Ticks and lyme disease

Is the vaccine a GP job?
I know two people in Devon who have had Lyme,and three in Hants.
To a lesser or more serious effect.
I have never had do many ticks on me as this year,or the dog...or the wife.
In that order.😉
I don't know if TBE is an issue in the UK. But I can get the vaccine at a pharmacy here. Two doses about 2-3 months apart and a booster after 6-12
Then a booster every three years.
 
I don't know if TBE is an issue in the UK. But I can get the vaccine at a pharmacy here. Two doses about 2-3 months apart and a booster after 6-12
Then a booster every three years.
Prevalent in parts of Europe and several cases found under the Public Health England (Porton Down) sampling study last year in Hampshire and Norfolk. Not widespread yet but it’s coming 😔
 
I have just had the my 1st course of the TBE vaccine, after having a chat with my sister who's a military nurse, as there has been an increase in soldiers being infected with Tick-borne encephalitis!. You are able to have a fast track dosage 1st dose 14 days later 2nd dose provides 90% protection and 3rd dose 5 months after. As for when a Lyme disease vaccine is available I will be booking that as well.
 
Had tick attached its self to me about three weeks ago I’m assuming it was on me for at least 24 hours just phoned my local GP surgery requesting a blood test detect antibodies against the bacteria Borrelia burgdorferi.
The very nice lady said I should go to my local pharmacy and ask for advice 🥴
Having explained I’ve not been feeling well this last week or so and a pharmacist won’t offer a blood test the reply was if you symptoms get worse call 111 or go to a&e what’s the point of GPs.
 
So my understanding is the tiny stage of the tick will less likely be a carrier as deer are the main vectors of lymes. It’s not guaranteed but less of a risk. Also removing them a as soon as as possible reduces the risk. I think we’ve all had a few and sometimes I wonder at my aches and pains are something sinister but I think if you’ve got it you know. Old army fatigue soaked every year in nasty tick solution and you’ll never have any. I wear it all summer
The "tiny stages" are the very ones that you need to watch out for - nymphs look like an onion seed ie very small but it's them that feed on the reservoirs for Lyme - rodents, songbirds etc and the pass it on in their next meal to whatever they latch onto - whilst they also feed on deer the latter aren't reservoirs for Lyme (or TBE) the problem with lyme is that folk think it's limited to hotspots when it's not, you can get it almost anywhere and that combined with the fact deer managers & stalkers average over 50 and are predominantly male by which time you need reading glasses for close up work ie spotting ticks (I am one of those in that category). Don't let your GP ignore your concerns if you have the classic bulls eye rash insist on treatment, if you've been knowingly bitten by a tick and have symptoms get treated if you can't recall a tick bite but feel ill get treated and tested. There's some interesting studies in Scandinavia (the STING studies) where they monitored people bitten by infected ticks and whilst only a low percentage were exposed or subsequently infected requiring treatment that we have 5000 plus cases a year here and lower carriage rates in ticks tells you a lot of people are getting bitten and it's one lottery you don't want to "win"

Declaration of conflict of interest - I work for UKHSA and look after the UK Lyme diagnostic reference lab - for what it's worth I wear impregnated clothing and tuck my socks in when I'm stalking but tend to find I'm getting most ticks when skinning deer i suspect usually because I don't leave them that long hanging (1-2 days) so the questing ticks haven't dropped off in the larder. Be vigilant!
 
tend to find I'm getting most ticks when skinning deer i suspect usually because I don't leave them that long hanging (1-2 days) so the questing ticks haven't dropped off in the larder.

ditto

I wear tick repellent clothing whilst stalking but shed those when butchering. And, like you, tend to butcher soon after return home. Many ticks remain on the carcasse and thus transfer to me during this period.

When I last had a bullseye [erythema migrans] response to a tick-bite, I sent a photo to the doctor and was rapidly prescribed doxycycline. Treating with antibiotics early is key
 
I think that most of the ticks I have had are from stalking in long grass during the summer. I have one permission that every time I came home I had one or more ticks (nymph), so I stopped stalking there while the grass was long. I tend to roll my sleeves up and check my arms regularly when I'm skinning them, rubbing my arms down regularly. I skin between 25-50 and year.
 
Tip.
Buy cattle ai /examination gloves,give them a good stretch about 2/3rds up.
They will go up over your shirt with the sleeves down,and stay up above your biceps.
Arm length dependant.
Then put your nitrile pair over the top.
When done,roll down and turn inside out and bin them.
You stay clean ,your shirt stays clean,the ticks can't grab on.

Learned this from a vet while assisting and being trained to do post mortems on farm stock.
 
