DOVER  – Lyme disease is the most common vector-borne disease in the United States with approximately 20,000 new cases reported each year. Delaware is among the top 10 states in the United States with the highest incidence rates. In 2018, the Division of Public Health (DPH) reported 520 confirmed and probable cases in the state.

As both the frequency of tick bites and the occurrence of Lyme disease increase as the weather warms up, DPH is ramping up its BLAST Lyme Disease awareness campaign and its outreach efforts. This year, these efforts are aimed at educating both the general public and medical providers about tick bite prevention, and how to best diagnose and treat Lyme disease. Additionally, Senate Concurrent Resolution 43, sponsored by State Senator Ernesto B. Lopez (R – SD 6) and Speaker of the House Pete Schwartzkopf (D – RD 14), recognizing May 19 – 25, 2019 as Lyme Disease Awareness Week in Delaware, passed both chambers on Thursday.

Lyme disease is a bacterial infection caused by the bites of blacklegged or deer ticks. Some, but not all, Lyme disease infections cause a red “bull’s eye” rash. Rashes can occur anywhere on the body and vary in size and shape. The rash can be warm to the touch and is usually not painful or itchy. Other symptoms are fever and/or chills, fatigue, muscle and joint aches, and headaches.

This week DPH epidemiologists are conducting interactive educational presentations at Delaware elementary and middle schools in order to increase awareness of tick-borne diseases, how to prevent tick bites, and how to safely remove ticks. Their efforts are an ongoing part of the BLAST campaign, which offer the presentations year-round to camps, schools and organizations. Any group or organization can request a presentation by calling 888-295-5156. BLAST is an acronym for remembering five simple steps you can take to protect yourself, family, and pets from Lyme disease:

• Bathe or shower within two hours of coming indoors.
• Look for ticks on your body and remove them.
• Apply repellent to your body and clothes.
• Spray your yard.
• Treat your pet.

Additionally, DPH is making poly-vinyl tick bite prevention trail signs available to all parks and municipalities statewide while supplies last. DPH will present nine of them to the Town of Milton on Wednesday, May 22 at 11:30 a.m. in Milton Memorial Park for posting at the entrances to the Town’s parks and walking trails. To reserve signs, call DPH at 302-744-4930. Also new this year are a series of short videos on tick bite prevention and removal (for humans and their pets) being added to DPH’s social media channels, and a short online survey for state employees to benchmark their awareness and knowledge of Lyme disease, and preventive and tick removal measures.

Most cases of Lyme disease can be cured with two to three weeks of antibiotics taken by mouth. However, a small percentage of patients with Lyme disease have symptoms like muscle and joint pains, arthritis, cognitive defects, sleep disturbance, and fatigue that last months or years after treatment with antibiotics, and can be challenging for the patient to live with. Also, Lyme disease can be difficult to diagnose, as not all patients with Lyme disease will develop the characteristic bull’s-eye rash, and tick exposures may often go undetected. Untreated infections can lead to severe joint pain and swelling (particularly the knees), loss of muscle tone on one or both sides of the face (called “Bell’s palsy”), dizziness, severe headaches and neck stiffness, and neurological problems.

To assist medical providers in diagnosing and treating Lyme disease, DPH has created educational flyers that will be distributed through state health care association partners. Also, since early recognition of Lyme disease decreases associated morbidity and promotes good health outcomes, DPH is providing links to two webinars that offer CEUs/CMEs on its website. A webinar produced by DPH and the Medical Society of Delaware describes the epidemiology (with particular emphasis on Delaware), early recognition, and prevention of Lyme disease. It is suitable for physicians, physician assistants, and all levels of nurses (i.e., advanced practice, RN, LPN) and can be found at: http://medicalthoughtleaders.com/MSD/LD/LD1.html through June 30, 2019. The Centers for Disease Control and Prevention also offers a free online course that teaches the proper identification and treatment of tick-borne diseases. Health care providers can visit https://www.cdc.gov/lyme/healthcare/index.html to learn more about the course and the credit hours available.

Other ongoing components of the BLAST Lyme Disease campaign includes print, radio, Facebook, and digital ads in English and Spanish, which began running in late April. DPH’s Lyme webpage at lyme.de/gov features detailed tick removal instructions and a printable poster of common symptoms, and a “Kids Korner” filled with engaging activities.

A person who is deaf, hard-of-hearing, deaf-blind or speech-disabled can call the DPH phone number above by using TTY services. Dial 7-1-1 or 800-232-5460 to type your conversation to a relay operator, who reads your conversation to a hearing person at DPH. The relay operator types the hearing person’s spoken words back to the TTY user. To learn more about TTY availability in Delaware, visit http://delawarerelay.com.

The Delaware Department of Health and Social Services is committed to improving the quality of the lives of Delaware’s citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. DPH, a division of DHSS, urges Delawareans to make healthier choices with the 5-2-1 Almost None campaign: eat 5 or more fruits and vegetables each day, have no more than 2 hours of recreational screen time each day (includes TV, computer, gaming), get 1 or more hours of physical activity each day, and drink almost no sugary beverages.

