It's tick time again! Recognizing black-legged (deer ticks) and measuring the spread of Lyme disease

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1 It's tick time again! Recognizing black-legged (deer ticks) and measuring the spread of Lyme disease Actual sizes: These guys below (Ixodes scapularis) spread Lyme and other tick born diseases. Ixodes scapularis (Blacklegged ticks or Deer ticks) 1. Can you recognize when a tick is a deer tick? Please explain. 2. Which of the above tick stages do expect are the usual transmitters of Lyme disease? Why? Nymphs are the usual transmitters of Lyme because they are so small and are often not noticed right away. We wanted you to recognize these critters, so we found pictures that had been blown up so that you could notice some of their characteristics. Enlarged sizes: 3. How much do you guess that the images were blown up? How did you figure this out? TickEncounter Resource Center

2 4. What do you notice about these tick images that will help you recognize a deer tick? We wondered if the number of reported cases of Lyme disease was growing larger, staying the same, or getting smaller. Below is the data that we found. Confirmed cases of Lyme disease by locality Year U.S. 17,29 23,763 21,273 19,84 23,35 19,931 27,444 28,921 29,959 22,561 24,364 22,14 27,23 25,359 28,453 Total 5. How do you think that the number of confirmed cases has changed over the years? 6. We also made a bar chart of the data. Can you refine your answer to question #5 from looking at our bar chart? Please explain. 35, Number of con/irmed cases in U.S Number of cases 3, 25, 2, 15, 1, 5, Years We did research and found that Lyme disease was first diagnosed in It was first recognized in Lyme, Connecticut... hence it s name. We thought it might also be interesting to study how the incidence of Lyme disease had changed in individual states. We chose to look closely at Connecticut. We used the CDC (Center for Disease Control and Prevention) data below and created a graph of the incidence of Lyme disease in Connecticut. Incidence of Lyme disease in Connecticut Connecticut 4,631 1,43 1,348 1,81 1,788 3,58 2,738 2,751 1,964 2,4 1,653 2,111 1,719 1,873

3 Confirmed cases 5, 4,5 4, 3,5 3, 2,5 2, 1,5 1, 5 Incidence of Lyme disease in Connecticut year 7. Describe any trend that you see and try to list any factors that you think might be contributing to this trend. 8. What do you notice about the prevalence of Lyme disease? What can you conclude?

4 There are probably some significant developments in the diagnosis, prevention understanding, and treatment of Lyme disease that have affected how its prevalence has changed. Here are a few that we found. A vaccine was created in 1998 but then pulled off the market four years later when there were too many suits alleging that the vaccine caused the disease. GlaxoSmithKline (the company that produced the vaccine) believes that the vaccine only had 78% efficacy and that the vaccine had just not protected the people who had the vaccine and still got Lyme disease. There is evidence that Global warming is causing the ticks to survive in longitudes that are further north and had previously been too cold for the ticks to survive. Ticks are found in rural areas. In the South of the United States ticks feed on lizards but the lizards also eat the ticks. The lizards are called a dead-end host because ingesting the ticks does not pass along the Lyme bacteria to the lizard. 9. With Excel or by hand, create a growth chart for your state with the numbers given at the end of this activity. 5, Incidence of Lyme disease in your state 4,5 4, Confirmed cases 3,5 3, 2,5 2, 1,5 1, 5 year The CDC has some recommendations to help you prevent tick bites. Avoid wooded or bushy areas with high grass and leaf litter. Walk in the center of trails. Use repellents that contain 2% or more DEET Bathe or shower as soon as possible after coming indoors (preferably within two hours) to wash off and more easily find ticks that are crawling on you. Conduct a full-body tick check upon return from tick-infested areas. Examine gear and pets. Ticks can ride into the home on clothing and pets. 1. Given where your community is and how often you are involved in outdoor activities, what do you expect are your odds of contracting Lyme disease? State Alabama Alaska Arizona Arkansas 3 1 California Colorado 1 2 1

5 Connecticut 4,631 1,43 1,348 1,81 1,788 3,58 2,738 2,751 1,964 2,4 1,652 2,111 1,719 1,873 Delaware DC N N Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine ,127 1, Maryland ,235 1,248 2,576 1,746 1,466 1, , ,249 Massachusetts 1,87 1,532 1,532 2,336 1,432 2,988 3,96 4,19 2,38 1,81 3,396 3,816 3,646 2,922 Michigan Minnesota , ,238 1,46 1,63 1,293 1, , ,174 Mississippi Missouri Montana Nebraska Nevada New Hampshire , ,2 1, New Jersey 2,349 2,887 2,698 3,363 2,432 3,134 3,214 4,598 3,32 3,398 2,732 2,785 2,589 3,932 New Mexico New York 5,535 5,399 5,1 5,565 4,46 4,165 5,741 4,134 2,385 3,118 2,44 3,512 2,853 3,252 North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania 3,989 5,73 3,985 4,287 3,242 3,994 3,818 4,95 3,298 4,739 4,146 4,981 6,47 7,351 Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia ,12 Washington West Virginia Wisconsin 1,9 74 1,144 1,459 1,466 1,814 1,493 1,952 2,55 2,48 1,368 1, ,39 Wyoming U.S. TOTAL 23,763 21,273 19,84 23,35 19,931 27,444 28,921 29,959 22,561 24,364 22,14 27,23 25,359 28,453 Sources: Brought to you by Yummymath.com

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