The anti-midge repellent that I use claims good efficacy against ticks but this only lasts about 4 hours (see later for an explanation of why this might be the case, and why protection is generally much longer than this.) However that should be no major hardship if you have genuine concerns about getting a serious illness then reapplying every so often isn't going to be a show stopper. If you are stalking or working where ticks are a problem it might be worth lashing some onto areas where ticks might gain access or where they might crawl? I would do my hands up to my elbows for example with the intention that it would stop them crawling up my arms - it is not uncommon to put my hand on the ground and find them crawling about on the back of my hand so anything that encourages them to drop off can't be a bad idea.

I also found that probably the single thing I did that most reduced the number of ticks I got was wearing gaiters. I guess that most ticks I was picking up were coming from vegetation below knee height and when they grabbed on and found that my gaiters weren't to their taste then I'm assuming they dropped off again. Spraying the gaiters with some Icaridin is something I do now and again but I can't say if it works or not.

I use the Hedgewitch Icaridin for midges and ticks. It is available in big bottles and I decant it into small spray bottles and put one in every pocket, rucksack, etc. People get their knickers in an awful twist either because it contains "chemicals" or because they don't understand that the active chemical has many names including Saltidin, Icaridin, Bayrepel, Picaridin, and even Butan-2-yl 2-(2-hydroxyethyl)piperidine-1-carboxylate (yeah, I admit, I had to look it up on Wikipedia and I've no idea what it means) and so most of the commercial products are using the same active component. Icaridin is derived from pepper - the stuff you put on your dinner - and the Hedgewitch product contains Icaridin, water, and carbomer which is a sort of bulking agent used in medical applications, skin treatments, makeup (if you wear any when stalking), and so on. It doesn't have any smell or perfume (though like pepper will make you sneeze if you breath it in when spraying it) and isn't greasy so once it is on then you don't know it is there. I know some people remain fans of DEET and there is no question that DEET works but the evidence is that it is no better than icaridin plus DEET melts your car, glasses, rifle, varnish, fishing rod, phone, and possibly Stonehenge.

The EPA did some research on using icaridin against ticks and had great success with most people getting protection for over 15 hours (the max duration of the experiment) though there was one outlier result where protection seemed to break down after 3.4 hours, this may have been a problem with the test or similar but may be why icaridin is said to protect against ticks for 4 hours. It should be noted that with the two products tested the average duration of protection was over 15 hours for one, and over 11 hours for the other. The paper reporting the results can be seen here: Document Display | NEPIS | US EPA

My source of icaridin is these people at Hedgewitch, initially they were selling it to use on horses to keep the flies away. As you know I've been punting it around as a good solution for a long time and they actually got in touch with me to say that I was generating a lot of orders and could they send me some at no cost - I refused this kind offer on the basis that I can claim to be unbiased and have no conflict but a lot of people are now using it :-)

 
  • VLA15 is a multivalent recombinant protein vaccine that targets six serotypes of Borrelia representing the most common pathogenic strains found in the United States and Europe.
  • Data from the Phase 2 studies continue to demonstrate strong immunogenicity in adults as well as in children, with acceptable safety and tolerability profiles in both study populations [5,6]. The results of two Phase 2 clinical trials of VLA15, were published in the peer-reviewed medical journal, The Lancet Infectious Diseases.
  • Valneva and Pfizer reported positive paediatric and adolescent immunogenicity and safety data for VLA15, when given as a booster [7].
  • In September 2024, further positive data following a second booster vaccination of VLA15 given one year after receiving the first booster dose were reported [8].
  • Valneva and Pfizer entered into a collaboration agreement in April 2020 to co-develop VLA15, with updates to the terms in June 2022 [9].
  • Subject to positive Phase 3 data, Pfizer aims to submit a Biologic License Application to the Food and Drug Administration and Marketing Authorization Application to the European Medicines Agency in 2026.
 
Tip.
Buy cattle ai /examination gloves,give them a good stretch about 2/3rds up.
They will go up over your shirt with the sleeves down,and stay up above your biceps.
Arm length dependant.
Then put your nitrile pair over the top.
When done,roll down and turn inside out and bin them.
You stay clean ,your shirt stays clean,the ticks can't grab on.

Learned this from a vet while assisting and being trained to do post mortems on farm stock.
There’s even some with elastic cuffs now
 
There’s even some with elastic cuffs now
I see there's a type that slips over your shoulder/neck - much better than relying on elastics IMHO.

Just bought a pack of these to try - I'll report back when tried in the field.

 
Got this barsteward removed after a wee bit of 'excavation' with a knife and tweezers. It's taken three weeks to get to this stage after developing an ugly looking scab with dark areas that suggest I may of only got c3/4's out:
1000023332.webp
I only noticed a black centre by chance and reckon the beast had been in there for at least 12-months!

K
 
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