Your Guide to Tick Prevention

Here’s what you can do to prevent tick bites and avoid getting sick from the bite of a tick.

Before You Go Outdoors:

1.) Know where to find ticks. Ticks live in grassy, brushy, or wooded areas, or even on animals. Spending time outside walking your dog, camping, gardening, fishing or hunting could bring you in close contact with ticks. Many people get ticks in their own yard or neighborhood.

2.) Use permethrin on clothing and gear. Clothing can be treated with 0.5 percent permethrin, an insecticide that repels and kills ticks. It can be purchased from the outdoors section of several retailers. Follow the label instructions.

3.) Use a repellent. Repellents can be applied to exposed skin and clothing to help repel ticks. Follow the label instructions. Use Environmental Protection Agency (EPA)-registered insect repellents that are recommended by the Centers for Disease Control and Prevention (CDC) They will contain one of the following active ingredients: DEET, picaridin, IR3535, 2-undecanone, Oil of Lemon Eucalyptus (OLE) or para-menthane-diol (PMD). EPA’s search tool can help you find the product that is right for you.

4.) Avoid contact with ticks. Know where to avoid wooded and bushy areas with tall grass and leaf litter. Walk in the center of trails to avoid overhanging plants.

After You Come Inside:

5.) Check your clothes for ticks. Ticks may be carried into the house on clothing. Any ticks that are found should be removed. Tumble dry clothes in a dryer on high heat for 10 minutes to kill ticks on dry clothing after you come indoors. If the clothes are damp, additional time may be needed. If the clothes require washing first, hot water is recommended. Cold and medium temperature water will not kill ticks.

6.) Examine gear and pets . Ticks can ride into the home on clothing and pets, then attach to a person later, so carefully examine animals, coats and backpacks.

7.) Shower soon after being outdoors. Showering within two hours of coming indoors has been shown to reduce your risk of getting Lyme disease and may be effective in reducing the risk of other tickborne diseases. Showering may help wash off unattached ticks and it is a good opportunity to do a tick check.

8.) Check your body for ticks after being outdoors . Conduct a full body check upon return from potentially tick-infested areas, including your own backyard. Use a hand-held or full-length mirror to view all parts of your body. Check these parts of your body and your child’s body for ticks:

• Under the arms
• In and around the ears
• Inside belly button
• Back of the knees
• In and around the hair
• Between the legs
• Around the waist

HOW TO REMOVE A TICK

Checking for ticks after outdoor activities will help prevent infection. It usually takes several hours for diseases to be transmitted from a tick to you.

Here are five steps to successfully remove a tick:

1. Use fine-tipped tweezers or shield your fingers with a tissue, paper towel, or rubber gloves, when removing the tick; otherwise infectious agents may enter through mucous membranes and breaks in the skin.
2. Grasp the tick as close to the skin surface as possible and pull upward with steady, even pressure.
3. DO NOT twist or jerk the tick ; this may cause the mouthparts to break off and remain in the skin.
4. DO NOT squeeze, crush or puncture the body of the tick because its fluids may contain infectious organisms.
5. After removing the tick, thoroughly disinfect the bite site and wash your hands with soap and water.

Our Health Department will identify your tick free of charge. This tick identification service does not test ticks for pathogens (e.g., Lyme disease bacteria) for clinical purpose. The most common tick identified is the lone star tick, but the blacklegged tick and American dog tick pop up, too.

You can submit a photo online, bring in the tick or mail the tick.

HOW A TICK FINDS YOU

Ticks find their hosts by detecting breath and body odors, or by sensing body heat, moisture and vibrations. Some species can even recognize a shadow.

Some ticks pick a place to wait by identifying well-used paths. Then they wait for a host, resting on the tips of grasses and shrubs. Other ticks will wait in the leaf litter on the ground for an animal or person that might walk by or stop to rest on the leaves.

Ticks can’t fly or jump, but many tick species wait in a position known as “questing.” While questing, ticks hold onto leaves and grass by their third and fourth pair of legs. They hold the first pair of legs outstretched, waiting to climb on to the host. When a host brushes the spot where a tick is waiting, it quickly climbs aboard. Some ticks will attach quickly and others will wander, looking for places like the ear, or other areas where the skin is thinner.

2 WAYS TO PREVENT TICKS IN YOUR YARD

If you have a yard at your home or townhouse, then follow these steps to prevent ticks in your yard. 

1.) Practice tick-safe landscaping. Ticks that transmit Lyme disease need higher humidity levels to survive; they die quickly in drier environments. Increasing exposure to sun and air by removing leaf litter, mowing the lawn and clearing tall grass and brush around houses and at the edges of lawns will reduce the numbers of ticks that transmit Lyme disease.

2.) Discourage deer. Ticks often attach themselves to deer. Those deer then wander into your yard and the ticks may end up on your property. Constructing physical barriers and removing food, such as spilled bird seed, from your yard will discourage deer from entering your yard. In addition, removing plants that attract deer and constructing physical barriers may help discourage tick-infested deer from coming near homes.

There are three tick species regularly found in Fairfax County that can transmit disease to humans:

1. Blacklegged or Deer Tick (Ixodes scapularis)
2. Lone Star Tick (Amblyomma americanum)
3. American Dog Tick (Dermacentor variabilis)

Lyme disease is the most reported tick-borne disease in our area, but it's not the only disease transmitted by ticks. It’s important to know the symptoms of tick-borne diseases like Lyme disease so you can seek early treatment when necessary. Symptoms can include, but are not limited to:

• Rash (Lyme disease sometimes, but not always, causes a bull’s-eye rash.)
• Fever
• Headache
• Achy muscles and joints
• Fatigue

If you are concerned that you may have contracted a tick-borne illness, consult your physician as soon as possible.

LYME DISEASE RASHES

View this collection of images from the Centers for Disease Control and Prevention.

ALPHA-GAL SYNDROME

Alpha-gal syndrome (AGS) is a potentially life-threatening allergic condition that has been associated with tick bites. Evidence suggests that AGS is primarily associated with the bite of a lone star tick in the United States, but other types of ticks have not been ruled out since AGS has been connected with other tick species in other countries. Not everyone who is bitten by a tick develops AGS.

AGS is also called alpha-gal allergy, red meat allergy, or tick bite meat allergy. AGS is not an infection, but a reaction to products containing alpha-gal. Alpha-gal is a sugar molecule found in most mammals.

Symptoms of an AGS reaction can include the following:

• Hives or itchy rash
• Nausea or vomiting
• Heartburn or indigestion
• Diarrhea
• Cough, shortness of breath, or difficulty breathing
• Drop in blood pressure
• Swelling of the lips, throat, tongue, or eye lids
• Dizziness or faintness
• Severe stomach pain

Symptoms commonly appear within a few hours of eating meat from mammals or dairy products or after exposure to products containing alpha-gal sugar. Alpha gal is not found in poultry, eggs or seafood.

If you think you may have AGS or have medical questions, contact your healthcare provider. AGS can be a severe and potentially life-threatening condition. Seek immediate emergency care if you are having a severe allergic reaction.