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Access 2000. Issues relating to countryside access

Lyme disase

Lyme disease is a bacterial infection caused by a spiral shaped micro-organism called a spirochete and is spread by tick bites. In Britain the disease infects around 200 people a year and can be fatal in certain circumstances.

Human symptoms of Lyme disease include chills, fever, fatigue, joint and muscle pains, and loss of appetite - even mild musculo-skeletal disturbances. Lyme disease is hard to diagnose in the early stages. Its flu-like symptoms can be caused by many other factors.
After an incubation period of 3 - 30 days one or more skin lesions may develop at the site of the tick bite. Skin lesions appear in 85% of patients and are typically 3 to 68 mm in diameter, red, with a flat border and central clearing. Several antibiotics are effective. Patients treated in the early stages with antibiotics usually recover rapidly and completely. Most patients who are treated in later stages of the disease also respond well to antibiotics. In a few patients who are treated for Lyme disease, symptoms of persisting infection may continue or recur, making additional antibiotic treatment necessary. Varying degrees of permanent damage to joints or the nervous system can develop in patients with late chronic Lyme disease. Typically these are patients in whom Lyme disease was unrecognized in the early stages or for whom the initial treatment was unsuccessful.

Not all ticks carry the disease, but if you avoid tick bites you will avoid the disease. Ticks are prevalent in the Highlands where they are carried by livestock and deer. Some rivers seem particular prone to them e.g the Tummel seems to be good tick country.

The chances of being bitten by a tick can be decreased with a few precautions:

  • Take care when changing and avoid areas with long grass or bracken which may harbour ticks
  • Spray insect repellent on clothes and on exposed skin other than the face.
  • Avoid shorts and wear a long-sleeved top for added protection.

Where there are paths, walk in the centre to avoid overhanging grass and brush.

A tick has to be attached to a host for 36 to 48 hours before an infection will be transmitted. Inspect your body thoroughly when you return home.

Tick removal techniques like suffocating ticks with petroleum jelly, butter, etc. do not work. Gasoline, kerosene and hot matches are not recommended either and may cause additional injuries. It is possible these techniques will irritate the tick and provoke it to discharge spirochetes into the skin. Pull the tick out with tweezers, tick removers or small forceps by grasping the tick as close as possible to the skin. Then without jerking, pull it upward steadily. After removing the tick, disinfect the skin area by rubbing alcohol or Betadine. Don't handle the tick. Spirochetes could enter the body through breaks in the skin. Dispose of it in alcohol or flush it down the drain. Check the bite for at least two weeks to see if a rash forms. If it does, seek treatment promptly.
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