DOVER — While many Delawareans couldn’t be happier to see spring’s arrival and winter’s departure, the Division of Public Health (DPH) is warning residents that with warm weather comes ticks, fleas, mosquitoes and increased chances of vector-borne diseases. Whether staying home or traveling in the coming months, DPH wants to remind Delawareans of the risk of these diseases, which include Lyme disease, Zika, and West Nile Virus, and to share prevention tips.

“While we want everyone to get outside and enjoy the weather, taking advantage of additional opportunities for family time and exercise, we also hope each person takes the proper precautions to protect themselves and others, especially children, as well as pets from the diseases that can potentially come with insect bites,” said DPH Director Dr. Karyl Rattay.

According to data just released by the Centers for Disease Control and Prevention (CDC), in 2016, Delaware reported 545 cases of tick borne diseases and 35 cases of mosquito borne diseases. The CDC listed Lyme disease as the state’s top tick borne disease, accounting for 93 percent (506) of the cases. DPH recently finalized its 2017 data and is reporting 608 cases of Lyme disease last year, an increase of more than 100 cases since 2016. The CDC believes that the actual number of Lyme disease cases nationwide is 10 times higher than what is reported to doctors or state and county health departments.

Since May is also Lyme Disease Awareness Month, DPH has launched a campaign titled, “BLAST Lyme disease,” which was adapted with permission from the Ridgefield, Connecticut, BLAST Program. The “BLAST” acronym is a simple way to remember five simple steps you can take to protect yourself, family, and pets from Lyme disease:
• Bathe or shower within two hours of coming indoors.
• Look for ticks on your body and remove them.
• Apply repellent to your body and clothes.
• Spray your yard.
• Treat your pet.

Lyme disease is the most common vector-borne disease in the United States with approximately 20,000 new cases reported each year. It is frequently characterized by an expanding red rash, commonly referred to as a “bull’s eye rash.” Rashes can occur anywhere on the body and vary in size and shape. The rash can be warm to the touch, but usually not painful or itchy. Not all patients will develop the characteristic rash. Other symptoms include fever and or chills, fatigue, muscle and joint aches, and headaches. Untreated infections can lead to symptoms including severe joint pain and swelling (usually large joints, particularly the knees), loss of muscle tone on one or both sides of the face (called “Bell’s palsy”), heart palpitations and dizziness, severe headaches and neck stiffness due to meningitis, and neurological problems (i.e., numbness or tingling in the hands or feet, problems with concentration and short-term memory).

The BLAST campaign will run through the summer and early fall months and includes advertisements on Facebook, several local websites, and Spanish-language publications. DPH has also updated its website to include fun activities for children to learn about Lyme disease called “Kids Korner,” and has detailed instructions for tick removal. To see these features and learn more about Lyme disease, visit de.gov/lyme.

Additionally, education packets have been sent to all public, private and charter schools, public libraries, and licensed summer camps. DPH is also mailing materials to pediatricians and family practice providers, coordinating with DNREC on outreach to state parks and providing email communications to community partners.

All of Delaware’s reported mosquito-borne diseases last year were travel-related and not spread through the bite of a mosquito locally. The CDC reported Delaware’s top mosquito-borne disease in 2016 as Zika (17 cases). Malaria accounted for another 16 cases, and Dengue for the last two.

Although Delaware has not had a reported Zika case since 2016, the disease still poses a threat, particularly to those traveling abroad and those who are, or may become, pregnant. Zika is a disease caused by a virus primarily transmitted through the bite of an infected Aedes mosquito. Most people who are infected with Zika do not develop symptoms. About one in five people infected with the virus develop the disease and symptoms are generally mild. Anyone who lives or travels in the impacted areas can be infected.

Zika symptoms, typically include rash, fever, joint pain and conjunctivitis (red eyes). The largest health impact of the Zika virus appears to be on infants whose mother was infected during pregnancy. There have been reports of a serious birth defect of the brain called microcephaly, a condition in which a baby’s head is smaller than expected when compared to babies of the same sex and age, as well as other poor pregnancy outcomes. To learn about Zika risks and how to protect yourself from Zika, visit de.gov/zika.

A person who is deaf, hard-of-hearing, deaf-blind or speech-disabled can call the DPH phone number above by using TTY services. Dial 7-1-1 or 800-232-5460 to type your conversation to a relay operator, who reads your conversation to a hearing person at DPH. The relay operator types the hearing person’s spoken words back to the TTY user. To learn more about TTY availability in Delaware, visit http://delawarerelay.com.

Delaware Health and Social Services is committed to improving the quality of the lives of Delaware’s citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. DPH, a division of DHSS, urges Delawareans to make healthier choices with the 5-2-1 Almost None campaign: eat 5 or more fruits and vegetables each day, have no more than 2 hours of recreational screen time each day (includes TV, computer, gaming), get 1 or more hours of physical activity each day, and drink almost no sugary beverages.