don’t. There is currently no cure, but Lewis and his research team are working to change that.

One of the problems with treating Lyme disease is that doctors prescribe a broad-spectrum antibiotic that was originally developed to treat other infectious diseases, such as staph or E. coli. These powerful antibiotics are unfriendly to the human gut microbiome—the symbiotic bacteria that affect the immune system. Lewis said he suspects that chronic Lyme disease is partly caused by these antibiotics wrecking the microbiome, while Borrelia burgdorferi is simultaneously destroying the immune system.

Greatest risk of human infection: late spring through summer.

source: CDC

His team has been searching for a compound that selectively kills Borrelia burgdorferi, the bacteria that causes Lyme disease, without exterminating our gut bacteria. And they found one that works in mice. The next step is to test the compound in another animal, and then eventually in humans. This will take about two more years, Lewis said.

Until then, use an insect repellant containing DEET, shower after walks in the woods, and follow other tips for avoiding ticks—and don’t assume you’re immune in the city.

Originally published in news@Northeastern on May 10, 2018.

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