NH DHHS Releases New Tick Disease Prevention Plan

Reminds Residents to Take Precautions against Tickborne Diseases

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

(DHHS), Division of Public Health Services (DPHS) has released a Tickborne

Disease Prevention Plan that provides detailed information about the

tickborne diseases encountered in New Hampshire and methods to prevent

them. The intent of this plan is to describe preventative measures and

actions that are recommended by DHHS for individuals in NH to prevent

tickborne disease.

“Lyme disease is a major public health issue in New Hampshire. The

Tickborne Disease Prevention Plan provides a collaborative and

comprehensive approach to staying safe from the type of tick that carries

Lyme disease,” said Dr. Benjamin Chan, State Epidemiologist. “Blacklegged

ticks carry the bacteria that cause Lyme disease. These ticks even cause

other infections besides Lyme disease. This new plan highlights the many

ways that we can prevent tick bites."

In 2014, there were an estimated 1,415 cases of Lyme disease in New

Hampshire. According to the Centers for Disease Control and Prevention

(CDC), there were over 36,000 cases in the United States in 2013 (the most

recent year for which data are available), and New Hampshire had the second

highest incidence rate of Lyme disease in the country.

Lyme disease is caused by the bacterium Borrelia burgdoferi and is

transmitted to people by the bite of an infected blacklegged tick (also

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

months of May and August when the blacklegged tick is in the nymphal stage.

The nymph is about the size of a poppy seed and very difficult to see, so

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

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

and Powassan virus. Although not as common as Lyme disease, these have been

documented in New Hampshire.

Symptoms of Lyme disease in the early stages can include fever, headache,

fatigue, and most often a red skin rash that is round and may look like a

bull’s-eye. Lyme disease is treatable with antibiotics, but if left

untreated can lead to complications of meningitis (inflammation of the

lining around the spinal cord), pain and swelling in large joints, and

heart complications.

DHHS recommends taking the following precautions to prevent tick bites:

Avoid tick-infested areas such as overgrown grass, brush, and leaflitter
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, family members, and pets, especially after being outdoors

Consult with your veterinarian about tick prevention for pets
Shower soon after returning indoors to wash or rinse off any unattached ticks
Reduce ticks around your home by keeping grass short, removing leaf
litter, and minimizing habitat or food sources for deer and rodents, which can carry ticks
Speak with your healthcare provider if you are bitten by a tick or if you notice a large round rash anywhere on you
The plan is available on the DHHS website at:
http://www.dhhs.nh.gov/dphs/cdcs/lyme/documents/tbdpreventionplan.pdf. For more information about Lyme disease and other tickborne 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
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