NH DHHS Issues Reminder about Disease Prevention Efforts for Tick Season in NH

Concord, NH – The New Hampshire Department of Health and Human Services

(DHHS) Division of Public Health Services (DPHS) is reminding residents

that tick season is upon us once again and that people should take

precautions to prevent being bitten by ticks and being potentially exposed

to Lyme disease or other tick-borne illnesses. In 2013, 1,689 cases of Lyme

disease were identified in the State of New Hampshire, with the highest

rates of disease in Hillsborough, Rockingham, and Strafford Counties.

According to the Centers for Disease Control and Prevention (CDC), there

were over 30,000 cases in the United States in 2012 (the most recent year

for which data are available), and New Hampshire had the highest incidence

rate of Lyme disease in the county.

Lyme disease is caused by the bacterium Borrelia burgdoferi and is

transmitted to people by the bite of an infected black-legged tick (also

known as the deer tick). The greatest risk for Lyme disease is between the

months of May and August when the black-legged tick is in the juvenile

stage; it’s the size of a poppy seed and very difficult to see, so

individuals may be unaware they have been bitten. Ticks that transmit Lyme

can also transmit other diseases, such as anaplasmosis, babesiosis, and

Powassan virus. Although not as common as Lyme, these diseases can also

cause illness.

“Unfortunately Lyme disease remains common in New Hampshire,” said DPHS

Director of Public Health Dr. José Montero. “We cannot afford to let our

guard down since we also know that a high proportion of ticks in New

Hampshire are infected with the Lyme spirochete. We would like everyone to

consistently take the necessary precautions to protect themselves and their

families from becoming ill from this and other tick-borne diseases.”

Symptoms of Lyme disease include fever, headache, fatigue, and often a skin

rash that is round and looks like a bulls-eye. Lyme disease is treatable

with antibiotics, but if left untreated can lead to severe headaches and

neck pain caused by meningitis (inflammation of the spinal cord), pain and

swelling in the large joints, shooting pains that may interfere with sleep,

and heart palpitations and dizziness.

DHHS recommends taking the following precautions to prevent tick bites:

Avoid tick-infested areas such as overgrown grass, brush, and leaf


Use insect repellent labeled as effective against ticks

Wear protective clothing (long pants and long sleeves to keep ticks

off skin)

Do daily tick checks on yourself and family members, especially after

being outdoors

Reduce ticks around your home by keeping grass short and removing

leaf litter

Speak with your healthcare provider if you are bitten by a tick or if

you notice a large round rash anywhere on you.

For more information about Lyme disease and other tick-borne diseases,

visit the DHHS website at www.dhhs.nh.gov/dphs/cdcs/lyme/index.htm or the

Centers for Disease Control and Prevention (CDC) website at